NAVIGATE ESUS: Rivaroxaban Versus Aspirin in Secondary Prevention of Stroke and Prevention of Systemic Embolism in Patients With Recent Embolic Stroke of Undetermined Source (ESUS)

Sponsor
Bayer (Industry)
Overall Status
Terminated
CT.gov ID
NCT02313909
Collaborator
Janssen Research & Development, LLC (Industry), Population Health Research Institute (Other)
7,213
454
2
37.8
15.9
0.4

Study Details

Study Description

Brief Summary

This is a study in patients who recently had a brain attack (stroke) and in whom no clear cause of the stroke could be identified. These strokes are likely due to a blood clot and therefore, can be called embolic stroke of undetermined source. The abbreviation is ESUS. The study will compare 2 blood thinners. Patients will be randomly assigned to either Rivaroxaban 15 mg or Aspirin 100 mg and the study is intended to show, if patients given rivaroxaban have fewer blood clots in the brain (stroke) or in other blood vessels.

Condition or Disease Intervention/Treatment Phase
  • Drug: Rivaroxaban (Xarelto, BAY59-7939)
  • Drug: Acetylsalicylic acid (Aspirin, BAY1019036)
  • Other: Rivaroxaban-Placebo
  • Other: Aspirin-Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
7213 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Multicenter, Randomized, Double-blind, Double-dummy, Active-comparator, Event-driven, Superiority Phase III Study of Secondary Prevention of Stroke and Prevention of Systemic Embolism in Patients With a Recent Embolic Stroke of Undetermined Source (ESUS), Comparing Rivaroxaban 15 mg Once Daily With Aspirin 100 mg
Actual Study Start Date :
Dec 23, 2014
Actual Primary Completion Date :
Feb 15, 2018
Actual Study Completion Date :
Feb 15, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Rivaroxaban

Rivaroxaban 15 mg orally once daily

Drug: Rivaroxaban (Xarelto, BAY59-7939)
15 mg, once daily, orally, tablet

Other: Rivaroxaban-Placebo
Matching placebo, once daily, orally, tablet

Active Comparator: Aspirin

Aspirin 100 mg orally once daily

Drug: Acetylsalicylic acid (Aspirin, BAY1019036)
100 mg, once daily, orally, tablet

Other: Aspirin-Placebo
Matching placebo, once daily, orally, tablet

Outcome Measures

Primary Outcome Measures

  1. Incidence Rate of the Composite Efficacy Outcome (Adjudicated) [From randomization until the efficacy cut-off date (median 326 days)]

    Components of composite efficacy outcome (adjudicated) includes stroke (ischemic, hemorrhagic, and undefined stroke, TIA with positive neuroimaging) and systemic embolism. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.

  2. Incidence Rate of a Major Bleeding Event According to the International Society on Thrombosis and Haemostasis (ISTH) Criteria (Adjudicated) [From randomization until the efficacy cut-off date (median 326 days)]

    Major bleeding event (as per ISTH), defined as bleeding event that met at least one of following: fatal bleeding; symptomatic bleeding in a critical area or organ (intraarticular, intramuscular with compartment syndrome, intraocular, intraspinal, pericardial, or retroperitoneal); symptomatic intracranial haemorrhage; clinically overt bleeding associated with a recent decrease in the hemoglobin level of greater than or equal to (>=) 2 grams per decilitre (g/dL) (20 grams per liter [g/L]; 1.24 millimoles per liter [mmol/L]) compared to the most recent hemoglobin value available before the event; clinically overt bleeding leading to transfusion of 2 or more units of packed red blood cells or whole blood. The results were based on classification of events that have been positively adjudicated as major bleeding events. Incidence rate estimated as number of subjects with incident events divided by cumulative at-risk time, where subject is no longer at risk once an incident event occurred.

Secondary Outcome Measures

  1. Incidence Rate of Any of the Following: Cardiovascular Death, Recurrent Stroke, Systemic Embolism and Myocardial Infarction [From randomization until the efficacy cut-off date (median 326 days)]

    Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred. Cardiovascular death includes death due to hemorrhage and death with undetermined/unknown cause. Systemic embolism is defined as abrupt vascular insufficiency associated with clinical or radiological evidence of arterial occlusion in the absence of other likely mechanisms. The diagnosis of myocardial infarction requires the combination of: 1)evidence of myocardial necrosis (either changes in cardiac biomarkers or post-mortem pathological findings); and 2)supporting information derived from the clinical presentation, electrocardiographic changes, or the results of myocardial or coronary artery imaging.

  2. Incidence Rate of All-Cause Mortality [From randomization until the efficacy cut-off date (median 326 days)]

    All-cause mortality includes all deaths of participants due to any cause.

  3. Incidence Rate of the Following: Stroke, Ischemic Stroke, Disabling Stroke, Cardiovascular (CV) Death, Myocardial Infarction [From randomization until the efficacy cut-off date (median 326 days)]

    Disabling stroke is defined as stroke with modified Rankin score (mRS) greater than or equal to (>=) 4 as assessed by investigator. mRS spans 0-6, running from perfect health to death. A score of 0-3 indicates functional status ranging from no symptoms to "moderate disability" (defined in the mRS as requiring some help, but able to walk without assistance); mRS 4-6 indicates functional status ranging from "moderately severe disability" (unable to walk or to attend to own bodily needs without assistance)through to death. CV death includes death due to hemorrhage and death with undetermined/unknown cause. Diagnosis of myocardial infarction requires combination of: 1) evidence of myocardial necrosis either changes in cardiac biomarkers or post-mortem pathological findings); 2) supporting information derived from clinical presentation, electrocardiographic changes, or results of myocardial or coronary artery imaging.

  4. Incidence Rate of Life-Threatening Bleeding Events [From randomization until the efficacy cut-off date (median 326 days)]

    Life-threatening bleeding was defined as a subset of major bleeding that met at least one of the following criteria: 1) fatal bleeding; 2) symptomatic intracranial haemorrhage; 3) reduction in hemoglobin of at least 5 g/dl (50 g/l; 3.10 mmol/L); 4) transfusion of at least 4 units of packed red cells or whole blood; 5) associated with hypotension requiring the use of intravenous inotropic agents; 6) necessitated surgical intervention. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.

  5. Incidence Rate of Clinically Relevant Non-Major Bleeding Events [From randomization until the efficacy cut-off date (median 326 days)]

    Non-major clinically relevant bleeding was defined as non-major overt bleeding but required medical attention (example: hospitalization, medical treatment for bleeding), and/or was associated with the study drug interruption of more than 14 days. The results were based on the outcome events at or after randomization until the efficacy cut-off date. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.

  6. Incidence Rate of Intracranial Hemorrhage [From randomization until the efficacy cut-off date (median 326 days)]

    Intracranial hemorrhage included all bleeding events that occurred in intracerebral, sub arachnoidal as well as subdural or epidural sites. The below table displays results for all randomized participants and the outcomes at or after randomization until the efficacy cut-off date. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Recent ESUS (between 7 days and 6 months), defined as:

  • Recent ischemic stroke (including transient ischemic attack with positive neuroimaging) visualized by brain imaging that is not lacunar, and

  • Absence of cervical carotid atherosclerotic stenosis> 50% or occlusion, and

  • No atrial fibrillation after ≥ 24-hour cardiac rhythm monitoring, and

  • No intra-cardiac thrombus on either transesophageal or transthoracic echocardiography, and

  • No other specific cause of stroke (for example, arteritis, dissection, migraine/vasospasm, drug abuse)

Exclusion Criteria:
  • Severely disabling stroke (modified Rankin score ≥4)

  • Indication for chronic anticoagulation or antiplatelet therapy

  • Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m^2

Contacts and Locations

Locations

Site City State Country Postal Code
1 Tucson Arizona United States 85724
2 Long Beach California United States 90806
3 Stanford California United States 94305-5119
4 Torrance California United States 90502
5 New Haven Connecticut United States 06520-8064
6 Gainesville Florida United States 32611
7 Joliet Illinois United States 60435
8 Iowa City Iowa United States 52242-1089
9 Lexington Kentucky United States 40536
10 New Orleans Louisiana United States 70121
11 Baltimore Maryland United States 21210
12 Boston Massachusetts United States 02111
13 Boston Massachusetts United States 02118
14 Worcester Massachusetts United States 01655
15 Ann Arbor Michigan United States 48109-0330
16 Mount Clemens Michigan United States 48043
17 New Brunswick New Jersey United States 08901
18 Buffalo New York United States 14203
19 New York New York United States 10016-4576
20 Cincinnati Ohio United States 45219
21 Cleveland Ohio United States 44106-2602
22 Cleveland Ohio United States 44195
23 Portland Oregon United States 97225
24 Portland Oregon United States 97239-3011
25 Erie Pennsylvania United States 16550
26 Philadelphia Pennsylvania United States 19104
27 Pittsburgh Pennsylvania United States 15212
28 Charleston South Carolina United States 29425
29 Columbia South Carolina United States 29203-8004
30 Nashville Tennessee United States 37232-5400
31 Austin Texas United States 78701
32 Dallas Texas United States 75390
33 El Paso Texas United States 79905-2709
34 Houston Texas United States 77030
35 San Antonio Texas United States 78229
36 Temple Texas United States 76504
37 Salt Lake City Utah United States 84312
38 Seattle Washington United States 98102
39 Banfield Buenos Aires Argentina 1828
40 Ciudad Auton. de Buenos Aires Buenos Aires Argentina C1405CNF
41 Mar del Plata Buenos Aires Argentina B7602CBM
42 San Martín Buenos Aires Argentina 1650
43 Buenos Aires Ciudad Auton. De Buenos Aires Argentina 1078
44 Buenos Aires Ciudad Auton. De Buenos Aires Argentina 1428
45 Buenos Aires Ciudad Auton. De Buenos Aires Argentina C1039AAO
46 Buenos Aires Ciudad Auton. De Buenos Aires Argentina C1221 ADC
47 Buenos Aires Ciudad Auton. De Buenos Aires Argentina C1431FWO
48 Buenos Aires Ciudad Auton. De Buenos Aires Argentina C1437JCP
49 Rosario Santa Fe Argentina S2000DSV
50 Rosario Santa Fe Argentina
51 Ciudad Auton. de Buenos Aires Argentina C1425DND
52 Córdoba Argentina X5000JHQ
53 Santa Fe Argentina 3000
54 Camperdown New South Wales Australia 2050
55 Waratah New South Wales Australia 2298
56 Brisbane Queensland Australia 4029
57 Southport Queensland Australia 4215
58 Launceston Tasmania Australia 7250
59 Clayton Victoria Australia 3168
60 Footscray Victoria Australia 3011
61 Murdoch Western Australia Australia 6150
62 Elizabeth Vale Australia 5112
63 Nedlands Australia 6009
64 Klagenfurt Kärnten Austria 9020
65 Villach Kärnten Austria 9500
66 Bad Pirawarth Niederösterreich Austria 2222
67 St. Pölten Niederösterreich Austria 3100
68 Vöcklabruck Oberösterreich Austria 4840
69 Feldbach Steiermark Austria 8330
70 Feldkirch Vorarlberg Austria 6807
71 Salzburg Austria 5020
72 Wien Austria 1020
73 Wien Austria 1090
74 Brugge West-Vlaanderen Belgium 8310
75 Antwerpen Belgium 2020
76 Brussel Belgium 1090
77 Bruxelles - Brussel Belgium 1070
78 Dendermonde Belgium 9200
79 Edegem Belgium 2650
80 Hasselt Belgium 3500
81 Salvador Bahia Brazil 41253-190
82 Belo Horizonte Minas Gerais Brazil 30130-100
83 Belo Horizonte Minas Gerais Brazil 30150-221
84 Porto Alegre Rio Grande Do Sul Brazil 90035-001
85 Porto Alegre Rio Grande Do Sul Brazil 90110-270
86 Porto Alegre Rio Grande Do Sul Brazil
87 Joinville Santa Catarina Brazil 89202-165
88 Botucatu Sao Paulo Brazil 18618 970
89 Campinas Sao Paulo Brazil 13081-000
90 Matão Sao Paulo Brazil 15990-060
91 Ribeirão Preto Sao Paulo Brazil 14015-130
92 Ribeirão Preto Sao Paulo Brazil 14048-900
93 São Paulo Sao Paulo Brazil 01228-000
94 São Paulo Sao Paulo Brazil 08270-070
95 Rio de Janeiro Brazil 22281-100
96 Calgary Alberta Canada T2N 2T9
97 Edmonton Alberta Canada T6G 2B7
98 Edmonton Alberta Canada T6L 5X8
99 Lethbridge Alberta Canada T1K 0C9
100 Vancouver British Columbia Canada V5Z 1M9
101 Victoria British Columbia Canada V8R 1J8
102 Brandon Manitoba Canada R7A 2B3
103 Saint John New Brunswick Canada E2L 4L2
104 Halifax Nova Scotia Canada B3H 2Y5
105 Burlington Ontario Canada L7M 4Y1
106 Hamilton Ontario Canada L8L 2X2
107 Kingston Ontario Canada K7L 2V7
108 London Ontario Canada N6A 5A5
109 London Ontario Canada N6G 2V4
110 Mississauga Ontario Canada L5B 2V2
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116 Montreal Quebec Canada H3G 1A4
117 St. Jerome Quebec Canada J7Z 5T3
118 Quebec Canada G1J 1Z4
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124 Santiago Chile 7650567
125 Santiago Chile 8420524
126 Viña del Mar Chile
127 Fuzhou Fujian China 350001
128 Fuzhou Fujian China 350005
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130 Foshan Guangdong China 528000
131 Guangzhou Guangdong China 510080
132 Haikou Hainan China 570311
133 Shijiazhuang Hebei China 050000
134 Harbin Heilongjiang China
135 Zhengzhou Henan China 450052
136 Wuhan Hubei China 430014
137 Wuhan Hubei China 430034
138 Wuhan Hubei China 430060
139 Changsha Hunan China 410008
140 Baotou Inner Mongolia China 014010
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142 Nanchang Jiangxi China 330006
143 Changchun Jilin China 130021
144 Shenyang Liaoning China 110016
145 Qingdao Shandong China 266003
146 Yantai Shandong China 264000
147 Baoji Shanxi China 721008
148 Xi'an Shanxi China 710038
149 Kunming Yunnan China 650032
150 Hangzhou Zhejiang China 310009
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152 Wenzhou Zhejiang China 325000
153 Beijing China 100050
154 Beijing China 100730
155 Chongqing China
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162 Brno Czechia 656 91
163 Hradec Kralove Czechia 500 05
164 Jihlava Czechia 58633
165 Olomouc Czechia 775 20
166 Ostrava Vitkovice Czechia
167 Ostrava-Poruba Czechia 708 52
168 Praha 2 Czechia 128 21
169 Praha 3 Czechia 10034
170 Vyskov Czechia 682 01
171 Aalborg Denmark 9100
172 Aarhus C Denmark 8000
173 Copenhagen Denmark 2400
174 Glostrup Denmark 2600
175 Herlev Denmark 2730
176 Hillerød Denmark 3400
177 Helsinki Finland 00029
178 Lappeenranta Finland FIN-53130
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180 Sairaalamäki Finland 45750
181 Tampere Finland FIN-33520
182 Turku Finland 20520
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186 Brest Cedex France 29609
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193 PARIS cedex 14 France 75674
194 Paris France 75012
195 Paris France 75018
196 Paris France 75475
197 Paris France 75634
198 Saint Priest En Jarez France 42270
199 Strasbourg France 67091
200 Freiburg Baden-Württemberg Germany 79106
201 Mannheim Baden-Württemberg Germany 68167
202 München Bayern Germany 81675
203 Regensburg Bayern Germany 93053
204 Würzburg Bayern Germany 97080
205 Hannover Niedersachsen Germany 30625
206 Düsseldorf Nordrhein-Westfalen Germany 40225
207 Meerbusch Nordrhein-Westfalen Germany 40670
208 Wuppertal Nordrhein-Westfalen Germany 42283
209 Halle Sachsen-Anhalt Germany 06120
210 Dresden Sachsen Germany 01129
211 Dresden Sachsen Germany 01307
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214 Altenburg Thüringen Germany 04600
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216 Hamburg Germany 22417
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219 Ioannina Greece 45500
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221 Thessaloniki Greece 546 36
222 Budapest Hungary 1083
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225 Debrecen Hungary 4012
226 Eger Hungary 3300
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228 Kistarcsa Hungary 2143
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230 Nagykanizsa Hungary 8800
231 Nyiregyhaza Hungary H-4400
232 Sopron Hungary 9400
233 Szeged Hungary 6720
234 Zalaegerszeg Hungary 8900
235 Dublin Ireland DUBLIN 7
236 Galway Ireland
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238 Beer Sheva Israel 8410101
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240 Haifa Israel 3436212
241 Jerusalem Israel
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245 L'Aquila Abruzzo Italy 67100
246 Vibo Valentia Calabria Italy 89900
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248 Trieste Friuli-Venezia Giulia Italy 34100
249 Roma Lazio Italy 00133
250 Roma Lazio Italy 00152
251 Roma Lazio Italy 00161
252 Roma Lazio Italy 00168
253 Milano Lombardia Italy 20122
254 Milano Lombardia Italy 20132
255 Milano Lombardia Italy 20162
256 Pavia Lombardia Italy 27100
257 Ancona Marche Italy 60126
258 Isernia Molise Italy 86077
259 Cagliari Sardegna Italy 09134
260 Perugia Umbria Italy 06012
261 Perugia Umbria Italy 06024
262 Perugia Umbria Italy 06156
263 Verona Veneto Italy 37024
264 Verona Veneto Italy 37126
265 Nagoya Aichi Japan 454-8502
266 Nagoya Aichi Japan 457-8511
267 Nagoya Aichi Japan 460-0001
268 Okazaki Aichi Japan 444-8553
269 Seto Aichi Japan 489-8642
270 Toyota Aichi Japan 471-8513
271 Kitakyushu Fukuoka Japan 802-8555
272 Kitakyushu Fukuoka Japan 805-0050
273 Koriyama Fukushima Japan 963-8052
274 Fukuyama Hiroshima Japan 720-0825
275 Asahikawa Hokkaido Japan 070-8530
276 Hakodate Hokkaido Japan 041-0802
277 Kushiro Hokkaido Japan 085-0061
278 Kobe Hyogo Japan 650-0047
279 Kobe Hyogo Japan 652-0803
280 Kobe Hyogo Japan 654-0048
281 Nishinomiya Hyogo Japan 663-8211
282 Isehara Kanagawa Japan 259-1193
283 Kawasaki Kanagawa Japan 216-8511
284 Sendai Miyagi Japan 982-8523
285 Sasebo Nagasaki Japan 857-0134
286 Tenri Nara Japan 632-8552
287 Kurashiki Okayama Japan 710-8602
288 Matsubara Osaka Japan 580-0032
289 Sakai Osaka Japan 590-0064
290 Suita Osaka Japan 565-8565
291 Hidaka Saitama Japan 350-1298
292 Bunkyo-ku Tokyo Japan 113-8603
293 Hachioji Tokyo Japan 192-0032
294 Kodaira Tokyo Japan 187-8510
295 Musashino Tokyo Japan 180-8610
296 Shinjuku-ku Tokyo Japan 162-8666
297 Sumida-ku Tokyo Japan 130-8575
298 Fukuoka Japan 810-0001
299 Fukuoka Japan 810-8563
300 Fukuoka Japan 811-0213
301 Hiroshima Japan 730-8518
302 Kakogawa Japan 675-0122
303 Kochi Japan 780-8522
304 Kyoto Japan 600-8558
305 Kyoto Japan 601-1495
306 Kyoto Japan 602-8026
307 Niigata Japan 950-1197
308 Okayama Japan 700-8557
309 Donggu, Gwangju Gwang''yeogsi Korea, Republic of 61469
310 Anyang-si Gyeonggido Korea, Republic of 431-070
311 Goyang Gyeonggido Korea, Republic of 411-706
312 Seongnam-si Gyeonggido Korea, Republic of 463-707
313 Seoul Seoul Teugbyeolsi Korea, Republic of 152-703
314 Busan Korea, Republic of 49201
315 Daegu Korea, Republic of 41931
316 Daegu Korea, Republic of 42415
317 Incheon Korea, Republic of
318 Seoul, Korea, Republic of 139-872
319 Seoul Korea, Republic of 05505
320 Seoul Korea, Republic of 06351
321 Seoul Korea, Republic of 110-744
322 Seoul Korea, Republic of 120-752
323 Seoul Korea, Republic of 130-872
324 Delegación Gustavo A. Madero Distrito Federal Mexico 07760
325 México, D.F. Distrito Federal Mexico 14080
326 Morelia Michoacán Mexico 58000
327 México D.F. México Mexico 06720
328 Monterrey Nuevo Leon Mexico 64460
329 Merida Yucatán Mexico 97070
330 Aguascalientes Mexico 20127
331 México D.F. Mexico
332 Bialystok Poland 15-276
333 Chelm Poland 22-100
334 Gdansk Poland 80-803
335 Gdansk Poland 80-952
336 Katowice Poland 40-635
337 Konskie Poland 26-200
338 Lodz Poland 90-153
339 Lodz Poland 90-549
340 Olsztyn Poland 10-561
341 Sandomierz Poland
342 Siedlce Poland 08-110
343 Skarzysko-Kamienna Poland 26-110
344 Warszawa Poland 00-146
345 Warszawa Poland 02957
346 Warszawa Poland 03-242
347 Vilanova De Gaia Porto Portugal 4434-502
348 Almada Portugal 2801-951
349 Amadora Portugal 2720-276
350 Coimbra Portugal 3030-075
351 Lisboa Portugal 1198
352 Porto Portugal 4099-001
353 Porto Portugal 4200-319
354 Vila Franca de Xira Portugal P 2600-178
355 Chelyabinsk Russian Federation 454021
356 Ekaterinburg Russian Federation 620017
357 Kaluga Russian Federation 248010
358 Kazan Russian Federation 420012
359 Krasnoyarsk Russian Federation 660022
360 Moscow Russian Federation 117997
361 Moscow Russian Federation 119049
362 Nizhny Novgorod Russian Federation 603005
363 St. Petersburg Russian Federation 190068
364 St. Petersburg Russian Federation 191186
365 St. Petersburg Russian Federation 194354
366 St. Petersburg Russian Federation 196247
367 Tomsk Russian Federation 634063
368 Ulyanovsk Russian Federation 432063
369 Volgograd Russian Federation 400131
370 Yaroslavl Russian Federation 150000
371 Yekaterinburg Russian Federation 620102
372 Cape Town Western Cape South Africa 7531
373 Somerset West Western Cape South Africa 7130
374 Durban South Africa 4100
375 Santiago de Compostela A Coruña Spain 15706
376 Badalona Barcelona Spain 08916
377 L'Hospitalet de Llobregat Barcelona Spain 08907
378 Sant Joan Despi Barcelona Spain 08970
379 Castellón de la Plana Castellón Spain 12004
380 El Palmar (Murcia) Murcia Spain 30120
381 A Coruña Spain 15006
382 Badajoz Spain 06080
383 Barcelona Spain 08003
384 Barcelona Spain 08035
385 Barcelona Spain 08036
386 Barcelona Spain 08041
387 Bilbao Spain 48013
388 Cáceres Spain 10003
389 Girona Spain 17007
390 Granada Spain 18014
391 León Spain 24008
392 Lleida Spain 25198
393 Madrid Spain 28006
394 Madrid Spain 28007
395 Madrid Spain 28046
396 Sevilla Spain 41009
397 Sevilla Spain 41013
398 Valencia Spain 46026
399 Valladolid Spain 47011
400 Zaragoza Spain 50009
401 Goteborg Sweden 413 45
402 Hässleholm Sweden 281 25
403 Lund Sweden 221 85
404 Malmö Sweden 205 02
405 Umeå Sweden 901 85
406 Aarau Aargau Switzerland 5001
407 Basel Basel-Stadt Switzerland 4056
408 Lugano Ticino Switzerland 6900
409 Baden Switzerland 5404
410 Bern Switzerland 3010
411 Fribourg Switzerland 1700
412 Genève Switzerland 1205
413 Zürich Switzerland 8032
414 Ankara Turkey 06500
415 Ankara Turkey 6100
416 Antakya Turkey 31000
417 Istanbul Turkey 34098
418 Istanbul Turkey
419 Kahramanmaras Turkey 46000
420 Konya Turkey 42075
421 Konya Turkey 42080
422 High Wycombe Buckinghamshire United Kingdom HP11 2TT
423 Milton Keynes Buckinghamshire United Kingdom MK6 5LD
424 Cambridge Cambridgeshire United Kingdom CB2 0QQ
425 Exeter Devon United Kingdom EX2 5DW
426 Colchester Essex United Kingdom CO4 5JR
427 Westcliff-on-Sea Essex United Kingdom SS0 0RY
428 Gloucester Gloucestershire United Kingdom GL1 3NN
429 Watford Hertfordshire United Kingdom WD1 8HB
430 Ashford Kent United Kingdom TN24 0LZ
431 Margate Kent United Kingdom CT9 4AN
432 Leicester Leicestershire United Kingdom LE2 7LX
433 Boston Lincolnshire United Kingdom PE21 9QS
434 Harrow London United Kingdom HA1 3UJ
435 Great Yarmouth Norfolk United Kingdom NR31 6LA
436 Taunton Somerset United Kingdom TA1 5DA
437 Yeovil Somerset United Kingdom BA21 4AT
438 Sheffield South Yorkshire United Kingdom S10 2JF
439 Stoke-On-Trent Staffordshire United Kingdom ST4 6QG
440 Glasgow Stratchclyde United Kingdom G51 4TF
441 Gateshead Tyne And Wear United Kingdom NE9 6SX
442 Sunderland Tyne And Wear United Kingdom SR4 7TP
443 Wolverhampton West Midlands United Kingdom WV10 0QP
444 Leeds West Yorkshire United Kingdom LS1 3EX
445 Salisbury Wiltshire United Kingdom SP2 8BJ
446 Aberdeen United Kingdom AB25 2ZN
447 Durham United Kingdom DH1 5TW
448 Edinburgh United Kingdom EH16 4SA
449 London United Kingdom N18 1QX
450 London United Kingdom SE5 8AF
451 London United Kingdom W6 8RP
452 London United Kingdom WC1N 3BG
453 Luton United Kingdom LU4 0DZ
454 Norwich United Kingdom NR4 7UY

Sponsors and Collaborators

  • Bayer
  • Janssen Research & Development, LLC
  • Population Health Research Institute

Investigators

  • Study Director: Bayer Study Director, Bayer

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT02313909
Other Study ID Numbers:
  • 16573
  • 2013-000768-27
First Posted:
Dec 10, 2014
Last Update Posted:
Jan 9, 2019
Last Verified:
Dec 1, 2018

Study Results

Participant Flow

Recruitment Details Study was conducted at multiple centers in 31 countries between 23 December 2014 (first participant first visit) and 15 February 2018 (last participant last visit).
Pre-assignment Detail Overall, 7582 participants were screened; of these 369 participants were screen failures. A total of 7213 participants were randomized, of which 92 never took study drug; 3562 were treated with rivaroxaban(Xarelto, BAY59-7939) /placebo and 3559 were treated with acetylsalicylic acid/placebo.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Period Title: Overall Study
STARTED 3609 3604
Treated 3562 3559
COMPLETED 3552 3554
NOT COMPLETED 57 50

Baseline Characteristics

Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD Total
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD). Total of all reporting groups
Overall Participants 3609 3604 7213
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
66.9
(9.8)
66.9
(9.8)
66.9
(9.8)
Sex: Female, Male (Count of Participants)
Female
1377
38.2%
1400
38.8%
2777
38.5%
Male
2232
61.8%
2204
61.2%
4436
61.5%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
716
19.8%
698
19.4%
1414
19.6%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
51
1.4%
60
1.7%
111
1.5%
White
2613
72.4%
2605
72.3%
5218
72.3%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
229
6.3%
241
6.7%
470
6.5%
Stroke or TIA (prior to qualifying stroke) or Other medical history (count of participants) [Number]
Stroke or TIA
620
17.2%
643
17.8%
1263
17.5%
Other medical history
2989
82.8%
2961
82.2%
5950
82.5%
Time from qualifying stroke to randomization (days) [Median (Inter-Quartile Range) ]
Median (Inter-Quartile Range) [days]
38.0
36.0
37.0

Outcome Measures

1. Primary Outcome
Title Incidence Rate of the Composite Efficacy Outcome (Adjudicated)
Description Components of composite efficacy outcome (adjudicated) includes stroke (ischemic, hemorrhagic, and undefined stroke, TIA with positive neuroimaging) and systemic embolism. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
5.14
4.78
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis: Stroke + Systemic embolism: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.51884
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.07
Confidence Interval (2-Sided) 95%
0.87 to 1.33
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Incidence Rate of a Major Bleeding Event According to the International Society on Thrombosis and Haemostasis (ISTH) Criteria (Adjudicated)
Description Major bleeding event (as per ISTH), defined as bleeding event that met at least one of following: fatal bleeding; symptomatic bleeding in a critical area or organ (intraarticular, intramuscular with compartment syndrome, intraocular, intraspinal, pericardial, or retroperitoneal); symptomatic intracranial haemorrhage; clinically overt bleeding associated with a recent decrease in the hemoglobin level of greater than or equal to (>=) 2 grams per decilitre (g/dL) (20 grams per liter [g/L]; 1.24 millimoles per liter [mmol/L]) compared to the most recent hemoglobin value available before the event; clinically overt bleeding leading to transfusion of 2 or more units of packed red blood cells or whole blood. The results were based on classification of events that have been positively adjudicated as major bleeding events. Incidence rate estimated as number of subjects with incident events divided by cumulative at-risk time, where subject is no longer at risk once an incident event occurred.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
1.82
0.67
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis: ISTH major bleeding events: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.00002
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 2.72
Confidence Interval (2-Sided) 95%
1.68 to 4.39
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Incidence Rate of Any of the Following: Cardiovascular Death, Recurrent Stroke, Systemic Embolism and Myocardial Infarction
Description Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred. Cardiovascular death includes death due to hemorrhage and death with undetermined/unknown cause. Systemic embolism is defined as abrupt vascular insufficiency associated with clinical or radiological evidence of arterial occlusion in the absence of other likely mechanisms. The diagnosis of myocardial infarction requires the combination of: 1)evidence of myocardial necrosis (either changes in cardiac biomarkers or post-mortem pathological findings); and 2)supporting information derived from the clinical presentation, electrocardiographic changes, or the results of myocardial or coronary artery imaging.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
6.20
5.85
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Confidence intervals were calculated, if at least 1 event in each treatment arm existed. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.56922
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.06
Confidence Interval (2-Sided) 95%
0.87 to 1.29
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Incidence Rate of All-Cause Mortality
Description All-cause mortality includes all deaths of participants due to any cause.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
1.88
1.50
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Confidence intervals were calculated, if at least 1 event in each treatment arm existed. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.22078
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.26
Confidence Interval (2-Sided) 95%
0.87 to 1.81
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Incidence Rate of the Following: Stroke, Ischemic Stroke, Disabling Stroke, Cardiovascular (CV) Death, Myocardial Infarction
Description Disabling stroke is defined as stroke with modified Rankin score (mRS) greater than or equal to (>=) 4 as assessed by investigator. mRS spans 0-6, running from perfect health to death. A score of 0-3 indicates functional status ranging from no symptoms to "moderate disability" (defined in the mRS as requiring some help, but able to walk without assistance); mRS 4-6 indicates functional status ranging from "moderately severe disability" (unable to walk or to attend to own bodily needs without assistance)through to death. CV death includes death due to hemorrhage and death with undetermined/unknown cause. Diagnosis of myocardial infarction requires combination of: 1) evidence of myocardial necrosis either changes in cardiac biomarkers or post-mortem pathological findings); 2) supporting information derived from clinical presentation, electrocardiographic changes, or results of myocardial or coronary artery imaging.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Stroke
5.11
4.71
Ischemic stroke
4.71
4.56
Disabling stroke
1.20
0.84
CV death(includes death due to hemorrhage)
0.99
0.66
Myocardial infarction
0.49
0.67
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 1: Stroke: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.47970
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.08
Confidence Interval (2-Sided) 95%
0.87 to 1.34
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 2: Ischemic stroke: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.78738
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.03
Confidence Interval (2-Sided) 95%
0.83 to 1.29
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 3: Disabling stroke: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.14822
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.42
Confidence Interval (2-Sided) 95%
0.88 to 2.28
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 4:CV death: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.14051
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.48
Confidence Interval (2-Sided) 95%
0.87 to 2.52
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 5: Myocardial infarction: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.34284
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.74
Confidence Interval (2-Sided) 95%
0.39 to 1.38
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Incidence Rate of Life-Threatening Bleeding Events
Description Life-threatening bleeding was defined as a subset of major bleeding that met at least one of the following criteria: 1) fatal bleeding; 2) symptomatic intracranial haemorrhage; 3) reduction in hemoglobin of at least 5 g/dl (50 g/l; 3.10 mmol/L); 4) transfusion of at least 4 units of packed red cells or whole blood; 5) associated with hypotension requiring the use of intravenous inotropic agents; 6) necessitated surgical intervention. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
1.02
0.43
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.00443
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 2.34
Confidence Interval (2-Sided) 95%
1.28 to 4.29
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Incidence Rate of Clinically Relevant Non-Major Bleeding Events
Description Non-major clinically relevant bleeding was defined as non-major overt bleeding but required medical attention (example: hospitalization, medical treatment for bleeding), and/or was associated with the study drug interruption of more than 14 days. The results were based on the outcome events at or after randomization until the efficacy cut-off date. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
3.52
2.32
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.00451
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.51
Confidence Interval (2-Sided) 95%
1.13 to 2.00
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Incidence Rate of Intracranial Hemorrhage
Description Intracranial hemorrhage included all bleeding events that occurred in intracerebral, sub arachnoidal as well as subdural or epidural sites. The below table displays results for all randomized participants and the outcomes at or after randomization until the efficacy cut-off date. Incidence rate estimated as number of participants with incident events divided by cumulative at-risk time, where participant is no longer at risk once an incident event occurred.
Time Frame From randomization until the efficacy cut-off date (median 326 days)

Outcome Measure Data

Analysis Population Description
Intention-to-treat analysis set included all randomized participants. Participants who were evaluable for this measure at given time period for the arm were included in the category.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
Measure Participants 3609 3604
Number (95% Confidence Interval) [event/100 participant-years]
0.70
0.35
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban 15 mg OD, Acetylsalicylic Acid 100 mg OD
Comments Statistical analysis 1: Risk reduction was estimated with the stratified Cox proportional hazards model. Hazard ratios (95% confidence interval) as compared to acetylsalicylic acid arm were reported. Rivaroxaban treatment was compared with the Acetylsalicylic acid control group using a stratified log-rank test. P-values (two-sided) as compared to acetylsalicylic acid arm were based on the log-rank test.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.04409
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 2.01
Confidence Interval (2-Sided) 95%
1.00 to 4.02
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame From start of study drug administration until 2 days after the last dose of study drug, an average of 279 days
Adverse Event Reporting Description Safety analysis set included all randomized participants who received at least one dose of study drug.
Arm/Group Title Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Arm/Group Description Subjects received rivaroxaban 15 mg immediate-release film-coated tablet and matching placebo of acetylsalicylic acid orally once daily (OD). Subjects received acetylsalicylic acid 100 mg enteric-coated tablet and matching placebo of rivaroxaban orally once daily (OD).
All Cause Mortality
Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 73/3562 (2%) 58/3559 (1.6%)
Serious Adverse Events
Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 466/3562 (13.1%) 434/3559 (12.2%)
Blood and lymphatic system disorders
Anaemia 8/3562 (0.2%) 8 3/3559 (0.1%) 3
Anaemia macrocytic 0/3562 (0%) 0 1/3559 (0%) 1
Antiphospholipid syndrome 1/3562 (0%) 1 0/3559 (0%) 0
Febrile neutropenia 0/3562 (0%) 0 1/3559 (0%) 1
Iron deficiency anaemia 4/3562 (0.1%) 4 1/3559 (0%) 1
Microcytic anaemia 1/3562 (0%) 1 0/3559 (0%) 0
Pancytopenia 0/3562 (0%) 0 1/3559 (0%) 1
Thrombocytopenia 1/3562 (0%) 1 0/3559 (0%) 0
Thrombotic thrombocytopenic purpura 0/3562 (0%) 0 1/3559 (0%) 1
Cardiac disorders
Angina pectoris 1/3562 (0%) 1 2/3559 (0.1%) 2
Aortic valve stenosis 0/3562 (0%) 0 1/3559 (0%) 1
Arrhythmia 2/3562 (0.1%) 2 1/3559 (0%) 1
Arrhythmia supraventricular 1/3562 (0%) 1 0/3559 (0%) 0
Atrial fibrillation 36/3562 (1%) 36 37/3559 (1%) 37
Atrial flutter 5/3562 (0.1%) 5 3/3559 (0.1%) 3
Atrioventricular block complete 0/3562 (0%) 0 1/3559 (0%) 1
Atrioventricular block second degree 1/3562 (0%) 1 2/3559 (0.1%) 2
Bradycardia 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Cardiac amyloidosis 1/3562 (0%) 1 0/3559 (0%) 0
Cardiac failure 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Cardiac failure chronic 0/3562 (0%) 0 1/3559 (0%) 1
Cardiac failure congestive 3/3562 (0.1%) 3 3/3559 (0.1%) 3
Conduction disorder 0/3562 (0%) 0 1/3559 (0%) 1
Coronary artery disease 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Coronary artery occlusion 1/3562 (0%) 1 0/3559 (0%) 0
Coronary artery stenosis 1/3562 (0%) 1 0/3559 (0%) 0
Hypertensive heart disease 0/3562 (0%) 0 1/3559 (0%) 1
Myocardial ischaemia 1/3562 (0%) 1 3/3559 (0.1%) 3
Myocarditis 0/3562 (0%) 0 1/3559 (0%) 1
Palpitations 1/3562 (0%) 1 1/3559 (0%) 1
Pericardial effusion 0/3562 (0%) 0 1/3559 (0%) 1
Sinus bradycardia 0/3562 (0%) 0 1/3559 (0%) 1
Supraventricular tachycardia 2/3562 (0.1%) 2 1/3559 (0%) 1
Ventricular tachycardia 3/3562 (0.1%) 3 0/3559 (0%) 0
Atrial thrombosis 0/3562 (0%) 0 1/3559 (0%) 1
Ventricular hypokinesia 0/3562 (0%) 0 1/3559 (0%) 1
Coronary artery insufficiency 1/3562 (0%) 1 0/3559 (0%) 0
Endocarditis noninfective 1/3562 (0%) 1 0/3559 (0%) 0
Congenital, familial and genetic disorders
Atrial septal defect 1/3562 (0%) 1 2/3559 (0.1%) 2
Bicuspid aortic valve 0/3562 (0%) 0 1/3559 (0%) 1
Hydrocele 1/3562 (0%) 1 0/3559 (0%) 0
Pulmonary arteriovenous fistula 0/3562 (0%) 0 1/3559 (0%) 1
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy 1/3562 (0%) 1 0/3559 (0%) 0
Ear and labyrinth disorders
Meniere's disease 1/3562 (0%) 1 0/3559 (0%) 0
Vertigo 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Vertigo positional 2/3562 (0.1%) 2 1/3559 (0%) 1
Endocrine disorders
Basedow's disease 0/3562 (0%) 0 1/3559 (0%) 1
Goitre 1/3562 (0%) 1 1/3559 (0%) 1
Hyperparathyroidism 1/3562 (0%) 1 0/3559 (0%) 0
Hyperthyroidism 1/3562 (0%) 1 0/3559 (0%) 0
Thyroiditis subacute 1/3562 (0%) 1 0/3559 (0%) 0
Eye disorders
Blindness 1/3562 (0%) 1 0/3559 (0%) 0
Cataract 4/3562 (0.1%) 5 8/3559 (0.2%) 10
Diplopia 0/3562 (0%) 0 1/3559 (0%) 1
Eyelid ptosis 0/3562 (0%) 0 1/3559 (0%) 1
Glaucoma 0/3562 (0%) 0 1/3559 (0%) 1
Macular oedema 1/3562 (0%) 2 0/3559 (0%) 0
Retinal detachment 0/3562 (0%) 0 2/3559 (0.1%) 2
Visual impairment 1/3562 (0%) 1 0/3559 (0%) 0
Macular fibrosis 0/3562 (0%) 0 1/3559 (0%) 1
Ophthalmic vein thrombosis 1/3562 (0%) 1 0/3559 (0%) 0
Gastrointestinal disorders
Abdominal pain 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Colitis ischaemic 1/3562 (0%) 1 0/3559 (0%) 0
Constipation 0/3562 (0%) 0 1/3559 (0%) 1
Crohn's disease 1/3562 (0%) 1 0/3559 (0%) 0
Dental caries 0/3562 (0%) 0 1/3559 (0%) 1
Diarrhoea 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Diverticulum intestinal 1/3562 (0%) 1 0/3559 (0%) 0
Duodenal ulcer 1/3562 (0%) 1 2/3559 (0.1%) 2
Dyspepsia 1/3562 (0%) 1 0/3559 (0%) 0
Gastric haemorrhage 0/3562 (0%) 0 1/3559 (0%) 1
Gastric ulcer 1/3562 (0%) 1 0/3559 (0%) 0
Gastric ulcer haemorrhage 0/3562 (0%) 0 2/3559 (0.1%) 2
Gastrointestinal fistula 0/3562 (0%) 0 1/3559 (0%) 1
Gastrooesophageal reflux disease 1/3562 (0%) 1 1/3559 (0%) 1
Haemorrhoids 2/3562 (0.1%) 2 1/3559 (0%) 1
Hiatus hernia 1/3562 (0%) 1 0/3559 (0%) 0
Ileus 1/3562 (0%) 1 1/3559 (0%) 1
Inguinal hernia 7/3562 (0.2%) 7 5/3559 (0.1%) 5
Intestinal obstruction 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Intestinal perforation 0/3562 (0%) 0 1/3559 (0%) 1
Large intestinal ulcer 1/3562 (0%) 1 0/3559 (0%) 0
Nausea 1/3562 (0%) 1 0/3559 (0%) 0
Pancreatitis 0/3562 (0%) 0 3/3559 (0.1%) 3
Pancreatitis acute 1/3562 (0%) 1 0/3559 (0%) 0
Small intestinal obstruction 1/3562 (0%) 1 1/3559 (0%) 1
Vomiting 1/3562 (0%) 1 0/3559 (0%) 0
Lower gastrointestinal haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Pancreatolithiasis 1/3562 (0%) 1 0/3559 (0%) 0
Large intestine polyp 4/3562 (0.1%) 4 3/3559 (0.1%) 3
Gastric volvulus 1/3562 (0%) 1 0/3559 (0%) 0
Abdominal hernia 0/3562 (0%) 0 2/3559 (0.1%) 2
Gastric mucosal lesion 1/3562 (0%) 1 0/3559 (0%) 0
Erosive duodenitis 1/3562 (0%) 1 0/3559 (0%) 0
Rectal fissure 0/3562 (0%) 0 1/3559 (0%) 1
General disorders
Asthenia 0/3562 (0%) 0 3/3559 (0.1%) 3
Fatigue 0/3562 (0%) 0 2/3559 (0.1%) 2
Gait disturbance 1/3562 (0%) 1 0/3559 (0%) 0
Hernia 0/3562 (0%) 0 1/3559 (0%) 1
Influenza like illness 1/3562 (0%) 1 0/3559 (0%) 0
Oedema peripheral 1/3562 (0%) 1 0/3559 (0%) 0
Pyrexia 0/3562 (0%) 0 1/3559 (0%) 1
Peripheral swelling 0/3562 (0%) 0 1/3559 (0%) 1
General physical health deterioration 1/3562 (0%) 1 0/3559 (0%) 0
Non-cardiac chest pain 3/3562 (0.1%) 3 4/3559 (0.1%) 4
Multiple organ dysfunction syndrome 0/3562 (0%) 0 1/3559 (0%) 1
Hepatobiliary disorders
Bile duct stone 4/3562 (0.1%) 4 1/3559 (0%) 1
Biliary colic 1/3562 (0%) 1 1/3559 (0%) 1
Cholangitis 0/3562 (0%) 0 2/3559 (0.1%) 2
Cholangitis acute 0/3562 (0%) 0 2/3559 (0.1%) 2
Cholecystitis 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Cholecystitis acute 3/3562 (0.1%) 3 4/3559 (0.1%) 4
Cholelithiasis 6/3562 (0.2%) 6 3/3559 (0.1%) 3
Hepatic cirrhosis 0/3562 (0%) 0 1/3559 (0%) 2
Hepatitis 1/3562 (0%) 1 0/3559 (0%) 0
Hepatitis acute 1/3562 (0%) 1 0/3559 (0%) 0
Drug-induced liver injury 0/3562 (0%) 0 1/3559 (0%) 1
Immune system disorders
Anaphylactic reaction 1/3562 (0%) 1 1/3559 (0%) 1
Anaphylactic shock 1/3562 (0%) 1 0/3559 (0%) 0
Corneal graft rejection 0/3562 (0%) 0 1/3559 (0%) 1
Hypersensitivity 1/3562 (0%) 1 0/3559 (0%) 0
Infections and infestations
Appendicitis 2/3562 (0.1%) 2 1/3559 (0%) 1
Appendicitis perforated 1/3562 (0%) 1 0/3559 (0%) 0
Atypical pneumonia 0/3562 (0%) 0 1/3559 (0%) 1
Bacteraemia 1/3562 (0%) 1 0/3559 (0%) 0
Brain abscess 1/3562 (0%) 1 0/3559 (0%) 0
Bronchitis 1/3562 (0%) 1 1/3559 (0%) 1
Cellulitis 2/3562 (0.1%) 2 1/3559 (0%) 1
Clostridium difficile colitis 0/3562 (0%) 0 2/3559 (0.1%) 2
Corneal abscess 0/3562 (0%) 0 1/3559 (0%) 1
Cystitis 0/3562 (0%) 0 1/3559 (0%) 1
Diabetic gangrene 1/3562 (0%) 1 0/3559 (0%) 0
Diverticulitis 2/3562 (0.1%) 2 1/3559 (0%) 1
Encephalitis viral 0/3562 (0%) 0 1/3559 (0%) 1
Endophthalmitis 1/3562 (0%) 1 0/3559 (0%) 0
Erysipelas 1/3562 (0%) 1 2/3559 (0.1%) 2
Gastroenteritis 6/3562 (0.2%) 6 3/3559 (0.1%) 3
Gastroenteritis viral 2/3562 (0.1%) 2 0/3559 (0%) 0
Gastrointestinal infection 1/3562 (0%) 1 0/3559 (0%) 0
Hepatitis A 1/3562 (0%) 1 0/3559 (0%) 0
Infected skin ulcer 1/3562 (0%) 1 1/3559 (0%) 1
Influenza 0/3562 (0%) 0 1/3559 (0%) 1
Kidney infection 1/3562 (0%) 1 0/3559 (0%) 0
Liver abscess 0/3562 (0%) 0 1/3559 (0%) 1
Localised infection 0/3562 (0%) 0 1/3559 (0%) 1
Lower respiratory tract infection 1/3562 (0%) 1 1/3559 (0%) 1
Meningitis 2/3562 (0.1%) 2 0/3559 (0%) 0
Orchitis 1/3562 (0%) 1 0/3559 (0%) 0
Osteomyelitis 1/3562 (0%) 1 0/3559 (0%) 0
Otitis externa 1/3562 (0%) 1 0/3559 (0%) 0
Paronychia 1/3562 (0%) 1 0/3559 (0%) 0
Peritoneal abscess 1/3562 (0%) 1 0/3559 (0%) 0
Peritonitis 0/3562 (0%) 0 1/3559 (0%) 1
Pneumonia 14/3562 (0.4%) 14 14/3559 (0.4%) 14
Postoperative wound infection 1/3562 (0%) 1 0/3559 (0%) 0
Pyelonephritis chronic 1/3562 (0%) 1 0/3559 (0%) 0
Renal abscess 1/3562 (0%) 1 0/3559 (0%) 0
Sepsis 3/3562 (0.1%) 3 1/3559 (0%) 1
Septic shock 0/3562 (0%) 0 1/3559 (0%) 1
Sinusitis 0/3562 (0%) 0 1/3559 (0%) 1
Tooth abscess 0/3562 (0%) 0 1/3559 (0%) 1
Upper respiratory tract infection 1/3562 (0%) 1 1/3559 (0%) 1
Urinary tract infection 6/3562 (0.2%) 6 6/3559 (0.2%) 7
Vestibular neuronitis 1/3562 (0%) 1 1/3559 (0%) 1
Viral infection 1/3562 (0%) 1 0/3559 (0%) 0
Urosepsis 3/3562 (0.1%) 3 4/3559 (0.1%) 5
Rectal abscess 0/3562 (0%) 0 1/3559 (0%) 1
Escherichia bacteraemia 0/3562 (0%) 0 1/3559 (0%) 1
Pneumonia necrotising 1/3562 (0%) 1 0/3559 (0%) 0
Abdominal infection 1/3562 (0%) 1 0/3559 (0%) 0
Infective exacerbation of chronic obstructive airways disease 3/3562 (0.1%) 4 0/3559 (0%) 0
Neurocysticercosis 1/3562 (0%) 1 0/3559 (0%) 0
Enteritis infectious 0/3562 (0%) 0 1/3559 (0%) 1
Abdominal abscess 0/3562 (0%) 0 1/3559 (0%) 1
Bursitis infective 0/3562 (0%) 0 1/3559 (0%) 1
Lung infection 1/3562 (0%) 1 1/3559 (0%) 1
Perichondritis 1/3562 (0%) 1 0/3559 (0%) 0
Respiratory tract infection 3/3562 (0.1%) 3 1/3559 (0%) 1
Acarodermatitis 1/3562 (0%) 2 0/3559 (0%) 0
Herpes zoster oticus 1/3562 (0%) 1 0/3559 (0%) 0
Lower respiratory tract infection viral 1/3562 (0%) 1 0/3559 (0%) 0
Biliary tract infection bacterial 0/3562 (0%) 0 1/3559 (0%) 1
Pneumocystis jirovecii pneumonia 0/3562 (0%) 0 1/3559 (0%) 1
Injury, poisoning and procedural complications
Accidental overdose 2/3562 (0.1%) 2 0/3559 (0%) 0
Anastomotic ulcer haemorrhage 0/3562 (0%) 0 1/3559 (0%) 1
Ankle fracture 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Carbon monoxide poisoning 0/3562 (0%) 0 1/3559 (0%) 1
Compression fracture 0/3562 (0%) 0 1/3559 (0%) 1
Facial bones fracture 1/3562 (0%) 1 1/3559 (0%) 1
Fall 3/3562 (0.1%) 5 2/3559 (0.1%) 2
Femoral neck fracture 6/3562 (0.2%) 6 0/3559 (0%) 0
Femur fracture 5/3562 (0.1%) 5 2/3559 (0.1%) 2
Foot fracture 0/3562 (0%) 0 1/3559 (0%) 1
Head injury 1/3562 (0%) 1 0/3559 (0%) 0
Hip fracture 1/3562 (0%) 1 5/3559 (0.1%) 5
Humerus fracture 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Intentional overdose 1/3562 (0%) 1 0/3559 (0%) 0
Joint dislocation 1/3562 (0%) 1 1/3559 (0%) 2
Laceration 1/3562 (0%) 1 0/3559 (0%) 0
Ligament sprain 1/3562 (0%) 1 0/3559 (0%) 0
Medication error 2/3562 (0.1%) 2 0/3559 (0%) 0
Overdose 0/3562 (0%) 0 2/3559 (0.1%) 2
Radius fracture 2/3562 (0.1%) 2 0/3559 (0%) 0
Rib fracture 1/3562 (0%) 1 2/3559 (0.1%) 2
Road traffic accident 0/3562 (0%) 0 4/3559 (0.1%) 4
Spinal compression fracture 3/3562 (0.1%) 3 3/3559 (0.1%) 3
Spinal fracture 0/3562 (0%) 0 1/3559 (0%) 1
Subarachnoid haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Wrist fracture 1/3562 (0%) 1 1/3559 (0%) 1
Traumatic fracture 0/3562 (0%) 0 3/3559 (0.1%) 3
Cervical vertebral fracture 1/3562 (0%) 1 0/3559 (0%) 0
Muscle strain 1/3562 (0%) 1 0/3559 (0%) 0
Face injury 1/3562 (0%) 1 0/3559 (0%) 0
Contusion 1/3562 (0%) 1 0/3559 (0%) 0
Arterial restenosis 1/3562 (0%) 1 0/3559 (0%) 0
Brain contusion 1/3562 (0%) 1 0/3559 (0%) 0
Thermal burn 0/3562 (0%) 0 1/3559 (0%) 1
Transplant failure 0/3562 (0%) 0 1/3559 (0%) 2
Limb injury 1/3562 (0%) 1 2/3559 (0.1%) 2
Traumatic intracranial haemorrhage 0/3562 (0%) 0 1/3559 (0%) 1
Upper limb fracture 1/3562 (0%) 1 0/3559 (0%) 0
Ligament rupture 1/3562 (0%) 1 0/3559 (0%) 0
Bone contusion 1/3562 (0%) 1 0/3559 (0%) 0
Spinal column injury 1/3562 (0%) 1 0/3559 (0%) 0
Pubis fracture 0/3562 (0%) 0 1/3559 (0%) 1
Craniocerebral injury 0/3562 (0%) 0 1/3559 (0%) 1
Meniscus injury 0/3562 (0%) 0 3/3559 (0.1%) 3
Incorrect dosage administered 1/3562 (0%) 1 0/3559 (0%) 0
Traumatic haemothorax 0/3562 (0%) 0 1/3559 (0%) 1
Limb fracture 0/3562 (0%) 0 1/3559 (0%) 1
Investigations
Blood creatinine increased 1/3562 (0%) 1 0/3559 (0%) 0
C-reactive protein increased 1/3562 (0%) 1 0/3559 (0%) 0
Eosinophil count increased 0/3562 (0%) 0 1/3559 (0%) 1
Haemoglobin decreased 0/3562 (0%) 0 1/3559 (0%) 1
Prostatic specific antigen increased 1/3562 (0%) 1 0/3559 (0%) 0
Influenza A virus test positive 1/3562 (0%) 1 0/3559 (0%) 0
Liver function test increased 1/3562 (0%) 1 0/3559 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus 4/3562 (0.1%) 4 1/3559 (0%) 1
Diabetic ketoacidosis 2/3562 (0.1%) 2 0/3559 (0%) 0
Failure to thrive 1/3562 (0%) 1 0/3559 (0%) 0
Gout 1/3562 (0%) 1 2/3559 (0.1%) 2
Hyperglycaemia 1/3562 (0%) 1 0/3559 (0%) 0
Hyponatraemia 1/3562 (0%) 2 6/3559 (0.2%) 6
Obesity 1/3562 (0%) 1 0/3559 (0%) 0
Shock hypoglycaemic 1/3562 (0%) 1 0/3559 (0%) 0
Diabetic complication 1/3562 (0%) 1 0/3559 (0%) 0
Diabetic metabolic decompensation 1/3562 (0%) 1 0/3559 (0%) 0
Adult failure to thrive 0/3562 (0%) 0 1/3559 (0%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 0/3562 (0%) 0 1/3559 (0%) 1
Back pain 1/3562 (0%) 1 3/3559 (0.1%) 4
Fasciitis 0/3562 (0%) 0 1/3559 (0%) 1
Gouty arthritis 1/3562 (0%) 1 0/3559 (0%) 0
Groin pain 0/3562 (0%) 0 1/3559 (0%) 1
Lumbar spinal stenosis 2/3562 (0.1%) 2 0/3559 (0%) 0
Muscle spasms 1/3562 (0%) 1 0/3559 (0%) 0
Musculoskeletal pain 1/3562 (0%) 1 2/3559 (0.1%) 2
Myalgia 0/3562 (0%) 0 1/3559 (0%) 1
Neck pain 1/3562 (0%) 1 0/3559 (0%) 0
Osteoarthritis 11/3562 (0.3%) 12 3/3559 (0.1%) 3
Osteonecrosis 1/3562 (0%) 1 0/3559 (0%) 0
Pain in extremity 1/3562 (0%) 1 0/3559 (0%) 0
Periarthritis 1/3562 (0%) 1 1/3559 (0%) 1
Rheumatoid arthritis 1/3562 (0%) 1 0/3559 (0%) 0
Rotator cuff syndrome 1/3562 (0%) 1 1/3559 (0%) 1
Spinal column stenosis 1/3562 (0%) 1 0/3559 (0%) 0
Spinal osteoarthritis 1/3562 (0%) 1 1/3559 (0%) 1
Synovial cyst 0/3562 (0%) 0 1/3559 (0%) 1
Myofascial pain syndrome 1/3562 (0%) 1 0/3559 (0%) 0
Muscle tightness 0/3562 (0%) 0 1/3559 (0%) 1
Intervertebral disc protrusion 3/3562 (0.1%) 3 0/3559 (0%) 0
Musculoskeletal chest pain 1/3562 (0%) 1 0/3559 (0%) 0
Limb discomfort 0/3562 (0%) 0 1/3559 (0%) 1
Intervertebral disc disorder 0/3562 (0%) 0 1/3559 (0%) 1
Plica syndrome 0/3562 (0%) 0 1/3559 (0%) 1
Vertebral foraminal stenosis 1/3562 (0%) 1 0/3559 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute lymphocytic leukaemia 1/3562 (0%) 1 0/3559 (0%) 0
Adenocarcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Adenocarcinoma gastric 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Adenocarcinoma of colon 2/3562 (0.1%) 2 0/3559 (0%) 0
B-cell lymphoma 2/3562 (0.1%) 2 0/3559 (0%) 0
Basal cell carcinoma 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Bile duct adenocarcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Bladder cancer 2/3562 (0.1%) 2 1/3559 (0%) 1
Bladder neoplasm 1/3562 (0%) 1 1/3559 (0%) 1
Bladder transitional cell carcinoma 0/3562 (0%) 0 1/3559 (0%) 1
Brain neoplasm malignant 0/3562 (0%) 0 1/3559 (0%) 1
Cervix carcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Chronic lymphocytic leukaemia 0/3562 (0%) 0 1/3559 (0%) 1
Colon cancer 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Colorectal cancer stage IV 1/3562 (0%) 1 0/3559 (0%) 0
Essential thrombocythaemia 1/3562 (0%) 1 1/3559 (0%) 1
Fallopian tube cancer 1/3562 (0%) 1 0/3559 (0%) 0
Gallbladder cancer 0/3562 (0%) 0 1/3559 (0%) 1
Gastric cancer 1/3562 (0%) 1 1/3559 (0%) 1
Gastrointestinal carcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Hodgkin's disease 1/3562 (0%) 1 0/3559 (0%) 0
Kaposi's sarcoma 1/3562 (0%) 1 0/3559 (0%) 0
Lung adenocarcinoma 1/3562 (0%) 1 2/3559 (0.1%) 2
Lung adenocarcinoma stage IV 0/3562 (0%) 0 1/3559 (0%) 1
Lung carcinoma cell type unspecified stage IV 0/3562 (0%) 0 1/3559 (0%) 1
Lymphoma 0/3562 (0%) 0 1/3559 (0%) 1
Malignant melanoma 1/3562 (0%) 2 0/3559 (0%) 0
Metastases to bone 0/3562 (0%) 0 1/3559 (0%) 1
Myelodysplastic syndrome 1/3562 (0%) 1 0/3559 (0%) 0
Non-Hodgkin's lymphoma 1/3562 (0%) 1 0/3559 (0%) 0
Oesophageal adenocarcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Oesophageal carcinoma 0/3562 (0%) 0 1/3559 (0%) 1
Oropharyngeal cancer 0/3562 (0%) 0 1/3559 (0%) 1
Pancreatic carcinoma 2/3562 (0.1%) 2 0/3559 (0%) 0
Pancreatic carcinoma metastatic 1/3562 (0%) 1 0/3559 (0%) 0
Papillary thyroid cancer 1/3562 (0%) 1 0/3559 (0%) 0
Parathyroid tumour 1/3562 (0%) 1 0/3559 (0%) 0
Plasma cell myeloma 1/3562 (0%) 1 1/3559 (0%) 1
Rectal adenocarcinoma 1/3562 (0%) 1 2/3559 (0.1%) 2
Rectal cancer 1/3562 (0%) 1 1/3559 (0%) 1
Rectal cancer stage III 1/3562 (0%) 1 0/3559 (0%) 0
Spinal meningioma benign 1/3562 (0%) 1 0/3559 (0%) 0
Squamous cell carcinoma of lung 0/3562 (0%) 0 1/3559 (0%) 1
Squamous cell carcinoma of the tongue 0/3562 (0%) 0 1/3559 (0%) 1
Transitional cell carcinoma 3/3562 (0.1%) 3 0/3559 (0%) 0
Uterine leiomyoma 1/3562 (0%) 1 0/3559 (0%) 0
Rectal adenoma 1/3562 (0%) 1 0/3559 (0%) 0
Lung cancer metastatic 1/3562 (0%) 1 0/3559 (0%) 0
Metastases to peritoneum 1/3562 (0%) 1 0/3559 (0%) 0
Intestinal adenocarcinoma 0/3562 (0%) 0 1/3559 (0%) 1
Neuroendocrine tumour 1/3562 (0%) 1 0/3559 (0%) 0
Lung neoplasm malignant 1/3562 (0%) 1 5/3559 (0.1%) 5
Pancreatic carcinoma stage IV 1/3562 (0%) 1 0/3559 (0%) 0
Prostate cancer 1/3562 (0%) 1 8/3559 (0.2%) 8
Benign bone neoplasm 1/3562 (0%) 1 0/3559 (0%) 0
Brain neoplasm 2/3562 (0.1%) 2 1/3559 (0%) 1
Renal neoplasm 0/3562 (0%) 0 1/3559 (0%) 1
Oesophageal squamous cell carcinoma 0/3562 (0%) 0 1/3559 (0%) 1
Pituitary tumour benign 1/3562 (0%) 1 0/3559 (0%) 0
Non-small cell lung cancer 0/3562 (0%) 0 1/3559 (0%) 1
Pancreatic neoplasm 1/3562 (0%) 1 0/3559 (0%) 0
Lung neoplasm 0/3562 (0%) 0 1/3559 (0%) 1
Thyroid cancer 1/3562 (0%) 1 0/3559 (0%) 0
Renal cell carcinoma 1/3562 (0%) 1 1/3559 (0%) 1
Metastatic uterine cancer 1/3562 (0%) 1 0/3559 (0%) 0
Inflammatory pseudotumour 1/3562 (0%) 1 0/3559 (0%) 0
Malignant neoplasm of unknown primary site 1/3562 (0%) 1 0/3559 (0%) 0
Hepatic cancer 2/3562 (0.1%) 2 0/3559 (0%) 0
Invasive breast carcinoma 2/3562 (0.1%) 2 0/3559 (0%) 0
Nervous system disorders
Amyotrophic lateral sclerosis 0/3562 (0%) 0 1/3559 (0%) 1
Autonomic nervous system imbalance 0/3562 (0%) 0 1/3559 (0%) 1
Brain stem haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Carotid artery stenosis 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Cerebellar haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Cerebral haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Cerebral venous thrombosis 0/3562 (0%) 0 1/3559 (0%) 1
Cerebrovascular accident 2/3562 (0.1%) 2 1/3559 (0%) 1
Chorea 1/3562 (0%) 1 0/3559 (0%) 0
Demyelination 0/3562 (0%) 0 1/3559 (0%) 1
Diabetic neuropathy 0/3562 (0%) 0 1/3559 (0%) 1
Dizziness 2/3562 (0.1%) 2 4/3559 (0.1%) 4
Dysarthria 1/3562 (0%) 1 1/3559 (0%) 1
Epilepsy 7/3562 (0.2%) 8 8/3559 (0.2%) 8
Facial paralysis 0/3562 (0%) 0 2/3559 (0.1%) 2
Generalised tonic-clonic seizure 1/3562 (0%) 1 1/3559 (0%) 1
Headache 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Hemiparesis 1/3562 (0%) 1 2/3559 (0.1%) 2
Hypoaesthesia 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Intracranial aneurysm 1/3562 (0%) 1 0/3559 (0%) 0
Loss of consciousness 0/3562 (0%) 0 2/3559 (0.1%) 2
Migraine 0/3562 (0%) 0 2/3559 (0.1%) 2
Migraine with aura 1/3562 (0%) 1 0/3559 (0%) 0
Multiple sclerosis 1/3562 (0%) 1 0/3559 (0%) 0
Myelopathy 0/3562 (0%) 0 1/3559 (0%) 1
Nervous system disorder 1/3562 (0%) 1 4/3559 (0.1%) 4
Paraesthesia 2/3562 (0.1%) 2 1/3559 (0%) 1
Polyneuropathy 1/3562 (0%) 1 0/3559 (0%) 0
Post herpetic neuralgia 1/3562 (0%) 1 0/3559 (0%) 0
Presyncope 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Sciatica 1/3562 (0%) 1 1/3559 (0%) 1
Seizure 9/3562 (0.3%) 10 9/3559 (0.3%) 9
Status epilepticus 0/3562 (0%) 0 2/3559 (0.1%) 2
Syncope 10/3562 (0.3%) 10 8/3559 (0.2%) 8
Tension headache 1/3562 (0%) 1 1/3559 (0%) 1
Transient global amnesia 1/3562 (0%) 1 1/3559 (0%) 1
Vertebrobasilar insufficiency 0/3562 (0%) 0 1/3559 (0%) 1
Cervical radiculopathy 1/3562 (0%) 1 1/3559 (0%) 1
Thalamus haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Putamen haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Stroke in evolution 0/3562 (0%) 0 2/3559 (0.1%) 2
Partial seizures 5/3562 (0.1%) 5 2/3559 (0.1%) 2
Parkinson's disease 0/3562 (0%) 0 1/3559 (0%) 1
Metabolic encephalopathy 1/3562 (0%) 1 0/3559 (0%) 0
Cerebral artery stenosis 1/3562 (0%) 1 1/3559 (0%) 1
Central pain syndrome 1/3562 (0%) 1 0/3559 (0%) 0
Cerebral arteriosclerosis 0/3562 (0%) 0 1/3559 (0%) 1
Post stroke seizure 0/3562 (0%) 0 2/3559 (0.1%) 3
Hemianaesthesia 0/3562 (0%) 0 1/3559 (0%) 1
Pseudostroke 0/3562 (0%) 0 1/3559 (0%) 1
Hemiparaesthesia 1/3562 (0%) 1 2/3559 (0.1%) 2
Focal dyscognitive seizures 1/3562 (0%) 1 1/3559 (0%) 1
Product Issues
Device malfunction 0/3562 (0%) 0 1/3559 (0%) 1
Psychiatric disorders
Adjustment disorder with mixed anxiety and depressed mood 1/3562 (0%) 1 0/3559 (0%) 0
Alcohol abuse 1/3562 (0%) 1 0/3559 (0%) 0
Alcoholism 1/3562 (0%) 1 0/3559 (0%) 0
Anxiety 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Completed suicide 0/3562 (0%) 0 2/3559 (0.1%) 2
Conversion disorder 1/3562 (0%) 1 0/3559 (0%) 0
Delirium 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Depression 3/3562 (0.1%) 3 1/3559 (0%) 1
Depression suicidal 1/3562 (0%) 1 0/3559 (0%) 0
Disorientation 1/3562 (0%) 1 0/3559 (0%) 0
Hallucination, visual 0/3562 (0%) 0 1/3559 (0%) 1
Intentional self-injury 0/3562 (0%) 0 1/3559 (0%) 1
Mania 1/3562 (0%) 1 0/3559 (0%) 0
Obsessive-compulsive personality disorder 0/3562 (0%) 0 1/3559 (0%) 1
Panic disorder 0/3562 (0%) 0 1/3559 (0%) 1
Panic reaction 1/3562 (0%) 1 0/3559 (0%) 0
Schizophrenia 0/3562 (0%) 0 1/3559 (0%) 1
Somnambulism 0/3562 (0%) 0 1/3559 (0%) 1
Suicide attempt 1/3562 (0%) 1 0/3559 (0%) 0
Alcohol withdrawal syndrome 0/3562 (0%) 0 1/3559 (0%) 1
Major depression 1/3562 (0%) 1 0/3559 (0%) 0
Neurologic somatic symptom disorder 0/3562 (0%) 0 1/3559 (0%) 1
Alcohol use disorder 0/3562 (0%) 0 1/3559 (0%) 1
Renal and urinary disorders
Acute prerenal failure 1/3562 (0%) 1 0/3559 (0%) 0
Hydronephrosis 0/3562 (0%) 0 1/3559 (0%) 1
Nephrolithiasis 1/3562 (0%) 1 0/3559 (0%) 0
Renal colic 0/3562 (0%) 0 2/3559 (0.1%) 3
Renal cyst 0/3562 (0%) 0 1/3559 (0%) 1
Renal failure 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Renal haematoma 1/3562 (0%) 1 0/3559 (0%) 0
Renal hypertension 0/3562 (0%) 0 1/3559 (0%) 1
Urinary retention 1/3562 (0%) 1 0/3559 (0%) 0
Costovertebral angle tenderness 0/3562 (0%) 0 1/3559 (0%) 1
Renal impairment 1/3562 (0%) 1 0/3559 (0%) 0
Chronic kidney disease 2/3562 (0.1%) 2 1/3559 (0%) 1
Urethral stenosis 0/3562 (0%) 0 1/3559 (0%) 1
Acute kidney injury 4/3562 (0.1%) 4 6/3559 (0.2%) 6
Ureterolithiasis 0/3562 (0%) 0 1/3559 (0%) 1
Reproductive system and breast disorders
Benign prostatic hyperplasia 4/3562 (0.1%) 4 2/3559 (0.1%) 2
Menorrhagia 0/3562 (0%) 0 1/3559 (0%) 2
Peyronie's disease 0/3562 (0%) 0 1/3559 (0%) 1
Prostatitis 2/3562 (0.1%) 2 0/3559 (0%) 0
Uterine prolapse 0/3562 (0%) 0 1/3559 (0%) 1
Endometrial dysplasia 0/3562 (0%) 0 1/3559 (0%) 1
Genital haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema 1/3562 (0%) 1 0/3559 (0%) 0
Asthma 1/3562 (0%) 1 1/3559 (0%) 1
Chronic obstructive pulmonary disease 3/3562 (0.1%) 3 3/3559 (0.1%) 4
Dyspnoea 1/3562 (0%) 1 1/3559 (0%) 1
Hiccups 0/3562 (0%) 0 1/3559 (0%) 1
Idiopathic pulmonary fibrosis 0/3562 (0%) 0 1/3559 (0%) 1
Lung disorder 0/3562 (0%) 0 1/3559 (0%) 1
Pleural effusion 1/3562 (0%) 1 0/3559 (0%) 0
Pneumonia aspiration 3/3562 (0.1%) 3 0/3559 (0%) 0
Pulmonary embolism 1/3562 (0%) 1 8/3559 (0.2%) 8
Pulmonary oedema 0/3562 (0%) 0 1/3559 (0%) 1
Respiratory failure 0/3562 (0%) 0 1/3559 (0%) 1
Sleep apnoea syndrome 1/3562 (0%) 1 0/3559 (0%) 0
Pulmonary mass 1/3562 (0%) 1 0/3559 (0%) 0
Bronchial disorder 0/3562 (0%) 0 1/3559 (0%) 1
Skin and subcutaneous tissue disorders
Dermatomyositis 0/3562 (0%) 0 1/3559 (0%) 1
Erythema multiforme 1/3562 (0%) 1 0/3559 (0%) 0
Psoriasis 1/3562 (0%) 1 0/3559 (0%) 0
Rash 1/3562 (0%) 1 1/3559 (0%) 1
Skin reaction 0/3562 (0%) 0 1/3559 (0%) 1
Diabetic foot 1/3562 (0%) 1 1/3559 (0%) 1
Surgical and medical procedures
Atrial septal defect repair 1/3562 (0%) 1 0/3559 (0%) 0
Finger amputation 1/3562 (0%) 1 0/3559 (0%) 0
Vascular disorders
Aortic aneurysm 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Aortic aneurysm rupture 1/3562 (0%) 1 0/3559 (0%) 0
Aortic stenosis 1/3562 (0%) 1 1/3559 (0%) 1
Embolism venous 0/3562 (0%) 0 1/3559 (0%) 1
Hypertension 4/3562 (0.1%) 4 6/3559 (0.2%) 6
Hypertensive crisis 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Hypotension 0/3562 (0%) 0 1/3559 (0%) 1
Lymphoedema 1/3562 (0%) 1 0/3559 (0%) 0
Orthostatic hypotension 2/3562 (0.1%) 2 1/3559 (0%) 1
Peripheral ischaemia 1/3562 (0%) 1 1/3559 (0%) 1
Peripheral vascular disorder 0/3562 (0%) 0 1/3559 (0%) 1
Temporal arteritis 1/3562 (0%) 1 0/3559 (0%) 0
Thrombophlebitis superficial 1/3562 (0%) 1 0/3559 (0%) 0
Varicose vein 0/3562 (0%) 0 1/3559 (0%) 1
Post thrombotic syndrome 0/3562 (0%) 0 1/3559 (0%) 1
Deep vein thrombosis 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Peripheral artery occlusion 0/3562 (0%) 0 1/3559 (0%) 1
Peripheral arterial occlusive disease 5/3562 (0.1%) 5 5/3559 (0.1%) 6
May-Thurner syndrome 0/3562 (0%) 0 1/3559 (0%) 1
Peripheral artery stenosis 1/3562 (0%) 1 1/3559 (0%) 1
Other (Not Including Serious) Adverse Events
Rivaroxaban 15 mg OD Acetylsalicylic Acid 100 mg OD
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 308/3562 (8.6%) 294/3559 (8.3%)
Blood and lymphatic system disorders
Anaemia 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Antiphospholipid syndrome 2/3562 (0.1%) 2 0/3559 (0%) 0
Iron deficiency anaemia 1/3562 (0%) 1 1/3559 (0%) 1
Thrombocytopenia 2/3562 (0.1%) 2 1/3559 (0%) 1
Thrombocytosis 0/3562 (0%) 0 1/3559 (0%) 1
Cardiac disorders
Angina pectoris 0/3562 (0%) 0 1/3559 (0%) 1
Atrial fibrillation 60/3562 (1.7%) 60 60/3559 (1.7%) 60
Atrial flutter 2/3562 (0.1%) 2 0/3559 (0%) 0
Atrial tachycardia 1/3562 (0%) 1 0/3559 (0%) 0
Cardiac failure 0/3562 (0%) 0 1/3559 (0%) 1
Cardiac failure congestive 0/3562 (0%) 0 1/3559 (0%) 1
Coronary artery disease 0/3562 (0%) 0 1/3559 (0%) 1
Myocardial ischaemia 2/3562 (0.1%) 2 0/3559 (0%) 0
Palpitations 3/3562 (0.1%) 3 1/3559 (0%) 1
Sinus arrhythmia 1/3562 (0%) 1 0/3559 (0%) 0
Sinus tachycardia 0/3562 (0%) 0 1/3559 (0%) 1
Supraventricular extrasystoles 1/3562 (0%) 1 0/3559 (0%) 0
Supraventricular tachycardia 1/3562 (0%) 1 0/3559 (0%) 0
Tachycardia 0/3562 (0%) 0 1/3559 (0%) 1
Ventricular fibrillation 1/3562 (0%) 1 0/3559 (0%) 0
Intracardiac thrombus 0/3562 (0%) 0 1/3559 (0%) 1
Cardiac flutter 1/3562 (0%) 1 0/3559 (0%) 0
Congenital, familial and genetic disorders
Atrial septal defect 0/3562 (0%) 0 1/3559 (0%) 1
Fabry's disease 0/3562 (0%) 0 1/3559 (0%) 1
Factor V Leiden mutation 0/3562 (0%) 0 1/3559 (0%) 1
Ear and labyrinth disorders
Tinnitus 0/3562 (0%) 0 1/3559 (0%) 1
Vertigo 2/3562 (0.1%) 2 4/3559 (0.1%) 4
Vertigo positional 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Endocrine disorders
Hypothyroidism 1/3562 (0%) 1 1/3559 (0%) 1
Thyroiditis subacute 0/3562 (0%) 0 1/3559 (0%) 1
Thyroid mass 1/3562 (0%) 1 0/3559 (0%) 0
Eye disorders
Cataract 1/3562 (0%) 2 2/3559 (0.1%) 2
Conjunctival haemorrhage 0/3562 (0%) 0 1/3559 (0%) 1
Diabetic retinopathy 1/3562 (0%) 1 2/3559 (0.1%) 2
Dry eye 0/3562 (0%) 0 1/3559 (0%) 1
Episcleritis 0/3562 (0%) 0 1/3559 (0%) 1
Eyelid ptosis 1/3562 (0%) 1 0/3559 (0%) 0
Keratitis 1/3562 (0%) 1 0/3559 (0%) 0
Pterygium 0/3562 (0%) 0 1/3559 (0%) 1
Retinal vein occlusion 0/3562 (0%) 0 1/3559 (0%) 1
Vision blurred 0/3562 (0%) 0 1/3559 (0%) 1
Conjunctival hyperaemia 1/3562 (0%) 2 0/3559 (0%) 0
Gastrointestinal disorders
Abdominal discomfort 0/3562 (0%) 0 1/3559 (0%) 1
Abdominal pain 0/3562 (0%) 0 1/3559 (0%) 1
Abdominal pain lower 1/3562 (0%) 1 0/3559 (0%) 0
Abdominal pain upper 5/3562 (0.1%) 5 7/3559 (0.2%) 7
Cheilitis 0/3562 (0%) 0 1/3559 (0%) 1
Chronic gastritis 0/3562 (0%) 0 1/3559 (0%) 1
Constipation 2/3562 (0.1%) 2 1/3559 (0%) 1
Defaecation urgency 1/3562 (0%) 1 0/3559 (0%) 0
Diarrhoea 8/3562 (0.2%) 8 3/3559 (0.1%) 3
Dyspepsia 2/3562 (0.1%) 2 3/3559 (0.1%) 4
Eructation 0/3562 (0%) 0 1/3559 (0%) 1
Gastric ulcer 0/3562 (0%) 0 2/3559 (0.1%) 2
Gastritis 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Gastritis erosive 0/3562 (0%) 0 2/3559 (0.1%) 2
Gastrooesophageal reflux disease 1/3562 (0%) 1 1/3559 (0%) 1
Gastrointestinal disorder 1/3562 (0%) 1 0/3559 (0%) 0
Gingival bleeding 0/3562 (0%) 0 1/3559 (0%) 1
Gingival swelling 0/3562 (0%) 0 1/3559 (0%) 2
Haemorrhoids 1/3562 (0%) 1 0/3559 (0%) 0
Hyperchlorhydria 0/3562 (0%) 0 1/3559 (0%) 1
Inflammatory bowel disease 1/3562 (0%) 1 0/3559 (0%) 0
Inguinal hernia 0/3562 (0%) 0 1/3559 (0%) 1
Lip swelling 1/3562 (0%) 1 0/3559 (0%) 0
Nausea 5/3562 (0.1%) 5 1/3559 (0%) 1
Oesophagitis 0/3562 (0%) 0 1/3559 (0%) 1
Retching 1/3562 (0%) 1 0/3559 (0%) 0
Toothache 0/3562 (0%) 0 1/3559 (0%) 1
Vomiting 2/3562 (0.1%) 2 4/3559 (0.1%) 4
Palatal disorder 0/3562 (0%) 0 1/3559 (0%) 1
Colitis microscopic 0/3562 (0%) 0 1/3559 (0%) 1
General disorders
Asthenia 2/3562 (0.1%) 2 0/3559 (0%) 0
Chest discomfort 1/3562 (0%) 1 0/3559 (0%) 0
Chest pain 3/3562 (0.1%) 3 4/3559 (0.1%) 4
Chills 1/3562 (0%) 1 0/3559 (0%) 0
Discomfort 2/3562 (0.1%) 2 0/3559 (0%) 0
Fatigue 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Gait disturbance 0/3562 (0%) 0 1/3559 (0%) 1
Malaise 1/3562 (0%) 1 2/3559 (0.1%) 2
Oedema peripheral 1/3562 (0%) 1 2/3559 (0.1%) 2
Peripheral swelling 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Non-cardiac chest pain 2/3562 (0.1%) 2 0/3559 (0%) 0
Hepatobiliary disorders
Biliary colic 1/3562 (0%) 1 0/3559 (0%) 0
Hepatic function abnormal 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Hepatitis 0/3562 (0%) 0 1/3559 (0%) 1
Hypertransaminasaemia 1/3562 (0%) 1 0/3559 (0%) 0
Immune system disorders
Hypersensitivity 3/3562 (0.1%) 3 1/3559 (0%) 3
Allergy to arthropod sting 1/3562 (0%) 1 0/3559 (0%) 0
Infections and infestations
Bronchitis 1/3562 (0%) 1 1/3559 (0%) 1
Cystitis 0/3562 (0%) 0 1/3559 (0%) 1
Diarrhoea infectious 1/3562 (0%) 1 0/3559 (0%) 0
Gastroenteritis 3/3562 (0.1%) 3 1/3559 (0%) 1
Herpes zoster 1/3562 (0%) 1 0/3559 (0%) 0
Influenza 1/3562 (0%) 1 1/3559 (0%) 2
Lower respiratory tract infection 1/3562 (0%) 2 0/3559 (0%) 0
Oesophageal candidiasis 0/3562 (0%) 0 1/3559 (0%) 1
Pneumonia 1/3562 (0%) 1 0/3559 (0%) 0
Pneumonia viral 1/3562 (0%) 1 0/3559 (0%) 0
Upper respiratory tract infection 2/3562 (0.1%) 2 1/3559 (0%) 2
Urinary tract infection 3/3562 (0.1%) 3 4/3559 (0.1%) 4
Vaginal infection 1/3562 (0%) 1 1/3559 (0%) 1
Vulvovaginitis trichomonal 1/3562 (0%) 1 0/3559 (0%) 0
Helicobacter infection 0/3562 (0%) 0 1/3559 (0%) 1
Lung infection 1/3562 (0%) 1 0/3559 (0%) 0
Respiratory tract infection viral 1/3562 (0%) 1 0/3559 (0%) 0
Alveolar osteitis 0/3562 (0%) 0 1/3559 (0%) 1
Injury, poisoning and procedural complications
Accident 0/3562 (0%) 0 2/3559 (0.1%) 2
Alcohol poisoning 1/3562 (0%) 1 0/3559 (0%) 0
Concussion 1/3562 (0%) 1 0/3559 (0%) 0
Fall 0/3562 (0%) 0 1/3559 (0%) 1
Foot fracture 1/3562 (0%) 1 1/3559 (0%) 1
Head injury 1/3562 (0%) 1 0/3559 (0%) 0
Humerus fracture 1/3562 (0%) 1 0/3559 (0%) 0
Inappropriate schedule of drug administration 1/3562 (0%) 2 0/3559 (0%) 0
Medication error 10/3562 (0.3%) 10 9/3559 (0.3%) 9
Overdose 2/3562 (0.1%) 2 0/3559 (0%) 0
Radius fracture 1/3562 (0%) 1 0/3559 (0%) 0
Rib fracture 2/3562 (0.1%) 2 0/3559 (0%) 0
Tendon rupture 1/3562 (0%) 1 0/3559 (0%) 0
Face injury 1/3562 (0%) 1 0/3559 (0%) 0
Contusion 1/3562 (0%) 1 0/3559 (0%) 0
Post procedural haemorrhage 1/3562 (0%) 1 0/3559 (0%) 0
Limb injury 3/3562 (0.1%) 3 1/3559 (0%) 1
Upper limb fracture 0/3562 (0%) 0 1/3559 (0%) 1
Drug administration error 1/3562 (0%) 1 1/3559 (0%) 1
Incorrect dose administered 6/3562 (0.2%) 6 4/3559 (0.1%) 4
Labelled drug-drug interaction medication error 0/3562 (0%) 0 1/3559 (0%) 1
Skin wound 0/3562 (0%) 0 1/3559 (0%) 1
Incorrect dosage administered 2/3562 (0.1%) 2 1/3559 (0%) 1
Medication monitoring error 1/3562 (0%) 1 3/3559 (0.1%) 3
Intentional product misuse 2/3562 (0.1%) 2 1/3559 (0%) 1
Investigations
Alanine aminotransferase increased 1/3562 (0%) 1 0/3559 (0%) 0
Blood creatine phosphokinase increased 0/3562 (0%) 0 1/3559 (0%) 1
Blood creatinine increased 1/3562 (0%) 1 0/3559 (0%) 0
Coagulation factor VIII level increased 0/3562 (0%) 0 1/3559 (0%) 1
Glomerular filtration rate decreased 1/3562 (0%) 1 0/3559 (0%) 0
Haemoglobin decreased 1/3562 (0%) 1 1/3559 (0%) 1
Heart rate increased 1/3562 (0%) 1 0/3559 (0%) 0
Visual acuity tests abnormal 0/3562 (0%) 0 1/3559 (0%) 1
Weight decreased 1/3562 (0%) 1 2/3559 (0.1%) 2
Transaminases increased 1/3562 (0%) 1 0/3559 (0%) 0
Blood alkaline phosphatase increased 0/3562 (0%) 0 1/3559 (0%) 1
Hepatic enzyme increased 1/3562 (0%) 1 1/3559 (0%) 1
Liver function test increased 1/3562 (0%) 1 0/3559 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus 2/3562 (0.1%) 2 0/3559 (0%) 0
Electrolyte imbalance 0/3562 (0%) 0 1/3559 (0%) 1
Gout 1/3562 (0%) 1 1/3559 (0%) 1
Haemochromatosis 1/3562 (0%) 1 0/3559 (0%) 0
Hypercholesterolaemia 0/3562 (0%) 0 1/3559 (0%) 1
Hyperglycaemia 0/3562 (0%) 0 1/3559 (0%) 1
Decreased appetite 0/3562 (0%) 0 1/3559 (0%) 1
Type 2 diabetes mellitus 2/3562 (0.1%) 2 1/3559 (0%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 1/3562 (0%) 1 4/3559 (0.1%) 4
Arthritis 0/3562 (0%) 0 1/3559 (0%) 1
Back pain 4/3562 (0.1%) 4 3/3559 (0.1%) 3
Bursitis 1/3562 (0%) 1 1/3559 (0%) 1
Chondrocalcinosis pyrophosphate 1/3562 (0%) 1 0/3559 (0%) 0
Gouty arthritis 0/3562 (0%) 0 1/3559 (0%) 1
Haemarthrosis 1/3562 (0%) 1 0/3559 (0%) 0
Joint swelling 1/3562 (0%) 1 1/3559 (0%) 1
Metatarsalgia 0/3562 (0%) 0 1/3559 (0%) 1
Muscle spasms 2/3562 (0.1%) 2 0/3559 (0%) 0
Muscular weakness 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Musculoskeletal pain 1/3562 (0%) 1 4/3559 (0.1%) 4
Myalgia 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Myopathy 1/3562 (0%) 1 0/3559 (0%) 0
Osteoarthritis 2/3562 (0.1%) 2 1/3559 (0%) 1
Osteochondrosis 1/3562 (0%) 1 1/3559 (0%) 1
Pain in extremity 3/3562 (0.1%) 3 1/3559 (0%) 1
Periostitis 0/3562 (0%) 0 1/3559 (0%) 1
Plantar fasciitis 1/3562 (0%) 1 0/3559 (0%) 0
Spinal osteoarthritis 0/3562 (0%) 0 2/3559 (0.1%) 2
Synovial cyst 0/3562 (0%) 0 1/3559 (0%) 1
Tendonitis 1/3562 (0%) 1 0/3559 (0%) 0
Tenosynovitis 0/3562 (0%) 0 1/3559 (0%) 1
Limb mass 0/3562 (0%) 0 1/3559 (0%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basosquamous carcinoma 1/3562 (0%) 1 0/3559 (0%) 0
Breast cancer 1/3562 (0%) 1 0/3559 (0%) 0
Breast neoplasm 0/3562 (0%) 0 1/3559 (0%) 1
Essential thrombocythaemia 1/3562 (0%) 1 0/3559 (0%) 0
Metastases to bone 1/3562 (0%) 1 0/3559 (0%) 0
Superficial spreading melanoma stage unspecified 0/3562 (0%) 0 1/3559 (0%) 1
Nervous system disorders
Amnesia 1/3562 (0%) 1 1/3559 (0%) 1
Aphasia 0/3562 (0%) 0 1/3559 (0%) 1
Cerebrovascular accident 1/3562 (0%) 1 0/3559 (0%) 0
Dementia 0/3562 (0%) 0 1/3559 (0%) 1
Dizziness 5/3562 (0.1%) 6 7/3559 (0.2%) 7
Dizziness postural 1/3562 (0%) 1 0/3559 (0%) 0
Dysarthria 0/3562 (0%) 0 1/3559 (0%) 1
Dysgeusia 1/3562 (0%) 1 2/3559 (0.1%) 2
Epilepsy 1/3562 (0%) 1 0/3559 (0%) 0
Facial paralysis 1/3562 (0%) 1 1/3559 (0%) 1
Headache 10/3562 (0.3%) 10 8/3559 (0.2%) 9
Hypoaesthesia 1/3562 (0%) 1 3/3559 (0.1%) 3
Lethargy 1/3562 (0%) 1 0/3559 (0%) 0
Migraine 1/3562 (0%) 1 0/3559 (0%) 0
Paraesthesia 1/3562 (0%) 1 1/3559 (0%) 1
Parkinsonism 0/3562 (0%) 0 1/3559 (0%) 1
Presyncope 1/3562 (0%) 1 2/3559 (0.1%) 2
Sciatica 2/3562 (0.1%) 2 0/3559 (0%) 0
Seizure 1/3562 (0%) 1 0/3559 (0%) 0
Sensory disturbance 0/3562 (0%) 0 1/3559 (0%) 1
Somnolence 1/3562 (0%) 1 0/3559 (0%) 0
Speech disorder 1/3562 (0%) 1 0/3559 (0%) 0
Syncope 2/3562 (0.1%) 2 3/3559 (0.1%) 4
Vertebral artery occlusion 1/3562 (0%) 1 0/3559 (0%) 0
Cervical radiculopathy 1/3562 (0%) 1 0/3559 (0%) 0
Hyposmia 0/3562 (0%) 0 1/3559 (0%) 1
Facial paresis 1/3562 (0%) 1 0/3559 (0%) 0
IIIrd nerve paresis 0/3562 (0%) 0 1/3559 (0%) 1
Cognitive disorder 1/3562 (0%) 1 1/3559 (0%) 1
Vascular dementia 0/3562 (0%) 0 1/3559 (0%) 1
Stroke in evolution 0/3562 (0%) 0 1/3559 (0%) 1
Partial seizures 1/3562 (0%) 1 1/3559 (0%) 1
Parkinson's disease 1/3562 (0%) 1 0/3559 (0%) 0
Autonomic neuropathy 0/3562 (0%) 0 1/3559 (0%) 1
Cerebral artery stenosis 1/3562 (0%) 1 1/3559 (0%) 1
Occipital neuralgia 0/3562 (0%) 0 1/3559 (0%) 1
Psychiatric disorders
Anxiety 1/3562 (0%) 1 1/3559 (0%) 1
Depression 3/3562 (0.1%) 3 2/3559 (0.1%) 2
Insomnia 1/3562 (0%) 1 0/3559 (0%) 0
Panic attack 1/3562 (0%) 1 0/3559 (0%) 0
Impatience 1/3562 (0%) 1 0/3559 (0%) 0
Abulia 1/3562 (0%) 1 0/3559 (0%) 0
Anxiety disorder 1/3562 (0%) 1 0/3559 (0%) 0
Mental disorder due to a general medical condition 1/3562 (0%) 1 0/3559 (0%) 0
Adjustment disorder 1/3562 (0%) 1 0/3559 (0%) 0
Post stroke depression 2/3562 (0.1%) 2 0/3559 (0%) 0
Renal and urinary disorders
Haematuria 1/3562 (0%) 1 0/3559 (0%) 0
Nephrolithiasis 2/3562 (0.1%) 2 0/3559 (0%) 0
Renal colic 1/3562 (0%) 1 1/3559 (0%) 1
Renal failure 3/3562 (0.1%) 3 0/3559 (0%) 0
Urinary incontinence 1/3562 (0%) 1 0/3559 (0%) 0
Renal impairment 2/3562 (0.1%) 2 2/3559 (0.1%) 2
Chronic kidney disease 1/3562 (0%) 1 0/3559 (0%) 0
Ureterolithiasis 1/3562 (0%) 1 0/3559 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/3562 (0%) 0 1/3559 (0%) 1
Breast mass 1/3562 (0%) 1 0/3559 (0%) 0
Prostatitis 0/3562 (0%) 0 1/3559 (0%) 1
Prostatomegaly 1/3562 (0%) 1 0/3559 (0%) 0
Respiratory, thoracic and mediastinal disorders
Asthma 1/3562 (0%) 1 1/3559 (0%) 1
Cough 1/3562 (0%) 1 0/3559 (0%) 0
Dry throat 0/3562 (0%) 0 1/3559 (0%) 1
Dyspnoea 4/3562 (0.1%) 4 1/3559 (0%) 1
Epistaxis 1/3562 (0%) 1 0/3559 (0%) 0
Hiccups 0/3562 (0%) 0 1/3559 (0%) 1
Pharyngeal ulceration 1/3562 (0%) 1 0/3559 (0%) 0
Pulmonary embolism 0/3562 (0%) 0 1/3559 (0%) 1
Pulmonary microemboli 0/3562 (0%) 0 1/3559 (0%) 1
Skin and subcutaneous tissue disorders
Acne 0/3562 (0%) 0 1/3559 (0%) 1
Alopecia 1/3562 (0%) 1 0/3559 (0%) 0
Angioedema 0/3562 (0%) 0 1/3559 (0%) 2
Dermatitis 1/3562 (0%) 1 0/3559 (0%) 0
Dermatitis allergic 1/3562 (0%) 1 0/3559 (0%) 0
Drug eruption 0/3562 (0%) 0 3/3559 (0.1%) 3
Eczema 0/3562 (0%) 0 1/3559 (0%) 1
Erythema 1/3562 (0%) 1 0/3559 (0%) 0
Pruritus 1/3562 (0%) 1 1/3559 (0%) 1
Rash 4/3562 (0.1%) 4 4/3559 (0.1%) 4
Rash erythematous 1/3562 (0%) 1 0/3559 (0%) 0
Rash papular 1/3562 (0%) 1 0/3559 (0%) 0
Rash pruritic 1/3562 (0%) 1 0/3559 (0%) 0
Skin lesion 0/3562 (0%) 0 1/3559 (0%) 1
Urticaria 2/3562 (0.1%) 2 3/3559 (0.1%) 3
Precancerous skin lesion 1/3562 (0%) 1 0/3559 (0%) 0
Skin swelling 0/3562 (0%) 0 1/3559 (0%) 1
Solar lentigo 0/3562 (0%) 0 1/3559 (0%) 1
Social circumstances
Treatment noncompliance 2/3562 (0.1%) 2 5/3559 (0.1%) 5
Surgical and medical procedures
Tooth extraction 2/3562 (0.1%) 3 2/3559 (0.1%) 2
Cataract operation 1/3562 (0%) 1 1/3559 (0%) 1
Implantable cardiac monitor insertion 1/3562 (0%) 1 0/3559 (0%) 0
Vascular disorders
Aortic aneurysm 2/3562 (0.1%) 2 1/3559 (0%) 1
Flushing 0/3562 (0%) 0 1/3559 (0%) 1
Hypertension 11/3562 (0.3%) 11 7/3559 (0.2%) 8
Hypertensive crisis 1/3562 (0%) 1 0/3559 (0%) 0
Hypotension 2/3562 (0.1%) 2 1/3559 (0%) 1
Intermittent claudication 1/3562 (0%) 1 0/3559 (0%) 0
Phlebitis superficial 0/3562 (0%) 0 1/3559 (0%) 1
Thrombophlebitis superficial 0/3562 (0%) 0 2/3559 (0.1%) 2
Varicose vein 0/3562 (0%) 0 1/3559 (0%) 1
Vascular pain 0/3562 (0%) 0 1/3559 (0%) 1
Deep vein thrombosis 2/3562 (0.1%) 2 1/3559 (0%) 1
Peripheral arterial occlusive disease 3/3562 (0.1%) 3 0/3559 (0%) 0

Limitations/Caveats

Study terminated early due to no efficacy improvement over aspirin at the second interim analysis and very little chance of showing overall benefit if the study were completed.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Global PI to provide to Bayer for review any proposed Publication/oral presentation relating to Study/Study Drug/Results at least 20 days prior to submission or presentation of the Publication. Abstracts/posters/oral presentations to be provided to Bayer 5 working days before Publication/presentation. Bayer may provide comments within the applicable period. Under certain circumstances Bayer may request a further delay of publications to avoid adverse effects on a Bayer patent application.

Results Point of Contact

Name/Title Therapeutic Area Head
Organization Bayer
Phone 1-888-8422937
Email clinical-trials-contact@bayer.com
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT02313909
Other Study ID Numbers:
  • 16573
  • 2013-000768-27
First Posted:
Dec 10, 2014
Last Update Posted:
Jan 9, 2019
Last Verified:
Dec 1, 2018