Odiparcil For The Prevention Of Venous Thromboembolism
Study Details
Study Description
Brief Summary
Odiparcil is being studied to determine if it can prevent blood clots from forming after a total knee replacement and also to prove that odiparcil is safe.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- Percentage of Participants With Total VTE Event Over 10 ± 2 Days of Treatment [Up to Visit 7 (10 ± 2 days of treatment)]
Participants were assessed for VTE at all study visits and at the end of study (Day 10±2) or at early withdrawal. Any participant who remained asymptomatic for VTE at the end of the study did not receive a mandatory bilateral venogram following at least 8 days on study medication. Participants who were withdrawn early and had been objectively confirmed to have a VTE event by a method other than venography were not required to undergo venography. A participant was included in the Independent Central Adjudication Committee (ICAC)-adjudicated incidence of total VTE if he/ she experienced any of adjudicated asymptomatic deep vein thrombosis (DVT) at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or pulmonary embolism (PE) at any time during study treatment or death adjudicated to be related to VTE during study treatment.
Secondary Outcome Measures
- Percentage of Participants With Proximal DVT Over 10 ± 2 Days of Treatment [Up to 12 days]
Proximal DVT is defined as DVT in or above the popliteal vein. A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. In both asymptomatic and symptomatic DVT, the participant was considered to had a proximal DVT if either of the ICAC answers to the questions 'Left proximal' and 'Right proximal' was 'DVT'. Percentage of participants with proximal DVT over 10 ± 2 days of treatment were reported.
- Percentage of Participants With Distal DVT Over 10 ± 2 Days of Treatment [Up to 12 days]
A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. In both asymptomatic and symptomatic DVT, the participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'.
- Percentage of Participants With PE Over 10 ± 2 Days of Treatment [Up to 12 days]
Participant who reported symptoms of PE were considered to have had an adjudicated objectively confirmed symptomatic PE if the ICAC answer to the question 'Was a PE identified?' was 'Yes'. E was characterized as fatal PE non-fatal PE and total PE events. Data has been presented for fatal PE non-fatal PE and total PE events over 12 days.
- Number of Death Due to VTE Over 10 ± 2 Days of Treatment [Up to 12 days]
A participant was considered dead from an adjudicated VTE-related cause if the death classification was recorded as 'Fatal PE'. A participant was considered to have died from an investigator-assessed VTE-related cause if the investigator's death classification was recorded as 'Fatal PE'. Number of death due to VTE over 10 ± 2 days of treatment were reported.
- Percentage of Participants With Total Asymptomatic VTE Over 10 ± 2 Days of Treatment [Up to 12 days]
A participant was included in the Independent Central Adjudication Committee (ICAC)-adjudicated incidence of total VTE if experienced any of adjudicated asymptomatic deep vein thrombosis (DVT) at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or PE at any time during study treatment or death adjudicated to be related to VTE during study treatment. A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. The participant was considered to had a proximal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'. The participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'.
- Percentage of Total Symptomatic VTE Over 10 ± 2 Days of Treatment [Up to 12 days]
A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. The participant was considered to had a proximal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' was 'DVT'. The participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' was 'DVT'. Percentage of participants with total symptomatic (distal and proximal) VTE over 10 ± 2 days of treatment were reported.
- Concentration of Trough Anti-IIa Activity Over the Duration of Treatment and Follow-up [Up to 68 days]
In all participants, additional 3 milliliter of blood was collected at the time of other blood sampling as follow: Baseline, Day 3 (predose, 2, 4, 8, 10, and 12 hours post dose), Day 5 (predose), and Day 10 (predose) or early withdrawal from study medication for the assessment of anti-factor IIa activity. Samples were collected in 3.8% sodium citrate tubes and immediately chilled in ice. Plasma were centrifuged and frozen at approximately -20ºC until time of shipment to the regional central laboratory. Concentration of Trough Anti-IIa Activity over the duration of treatment and follow-up were reported.
- Percentage of Participants With Major Bleeds Over 10 ± 2 Days of Treatment [Up to 12 days]
A participant was included in the ICAC-adjudicated incidence of major bleeding if participant experienced an adjudicated major bleed up to 12 days after the start of study treatment and no later than 1 day after end of study treatment. Major bleed was defined as clinically overt bleeding, 1) Clinical overt bleeding: clinically apparent bleeding or signs and/or symptoms suggestive of bleeding with confirmatory imaging studies (e.g., ultrasound, computed tomography) 2. Critical Site Involvement: Intracranial, retroperitoneal, intra-ocular, intraspinal, pericardial. 3. Decrease in Hgb > 2 g/dL from baseline, 4. Transfusion of > 2 units of packed RBCs, 5. Medical or Surgical Intervention for the Reported Bleed, 6. Fatal Bleed. If the event satisfied one of the above criteria.
- Percentage of Participants With VTE and/or Major Bleeding Over 10±2 Days of Treatment [Up to 12 days]
A participant was included in the ICAC-adjudicated incidence of major bleeding if experienced an adjudicated major bleed up to 12 days after the start of study treatment and no later than 1 day after end of study treatment. Percentage of participants with VTE and/or major bleeding over 10±2 days of treatment were reported.
- Percentage of Participants With Total VTE Any Time After Start of Treatment [Up to Visit 9 (Day 28 post treatment)]
Participants were assessed for VTE at all study visits and at the end of the study (Day 10±2) or at early withdrawal. Any participant who remained asymptomatic for VTE at the end of the study were received a mandatory bilateral venogram. Participants who were withdrawn early and had been objectively confirmed to have a VTE event by a method other than venography were not required to undergo venography. A participant was included in the ICAC-adjudicated incidence of total VTE if experienced any of adjudicated asymptomatic DVT at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or PE at any time during study treatment or death adjudicated to be related to VTE during study treatment. Percentage of participants with total VTE any time after start of treatment were reported.
- Percentage of Participants With Elevated Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Direct Bilirubin (DB) and Total Bilirubin (TB) by 2 Fold and 3 Fold From Upper Normal Limits (ULN) Any Time On-treatment [Up to 12 days]
The ranges (low concern value; high concern value) for AST (none; > 3 fold upper normal limit (ULN) ), ALT (none; >3 fold ULN), total bilirubin (none; >= 34.2 micromole per litre [umol/L]), Direct bilirubin (none; >= 34.2 umol/L). Percentage of participants with elevated values by 2 fold and 3 fold from ULN any time on-treatment were reported.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Women must be unable to have children.
-
Will have a total knee replacement.
Exclusion Criteria:
-
Allergic to any X-ray dye.
-
Allergies or reactions to warfarin or coumadin.
-
Previous VTE (venous thromboembolism) or deep vein thrombosis (DVT).
-
On anticoagulation therapy.
-
Renal impairment.
-
Participated in any clinical trial in the past 30 days.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | GSK Investigational Site | Birmingham | Alabama | United States | 35209 |
2 | GSK Investigational Site | Mobile | Alabama | United States | 36608 |
3 | GSK Investigational Site | Phoenix | Arizona | United States | 85023 |
4 | GSK Investigational Site | Little Rock | Arkansas | United States | 72205 |
5 | GSK Investigational Site | Banning | California | United States | 92220 |
6 | GSK Investigational Site | Sacramento | California | United States | 95817 |
7 | GSK Investigational Site | Torrance | California | United States | 90509 |
8 | GSK Investigational Site | Yuba City | California | United States | 95991 |
9 | GSK Investigational Site | Colorado Springs | Colorado | United States | 80907 |
10 | GSK Investigational Site | Lonetree | Colorado | United States | 80124 |
11 | GSK Investigational Site | Clearwater | Florida | United States | 33756 |
12 | GSK Investigational Site | Deland | Florida | United States | 32720 |
13 | GSK Investigational Site | Jacksonville | Florida | United States | 32216 |
14 | GSK Investigational Site | Sarasota | Florida | United States | 34239 |
15 | GSK Investigational Site | Sarsota | Florida | United States | 34239 |
16 | GSK Investigational Site | St. Petersburg | Florida | United States | 33701 |
17 | GSK Investigational Site | Decatur | Georgia | United States | 30033 |
18 | GSK Investigational Site | Boise | Idaho | United States | 83702 |
19 | GSK Investigational Site | Lexington | Kentucky | United States | 40509 |
20 | GSK Investigational Site | Baton Rouge | Louisiana | United States | 70808 |
21 | GSK Investigational Site | Baltimore | Maryland | United States | 21209 |
22 | GSK Investigational Site | Baltimore | Maryland | United States | 21215-5271 |
23 | GSK Investigational Site | Baltimore | Maryland | United States | 21218 |
24 | GSK Investigational Site | Warren | Michigan | United States | 48089 |
25 | GSK Investigational Site | Mineola | New York | United States | 11501 |
26 | GSK Investigational Site | Charlotte | North Carolina | United States | 28207 |
27 | GSK Investigational Site | Durham | North Carolina | United States | 27704 |
28 | GSK Investigational Site | Cincinnati | Ohio | United States | 45242 |
29 | GSK Investigational Site | Cleveland | Ohio | United States | 44195 |
30 | GSK Investigational Site | Toledo | Ohio | United States | 43614 |
31 | GSK Investigational Site | Allentown | Pennsylvania | United States | 18103 |
32 | GSK Investigational Site | Altoona | Pennsylvania | United States | 16601 |
33 | GSK Investigational Site | Camp Hill | Pennsylvania | United States | 17011 |
34 | GSK Investigational Site | Hershey | Pennsylvania | United States | 17033 |
35 | GSK Investigational Site | Philadelphia | Pennsylvania | United States | 19107 |
36 | GSK Investigational Site | Philadelphia | Pennsylvania | United States | 19140 |
37 | GSK Investigational Site | Dallas | Texas | United States | 75231 |
38 | GSK Investigational Site | Dallas | Texas | United States | 75246 |
39 | GSK Investigational Site | Lubbock | Texas | United States | 79410 |
40 | GSK Investigational Site | San Antonio | Texas | United States | 78217 |
41 | GSK Investigational Site | San Antonio | Texas | United States | 78229 |
42 | GSK Investigational Site | Norfolk | Virginia | United States | 23507 |
43 | GSK Investigational Site | Richmond | Virginia | United States | 23229 |
44 | GSK Investigational Site | Richmond | Virginia | United States | 23249 |
45 | GSK Investigational Site | Huntington | West Virginia | United States | 25701 |
46 | GSK Investigational Site | Marshfield | Wisconsin | United States | 54449 |
47 | GSK Investigational Site | Camperdown | New South Wales | Australia | 2050 |
48 | GSK Investigational Site | Southport | Queensland | Australia | 4215 |
49 | GSK Investigational Site | Box Hill | Victoria | Australia | 3128 |
50 | GSK Investigational Site | Clayton | Victoria | Australia | 3168 |
51 | GSK Investigational Site | Geelong | Victoria | Australia | 3220 |
52 | GSK Investigational Site | Ringwood East | Victoria | Australia | 3135 |
53 | GSK Investigational Site | Windsor | Victoria | Australia | 3181 |
54 | GSK Investigational Site | Porto Alegre | Rio Grande Do Sul | Brazil | 90020-090 |
55 | GSK Investigational Site | Porto Alegre | Rio Grande Do Sul | Brazil | 90035-903 |
56 | GSK Investigational Site | Winnipeg | Manitoba | Canada | R3J 3M7 |
57 | GSK Investigational Site | Ajax | Ontario | Canada | L1S 2J5 |
58 | GSK Investigational Site | Don Mills | Ontario | Canada | M3C 1W3 |
59 | GSK Investigational Site | Newmarket | Ontario | Canada | L3Y 2P9 |
60 | GSK Investigational Site | North York | Ontario | Canada | M3M 2G2 |
61 | GSK Investigational Site | Oshawa | Ontario | Canada | L1G 2B9 |
62 | GSK Investigational Site | Scarborough | Ontario | Canada | M1W 3W3 |
63 | GSK Investigational Site | Waterloo | Ontario | Canada | N2J 1C4 |
64 | GSK Investigational Site | Charlottetown | Prince Edward Island | Canada | C1A 1L2 |
65 | GSK Investigational Site | Montreal | Quebec | Canada | H1T 2M4 |
66 | GSK Investigational Site | Québec | Quebec | Canada | G1J 1Z4 |
67 | GSK Investigational Site | Sainte Jerome | Quebec | Canada | J7Z 5T3 |
68 | GSK Investigational Site | Chennai | India | 600 040 | |
69 | GSK Investigational Site | Secunderabad | India | 500 003 | |
70 | GSK Investigational Site | Haifa | Israel | 31096 | |
71 | GSK Investigational Site | Kfar Saba | Israel | 44281 | |
72 | GSK Investigational Site | Petach Tikva | Israel | 49372 | |
73 | GSK Investigational Site | Tel-Aviv | Israel | 64239 | |
74 | GSK Investigational Site | Riga | Latvia | LV1004 | |
75 | GSK Investigational Site | Riga | Latvia | LV1005 | |
76 | GSK Investigational Site | Kaunas | Lithuania | LT-50009 | |
77 | GSK Investigational Site | Klaipeda | Lithuania | LT-92288 | |
78 | GSK Investigational Site | Vilnius | Lithuania | LT-04128 | |
79 | GSK Investigational Site | Bialystok | Poland | 15-276 | |
80 | GSK Investigational Site | Krakow | Poland | 31-862 | |
81 | GSK Investigational Site | Sosnowiec | Poland | 41-200 | |
82 | GSK Investigational Site | Wroclaw | Poland | 50-043 | |
83 | GSK Investigational Site | Irkutsk | Russian Federation | 664003 | |
84 | GSK Investigational Site | Kurgan | Russian Federation | 640014 | |
85 | GSK Investigational Site | Moscow | Russian Federation | 117415 | |
86 | GSK Investigational Site | Mosocow | Russian Federation | 115516 | |
87 | GSK Investigational Site | Mosocow | Russian Federation | 117593 | |
88 | GSK Investigational Site | Rostov- on- Don | Russian Federation | 344718 | |
89 | GSK Investigational Site | Pretoria | Gauteng | South Africa | 0084 |
90 | GSK Investigational Site | Centurion | South Africa | 157 | |
91 | GSK Investigational Site | Pretoria | South Africa | ||
92 | GSK Investigational Site | Cherkasy | Ukraine | 18009 | |
93 | GSK Investigational Site | Dnepropetrovsk | Ukraine | 49005 | |
94 | GSK Investigational Site | Kyiv | Ukraine | 03103 | |
95 | GSK Investigational Site | Kyiv | Ukraine | 04107 | |
96 | GSK Investigational Site | Vinnitsa | Ukraine | 21032 | |
97 | GSK Investigational Site | Birmingham | West Midlands | United Kingdom | B18 7QH |
98 | GSK Investigational Site | Bournmouth | United Kingdom | BH7 7DW | |
99 | GSK Investigational Site | Fife | United Kingdom | KY2 5AH | |
100 | GSK Investigational Site | London | United Kingdom | SE5 9JP | |
101 | GSK Investigational Site | Wigan | United Kingdom | WN6 9EP |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ITI101711
Study Results
Participant Flow
Recruitment Details | Male or female participants >=35 years of age with scheduled for primary elective unilateral total knee arthroplasty were recruited at 82 centers from 13 countries. The study was conducted between 28 September 2005 and 27 September 2006. |
---|---|
Pre-assignment Detail | A total of 958 participants were randomized into the study. Two participants each from the treatment arm Odiparcil 250 milligram (mg), and Odiparcil 375 mg did not receive the study medication. Therefore, the intent to treat (ITT) population was comprised of 954 participants. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil modified release (MR) 250 mg tablet at every 12 hours interval (Q12h)for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet at Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet at Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target International Normalized Ratio (INR) of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Period Title: Overall Study | ||||
STARTED | 237 | 245 | 239 | 237 |
COMPLETED | 214 | 226 | 215 | 216 |
NOT COMPLETED | 23 | 19 | 24 | 21 |
Baseline Characteristics
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 | Total |
---|---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. | Total of all reporting groups |
Overall Participants | 235 | 243 | 239 | 237 | 954 |
Age (Years) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [Years] |
66.1
(9.53)
|
65.3
(8.93)
|
64.5
(8.68)
|
66.1
(9.30)
|
65.5
(9.12)
|
Sex: Female, Male (Count of Participants) | |||||
Female |
150
63.8%
|
156
64.2%
|
155
64.9%
|
150
63.3%
|
611
64%
|
Male |
85
36.2%
|
87
35.8%
|
84
35.1%
|
87
36.7%
|
343
36%
|
Race/Ethnicity, Customized (Number) [Number] | |||||
African American/African Heritage |
18
7.7%
|
17
7%
|
20
8.4%
|
12
5.1%
|
67
7%
|
American Indian or Alaska Native |
0
0%
|
0
0%
|
1
0.4%
|
0
0%
|
1
0.1%
|
Asian - Central/South Asian Heritage |
3
1.3%
|
1
0.4%
|
3
1.3%
|
3
1.3%
|
10
1%
|
Asian - East Asian Heritage |
0
0%
|
1
0.4%
|
1
0.4%
|
0
0%
|
2
0.2%
|
Asian - South East Asian Heritage |
0
0%
|
0
0%
|
0
0%
|
1
0.4%
|
1
0.1%
|
White - Arabic/North African Heritage |
1
0.4%
|
0
0%
|
1
0.4%
|
0
0%
|
2
0.2%
|
White - White/Caucasian/European Heritage |
212
90.2%
|
224
92.2%
|
210
87.9%
|
220
92.8%
|
866
90.8%
|
Mixed Race |
1
0.4%
|
0
0%
|
0
0%
|
1
0.4%
|
2
0.2%
|
Outcome Measures
Title | Percentage of Participants With Total VTE Event Over 10 ± 2 Days of Treatment |
---|---|
Description | Participants were assessed for VTE at all study visits and at the end of study (Day 10±2) or at early withdrawal. Any participant who remained asymptomatic for VTE at the end of the study did not receive a mandatory bilateral venogram following at least 8 days on study medication. Participants who were withdrawn early and had been objectively confirmed to have a VTE event by a method other than venography were not required to undergo venography. A participant was included in the Independent Central Adjudication Committee (ICAC)-adjudicated incidence of total VTE if he/ she experienced any of adjudicated asymptomatic deep vein thrombosis (DVT) at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or pulmonary embolism (PE) at any time during study treatment or death adjudicated to be related to VTE during study treatment. |
Time Frame | Up to Visit 7 (10 ± 2 days of treatment) |
Outcome Measure Data
Analysis Population Description |
---|
ITT population comprised of all participants who were randomized and received at least one dose of study treatment. Total number of participants with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at study completion were used for analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Number (95% Confidence Interval) [Percentage of participants] |
45.1
19.2%
|
44.4
18.3%
|
41.3
17.3%
|
31.2
13.2%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Odiparcil MR 250 mg Tablet, Warfarin INR 2.0 to 3.0 |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.012 |
Comments | ||
Method | Fisher Exact | |
Comments | ||
Method of Estimation | Estimation Parameter | Risk Ratio (RR) |
Estimated Value | 1.45 | |
Confidence Interval |
(2-Sided) 95% 1.1 to 1.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Odiparcil MR 375 mg Tablet, Warfarin INR 2.0 to 3.0 |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.017 |
Comments | ||
Method | Fisher Exact | |
Comments | ||
Method of Estimation | Estimation Parameter | Risk Ratio (RR) |
Estimated Value | 1.42 | |
Confidence Interval |
(2-Sided) 95% 1.1 to 1.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Odiparcil MR 250 mg Tablet, Warfarin INR 2.0 to 3.0 |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.080 |
Comments | ||
Method | Fisher Exact | |
Comments | ||
Method of Estimation | Estimation Parameter | Risk Ratio (RR) |
Estimated Value | 1.32 | |
Confidence Interval |
(2-Sided) 95% 1.0 to 1.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants With Proximal DVT Over 10 ± 2 Days of Treatment |
---|---|
Description | Proximal DVT is defined as DVT in or above the popliteal vein. A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. In both asymptomatic and symptomatic DVT, the participant was considered to had a proximal DVT if either of the ICAC answers to the questions 'Left proximal' and 'Right proximal' was 'DVT'. Percentage of participants with proximal DVT over 10 ± 2 days of treatment were reported. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Asymptomatic, Proximal DVT |
1.8
0.8%
|
1.8
0.7%
|
4.4
1.8%
|
0.6
0.3%
|
Symptomatic, Proximal DVT |
0.0
0%
|
0.0
0%
|
0.6
0.3%
|
0.0
0%
|
Total, Proximal DVT |
1.8
0.8%
|
1.8
0.7%
|
5.0
2.1%
|
0.6
0.3%
|
Title | Percentage of Participants With Distal DVT Over 10 ± 2 Days of Treatment |
---|---|
Description | A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. In both asymptomatic and symptomatic DVT, the participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Asymptomatic, Distal DVT |
42.1
|
43.8
|
38.8
|
30.6
|
Symptomatic, Distal DVT |
1.8
|
0.0
|
0.6
|
0.0
|
Total, Distal DVT |
43.9
|
43.8
|
39.4
|
30.6
|
Title | Percentage of Participants With PE Over 10 ± 2 Days of Treatment |
---|---|
Description | Participant who reported symptoms of PE were considered to have had an adjudicated objectively confirmed symptomatic PE if the ICAC answer to the question 'Was a PE identified?' was 'Yes'. E was characterized as fatal PE non-fatal PE and total PE events. Data has been presented for fatal PE non-fatal PE and total PE events over 12 days. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Fatal PE |
0.0
0%
|
0.0
0%
|
0.0
0%
|
0.0
0%
|
Non-fatal PE |
1.2
0.5%
|
0.6
0.2%
|
0.0
0%
|
0.6
0.3%
|
Total PE |
1.2
0.5%
|
0.6
0.2%
|
0.0
0%
|
0.6
0.3%
|
Title | Number of Death Due to VTE Over 10 ± 2 Days of Treatment |
---|---|
Description | A participant was considered dead from an adjudicated VTE-related cause if the death classification was recorded as 'Fatal PE'. A participant was considered to have died from an investigator-assessed VTE-related cause if the investigator's death classification was recorded as 'Fatal PE'. Number of death due to VTE over 10 ± 2 days of treatment were reported. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Number [Participants] |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Title | Percentage of Participants With Total Asymptomatic VTE Over 10 ± 2 Days of Treatment |
---|---|
Description | A participant was included in the Independent Central Adjudication Committee (ICAC)-adjudicated incidence of total VTE if experienced any of adjudicated asymptomatic deep vein thrombosis (DVT) at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or PE at any time during study treatment or death adjudicated to be related to VTE during study treatment. A participant was considered to have had an asymptomatic evaluable venogram if the ICAC answer to the DVT question was 'Yes' or 'No', and to have had an adjudicated asymptomatic DVT if the answer was 'Yes'. The participant was considered to had a proximal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'. The participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' is 'DVT'. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Number (95% Confidence Interval) [Percentage of participants] |
42.1
17.9%
|
43.8
18%
|
40.0
16.7%
|
30.6
12.9%
|
Title | Percentage of Total Symptomatic VTE Over 10 ± 2 Days of Treatment |
---|---|
Description | A participant who reported symptoms of DVT was considered to had an adjudicated objectively confirmed symptomatic DVT if the ICAC answer to the question 'Was a symptomatic DVT identified?' was 'Yes' and the event happened no more than 12 days after start of study treatment (unless exemption for extended treatment was granted by the medical monitor) and no more than 1 day after end of study treatment. The participant was considered to had a proximal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' was 'DVT'. The participant was considered to had a distal DVT if either of the investigator's answers to the questions 'Left distal' and 'Right distal' was 'DVT'. Percentage of participants with total symptomatic (distal and proximal) VTE over 10 ± 2 days of treatment were reported. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
Number (95% Confidence Interval) [Perentage of participants] |
1.8
0.8%
|
0.0
0%
|
1.3
0.5%
|
0.0
0%
|
Title | Concentration of Trough Anti-IIa Activity Over the Duration of Treatment and Follow-up |
---|---|
Description | In all participants, additional 3 milliliter of blood was collected at the time of other blood sampling as follow: Baseline, Day 3 (predose, 2, 4, 8, 10, and 12 hours post dose), Day 5 (predose), and Day 10 (predose) or early withdrawal from study medication for the assessment of anti-factor IIa activity. Samples were collected in 3.8% sodium citrate tubes and immediately chilled in ice. Plasma were centrifuged and frozen at approximately -20ºC until time of shipment to the regional central laboratory. Concentration of Trough Anti-IIa Activity over the duration of treatment and follow-up were reported. |
Time Frame | Up to 68 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 235 | 243 | 239 | 237 |
Day 3, n= 224, 221, 223, 220 |
2.44
(1.944)
|
3.15
(2.667)
|
3.75
(2.702)
|
0.26
(0.041)
|
Day 5, n= 201, 207, 215, 203 |
1.73
(1.456)
|
2.43
(1.924)
|
3.07
(2.440)
|
0.27
(0.099)
|
Day 10, n= 179, 197, 199, 181 |
1.45
(1.298)
|
2.23
(1.830)
|
2.45
(2.042)
|
0.25
(0.020)
|
Early Withdraw On-therapy, n= 13, 8, 10, 17 |
1.73
(1.286)
|
3.73
(2.684)
|
2.49
(3.072)
|
0.29
(0.159)
|
14 Day FU, n= 16, 11, 5, 9 |
0.95
(1.086)
|
1.16
(1.431)
|
1.02
(1.652)
|
0.30
(0.109)
|
Early Withdraw 14 Day FU, n= 13, 15, 6, 13 |
0.46
(0.376)
|
0.74
(0.767)
|
0.60
(0.666)
|
0.25
(0.008)
|
28 Day FU, n= 0, 1, 0, 1 |
NA
(NA)
|
0.25
(NA)
|
NA
(NA)
|
0.25
(NA)
|
Early Withdraw 28 Day FU, n=0, 1, 0, 1 |
NA
(NA)
|
0.25
(NA)
|
NA
(NA)
|
0.25
(NA)
|
Title | Percentage of Participants With Major Bleeds Over 10 ± 2 Days of Treatment |
---|---|
Description | A participant was included in the ICAC-adjudicated incidence of major bleeding if participant experienced an adjudicated major bleed up to 12 days after the start of study treatment and no later than 1 day after end of study treatment. Major bleed was defined as clinically overt bleeding, 1) Clinical overt bleeding: clinically apparent bleeding or signs and/or symptoms suggestive of bleeding with confirmatory imaging studies (e.g., ultrasound, computed tomography) 2. Critical Site Involvement: Intracranial, retroperitoneal, intra-ocular, intraspinal, pericardial. 3. Decrease in Hgb > 2 g/dL from baseline, 4. Transfusion of > 2 units of packed RBCs, 5. Medical or Surgical Intervention for the Reported Bleed, 6. Fatal Bleed. If the event satisfied one of the above criteria. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population. The participants from ITT population who completed study treatment (Day-10 visit) or reported a major bleed by the time of early withdrawal were used for the analysis |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 205 | 217 | 222 | 203 |
Number (95% Confidence Interval) [Percentage of participants] |
0.0
0%
|
0.0
0%
|
0.9
0.4%
|
1.0
0.4%
|
Title | Percentage of Participants With VTE and/or Major Bleeding Over 10±2 Days of Treatment |
---|---|
Description | A participant was included in the ICAC-adjudicated incidence of major bleeding if experienced an adjudicated major bleed up to 12 days after the start of study treatment and no later than 1 day after end of study treatment. Percentage of participants with VTE and/or major bleeding over 10±2 days of treatment were reported. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were efficacy evaluable or reported a major bleed or VTE by the time of early withdrawal were used for the analysis |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 164 | 169 | 160 | 157 |
VTE and/or major bleed |
45.1
19.2%
|
44.4
18.3%
|
42.5
17.8%
|
32.5
13.7%
|
VTE and major bleed |
0.0
0%
|
0.0
0%
|
0.0
0%
|
0.0
0%
|
VTE with no major bleed |
45.1
19.2%
|
44.4
18.3%
|
41.3
17.3%
|
31.2
13.2%
|
Major bleed with no VTE |
0.0
0%
|
0.0
0%
|
1.3
0.5%
|
1.3
0.5%
|
No VTE and no major bleed |
54.9
23.4%
|
55.6
22.9%
|
58.1
24.3%
|
68.2
28.8%
|
Title | Percentage of Participants With Total VTE Any Time After Start of Treatment |
---|---|
Description | Participants were assessed for VTE at all study visits and at the end of the study (Day 10±2) or at early withdrawal. Any participant who remained asymptomatic for VTE at the end of the study were received a mandatory bilateral venogram. Participants who were withdrawn early and had been objectively confirmed to have a VTE event by a method other than venography were not required to undergo venography. A participant was included in the ICAC-adjudicated incidence of total VTE if experienced any of adjudicated asymptomatic DVT at early withdrawal or after 8-12 days of study treatment and no later than 1 day after end of study treatment, adjudicated symptomatic DVT or PE at any time during study treatment or death adjudicated to be related to VTE during study treatment. Percentage of participants with total VTE any time after start of treatment were reported. |
Time Frame | Up to Visit 9 (Day 28 post treatment) |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. The participants from ITT population who were with objectively confirmed symptomatic VTE, venographically detected VTE at early withdrawal or an evaluable venogram at completion of study treatment were used for the analysis |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 170 | 179 | 171 | 168 |
Number (95% Confidence Interval) [Percenatge of participants] |
46.5
19.8%
|
45.8
18.8%
|
43.3
18.1%
|
30.4
12.8%
|
Title | Percentage of Participants With Elevated Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Direct Bilirubin (DB) and Total Bilirubin (TB) by 2 Fold and 3 Fold From Upper Normal Limits (ULN) Any Time On-treatment |
---|---|
Description | The ranges (low concern value; high concern value) for AST (none; > 3 fold upper normal limit (ULN) ), ALT (none; >3 fold ULN), total bilirubin (none; >= 34.2 micromole per litre [umol/L]), Direct bilirubin (none; >= 34.2 umol/L). Percentage of participants with elevated values by 2 fold and 3 fold from ULN any time on-treatment were reported. |
Time Frame | Up to 12 days |
Outcome Measure Data
Analysis Population Description |
---|
ITT population. Number of participants were available at the time of analysis were included. |
Arm/Group Title | Odiparcil MR 250 mg Tablet | Odiparcil MR 375 mg Tablet | Odiparcil MR 500 mg Tablet | Warfarin INR 2.0 to 3.0 |
---|---|---|---|---|
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. |
Measure Participants | 231 | 235 | 236 | 234 |
ALT, >=2xULN |
4.8
2%
|
3.8
1.6%
|
3.8
1.6%
|
5.6
2.4%
|
ALT, >=3xULN |
0.9
0.4%
|
2.6
1.1%
|
0.4
0.2%
|
2.1
0.9%
|
AST, >=2xULN |
2.6
1.1%
|
3.4
1.4%
|
3.8
1.6%
|
4.7
2%
|
AST, >=3xULN |
0.0
0%
|
0.9
0.4%
|
0.4
0.2%
|
1.7
0.7%
|
Total Billirubin, >=2xULN |
0.0
0%
|
0.4
0.2%
|
0.4
0.2%
|
0.0
0%
|
Total Billirubin, >=3xULN |
0.0
0%
|
0.0
0%
|
0.0
0%
|
0.0
0%
|
Direct Billirubin, >=2xULN |
0.4
0.2%
|
0.4
0.2%
|
0.4
0.2%
|
0.9
0.4%
|
Direct Billirubin, >=3xULN |
0.4
0.2%
|
0.4
0.2%
|
0.0
0%
|
0.0
0%
|
Adverse Events
Time Frame | Serious adverse events (SAE) and non-serious adverse events (nSAEs) were collected up to follow-up visit (Visit 9, Day 28±2 days after study medication discontinuation). On-treatment nSAEs were reported. | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | ITT population was used for analysis. | |||||||
Arm/Group Title | ODIPARCIL MR 250 mg Tablet | ODIPARCIL MR 375 MG TABLET | ODIPARCIL MR 500 MG TABLET | WARFARIN INR 2.0 TO 3.0 | ||||
Arm/Group Description | Eligible participants received Odiparcil MR 250 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 375 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received Odiparcil MR 500 mg tablet, Q12h for the duration of 10 ± 2 days of double-blind treatment period. | Eligible participants received overencapsulated warfarin 1 mg and 5 mg as guided by investigator to adjust warfarin to a target INR of 2.0 to 3.0 according to the investigators practice or participant status for the duration of 10 ± 2 days of double-blind treatment period. | ||||
All Cause Mortality |
||||||||
ODIPARCIL MR 250 mg Tablet | ODIPARCIL MR 375 MG TABLET | ODIPARCIL MR 500 MG TABLET | WARFARIN INR 2.0 TO 3.0 | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | / (NaN) | / (NaN) | ||||
Serious Adverse Events |
||||||||
ODIPARCIL MR 250 mg Tablet | ODIPARCIL MR 375 MG TABLET | ODIPARCIL MR 500 MG TABLET | WARFARIN INR 2.0 TO 3.0 | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 14/235 (6%) | 11/243 (4.5%) | 16/239 (6.7%) | 9/237 (3.8%) | ||||
Blood and lymphatic system disorders | ||||||||
Coagulopathy | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Cardiac disorders | ||||||||
Atrial fibrillation | 1/235 (0.4%) | 0/243 (0%) | 2/239 (0.8%) | 0/237 (0%) | ||||
Cardiac failure congestive | 1/235 (0.4%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Acute myocardial infarction | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Atrial flutter | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Atrial thrombosis | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Myocardial ischaemia | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Gastrointestinal disorders | ||||||||
Ileus paralytic | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Gastric ulcer haemorrhage | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Intestinal obstruction | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
General disorders | ||||||||
Chest pain | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Oedema peripheral | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Infections and infestations | ||||||||
Pneumonia | 1/235 (0.4%) | 1/243 (0.4%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Postoperative wound infection | 1/235 (0.4%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Arthritis infective | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Bronchitis acute | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Device related infection | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Diverticulitis | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Gastroenteritis | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Infection | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Influenza | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Postoperative infection | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Viral upper respiratory tract infection | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Injury, poisoning and procedural complications | ||||||||
Wound dehiscence | 1/235 (0.4%) | 0/243 (0%) | 2/239 (0.8%) | 0/237 (0%) | ||||
Fall | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Joint injury | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Overdose | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Patella fracture | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Post procedural complication | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Postoperative ileus | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Traumatic haematoma | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Investigations | ||||||||
Bleeding time abnormal | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Body temperature increased | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Hepatic enzyme increased | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Metabolism and nutrition disorders | ||||||||
Dehydration | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Hyponatraemia | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Musculoskeletal and connective tissue disorders | ||||||||
Arthralgia | 1/235 (0.4%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Joint swelling | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Nervous system disorders | ||||||||
Headache | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Ischaemic stroke | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 0/237 (0%) | ||||
Syncope | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Transient ischaemic attack | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Psychiatric disorders | ||||||||
Confusional state | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Renal and urinary disorders | ||||||||
Calculus ureteric | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Renal failure | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Reproductive system and breast disorders | ||||||||
Benign prostatic hyperplasia | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Respiratory failure | 1/235 (0.4%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Dyspnoea | 0/235 (0%) | 0/243 (0%) | 0/239 (0%) | 1/237 (0.4%) | ||||
Vascular disorders | ||||||||
Haematoma | 0/235 (0%) | 0/243 (0%) | 1/239 (0.4%) | 0/237 (0%) | ||||
Haemorrhage | 0/235 (0%) | 1/243 (0.4%) | 0/239 (0%) | 0/237 (0%) | ||||
Other (Not Including Serious) Adverse Events |
||||||||
ODIPARCIL MR 250 mg Tablet | ODIPARCIL MR 375 MG TABLET | ODIPARCIL MR 500 MG TABLET | WARFARIN INR 2.0 TO 3.0 | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 124/235 (52.8%) | 120/243 (49.4%) | 122/239 (51%) | 104/237 (43.9%) | ||||
Cardiac disorders | ||||||||
Tachycardia | 11/235 (4.7%) | 12 | 12/243 (4.9%) | 12 | 19/239 (7.9%) | 19 | 12/237 (5.1%) | 12 |
Gastrointestinal disorders | ||||||||
Nausea | 27/235 (11.5%) | 28 | 35/243 (14.4%) | 36 | 40/239 (16.7%) | 41 | 33/237 (13.9%) | 36 |
Constipation | 29/235 (12.3%) | 30 | 25/243 (10.3%) | 25 | 26/239 (10.9%) | 26 | 29/237 (12.2%) | 31 |
Vomiting | 19/235 (8.1%) | 19 | 15/243 (6.2%) | 15 | 21/239 (8.8%) | 21 | 13/237 (5.5%) | 14 |
General disorders | ||||||||
Pyrexia | 40/235 (17%) | 42 | 28/243 (11.5%) | 30 | 29/239 (12.1%) | 29 | 34/237 (14.3%) | 34 |
Oedema peripheral | 27/235 (11.5%) | 30 | 23/243 (9.5%) | 27 | 28/239 (11.7%) | 36 | 25/237 (10.5%) | 35 |
Injury, poisoning and procedural complications | ||||||||
Anaemia postoperative | 20/235 (8.5%) | 20 | 21/243 (8.6%) | 21 | 24/239 (10%) | 24 | 19/237 (8%) | 19 |
Contusion | 7/235 (3%) | 8 | 13/243 (5.3%) | 14 | 8/239 (3.3%) | 10 | 9/237 (3.8%) | 10 |
Investigations | ||||||||
Body temperature increased | 18/235 (7.7%) | 20 | 21/243 (8.6%) | 21 | 13/239 (5.4%) | 13 | 13/237 (5.5%) | 13 |
Musculoskeletal and connective tissue disorders | ||||||||
Pain in extremity | 8/235 (3.4%) | 9 | 10/243 (4.1%) | 10 | 13/239 (5.4%) | 14 | 9/237 (3.8%) | 11 |
Nervous system disorders | ||||||||
Dizziness | 8/235 (3.4%) | 8 | 9/243 (3.7%) | 9 | 14/239 (5.9%) | 16 | 11/237 (4.6%) | 14 |
Psychiatric disorders | ||||||||
Insomnia | 17/235 (7.2%) | 18 | 11/243 (4.5%) | 11 | 16/239 (6.7%) | 17 | 13/237 (5.5%) | 13 |
Skin and subcutaneous tissue disorders | ||||||||
Pruritus | 11/235 (4.7%) | 11 | 14/243 (5.8%) | 14 | 10/239 (4.2%) | 10 | 9/237 (3.8%) | 9 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
Results Point of Contact
Name/Title | GSK Response Center |
---|---|
Organization | GlaxoSmithKline |
Phone | 866-435-7343 |
- ITI101711