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Comparative Investigation of Low Molecular Weight (LMW) Heparin/Edoxaban Tosylate (DU176b) Versus (LMW) Heparin/Warfarin in the Treatment of Symptomatic Deep-Vein Blood Clots and/or Lung Blood Clots. (The Edoxaban Hokusai-VTE Study).

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Daiichi Sankyo

Status and phase

Completed
Phase 3

Conditions

Thromboembolism
Venous Thromboembolism
Deep Vein Thrombosis (DVT)
Venous Thrombosis
Pulmonary Embolism (PE)

Treatments

Drug: low molecular weight heparin/unfractionated heparin
Drug: edoxaban tosylate(DU-176b)
Drug: warfarin

Study type

Interventional

Funder types

Industry

Identifiers

NCT00986154
DU176b-D-U305
The Edoxaban Hokusai VTE Study

Details and patient eligibility

About

Evaluation of heparin/edoxaban tosylate (DU176b) versus heparin/warfarin in preventing recurrence of blood clots in patients with acute symptomatic deep-vein blood clots in the legs and/or blood clots in the lungs.

Enrollment

8,292 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Male or female subjects older than the minimum legal adult age (country specific);
  • Acute symptomatic proximal DVT and/or symptomatic PE confirmed at the site by appropriate diagnostic imaging;
  • Able to provide written informed consent

Exclusion criteria

  • thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current episode of DVT and/or PE;
  • More than 48 hours pre-treatment with anticoagulant therapy prior to randomization;
  • Calculated Creatinine clearance (CrCL) < 30 mL/min;
  • significant liver disease (e.g., acute hepatitis, chronic active hepatitis, cirrhosis) or alanine transaminase (ALT) >\= 2 times the upper limit of normal (ULN), or total bilirubin (TBL) x 1.5 times the ULN;
  • patients with active cancer for whom long term treatment with (LMW) heparin is anticipated;
  • active bleeding or high risk for bleeding contraindicating treatment with (LMW) heparin or warfarin;
  • chronic treatment with non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs);
  • treatment with aspirin in a dosage of more than 100 mg/per day or dual antiplatelet therapy;
  • concurrent treatment with potent P-gp inhibitors;
  • subjects with any condition that, as judged by the investigator, would place the subject at increased risk of harm if he/she participated in the study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

8,292 participants in 2 patient groups

heparin/edoxaban tosylate
Experimental group
Treatment:
Drug: edoxaban tosylate(DU-176b)
Drug: low molecular weight heparin/unfractionated heparin
heparin/warfarin
Active Comparator group
Treatment:
Drug: warfarin
Drug: low molecular weight heparin/unfractionated heparin

Trial contacts and locations

454

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Data sourced from clinicaltrials.gov

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