MAGELLAN: Venous Thromboembolic Event (VTE) Prophylaxis in Medically Ill Patients

Sponsor
Bayer (Industry)
Overall Status
Completed
CT.gov ID
NCT00571649
Collaborator
Johnson & Johnson Pharmaceutical Research & Development, L.L.C. (Industry)
8,101
676
2
35
12
0.3

Study Details

Study Description

Brief Summary

This study will evaluate if extended therapy with oral rivaroxaban can prevent blood clots in the leg and lung that can occur with patients hospitalized for acute medical illness, and compare these results with those of the standard enoxaparin dose and duration regimen. The safety of rivaroxaban will also be studied.

Condition or Disease Intervention/Treatment Phase
  • Drug: Rivaroxaban (Xarelto, BAY59-7939)
  • Drug: Enoxaparin
  • Drug: Rivaroxaban placebo
  • Drug: Enoxaparin placebo
Phase 3

Detailed Description

The treatment period was followed by a follow-up period starting the day after the last intake of study medication, regardless of the actual duration of study drug administration and ended on Day 90 (+ 7 days). Participants who did not complete the treatment period also entered the follow-up period. It was also possible that participants did not enter the follow-up period, e.g. due to withdrawal of consent or termination of study participation.

Within the US 'Johnson & Johnson Pharmaceutical Research & Development, L.L.C.' is sponsor.

Study Design

Study Type:
Interventional
Actual Enrollment :
8101 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Multicenter, Randomized, Parallel-group Efficacy and Safety Study for the Prevention of Venous Thromboembolism in Hospitalized Medically Ill Patients Comparing Rivaroxaban With Enoxaparin. The MAGELLAN Study
Study Start Date :
Dec 1, 2007
Actual Primary Completion Date :
Aug 1, 2010
Actual Study Completion Date :
Nov 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: Rivaroxaban (Xarelto, BAY59-7939)

Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days

Drug: Rivaroxaban (Xarelto, BAY59-7939)
Oral rivaroxaban 10 mg once daily administered for 35 +/- 4 days

Drug: Enoxaparin placebo
Subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days

Active Comparator: Enoxaparin

Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days

Drug: Enoxaparin
Subcutaneous enoxaparin 40 mg once daily (OD) administered for 10 +/- 4 days

Drug: Rivaroxaban placebo
Oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Composite Endpoint of Venous Thromboembolism [VTE] (Any Deep Vein Thrombosis [DVT], Non Fatal Pulmonary Embolism [PE]) and VTE-related Death up to Day 35 + 6 Days [Up to Day 35 + 6 days]

    A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.

  2. Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days [Up to Day 10 + 5 days]

    A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.

Secondary Outcome Measures

  1. Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and All-cause Mortality up to Day 35 + 6 Days [Up to Day 35 + 6 days]

    A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).

  2. Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days Per mITT Population [Up to Day 10 + 5 days]

    A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.

  3. Percentage of Participants With VTE Combined With All-cause Mortality up to Day 10 + 5 Days [Up to Day 10 + 5 days]

    A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).

  4. Percentage of Participants With Symptomatic VTE, Including and Excluding VTE-related Death up to Days 10, 35, and 90 [At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days]

    Symptomatic VTE (non-fatal PE and DVT in lower extremity), including and excluding VTE-related death (PE and PE cannot be excluded) up to Days 10, 35, and 90

  5. Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 35 + 6 Days [Up to Day 35 + 6 days]

    Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events.

  6. Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 10 + 5 Days [Up to Day 10 + 5 days]

    Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events

  7. Percentage of Participants With Major Vascular Events up to Days 10, 35, and 90 [At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days]

    Major vascular events included cardiovascular death, acute myocardial infarction (MI), or acute ischemic stroke. Participants may have had a vascular event in more than one category.

  8. Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 35 + 6 Days [Up to Day 35 + 6 days]

    The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.

  9. Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days [Up to Day 10 + 5 days]

    The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.

  10. Percentage of Participants With All-cause Mortality up to Day 90 + 7 Days [Up to Day 90 + 7 days]

    All deaths, including VTE-related deaths, cardiovascular deaths, and other deaths.

  11. Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Intake of Any Study Medication (Day 35 + 6 Days) [Up to Day 35 + 6 days]

    Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin; or transfusion of >= 2 units of packed RBCs (Red blood cells) or whole blood; or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding

  12. Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Application of a Study Medication Syringe (Day 10 + 5 Days) [Up to Day 10 + 5 days]

    Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin or transfusion of >=2 units of packed RBCs or whole blood or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding.

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Male and female patients aged 40 years or more

  • Patients at risk of venous thromboembolic events being hospitalized for acute medical conditions as follows:

  • Heart failure, New York Heart Association (NYHA) class III or IV

  • Active cancer

  • Acute ischemic stroke

  • Acute infectious and inflammatory diseases, including acute rheumatic diseases

  • Acute respiratory insufficiency

  • Additional risk factor for VTE, including reduced mobility

Exclusion Criteria:
  • Conditions that contraindicate the use of antithrombotic therapy with the Low Molecular-Weight Heparin (LMWH) enoxaparin

  • Conditions that may increase the risk of bleeding, including intracranial hemorrhage

  • Required drugs or procedures which may interfere with the study treatment

  • Concomitant conditions or diseases which may increase the risk of study subjects or interfere with the study outcome

  • General conditions in which subjects are not suitable to participate in the study

Contacts and Locations

Locations

Site City State Country Postal Code
1 Birmingham Alabama United States 35209
2 Birmingham Alabama United States 35235
3 Dothan Alabama United States 36301
4 Office of Dr. John Simmons, MD Geneva Alabama United States 36340
5 Mobile Alabama United States 36608
6 Montgomery Alabama United States 36111
7 Tuscaloosa Alabama United States 35401
8 Tuscaloosa Alabama United States 35406
9 Little Rock Arkansas United States 72205
10 Chula Vista California United States 91911
11 Duarte California United States 91010
12 Encinitas California United States 92024
13 Fountain Valley California United States 92708
14 Fullerton California United States 92835
15 Glendale California United States 91206
16 Oceanside California United States 92056
17 Pasadena California United States 91105
18 Redlands California United States 92373
19 Sacramento California United States 95817
20 San Diego California United States 92120
21 Santa Barbara California United States 93102
22 Torrance California United States 90502-2004
23 Denver Colorado United States 80204
24 Pueblo Colorado United States 81003
25 Wheat Ridge Colorado United States 80033-6017
26 Farmington Connecticut United States 06030
27 Newark Delaware United States 19718
28 Washington District of Columbia United States 20037
29 Aventura Florida United States 33180
30 Boyton Beach Florida United States 33472
31 Clearwater Florida United States 33756
32 Delray Beach Florida United States 33445
33 Ft. Lauderdale Florida United States 33334
34 Hollywood Florida United States 33021
35 Jupiter Florida United States 33458
36 Miami Springs Florida United States 33166
37 Miami Florida United States 33136
38 Miami Florida United States 33173-3259
39 Pembroke Pines Florida United States 33024
40 Port Charlotte Florida United States 33952
41 Sarasota Florida United States 34232
42 Vero Beach Florida United States 32960
43 Atlanta Georgia United States 30342
44 Decatur Georgia United States 30030
45 Fort Gordon Georgia United States 30905
46 Savannah Georgia United States 31405
47 Idaho Falls Idaho United States 83404
48 Chicago Illinois United States 60611
49 Springfield Illinois United States 62702
50 Anderson Indiana United States 46011
51 Noblesville Indiana United States 46060
52 Des Moines Iowa United States 50314-2611
53 Olathe Kansas United States 66061
54 Lafayette Louisiana United States 70503
55 New Orleans Louisiana United States 70121
56 Shreveport Louisiana United States 71130-4228
57 Biddeford Maine United States 04005
58 Rockport Maine United States 04856
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60 Baltimore Maryland United States 21237
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63 Detroit Michigan United States 48201
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67 Petoskey Michigan United States 49770-2297
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69 St. Clair Shores Michigan United States 48081
70 Minneapolis Minnesota United States 55417
71 Kansas City Missouri United States 64128
72 St. Louis Missouri United States 63110
73 St. Louis Missouri United States 63141
74 Anaconda Montana United States 59711-2718
75 Great Falls Montana United States 59405
76 Omaha Nebraska United States 68131
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78 New Brunswick New Jersey United States 08901
79 Somerville New Jersey United States 08876-2598
80 Summit New Jersey United States 07901
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82 Brooklyn New York United States 11215
83 Buffalo New York United States 14215-3021
84 Jamaica New York United States 11418
85 New Hyde Park New York United States 11040-1496
86 New York New York United States 10011
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104 Wilkes-Barre Pennsylvania United States 18711-3752
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260 Brno Czech Republic 656 91
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263 Olomouc Czech Republic 775 20
264 Plzen Czech Republic 305 99
265 Praha 2 Czech Republic 128 08
266 Praha 2 Czech Republic 128 21
267 Praha 2 Czech Republic 12808
268 Ricany Czech Republic 251 49
269 Znojmo Czech Republic 669 02
270 Esbjerg Denmark 6700
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275 Roskilde Denmark 4000
276 Tallinn Estonia 10138
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297 Limoges France 87042
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313 Toulouse France 31403
314 TOURCOING cedex France 59208
315 Vandoeuvre Les Nancy France 54511
316 Bad Mergentheim Baden-Württemberg Germany 97980
317 Esslingen Baden-Württemberg Germany 73730
318 Heidelberg Baden-Württemberg Germany 69120
319 Karlsbad Baden-Württemberg Germany 76307
320 Weiden Bayern Germany 92637
321 Beeskow Brandenburg Germany 15848
322 Frankfurt/Oder Brandenburg Germany 15236
323 Dortmund Nordrhein-Westfalen Germany 44137
324 Jülich Nordrhein-Westfalen Germany 52428
325 Köln Nordrhein-Westfalen Germany 50935
326 Köln Nordrhein-Westfalen Germany 51067
327 Köln Nordrhein-Westfalen Germany 51109
328 Leverkusen Nordrhein-Westfalen Germany 51375
329 Mönchengladbach Nordrhein-Westfalen Germany 41063
330 Neuss Nordrhein-Westfalen Germany 41464
331 Oberhausen Nordrhein-Westfalen Germany 46045
332 Paderborn Nordrhein-Westfalen Germany 33098
333 Soest Nordrhein-Westfalen Germany 59494
334 Stolberg Nordrhein-Westfalen Germany 52222
335 Troisdorf Nordrhein-Westfalen Germany 53844
336 Viersen Nordrhein-Westfalen Germany 41749
337 Wuppertal Nordrhein-Westfalen Germany 42109
338 Mainz Rheinland-Pfalz Germany 55131
339 Neuwied Rheinland-Pfalz Germany 56564
340 Halle Sachsen-Anhalt Germany 06112
341 Dresden Sachsen Germany 01067
342 Dresden Sachsen Germany 01307
343 Leipzig Sachsen Germany 04289
344 Pirna Sachsen Germany 01796
345 Berlin Germany 10787
346 Bremen Germany 28177
347 Elefsina Attica Greece 19018
348 Kifisia / Athens Attica Greece 14561
349 Abelokipi - Athens Greece 115 26
350 Athens Greece 106 76
351 Athens Greece 115 26
352 Athens Greece 156 69
353 Nea Ionia Greece 14233
354 Piraeus Greece 18536
355 Rio / Patras Greece 265 04
356 Shatin N.t. Hong Kong
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358 Baja Hungary 6500
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360 Budapest Hungary 1076
361 Budapest Hungary 1134
362 Budapest Hungary 1145
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364 Gyor Hungary 9024
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366 Kecskemet Hungary 6000
367 Szekesfehervar Hungary 8000
368 Tatabanya Hungary 2800
369 Zalaegerszeg-Pozva Hungary H-8900
370 Ahmedabad Gujar?t India 380 054
371 Bangalore Karn?taka India 560052
372 Bangalore Karn?taka India 560099
373 Calicut Kerala India 673 004
374 Thiruvananthapuram Kerala India 695002
375 Pune Maharashtra India 411001
376 Pune Maharashtra India 411011
377 Ludhiana Punjab India 141001
378 Chennai Tamil N?du India 600081
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403 Reggio Emilia Emilia-Romagna Italy 42123
404 Roma Lazio Italy 00161
405 Roma Lazio Italy 00168
406 Genova Liguria Italy 16128
407 Milano Lombardia Italy 20089
408 Milano Lombardia Italy 20133
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410 Varese Lombardia Italy 21100
411 Campobasso Molise Italy 86100
412 Fidenza Parma Italy 43036
413 Catania Sicilia Italy 95124
414 Palermo Sicilia Italy 90127
415 Terni Trentino-Alto Adige Italy 05019
416 Perugia Umbria Italy 06024
417 Perugia Umbria Italy 06156
418 Domodossola Verbano-Cusio-Ossola Italy 28845
419 Bergamo Italy 24128
420 Latina Italy 04100
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422 Vicenza Italy 36100
423 Ichinomiya Aichi Japan 491-8551
424 Kasugai Aichi Japan 487-0013
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426 Matsuyama Ehime Japan 790-0024
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428 Chikushino Fukuoka Japan 818-8516
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444 Tomigusuku Okinawa Japan 901-0243
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446 Daito Osaka Japan 574-0074
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451 Shinjuku-ku Tokyo Japan 162-8655
452 Shimonoseki Yamaguchi Japan 750-0061
453 Fukui Japan 910-8561
454 National Hospital Organization Ibaraki Higashi Hospital Ibaraki Japan 319-1113
455 Kumamoto Japan 860-0008
456 Kyoto Japan 606-8507
457 Gyeongi-do Korea Korea, Republic of 463-707
458 Seoul National University Hospital Seoul Seoul Teugbyeolsi Korea, Republic of 110-744
459 Seoul Metropolitan Boramae Hospital Seoul Seoul Teugbyeolsi Korea, Republic of 156-707
460 Gyeonggi-do Korea, Republic of 463-712
461 Jeollanam-do Korea, Republic of 519-763
462 Seoul Korea, Republic of 135-710
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493 México, D.F. Distrito Federal Mexico 06729
494 México, D.F. Distrito Federal Mexico 07760
495 México, D.F Distrito Federal Mexico 07460
496 Guadalajara Jalisco Mexico 44280
497 Morelia Michoacán Mexico 58270
498 Metepec México Mexico 52140
499 Monterrey Nuevo Leon Mexico 66480
500 Hermosillo Sonora Mexico 83000
501 Mérida Yucatán Mexico 97001
502 Aguascalientes Mexico 20234
503 Chihuahua Mexico 31350
504 Puebla Mexico 72410
505 Zacatecas Mexico 98000
506 Amersfoort Netherlands 3816 CP
507 Amsterdam Netherlands 1061 AE
508 Enschede Netherlands 7511 JX
509 Heerlen Netherlands 6401 CX
510 Maastricht Netherlands 6229 HX
511 Nieuwegein Netherlands 3435 CM
512 Rotterdam Netherlands 3083 AN
513 Sittard Netherlands 6131 BK
514 Utrecht Netherlands 3582 KE
515 Auckland New Zealand 0622
516 Auckland New Zealand 1023
517 Auckland New Zealand 2024
518 Christchurch New Zealand 8011
519 Fredrikstad Norway 1603
520 Gjøvik Norway 2819
521 Hamar Norway 2326
522 Oslo Norway 0319
523 Oslo Norway 0407
524 Karachi Pakistan 74800
525 Karachi Pakistan 75500
526 Lahore Pakistan
527 Callao Peru CALLAO 2
528 Lima Cercado Peru LIMA 1
529 Lima Peru 01
530 Lima Peru 31
531 Lima Peru LIMA 11
532 Lima Peru LIMA 1
533 Bialystok Poland 15-276
534 Bydgoszcz Poland 85-681
535 Krakow Poland 31-066
536 Krakow Poland 31-121
537 Lublin Poland 20-178
538 Olsztyn Poland 10-228
539 Piotrkow Trybunalski Poland 97-300
540 Siedlce Poland 08-110
541 Starogard Gdanski Poland 83-200
542 Szczecin Poland 70-965
543 Tarnów Poland 33-100
544 Warszawa Poland 03-401
545 Warszawa Poland 04-141
546 Warszawa Poland 04-749
547 Wloclawek Poland 87-800
548 S. Martinho do Bispo Coimbra Portugal 3041-856
549 Amadora Portugal 2720-276
550 Cascais Portugal 2750-349
551 Coimbra Portugal 3000-075
552 Lisboa Portugal 1150-199
553 Lisboa Portugal 1349-019
554 Lisboa Portugal 1649-035
555 Lisboa Portugal 1849- 017
556 Matosinhos Portugal 4454-509
557 Porto Portugal 4099-001
558 Porto Portugal 4200-319
559 Santarém Portugal 2005
560 Viana do Castelo Portugal 4901-585
561 Bucharest Romania 014461
562 Bucharest Romania 022328
563 Bucharest Romania 041915
564 Constanta Romania 900591
565 Suceava Romania 720237
566 Moscow Russian Federation 103030
567 Moscow Russian Federation 115093
568 Moscow Russian Federation 115516
569 Moscow Russian Federation 117292
570 Moscow Russian Federation 119048
571 Moscow Russian Federation 119435
572 Moscow Russian Federation 125101
573 Moscow Russian Federation 125367
574 Nizhny Novgorod Russian Federation 603001
575 Nizhny Novgorod Russian Federation 603035
576 Yaroslavl Russian Federation 150003
577 Yaroslavl Russian Federation 150030
578 Singapore Singapore 119074
579 Singapore Singapore 168752
580 Singapore Singapore 169608
581 Singapore Singapore 308433
582 Changi General Hospital Singapore Singapore 529889
583 Bratislava Slovakia 813 69
584 Bratislava Slovakia 826 06
585 Lucenec Slovakia 984 39
586 Martin Slovakia 036 59
587 Zilina Slovakia 012 07
588 Golnik Slovenia 4204
589 Ljubljana Slovenia 1000
590 Novo mesto Slovenia 8000
591 Bloemfontein Freestate South Africa 9301
592 Johannesburg Gauteng South Africa 2057
593 Johannesburg Gauteng South Africa 2132
594 Johannesburg Gauteng South Africa 2196
595 Kempton Park Gauteng South Africa 1610
596 Pretoria Gauteng South Africa 0084
597 Pretoria Gauteng South Africa 0157
598 Pretoria Gauteng South Africa 0181
599 Roodepoort Gauteng South Africa 1724
600 Goodwood Western Cape South Africa 7460
601 Somerset West Western Cape South Africa 7130
602 Stellenbosch Western Cape South Africa 7505
603 Worcester Western Cape South Africa 6850
604 Sandton, Gauteng South Africa 2196
605 Badalona Barcelona Spain 08916
606 Sabadell Barcelona Spain 08208
607 Cabra Córdoba Spain 14940
608 Olot Girona Spain 17800
609 Cartagena Murcia Spain 30202
610 Vélez Málaga Spain 29700
611 Vigo Pontevedra Spain 36214
612 Barcelona Spain 08023
613 Barcelona Spain 08036
614 Cuenca Spain 16002
615 Córdoba Spain 14004
616 Girona Spain 17007
617 Zaragoza Spain 50009
618 Borås Sweden 501 82
619 Hässleholm Sweden 281 25
620 Karlshamn Sweden 374 80
621 Kristianstad Sweden 29185
622 Lund Sweden 221 85
623 Malmö Sweden 205 02
624 Skövde Sweden 541 85
625 Stockholm Sweden 171 76
626 Stockholm Sweden 182 88
627 Sundsvall Sweden 851 86
628 Umeå Sweden 90185
629 Visby Sweden 62184
630 Bruderholz Basel-Landschaft Switzerland 4101
631 Basel Basel-Stadt Switzerland 4031
632 Liestal Basel-Stadt Switzerland 4410
633 Langenthal Bern Switzerland 4901
634 Baden Switzerland 5404
635 Bern Switzerland 3010
636 Genève Switzerland 1211
637 Luzern Switzerland 6000
638 Zürich Switzerland 8091
639 Kaohsiung Taiwan 833
640 Tainan Taiwan 710
641 Taipei Taiwan 10016
642 Taipei Taiwan 114
643 Taipei Taiwan
644 Bangkok Thailand 10400
645 Bangkok Thailand 10700
646 Chiangmai Thailand 50200
647 Istanbul Turkey 34098
648 Istanbul Turkey 34304
649 Izmir Turkey 35100
650 Izmir Turkey 35340
651 Donetsk Ukraine 83003
652 Donetsk Ukraine 83045
653 Ivano-Frankivsk Ukraine 76000
654 Kharkiv Ukraine 61037
655 Kharkiv Ukraine 61070
656 Kharkiv Ukraine 61178
657 Kiev Ukraine 02 091
658 Kiev Ukraine 03680
659 Kiev Ukraine 04112
660 Kyiv Ukraine 01105
661 Lviv Ukraine 790 34
662 Odessa Ukraine 65009
663 Odessa Ukraine 65025
664 Simferopol Ukraine 95 026
665 Simferopol Ukraine 95023
666 Middlesborough Cleveland United Kingdom TS4 3BW
667 Dumfries Dumfries and Galloway United Kingdom DG1 4EP
668 Liverpool Merseyside United Kingdom L9 7JU
669 Sheffield South Yorkshire United Kingdom S10 2JF
670 Glasgow Stratchclyde United Kingdom G11 6NT
671 Newcastle Upon Tyne Tyne and Wear United Kingdom NE1 4LP
672 Leeds West Yorkshire United Kingdom LS9 7TF
673 London United Kingdom N18 1QX
674 London United Kingdom SE5 9RS
675 London United Kingdom W1T 4EU
676 Nottingham United Kingdom NG7 2UH

Sponsors and Collaborators

  • Bayer
  • Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Investigators

  • Study Director: Bayer Study Director, Bayer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT00571649
Other Study ID Numbers:
  • 12839
  • 2007-004614-14
First Posted:
Dec 12, 2007
Last Update Posted:
Sep 15, 2016
Last Verified:
Aug 1, 2016

Study Results

Participant Flow

Recruitment Details First patient first visit date: 04 DEC 2007; last patient last visit date 24 NOV 2010. Primary completion date: 12 AUG 2010. Participants were aged ≥40 years, hospitalized for an acute medical illness, and at risk of Venous Thromboembolism (VTE) (with heart failure, cancer, ischemic stroke, infection or inflammation, or respiratory insufficiency)
Pre-assignment Detail A total of 8428 participants were screened; 327 failed. 8101 were randomized. 7998 (98.7%) were in the Safety Analysis Set (SAF), i.e. received study medication. 6024 (74.4%) were in the modified Intent to Treat (at Day 35) group (valid for SAF with adequate assessment of venous thromboembolism). A total of 6005 (74.1%) completed study.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days during treatment period Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days during treatment period
Period Title: Treatment Period
STARTED 4050 4051
Participants Received Treatment 3997 4001
Day 10 3454 3499
Day 35 3033 3115
COMPLETED 2958 3047
NOT COMPLETED 1092 1004
Period Title: Treatment Period
STARTED 3583 3635
COMPLETED 3038 3107
NOT COMPLETED 545 528

Baseline Characteristics

Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin Total
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days (SAF population) Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days (SAF population) Total of all reporting groups
Overall Participants 3997 4001 7998
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
69.2
(11.9)
69.2
(11.7)
69.2
(11.8)
Age, Customized (participants) [Number]
< 65 years
1323
33.1%
1363
34.1%
2686
33.6%
65 to < 75 years
1144
28.6%
1090
27.2%
2234
27.9%
>= 75 years
1530
38.3%
1548
38.7%
3078
38.5%
Sex: Female, Male (Count of Participants)
Female
1774
44.4%
1898
47.4%
3672
45.9%
Male
2223
55.6%
2103
52.6%
4326
54.1%
Race (participants) [Number]
White
2749
68.8%
2744
68.6%
5493
68.7%
Black
89
2.2%
92
2.3%
181
2.3%
Asian
793
19.8%
794
19.8%
1587
19.8%
Native American
12
0.3%
12
0.3%
24
0.3%
Hispanic
69
1.7%
70
1.7%
139
1.7%
Uncodable
106
2.7%
112
2.8%
218
2.7%
Unknown
1
0%
0
0%
1
0%
Missing
178
4.5%
177
4.4%
355
4.4%
Reason for hospitalization (participants) [Number]
Heart failure (NYHA Class III or NYHA Class IV)
1292
32.3%
1301
32.5%
2593
32.4%
Active cancer
294
7.4%
290
7.2%
584
7.3%
Acute ischemic stroke
691
17.3%
692
17.3%
1383
17.3%
Acute Infectious and Inflammatory Diseases
1904
47.6%
1876
46.9%
3780
47.3%
Acute infectious disease
1826
45.7%
1801
45%
3627
45.3%
Acute inflammatory or rheumatic disease
150
3.8%
149
3.7%
299
3.7%
Acute respiratory insufficiency
1085
27.1%
1151
28.8%
2236
28%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Composite Endpoint of Venous Thromboembolism [VTE] (Any Deep Vein Thrombosis [DVT], Non Fatal Pulmonary Embolism [PE]) and VTE-related Death up to Day 35 + 6 Days
Description A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Time Frame Up to Day 35 + 6 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 35: participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 35
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 2967 3057
Number [Percentage of participants]
4.4
0.1%
5.7
0.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments A sample size of 2876 valid patients per group was estimated to obtain a joint power of at least 90% for both primary endpoints (91.4% for superiority) with 4% event rate at day 35 for comparator and 40% relative risk reduction.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0211
Comments Hochberg procedure: A 2-sided p-value of less than 0.05 would be considered significant, if the 1-sided p-value of the other primary efficacy outcome measure was less than 0.025, elsewise a p-value of less than 0.025 would be considered significant.
Method Cochran-Mantel-Haenszel
Comments Weighted relative risks were calculated using asymptotic methods, with weights based upon sample sizes per strata (geographic region).
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.771
Confidence Interval () 95%
0.618 to 0.962
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
Description A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
Per Protocol (PP) Day 10: participant was valid for the safety analysis, had an adequate assessment of VTE up to Day 10 not later than 48 hours after stop of study drug, met inclusion criteria, and had no major protocol deviations.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 2938 2993
Number [Percentage of participants]
2.7
0.1%
2.7
0.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments A sample size of 2876 valid patients per group was estimated to obtain a joint power of at least 90% for both primary endpoints (98.6% power for non-inferiority) with 1.8% event rate at day 10 for comparator and 35% relative risk reduction.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Rivaroxaban would be considered at least as effective as the comparator if the upper limit of the CI (Confidence Interval) was less than 1.5
Statistical Test of Hypothesis p-Value 0.0025
Comments Hochberg procedure: A 1-sided p-value of less than 0.025 would be considered significant, if the 2-sided p-value of the other primary efficacy outcome measure was less than 0.05, elsewise a p-value of less than 0.0125 would be considered significant.
Method Cochran-Mantel-Haenszel
Comments Weighted relative risks were calculated using asymptotic methods, with weights based upon sample sizes per strata (geographic region).
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.968
Confidence Interval () 95%
0.713 to 1.314
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and All-cause Mortality up to Day 35 + 6 Days
Description A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).
Time Frame Up to Day 35 + 6 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 35 (participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 35) expanded to include participants who had an assessment of all deaths, including not VTE-related
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3096 3169
Number [Percentage of participants]
8.6
0.2%
9.2
0.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3758
Comments Test hierarchy: A p-value of less than 0.05 would be considered significant, if the tests for the two primary efficacy outcome measures were significant.
Method Cochran-Mantel-Haenszel
Comments Weighted relative risks were calculated using asymptotic methods, with weights based upon sample sizes per strata (geographic region).
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.931
Confidence Interval () 95%
0.795 to 1.091
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Percentage of Participants With Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days Per mITT Population
Description A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 10: participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 10
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3232 3271
Number [Percentage of participants]
3.0
0.1%
3.1
0.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9473
Comments Test hierarchy: A p-value of less than 0.05 would be considered significant, if the tests for the 2 primary efficacy outcomes and for "Composite endpoint of VTE (any DVT, non fatal PE) and all-cause mortality up to Day 35 + 6 days" were significant.
Method Cochran-Mantel-Haenszel
Comments Weighted relative risks were calculated using asymptotic methods, with weights based upon sample sizes per strata (geographic region).
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.991
Confidence Interval () 95%
0.753 to 1.304
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Percentage of Participants With VTE Combined With All-cause Mortality up to Day 10 + 5 Days
Description A composite endpoint of: asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and death (VTE-related and not VTE-related).
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 10 (participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 10) expanded to include participants who had an assessment of all deaths, including not VTE-related
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3281 3310
Number [Percentage of participants]
4.8
0.1%
4.5
0.1%
6. Secondary Outcome
Title Percentage of Participants With Symptomatic VTE, Including and Excluding VTE-related Death up to Days 10, 35, and 90
Description Symptomatic VTE (non-fatal PE and DVT in lower extremity), including and excluding VTE-related death (PE and PE cannot be excluded) up to Days 10, 35, and 90
Time Frame At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days

Outcome Measure Data

Analysis Population Description
Safety population: Participant had at least one dose of study drug.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3997 4001
symptomatic VTE (incl. VTE-related death)-Day 10
0.7
0%
0.6
0%
symptomatic VTE (non fatal)-Day 10
0.5
0%
0.3
0%
symptomatic VTE (incl. VTE-related death)-Day 35
1.0
0%
1.4
0%
symptomatic VTE (non fatal)-Day 35
0.6
0%
0.7
0%
symptomatic VTE (incl. VTE-related death)-Day 90
1.7
0%
1.9
0%
symptomatic VTE (non fatal)-Day 90
0.7
0%
0.9
0%
7. Secondary Outcome
Title Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 35 + 6 Days
Description Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events.
Time Frame Up to Day 35 + 6 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 35 (participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 35) expanded to include participants with major and clinically relevant bleeding events.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3042 3082
Number [Percentage of participants]
9.4
0.2%
7.8
0.2%
8. Secondary Outcome
Title Percentage of Participants With Net Clinical Benefit (Any DVT, Non-fatal PE, VTE-related Death, Plus Major and Clinically Relevant Non-major Bleeding Events) up to Day 10 + 5 Days
Description Net clinical benefit is a composite of the primary efficacy endpoint (asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death) plus major and clinically relevant non-major bleeding events
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
Participants valid for safety analysis, with adequate assessment of VTE (to Day 10 within 48 hours of study drug), met inclusion criteria, and no major protocol deviations; expanded to include participants who had major bleeding or clinically relevant non-major bleeding events and met all criteria for PP except valid assessment of thromboembolism.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 2950 3007
Number [Percentage of participants]
4.5
0.1%
3.9
0.1%
9. Secondary Outcome
Title Percentage of Participants With Major Vascular Events up to Days 10, 35, and 90
Description Major vascular events included cardiovascular death, acute myocardial infarction (MI), or acute ischemic stroke. Participants may have had a vascular event in more than one category.
Time Frame At Day 10 + 5 days, at Day 35 + 6 days, and at Day 90 + 7 days

Outcome Measure Data

Analysis Population Description
Safety population: Participant had at least one dose of study drug.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3997 4001
Any event-Day 10
1.0
0%
1.0
0%
Ischemic stroke-Day 10
0.3
0%
0.3
0%
Acute MI-Day 10
0.5
0%
0.4
0%
Death (cardiovascular)-Day 10
0.4
0%
0.4
0%
Any event-Day 35
1.8
0%
1.6
0%
Ischemic stroke-Day 35
0.5
0%
0.5
0%
Acute MI-Day 35
0.6
0%
0.5
0%
Death (cardiovascular)-Day 35
0.9
0%
0.8
0%
Any event-Day 90
2.8
0.1%
2.8
0.1%
Ischemic stroke-Day 90
0.8
0%
1.1
0%
Acute MI-Day 90
0.9
0%
0.7
0%
Death (cardiovascular)-Day 90
1.4
0%
1.4
0%
10. Secondary Outcome
Title Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 35 + 6 Days
Description The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Time Frame Up to Day 35 + 6 days

Outcome Measure Data

Analysis Population Description
modified Intent-to-Treat (mITT) Day 35: participant was valid for the safety analysis and had an adequate assessment of VTE up to Day 35
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 2967 3057
Symptomatic non-fatal PE
0.3
0%
0.5
0%
Symptomatic DVT in lower extremity
0.4
0%
0.5
0%
Asymptomatic proximal DVT in lower extremity
3.5
0.1%
4.4
0.1%
VTE related death
0.6
0%
1.0
0%
11. Secondary Outcome
Title Percentage of Participants With Each Component of the Composite Endpoint of VTE (Any DVT, Non Fatal PE) and VTE-related Death up to Day 10 + 5 Days
Description The components of the composite endpoint include asymptomatic proximal DVT in lower extremity detected by mandatory bilateral lower extremity venous ultrasonography; symptomatic DVT in lower extremity, proximal or distal; symptomatic, non-fatal PE; and VTE-related death.
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
Per Protocol Day 10: participant was valid for the safety analysis, had an adequate assessment of VTE up to Day 10 not later than 48 hours after stop of study drug, met inclusion criteria, and had no major protocol deviations
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 2938 2993
Symptomatic non-fatal PE
0.2
0%
0.1
0%
Symptomatic DVT in lower extremity
0.2
0%
0.2
0%
Asymptomatic proximal DVT in lower extremity
2.4
0.1%
2.4
0.1%
VTE related death
0.1
0%
0.2
0%
12. Secondary Outcome
Title Percentage of Participants With All-cause Mortality up to Day 90 + 7 Days
Description All deaths, including VTE-related deaths, cardiovascular deaths, and other deaths.
Time Frame Up to Day 90 + 7 days

Outcome Measure Data

Analysis Population Description
Safety population: Participant had at least one dose of study drug.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3997 4001
Any event
6.7
0.2%
6.2
0.2%
Death (cardiovascular)
1.4
0%
1.4
0%
Death (other)
4.3
0.1%
3.7
0.1%
VTE related death
1.0
0%
1.1
0%
13. Secondary Outcome
Title Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Intake of Any Study Medication (Day 35 + 6 Days)
Description Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin; or transfusion of >= 2 units of packed RBCs (Red blood cells) or whole blood; or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding
Time Frame Up to Day 35 + 6 days

Outcome Measure Data

Analysis Population Description
Safety population: Participant had at least one dose of study drug.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3997 4001
Number [Percentage of participants]
4.1
0.1%
1.7
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments There was no sample size estimation as this was not planed as confirmatory analysis
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments 2-sided p-value. No adjustment for multiple testing.
Method Cochran-Mantel-Haenszel
Comments Weighted relative risks were calculated using asymptotic methods, with weights based upon sample sizes per strata (geographic region).
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 2.455
Confidence Interval (2-Sided) 95%
1.854 to 3.251
Parameter Dispersion Type:
Value:
Estimation Comments
14. Secondary Outcome
Title Percentage of Participants With the Composite of Treatment Emergent Major Bleeding Events and Non-major Clinically Relevant Bleeding Events up to 2 Days After Last Application of a Study Medication Syringe (Day 10 + 5 Days)
Description Major bleeding events were defined as events leading to >=2 g/dL fall in hemoglobin or transfusion of >=2 units of packed RBCs or whole blood or leading to death. Non-major bleeding events were defined as overt bleeding not meeting the criteria of major bleeding.
Time Frame Up to Day 10 + 5 days

Outcome Measure Data

Analysis Population Description
Safety population: Participant had at least one dose of study drug.
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
Measure Participants 3997 4001
Number [Percentage of participants]
2.8
0.1%
1.2
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin
Comments There was no sample size estimation as this was not planed as confirmatory analysis
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments 2-sided p-value. No adjustment for multiple testing.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 2.272
Confidence Interval (2-Sided) 95%
1.628 to 3.171
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Arm/Group Description Participants received 10 mg oral rivaroxaban tablet once daily (OD) for 35 +/- 4 days, plus subcutaneous enoxaparin-matched placebo solution OD for 10 +/- 4 days Participants received oral rivaroxaban-matched placebo tablet OD for 35 +/- 4 days, plus 40 mg subcutaneous enoxaparin solution OD for 10 +/- 4 days
All Cause Mortality
Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1034/3997 (25.9%) 976/4001 (24.4%)
Blood and lymphatic system disorders
Agranulocytosis 0/3997 (0%) 0 1/4001 (0%) 1
Anaemia 18/3997 (0.5%) 20 13/4001 (0.3%) 13
Coagulopathy 0/3997 (0%) 0 1/4001 (0%) 1
Disseminated intravascular coagulation 2/3997 (0.1%) 2 2/4001 (0%) 2
Febrile neutropenia 4/3997 (0.1%) 5 3/4001 (0.1%) 4
Leukocytosis 1/3997 (0%) 1 0/4001 (0%) 0
Leukopenia 0/3997 (0%) 0 2/4001 (0%) 2
Lymphadenopathy 1/3997 (0%) 1 1/4001 (0%) 1
Neutropenia 0/3997 (0%) 0 3/4001 (0.1%) 3
Normochromic normocytic anaemia 0/3997 (0%) 0 1/4001 (0%) 1
Pancytopenia 1/3997 (0%) 1 0/4001 (0%) 0
Thrombocytopenia 13/3997 (0.3%) 13 9/4001 (0.2%) 9
Anaemia of malignant disease 0/3997 (0%) 0 1/4001 (0%) 1
Haemorrhagic anaemia 1/3997 (0%) 1 1/4001 (0%) 1
Heparin-induced thrombocytopenia 0/3997 (0%) 0 1/4001 (0%) 1
Cardiac disorders
Acute myocardial infarction 30/3997 (0.8%) 31 28/4001 (0.7%) 29
Angina pectoris 1/3997 (0%) 1 4/4001 (0.1%) 4
Angina unstable 6/3997 (0.2%) 7 6/4001 (0.1%) 6
Aortic valve incompetence 0/3997 (0%) 0 1/4001 (0%) 1
Aortic valve stenosis 2/3997 (0.1%) 2 0/4001 (0%) 0
Arrhythmia 2/3997 (0.1%) 2 6/4001 (0.1%) 6
Arteriosclerosis coronary artery 1/3997 (0%) 1 1/4001 (0%) 1
Atrial fibrillation 23/3997 (0.6%) 23 22/4001 (0.5%) 24
Atrial flutter 5/3997 (0.1%) 5 2/4001 (0%) 2
Atrial tachycardia 2/3997 (0.1%) 2 0/4001 (0%) 0
Atrioventricular block 1/3997 (0%) 1 0/4001 (0%) 0
Atrioventricular block complete 3/3997 (0.1%) 3 5/4001 (0.1%) 5
Bradycardia 1/3997 (0%) 1 4/4001 (0.1%) 4
Cardiac arrest 12/3997 (0.3%) 13 11/4001 (0.3%) 12
Cardiac failure 76/3997 (1.9%) 84 76/4001 (1.9%) 81
Cardiac failure acute 11/3997 (0.3%) 12 25/4001 (0.6%) 28
Cardiac failure chronic 10/3997 (0.3%) 10 10/4001 (0.2%) 11
Cardiac failure congestive 31/3997 (0.8%) 37 31/4001 (0.8%) 38
Cardiac hypertrophy 0/3997 (0%) 0 1/4001 (0%) 1
Cardio-respiratory arrest 11/3997 (0.3%) 11 12/4001 (0.3%) 12
Cardiogenic shock 6/3997 (0.2%) 6 4/4001 (0.1%) 4
Cardiomegaly 0/3997 (0%) 0 2/4001 (0%) 2
Cardiomyopathy 1/3997 (0%) 1 0/4001 (0%) 0
Cardiovascular disorder 0/3997 (0%) 0 1/4001 (0%) 2
Cor pulmonale 1/3997 (0%) 1 1/4001 (0%) 1
Cor pulmonale chronic 2/3997 (0.1%) 2 1/4001 (0%) 1
Coronary artery disease 12/3997 (0.3%) 13 7/4001 (0.2%) 8
Coronary artery occlusion 1/3997 (0%) 1 2/4001 (0%) 2
Coronary artery stenosis 1/3997 (0%) 1 3/4001 (0.1%) 3
Left ventricular failure 2/3997 (0.1%) 2 2/4001 (0%) 2
Myocardial infarction 1/3997 (0%) 1 1/4001 (0%) 1
Myocardial ischaemia 3/3997 (0.1%) 3 6/4001 (0.1%) 6
Palpitations 0/3997 (0%) 0 1/4001 (0%) 1
Pericardial effusion 1/3997 (0%) 1 0/4001 (0%) 0
Pericardial haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Pericarditis 2/3997 (0.1%) 2 1/4001 (0%) 1
Right ventricular failure 1/3997 (0%) 1 1/4001 (0%) 1
Sick sinus syndrome 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Sinus arrest 0/3997 (0%) 0 1/4001 (0%) 1
Sinus bradycardia 1/3997 (0%) 1 1/4001 (0%) 1
Supraventricular tachycardia 3/3997 (0.1%) 3 1/4001 (0%) 1
Trifascicular block 1/3997 (0%) 1 0/4001 (0%) 0
Ventricular fibrillation 4/3997 (0.1%) 6 3/4001 (0.1%) 3
Ventricular tachycardia 7/3997 (0.2%) 8 1/4001 (0%) 2
Intracardiac thrombus 1/3997 (0%) 1 3/4001 (0.1%) 3
Atrial thrombosis 4/3997 (0.1%) 4 0/4001 (0%) 0
Ischaemic cardiomyopathy 1/3997 (0%) 1 0/4001 (0%) 0
Tachyarrhythmia 1/3997 (0%) 1 0/4001 (0%) 0
Left ventricular dysfunction 1/3997 (0%) 1 1/4001 (0%) 1
Bradyarrhythmia 0/3997 (0%) 0 1/4001 (0%) 1
Electromechanical dissociation 0/3997 (0%) 0 1/4001 (0%) 1
Cardiopulmonary failure 5/3997 (0.1%) 5 8/4001 (0.2%) 8
Acute coronary syndrome 2/3997 (0.1%) 2 2/4001 (0%) 2
Haemorrhage coronary artery 1/3997 (0%) 1 0/4001 (0%) 0
Congestive cardiomyopathy 1/3997 (0%) 1 2/4001 (0%) 2
Cardiac perforation 1/3997 (0%) 1 0/4001 (0%) 0
Right ventricular dysfunction 1/3997 (0%) 1 0/4001 (0%) 0
Mitral valve disease 0/3997 (0%) 0 1/4001 (0%) 1
Cardiac fibrillation 1/3997 (0%) 1 0/4001 (0%) 0
Rheumatic heart disease 0/3997 (0%) 0 1/4001 (0%) 1
Acute left ventricular failure 1/3997 (0%) 1 0/4001 (0%) 0
Supraventricular tachyarrhythmia 1/3997 (0%) 1 0/4001 (0%) 0
Cardiovascular insufficiency 0/3997 (0%) 0 1/4001 (0%) 1
Chronotropic incompetence 1/3997 (0%) 1 0/4001 (0%) 0
Atrioventricular dissociation 0/3997 (0%) 0 1/4001 (0%) 1
Congenital, familial and genetic disorders
Atrial septal defect 1/3997 (0%) 1 1/4001 (0%) 1
Gastrointestinal angiodysplasia 1/3997 (0%) 1 0/4001 (0%) 0
Pyloric stenosis 1/3997 (0%) 1 0/4001 (0%) 0
Myotonic dystrophy 1/3997 (0%) 1 0/4001 (0%) 0
Ear and labyrinth disorders
Ear haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Vertigo 2/3997 (0.1%) 2 2/4001 (0%) 2
Eye disorders
Cataract 1/3997 (0%) 1 1/4001 (0%) 1
Conjunctival haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Diabetic retinopathy 1/3997 (0%) 1 0/4001 (0%) 0
Eye haemorrhage 1/3997 (0%) 1 1/4001 (0%) 1
Eye pain 0/3997 (0%) 0 1/4001 (0%) 1
Glaucoma 1/3997 (0%) 1 0/4001 (0%) 0
Keratitis 1/3997 (0%) 1 0/4001 (0%) 0
Macular degeneration 1/3997 (0%) 1 0/4001 (0%) 0
Macular oedema 0/3997 (0%) 0 1/4001 (0%) 1
Optic atrophy 0/3997 (0%) 0 1/4001 (0%) 1
Periorbital oedema 1/3997 (0%) 1 0/4001 (0%) 0
Pupils unequal 1/3997 (0%) 1 0/4001 (0%) 0
Retinopathy hypertensive 0/3997 (0%) 0 1/4001 (0%) 1
Vision blurred 1/3997 (0%) 1 0/4001 (0%) 0
Vitreous haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Entropion 1/3997 (0%) 1 0/4001 (0%) 0
Gastrointestinal disorders
Abdominal pain 6/3997 (0.2%) 7 4/4001 (0.1%) 5
Abdominal pain upper 2/3997 (0.1%) 2 2/4001 (0%) 2
Acute abdomen 1/3997 (0%) 1 0/4001 (0%) 0
Ascites 2/3997 (0.1%) 2 0/4001 (0%) 0
Colitis 1/3997 (0%) 1 1/4001 (0%) 1
Colitis ischaemic 1/3997 (0%) 1 0/4001 (0%) 0
Colonic polyp 0/3997 (0%) 0 2/4001 (0%) 2
Constipation 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Diarrhoea 5/3997 (0.1%) 6 10/4001 (0.2%) 11
Diarrhoea haemorrhagic 1/3997 (0%) 1 0/4001 (0%) 0
Diverticulum 0/3997 (0%) 0 1/4001 (0%) 1
Diverticulum intestinal 0/3997 (0%) 0 1/4001 (0%) 1
Diverticulum intestinal haemorrhagic 1/3997 (0%) 1 0/4001 (0%) 0
Duodenal ulcer 0/3997 (0%) 0 1/4001 (0%) 1
Duodenal ulcer haemorrhage 3/3997 (0.1%) 3 1/4001 (0%) 1
Duodenal ulcer perforation 0/3997 (0%) 0 1/4001 (0%) 1
Dyspepsia 0/3997 (0%) 0 2/4001 (0%) 2
Dysphagia 0/3997 (0%) 0 3/4001 (0.1%) 3
Enteritis 0/3997 (0%) 0 1/4001 (0%) 1
Enterocolitis 0/3997 (0%) 0 1/4001 (0%) 1
Femoral hernia, obstructive 0/3997 (0%) 0 1/4001 (0%) 1
Gastric haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Gastric ulcer 1/3997 (0%) 1 2/4001 (0%) 2
Gastric ulcer haemorrhage 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Gastric ulcer perforation 0/3997 (0%) 0 1/4001 (0%) 1
Gastritis 3/3997 (0.1%) 3 0/4001 (0%) 0
Gastrooesophageal reflux disease 1/3997 (0%) 1 0/4001 (0%) 0
Gastroduodenal ulcer 0/3997 (0%) 0 1/4001 (0%) 1
Gastrointestinal haemorrhage 12/3997 (0.3%) 12 7/4001 (0.2%) 8
Gastrointestinal perforation 0/3997 (0%) 0 1/4001 (0%) 1
Gingival bleeding 0/3997 (0%) 0 1/4001 (0%) 1
Haematemesis 3/3997 (0.1%) 3 4/4001 (0.1%) 4
Haematochezia 4/3997 (0.1%) 4 1/4001 (0%) 1
Ileus 6/3997 (0.2%) 6 0/4001 (0%) 0
Ileus paralytic 2/3997 (0.1%) 2 0/4001 (0%) 0
Impaired gastric emptying 0/3997 (0%) 0 1/4001 (0%) 2
Inguinal hernia 1/3997 (0%) 1 0/4001 (0%) 0
Intestinal infarction 0/3997 (0%) 0 1/4001 (0%) 1
Intestinal ischaemia 1/3997 (0%) 1 1/4001 (0%) 1
Intestinal obstruction 5/3997 (0.1%) 5 3/4001 (0.1%) 3
Large intestinal ulcer 1/3997 (0%) 1 0/4001 (0%) 0
Mallory-Weiss syndrome 1/3997 (0%) 1 0/4001 (0%) 0
Melaena 6/3997 (0.2%) 6 3/4001 (0.1%) 3
Mesenteric artery stenosis 0/3997 (0%) 0 1/4001 (0%) 1
Mouth haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Nausea 3/3997 (0.1%) 3 5/4001 (0.1%) 7
Oesophageal haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Oesophageal spasm 1/3997 (0%) 1 0/4001 (0%) 0
Oesophageal stenosis 0/3997 (0%) 0 1/4001 (0%) 1
Oesophageal ulcer 1/3997 (0%) 1 1/4001 (0%) 1
Oesophageal varices haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Pancreatitis 0/3997 (0%) 0 2/4001 (0%) 2
Pancreatitis acute 1/3997 (0%) 1 0/4001 (0%) 0
Pancreatitis chronic 1/3997 (0%) 1 0/4001 (0%) 0
Peritoneal haemorrhage 2/3997 (0.1%) 2 0/4001 (0%) 0
Peritonitis 2/3997 (0.1%) 2 1/4001 (0%) 1
Proctalgia 0/3997 (0%) 0 1/4001 (0%) 1
Rectal haemorrhage 4/3997 (0.1%) 4 4/4001 (0.1%) 5
Reflux oesophagitis 1/3997 (0%) 1 0/4001 (0%) 0
Retroperitoneal haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Small intestinal obstruction 1/3997 (0%) 1 3/4001 (0.1%) 3
Thrombosis mesenteric vessel 1/3997 (0%) 1 0/4001 (0%) 0
Upper gastrointestinal haemorrhage 4/3997 (0.1%) 4 2/4001 (0%) 2
Vomiting 7/3997 (0.2%) 7 4/4001 (0.1%) 5
Oesophagitis ulcerative 1/3997 (0%) 1 0/4001 (0%) 0
Anal haemorrhage 2/3997 (0.1%) 2 0/4001 (0%) 0
Lower gastrointestinal haemorrhage 2/3997 (0.1%) 2 2/4001 (0%) 3
Diabetic gastroparesis 1/3997 (0%) 2 0/4001 (0%) 0
Internal hernia 1/3997 (0%) 1 0/4001 (0%) 0
Oedematous pancreatitis 1/3997 (0%) 1 0/4001 (0%) 0
Small intestinal haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Haemorrhoidal haemorrhage 1/3997 (0%) 1 2/4001 (0%) 2
Varices oesophageal 0/3997 (0%) 0 1/4001 (0%) 1
Hernial eventration 1/3997 (0%) 1 0/4001 (0%) 0
Retroperitoneal haematoma 1/3997 (0%) 1 1/4001 (0%) 1
Intestinal haemorrhage 1/3997 (0%) 2 0/4001 (0%) 0
Abdominal hernia obstructive 0/3997 (0%) 0 1/4001 (0%) 1
Diverticular perforation 1/3997 (0%) 1 1/4001 (0%) 1
General disorders
Asthenia 4/3997 (0.1%) 4 1/4001 (0%) 1
Chest pain 10/3997 (0.3%) 10 16/4001 (0.4%) 18
Chills 1/3997 (0%) 1 0/4001 (0%) 0
Death 14/3997 (0.4%) 14 9/4001 (0.2%) 9
Fatigue 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Impaired healing 0/3997 (0%) 0 1/4001 (0%) 1
Malaise 1/3997 (0%) 1 1/4001 (0%) 1
Multi-organ failure 8/3997 (0.2%) 8 5/4001 (0.1%) 5
Oedema 1/3997 (0%) 1 0/4001 (0%) 0
Oedema peripheral 2/3997 (0.1%) 2 5/4001 (0.1%) 6
Pain 4/3997 (0.1%) 4 2/4001 (0%) 3
Pyrexia 8/3997 (0.2%) 8 9/4001 (0.2%) 9
Sudden death 8/3997 (0.2%) 8 5/4001 (0.1%) 5
Performance status decreased 0/3997 (0%) 0 2/4001 (0%) 3
Hernia pain 0/3997 (0%) 0 1/4001 (0%) 1
Sudden cardiac death 2/3997 (0.1%) 2 7/4001 (0.2%) 7
General physical health deterioration 5/3997 (0.1%) 5 4/4001 (0.1%) 4
Puncture site haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Nodule 1/3997 (0%) 1 0/4001 (0%) 0
Catheter site haematoma 0/3997 (0%) 0 1/4001 (0%) 1
Ulcer haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Drug intolerance 1/3997 (0%) 1 1/4001 (0%) 1
Unevaluable event 0/3997 (0%) 0 1/4001 (0%) 1
Non-cardiac chest pain 2/3997 (0.1%) 2 0/4001 (0%) 0
Implant site haematoma 0/3997 (0%) 0 1/4001 (0%) 1
Device malfunction 0/3997 (0%) 0 1/4001 (0%) 1
Device dislocation 1/3997 (0%) 1 0/4001 (0%) 0
Device occlusion 1/3997 (0%) 1 0/4001 (0%) 0
Disuse syndrome 0/3997 (0%) 0 1/4001 (0%) 1
Device capturing issue 1/3997 (0%) 1 0/4001 (0%) 0
Hepatobiliary disorders
Acute hepatic failure 0/3997 (0%) 0 1/4001 (0%) 1
Biliary colic 1/3997 (0%) 1 0/4001 (0%) 0
Cholecystitis 1/3997 (0%) 1 3/4001 (0.1%) 4
Cholecystitis acute 2/3997 (0.1%) 2 2/4001 (0%) 2
Cholelithiasis 2/3997 (0.1%) 2 4/4001 (0.1%) 4
Cholestasis 2/3997 (0.1%) 2 0/4001 (0%) 0
Granulomatous liver disease 1/3997 (0%) 1 0/4001 (0%) 0
Hepatic cirrhosis 0/3997 (0%) 0 2/4001 (0%) 2
Hepatic congestion 1/3997 (0%) 1 1/4001 (0%) 1
Hepatic failure 1/3997 (0%) 1 2/4001 (0%) 2
Hepatic function abnormal 7/3997 (0.2%) 7 5/4001 (0.1%) 5
Hepatic steatosis 2/3997 (0.1%) 2 0/4001 (0%) 0
Hepatitis acute 1/3997 (0%) 1 1/4001 (0%) 1
Hepatitis alcoholic 0/3997 (0%) 0 1/4001 (0%) 1
Hepatitis toxic 0/3997 (0%) 0 1/4001 (0%) 1
Hepatorenal syndrome 1/3997 (0%) 1 1/4001 (0%) 1
Hyperbilirubinaemia 0/3997 (0%) 0 1/4001 (0%) 1
Ischaemic hepatitis 2/3997 (0.1%) 2 1/4001 (0%) 1
Jaundice 2/3997 (0.1%) 2 0/4001 (0%) 0
Cytolytic hepatitis 2/3997 (0.1%) 2 1/4001 (0%) 1
Bile duct obstruction 1/3997 (0%) 1 0/4001 (0%) 0
Haemobilia 1/3997 (0%) 1 0/4001 (0%) 0
Hepatic lesion 0/3997 (0%) 0 2/4001 (0%) 2
Cryptogenic cirrhosis 0/3997 (0%) 0 1/4001 (0%) 1
Liver injury 0/3997 (0%) 0 1/4001 (0%) 1
Immune system disorders
Amyloidosis 0/3997 (0%) 0 1/4001 (0%) 1
Anaphylactic reaction 1/3997 (0%) 1 0/4001 (0%) 0
Drug hypersensitivity 0/3997 (0%) 0 2/4001 (0%) 2
Hypersensitivity 0/3997 (0%) 0 2/4001 (0%) 2
Sarcoidosis 0/3997 (0%) 0 1/4001 (0%) 1
Infections and infestations
Abscess 1/3997 (0%) 1 0/4001 (0%) 0
Acquired immunodeficiency syndrome 1/3997 (0%) 1 0/4001 (0%) 0
Appendicitis 1/3997 (0%) 1 1/4001 (0%) 1
Appendicitis perforated 1/3997 (0%) 1 0/4001 (0%) 0
Bacteraemia 1/3997 (0%) 1 0/4001 (0%) 0
Bronchiectasis 3/3997 (0.1%) 3 2/4001 (0%) 2
Bronchiolitis 1/3997 (0%) 1 0/4001 (0%) 0
Bronchitis 18/3997 (0.5%) 18 4/4001 (0.1%) 4
Bronchopneumonia 8/3997 (0.2%) 8 10/4001 (0.2%) 10
Cellulitis 20/3997 (0.5%) 23 9/4001 (0.2%) 10
Cellulitis streptococcal 1/3997 (0%) 1 0/4001 (0%) 0
Diarrhoea infectious 0/3997 (0%) 0 1/4001 (0%) 1
Disseminated tuberculosis 1/3997 (0%) 1 0/4001 (0%) 0
Diverticulitis 5/3997 (0.1%) 5 1/4001 (0%) 1
Empyema 1/3997 (0%) 1 1/4001 (0%) 1
Endocarditis 1/3997 (0%) 1 2/4001 (0%) 3
Enteritis necroticans 1/3997 (0%) 1 0/4001 (0%) 0
Enterococcal bacteraemia 0/3997 (0%) 0 1/4001 (0%) 1
Erysipelas 4/3997 (0.1%) 4 2/4001 (0%) 2
Furuncle 1/3997 (0%) 1 0/4001 (0%) 0
Gangrene 0/3997 (0%) 0 2/4001 (0%) 3
Gastroenteritis 12/3997 (0.3%) 12 4/4001 (0.1%) 4
Gastroenteritis viral 0/3997 (0%) 0 1/4001 (0%) 1
Gastrointestinal infection 1/3997 (0%) 1 0/4001 (0%) 0
Hepatitis C 1/3997 (0%) 1 0/4001 (0%) 0
Herpes zoster 2/3997 (0.1%) 2 2/4001 (0%) 2
Impetigo 1/3997 (0%) 1 0/4001 (0%) 0
Infected skin ulcer 1/3997 (0%) 1 1/4001 (0%) 1
Infection 1/3997 (0%) 1 0/4001 (0%) 0
Liver abscess 1/3997 (0%) 1 1/4001 (0%) 1
Lobar pneumonia 4/3997 (0.1%) 4 1/4001 (0%) 1
Localised infection 3/3997 (0.1%) 3 0/4001 (0%) 0
Lower respiratory tract infection 4/3997 (0.1%) 4 3/4001 (0.1%) 3
Lung abscess 2/3997 (0.1%) 2 1/4001 (0%) 1
Meningitis 0/3997 (0%) 0 2/4001 (0%) 2
Necrotising fasciitis 0/3997 (0%) 0 1/4001 (0%) 1
Oesophageal candidiasis 1/3997 (0%) 1 1/4001 (0%) 1
Oral candidiasis 0/3997 (0%) 0 1/4001 (0%) 1
Osteomyelitis 4/3997 (0.1%) 4 1/4001 (0%) 1
Peridiverticular abscess 1/3997 (0%) 1 0/4001 (0%) 0
Perinephric abscess 0/3997 (0%) 0 1/4001 (0%) 1
Peritoneal abscess 0/3997 (0%) 0 1/4001 (0%) 1
Pneumonia 74/3997 (1.9%) 78 76/4001 (1.9%) 78
Pneumonia klebsiella 1/3997 (0%) 1 0/4001 (0%) 0
Pneumonia pneumococcal 2/3997 (0.1%) 2 0/4001 (0%) 0
Pneumonia primary atypical 0/3997 (0%) 0 1/4001 (0%) 1
Postoperative wound infection 0/3997 (0%) 0 1/4001 (0%) 1
Pseudomembranous colitis 1/3997 (0%) 1 1/4001 (0%) 1
Pulmonary tuberculosis 0/3997 (0%) 0 1/4001 (0%) 1
Pyelonephritis 1/3997 (0%) 1 1/4001 (0%) 1
Pyelonephritis acute 1/3997 (0%) 1 2/4001 (0%) 2
Pyometra 0/3997 (0%) 0 1/4001 (0%) 1
Pyothorax 1/3997 (0%) 1 1/4001 (0%) 1
Retroperitoneal abscess 1/3997 (0%) 1 0/4001 (0%) 0
Salmonellosis 0/3997 (0%) 0 1/4001 (0%) 1
Sepsis 29/3997 (0.7%) 30 14/4001 (0.3%) 14
Septic shock 15/3997 (0.4%) 16 18/4001 (0.4%) 20
Sinusitis 1/3997 (0%) 1 1/4001 (0%) 1
Subcutaneous abscess 0/3997 (0%) 0 1/4001 (0%) 1
Tuberculosis 1/3997 (0%) 2 0/4001 (0%) 0
Upper respiratory tract infection 0/3997 (0%) 0 1/4001 (0%) 1
Urinary tract infection 17/3997 (0.4%) 20 13/4001 (0.3%) 14
Viral infection 1/3997 (0%) 1 1/4001 (0%) 1
Viral upper respiratory tract infection 0/3997 (0%) 0 2/4001 (0%) 2
Wound infection 0/3997 (0%) 0 1/4001 (0%) 1
Urosepsis 4/3997 (0.1%) 4 6/4001 (0.1%) 6
Abscess limb 1/3997 (0%) 1 1/4001 (0%) 1
Staphylococcal bacteraemia 2/3997 (0.1%) 2 0/4001 (0%) 0
Burn infection 1/3997 (0%) 1 0/4001 (0%) 0
Haematoma infection 1/3997 (0%) 1 0/4001 (0%) 0
Pulmonary sepsis 0/3997 (0%) 0 1/4001 (0%) 1
Bacterial sepsis 1/3997 (0%) 1 2/4001 (0%) 2
Sepsis syndrome 1/3997 (0%) 1 1/4001 (0%) 1
Psoas abscess 1/3997 (0%) 1 1/4001 (0%) 1
Phlebitis infective 1/3997 (0%) 1 0/4001 (0%) 0
Infective exacerbation of chronic obstructive airways disease 10/3997 (0.3%) 10 12/4001 (0.3%) 12
Lung infection pseudomonal 0/3997 (0%) 0 1/4001 (0%) 1
Abdominal sepsis 3/3997 (0.1%) 3 0/4001 (0%) 0
Wound sepsis 1/3997 (0%) 1 0/4001 (0%) 0
Staphylococcal infection 0/3997 (0%) 0 1/4001 (0%) 1
Tuberculosis liver 1/3997 (0%) 1 0/4001 (0%) 0
Enterocolitis infectious 2/3997 (0.1%) 2 0/4001 (0%) 0
Wound infection staphylococcal 1/3997 (0%) 1 1/4001 (0%) 1
Implant site infection 0/3997 (0%) 0 1/4001 (0%) 1
Intervertebral discitis 1/3997 (0%) 2 0/4001 (0%) 0
Diabetic foot infection 1/3997 (0%) 1 2/4001 (0%) 2
Abdominal abscess 0/3997 (0%) 0 1/4001 (0%) 1
Pneumonia bacterial 0/3997 (0%) 0 1/4001 (0%) 1
Arthritis infective 1/3997 (0%) 1 0/4001 (0%) 0
Lung infection 2/3997 (0.1%) 2 4/4001 (0.1%) 4
Pneumonia fungal 2/3997 (0.1%) 2 1/4001 (0%) 1
Bronchitis bacterial 0/3997 (0%) 0 1/4001 (0%) 1
Respiratory tract infection 10/3997 (0.3%) 12 6/4001 (0.1%) 6
Cholecystitis infective 1/3997 (0%) 1 0/4001 (0%) 0
Infective spondylitis 0/3997 (0%) 0 1/4001 (0%) 1
Device related infection 2/3997 (0.1%) 2 2/4001 (0%) 2
Staphylococcal skin infection 0/3997 (0%) 0 1/4001 (0%) 1
Post procedural infection 1/3997 (0%) 1 0/4001 (0%) 0
H1N1 influenza 1/3997 (0%) 1 0/4001 (0%) 0
Device related sepsis 1/3997 (0%) 1 1/4001 (0%) 1
Injury, poisoning and procedural complications
Alcohol poisoning 1/3997 (0%) 1 0/4001 (0%) 0
Ankle fracture 0/3997 (0%) 0 1/4001 (0%) 1
Burns second degree 1/3997 (0%) 1 0/4001 (0%) 0
Clavicle fracture 1/3997 (0%) 1 0/4001 (0%) 0
Drug toxicity 0/3997 (0%) 0 1/4001 (0%) 1
Eye penetration 0/3997 (0%) 0 1/4001 (0%) 1
Fall 5/3997 (0.1%) 5 3/4001 (0.1%) 3
Femoral neck fracture 2/3997 (0.1%) 2 4/4001 (0.1%) 4
Femur fracture 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Foot fracture 1/3997 (0%) 1 1/4001 (0%) 1
Head injury 1/3997 (0%) 1 2/4001 (0%) 2
Hip fracture 5/3997 (0.1%) 5 0/4001 (0%) 0
Humerus fracture 4/3997 (0.1%) 4 2/4001 (0%) 2
Incisional hernia, obstructive 0/3997 (0%) 0 1/4001 (0%) 1
Operative haemorrhage 1/3997 (0%) 1 1/4001 (0%) 1
Overdose 1/3997 (0%) 1 1/4001 (0%) 1
Periorbital haematoma 0/3997 (0%) 0 1/4001 (0%) 1
Pneumoconiosis 0/3997 (0%) 0 1/4001 (0%) 1
Radius fracture 1/3997 (0%) 1 0/4001 (0%) 0
Rib fracture 1/3997 (0%) 1 0/4001 (0%) 0
Spinal compression fracture 0/3997 (0%) 0 1/4001 (0%) 1
Spinal cord injury cervical 1/3997 (0%) 1 0/4001 (0%) 0
Spinal fracture 0/3997 (0%) 0 1/4001 (0%) 1
Subdural haematoma 0/3997 (0%) 0 1/4001 (0%) 1
Subdural haemorrhage 1/3997 (0%) 1 1/4001 (0%) 1
Therapeutic agent toxicity 0/3997 (0%) 0 2/4001 (0%) 2
Tibia fracture 0/3997 (0%) 0 1/4001 (0%) 1
Wound dehiscence 1/3997 (0%) 1 0/4001 (0%) 0
Suture rupture 0/3997 (0%) 0 1/4001 (0%) 1
Vascular graft occlusion 0/3997 (0%) 0 1/4001 (0%) 1
Traumatic fracture 1/3997 (0%) 1 0/4001 (0%) 0
Cervical vertebral fracture 1/3997 (0%) 1 0/4001 (0%) 0
Lumbar vertebral fracture 1/3997 (0%) 1 1/4001 (0%) 1
Contusion 1/3997 (0%) 1 1/4001 (0%) 1
Post procedural haemorrhage 4/3997 (0.1%) 4 1/4001 (0%) 1
Wound 0/3997 (0%) 0 1/4001 (0%) 1
Traumatic haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Exposure to toxic agent 1/3997 (0%) 1 0/4001 (0%) 0
Thermal burn 1/3997 (0%) 1 0/4001 (0%) 0
Wound necrosis 0/3997 (0%) 0 1/4001 (0%) 1
Multiple drug overdose 0/3997 (0%) 0 1/4001 (0%) 1
Poisoning 1/3997 (0%) 1 0/4001 (0%) 0
Chest injury 0/3997 (0%) 0 1/4001 (0%) 1
Upper limb fracture 1/3997 (0%) 1 1/4001 (0%) 1
Procedural pain 1/3997 (0%) 1 0/4001 (0%) 0
Gastrointestinal stoma complication 1/3997 (0%) 1 0/4001 (0%) 0
Procedural nausea 0/3997 (0%) 0 1/4001 (0%) 1
Foreign body 0/3997 (0%) 0 1/4001 (0%) 1
Investigations
Alanine aminotransferase increased 20/3997 (0.5%) 20 23/4001 (0.6%) 26
Arteriogram coronary 1/3997 (0%) 1 2/4001 (0%) 2
Aspartate aminotransferase increased 1/3997 (0%) 1 5/4001 (0.1%) 7
Biopsy lymph gland 0/3997 (0%) 0 1/4001 (0%) 1
Blood bilirubin increased 4/3997 (0.1%) 4 1/4001 (0%) 1
Blood creatinine increased 1/3997 (0%) 1 0/4001 (0%) 0
Blood glucose abnormal 1/3997 (0%) 1 0/4001 (0%) 0
Blood glucose decreased 1/3997 (0%) 1 0/4001 (0%) 0
Blood glucose increased 1/3997 (0%) 2 0/4001 (0%) 0
Creatinine renal clearance decreased 4/3997 (0.1%) 4 3/4001 (0.1%) 3
Gamma-glutamyltransferase increased 1/3997 (0%) 1 1/4001 (0%) 1
Haemoglobin decreased 2/3997 (0.1%) 3 1/4001 (0%) 1
Immunoglobulins increased 0/3997 (0%) 0 1/4001 (0%) 1
Liver function test abnormal 8/3997 (0.2%) 8 5/4001 (0.1%) 5
Prothrombin time prolonged 1/3997 (0%) 1 0/4001 (0%) 0
Weight decreased 2/3997 (0.1%) 2 0/4001 (0%) 0
Aspiration bronchial 1/3997 (0%) 1 0/4001 (0%) 0
Transaminases increased 3/3997 (0.1%) 3 2/4001 (0%) 2
Blood alkaline phosphatase increased 1/3997 (0%) 1 0/4001 (0%) 0
Hepatic enzyme increased 10/3997 (0.3%) 10 11/4001 (0.3%) 11
Occult blood positive 1/3997 (0%) 1 2/4001 (0%) 2
Coagulation test 1/3997 (0%) 1 0/4001 (0%) 0
False positive investigation result 1/3997 (0%) 1 0/4001 (0%) 0
Metabolism and nutrition disorders
Abnormal loss of weight 0/3997 (0%) 0 1/4001 (0%) 1
Cachexia 2/3997 (0.1%) 2 0/4001 (0%) 0
Dehydration 9/3997 (0.2%) 9 5/4001 (0.1%) 5
Diabetes mellitus 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Diabetes mellitus inadequate control 3/3997 (0.1%) 3 1/4001 (0%) 1
Diabetic ketoacidosis 1/3997 (0%) 1 0/4001 (0%) 0
Fluid overload 1/3997 (0%) 1 0/4001 (0%) 0
Hyperammonaemia 0/3997 (0%) 0 1/4001 (0%) 1
Hypercalcaemia 2/3997 (0.1%) 2 0/4001 (0%) 0
Hyperglycaemia 1/3997 (0%) 1 4/4001 (0.1%) 4
Hyperkalaemia 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Hyperosmolar state 0/3997 (0%) 0 1/4001 (0%) 1
Hypoglycaemia 3/3997 (0.1%) 3 7/4001 (0.2%) 7
Hypokalaemia 0/3997 (0%) 0 3/4001 (0.1%) 3
Hyponatraemia 4/3997 (0.1%) 5 4/4001 (0.1%) 4
Hypovolaemia 1/3997 (0%) 1 1/4001 (0%) 1
Lactic acidosis 2/3997 (0.1%) 2 0/4001 (0%) 0
Metabolic acidosis 3/3997 (0.1%) 3 3/4001 (0.1%) 3
Diabetic foot 3/3997 (0.1%) 3 4/4001 (0.1%) 4
Malnutrition 1/3997 (0%) 1 0/4001 (0%) 0
Decreased appetite 2/3997 (0.1%) 2 0/4001 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 2/3997 (0.1%) 2 0/4001 (0%) 0
Back pain 1/3997 (0%) 1 3/4001 (0.1%) 3
Gouty arthritis 1/3997 (0%) 1 0/4001 (0%) 0
Groin pain 0/3997 (0%) 0 1/4001 (0%) 1
Lumbar spinal stenosis 1/3997 (0%) 1 0/4001 (0%) 0
Muscle haemorrhage 2/3997 (0.1%) 2 1/4001 (0%) 1
Muscular weakness 2/3997 (0.1%) 2 1/4001 (0%) 1
Musculoskeletal pain 0/3997 (0%) 0 1/4001 (0%) 1
Myopathy 1/3997 (0%) 1 2/4001 (0%) 2
Osteoarthritis 1/3997 (0%) 1 0/4001 (0%) 0
Osteonecrosis 1/3997 (0%) 1 0/4001 (0%) 0
Pain in extremity 1/3997 (0%) 1 3/4001 (0.1%) 3
Pathological fracture 0/3997 (0%) 0 1/4001 (0%) 1
Rhabdomyolysis 2/3997 (0.1%) 2 1/4001 (0%) 1
Spinal column stenosis 0/3997 (0%) 0 1/4001 (0%) 1
Systemic lupus erythematosus 1/3997 (0%) 1 1/4001 (0%) 1
Tendon disorder 0/3997 (0%) 0 1/4001 (0%) 1
Trismus 1/3997 (0%) 1 0/4001 (0%) 0
Intervertebral disc protrusion 2/3997 (0.1%) 2 0/4001 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma 0/3997 (0%) 0 2/4001 (0%) 2
Basal cell carcinoma 0/3997 (0%) 0 1/4001 (0%) 1
Bile duct cancer 2/3997 (0.1%) 2 0/4001 (0%) 0
Bladder cancer 1/3997 (0%) 1 0/4001 (0%) 0
Bladder neoplasm 2/3997 (0.1%) 3 0/4001 (0%) 0
Breast cancer 2/3997 (0.1%) 3 4/4001 (0.1%) 4
Breast cancer in situ 1/3997 (0%) 1 0/4001 (0%) 0
Breast neoplasm 1/3997 (0%) 1 0/4001 (0%) 0
Bronchial carcinoma 3/3997 (0.1%) 3 1/4001 (0%) 1
Cervix carcinoma 1/3997 (0%) 1 0/4001 (0%) 0
Colon cancer 5/3997 (0.1%) 5 3/4001 (0.1%) 3
Colorectal cancer stage IV 1/3997 (0%) 1 0/4001 (0%) 0
Gastric cancer 1/3997 (0%) 1 3/4001 (0.1%) 3
Hepatic neoplasm malignant 3/3997 (0.1%) 3 0/4001 (0%) 0
Hodgkin's disease 1/3997 (0%) 1 2/4001 (0%) 3
Laryngeal cancer 1/3997 (0%) 1 2/4001 (0%) 2
Lung adenocarcinoma 2/3997 (0.1%) 2 1/4001 (0%) 1
Lung adenocarcinoma recurrent 0/3997 (0%) 0 1/4001 (0%) 1
Lung carcinoma cell type unspecified stage IV 1/3997 (0%) 1 0/4001 (0%) 0
Lung squamous cell carcinoma stage unspecified 4/3997 (0.1%) 4 2/4001 (0%) 2
Lymphoma 3/3997 (0.1%) 3 0/4001 (0%) 0
Malignant pleural effusion 0/3997 (0%) 0 3/4001 (0.1%) 3
Mediastinum neoplasm 0/3997 (0%) 0 1/4001 (0%) 1
Meningioma 1/3997 (0%) 1 0/4001 (0%) 0
Mesothelioma malignant 1/3997 (0%) 1 1/4001 (0%) 1
Metastases to adrenals 2/3997 (0.1%) 2 1/4001 (0%) 1
Metastases to bone 1/3997 (0%) 1 3/4001 (0.1%) 3
Metastases to liver 6/3997 (0.2%) 6 3/4001 (0.1%) 3
Metastases to lung 2/3997 (0.1%) 3 1/4001 (0%) 1
Metastases to lymph nodes 1/3997 (0%) 1 0/4001 (0%) 0
Metastases to pleura 1/3997 (0%) 1 1/4001 (0%) 1
Metastases to spine 0/3997 (0%) 0 2/4001 (0%) 2
Metastatic malignant melanoma 0/3997 (0%) 0 1/4001 (0%) 1
Metastatic pain 1/3997 (0%) 1 0/4001 (0%) 0
Multiple myeloma 2/3997 (0.1%) 2 1/4001 (0%) 1
Myeloproliferative disorder 1/3997 (0%) 1 0/4001 (0%) 0
Neoplasm malignant 1/3997 (0%) 1 0/4001 (0%) 0
Non-small cell lung cancer stage IV 2/3997 (0.1%) 2 1/4001 (0%) 1
Oesophageal carcinoma 0/3997 (0%) 0 1/4001 (0%) 1
Ovarian cancer 1/3997 (0%) 1 4/4001 (0.1%) 4
Ovarian epithelial cancer metastatic 2/3997 (0.1%) 2 1/4001 (0%) 1
Pancreatic carcinoma 1/3997 (0%) 1 0/4001 (0%) 0
Pancreatic carcinoma metastatic 1/3997 (0%) 1 0/4001 (0%) 0
Plasmacytoma 0/3997 (0%) 0 1/4001 (0%) 1
Prostate cancer metastatic 1/3997 (0%) 1 0/4001 (0%) 0
Rectal cancer recurrent 1/3997 (0%) 1 0/4001 (0%) 0
Renal cancer 1/3997 (0%) 1 0/4001 (0%) 0
Sarcoma 1/3997 (0%) 1 0/4001 (0%) 0
Small cell lung cancer stage unspecified 1/3997 (0%) 1 3/4001 (0.1%) 3
Tongue neoplasm malignant stage unspecified 1/3997 (0%) 1 0/4001 (0%) 0
Uterine cancer 3/3997 (0.1%) 3 0/4001 (0%) 0
Metastases to pancreas 0/3997 (0%) 0 1/4001 (0%) 1
Tumour haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Lung cancer metastatic 0/3997 (0%) 0 1/4001 (0%) 1
Myeloma recurrence 1/3997 (0%) 2 0/4001 (0%) 0
Malignant neoplasm progression 3/3997 (0.1%) 3 4/4001 (0.1%) 4
Metastases to peritoneum 2/3997 (0.1%) 2 0/4001 (0%) 0
Metastases to meninges 1/3997 (0%) 1 1/4001 (0%) 1
Colorectal cancer metastatic 0/3997 (0%) 0 1/4001 (0%) 1
Small intestine carcinoma 0/3997 (0%) 0 1/4001 (0%) 1
Anal cancer metastatic 1/3997 (0%) 1 0/4001 (0%) 0
Hepatic cancer metastatic 0/3997 (0%) 0 2/4001 (0%) 2
Biliary cancer metastatic 0/3997 (0%) 0 1/4001 (0%) 1
Colon cancer metastatic 0/3997 (0%) 0 1/4001 (0%) 1
Ovarian cancer metastatic 0/3997 (0%) 0 1/4001 (0%) 1
Cancer pain 1/3997 (0%) 1 1/4001 (0%) 1
Lung neoplasm malignant 16/3997 (0.4%) 18 11/4001 (0.3%) 11
Metastases to central nervous system 4/3997 (0.1%) 4 3/4001 (0.1%) 3
Paraneoplastic syndrome 1/3997 (0%) 1 0/4001 (0%) 0
Prostate cancer 1/3997 (0%) 1 1/4001 (0%) 1
Brain neoplasm 2/3997 (0.1%) 2 2/4001 (0%) 3
Colon neoplasm 0/3997 (0%) 0 1/4001 (0%) 1
Metastatic neoplasm 3/3997 (0.1%) 4 2/4001 (0%) 2
Nasopharyngeal cancer 0/3997 (0%) 0 1/4001 (0%) 1
Neoplasm progression 1/3997 (0%) 1 2/4001 (0%) 2
Paraproteinaemia 0/3997 (0%) 0 1/4001 (0%) 1
Pleural neoplasm 1/3997 (0%) 1 0/4001 (0%) 0
Renal neoplasm 1/3997 (0%) 1 1/4001 (0%) 1
Salivary gland neoplasm 0/3997 (0%) 0 1/4001 (0%) 1
Non-small cell lung cancer 1/3997 (0%) 1 1/4001 (0%) 1
Lung neoplasm 4/3997 (0.1%) 5 1/4001 (0%) 1
Lung adenocarcinoma metastatic 1/3997 (0%) 1 0/4001 (0%) 0
Renal cell carcinoma 0/3997 (0%) 0 1/4001 (0%) 1
Sarcoma metastatic 1/3997 (0%) 1 0/4001 (0%) 0
Nervous system disorders
Altered state of consciousness 0/3997 (0%) 0 2/4001 (0%) 2
Amyotrophic lateral sclerosis 0/3997 (0%) 0 1/4001 (0%) 1
Ataxia 0/3997 (0%) 0 1/4001 (0%) 1
Autonomic nervous system imbalance 1/3997 (0%) 1 0/4001 (0%) 0
Carotid artery stenosis 4/3997 (0.1%) 4 0/4001 (0%) 0
Cauda equina syndrome 1/3997 (0%) 1 0/4001 (0%) 0
Cerebellar haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Cerebral atrophy 1/3997 (0%) 1 0/4001 (0%) 0
Cerebral circulatory failure 0/3997 (0%) 0 1/4001 (0%) 1
Cerebral haemorrhage 4/3997 (0.1%) 4 2/4001 (0%) 2
Cerebral infarction 0/3997 (0%) 0 2/4001 (0%) 2
Cerebral ischaemia 3/3997 (0.1%) 3 1/4001 (0%) 1
Cerebrovascular accident 5/3997 (0.1%) 5 1/4001 (0%) 1
Cervical myelopathy 0/3997 (0%) 0 1/4001 (0%) 1
Coma 2/3997 (0.1%) 2 1/4001 (0%) 1
Convulsion 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Dementia 1/3997 (0%) 1 0/4001 (0%) 0
Dementia Alzheimer's type 0/3997 (0%) 0 2/4001 (0%) 2
Diabetic hyperglycaemic coma 1/3997 (0%) 1 0/4001 (0%) 0
Dizziness 0/3997 (0%) 0 1/4001 (0%) 1
Dysarthria 0/3997 (0%) 0 2/4001 (0%) 2
Embolic stroke 1/3997 (0%) 1 0/4001 (0%) 0
Encephalopathy 0/3997 (0%) 0 1/4001 (0%) 1
Epilepsy 2/3997 (0.1%) 2 0/4001 (0%) 0
Extrapyramidal disorder 0/3997 (0%) 0 1/4001 (0%) 1
Grand mal convulsion 0/3997 (0%) 0 1/4001 (0%) 1
Guillain-Barre syndrome 1/3997 (0%) 1 1/4001 (0%) 1
Haemorrhage intracranial 3/3997 (0.1%) 3 1/4001 (0%) 1
Haemorrhagic stroke 1/3997 (0%) 1 0/4001 (0%) 0
Hemiparesis 0/3997 (0%) 0 1/4001 (0%) 1
Hepatic encephalopathy 1/3997 (0%) 1 2/4001 (0%) 2
Hydrocephalus 1/3997 (0%) 1 1/4001 (0%) 1
Hypoaesthesia 1/3997 (0%) 1 0/4001 (0%) 0
Hypoglycaemic coma 0/3997 (0%) 0 1/4001 (0%) 1
Intracranial aneurysm 0/3997 (0%) 0 1/4001 (0%) 1
Lethargy 0/3997 (0%) 0 1/4001 (0%) 1
Loss of consciousness 3/3997 (0.1%) 3 1/4001 (0%) 1
Myoclonus 1/3997 (0%) 1 0/4001 (0%) 0
Nerve compression 0/3997 (0%) 0 1/4001 (0%) 1
Neuropathy peripheral 1/3997 (0%) 1 0/4001 (0%) 0
Parkinsonism 0/3997 (0%) 0 1/4001 (0%) 1
Peripheral sensory neuropathy 0/3997 (0%) 0 1/4001 (0%) 1
Presyncope 1/3997 (0%) 1 0/4001 (0%) 0
Radiculopathy 1/3997 (0%) 1 0/4001 (0%) 0
Sciatica 0/3997 (0%) 0 2/4001 (0%) 2
Somnolence 0/3997 (0%) 0 1/4001 (0%) 1
Speech disorder 1/3997 (0%) 1 0/4001 (0%) 0
Spinal cord compression 4/3997 (0.1%) 4 0/4001 (0%) 0
Subarachnoid haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Syncope 15/3997 (0.4%) 18 10/4001 (0.2%) 10
Tension headache 0/3997 (0%) 0 1/4001 (0%) 1
Transient ischaemic attack 4/3997 (0.1%) 4 10/4001 (0.2%) 10
Unresponsive to stimuli 1/3997 (0%) 1 0/4001 (0%) 0
Carotid artery occlusion 1/3997 (0%) 1 0/4001 (0%) 0
Psychomotor skills impaired 0/3997 (0%) 0 1/4001 (0%) 1
Quadriparesis 1/3997 (0%) 1 0/4001 (0%) 0
VIIth nerve paralysis 0/3997 (0%) 0 1/4001 (0%) 1
Lacunar infarction 0/3997 (0%) 0 1/4001 (0%) 1
Haemorrhagic transformation stroke 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Vascular dementia 1/3997 (0%) 1 2/4001 (0%) 2
Intracranial venous sinus thrombosis 0/3997 (0%) 0 1/4001 (0%) 1
Ischaemic stroke 30/3997 (0.8%) 31 39/4001 (1%) 40
Partial seizures 1/3997 (0%) 1 0/4001 (0%) 0
Parkinson's disease 0/3997 (0%) 0 1/4001 (0%) 1
Metabolic encephalopathy 1/3997 (0%) 1 1/4001 (0%) 1
Critical illness polyneuropathy 0/3997 (0%) 0 1/4001 (0%) 1
Acute polyneuropathy 1/3997 (0%) 3 0/4001 (0%) 0
Brain stem stroke 0/3997 (0%) 0 1/4001 (0%) 1
Hypoxic-ischaemic encephalopathy 3/3997 (0.1%) 3 0/4001 (0%) 0
Psychiatric disorders
Anorexia nervosa 1/3997 (0%) 1 0/4001 (0%) 0
Anxiety 1/3997 (0%) 1 1/4001 (0%) 1
Completed suicide 0/3997 (0%) 0 1/4001 (0%) 1
Confusional state 2/3997 (0.1%) 2 1/4001 (0%) 1
Delirium 0/3997 (0%) 0 1/4001 (0%) 1
Depression 1/3997 (0%) 1 5/4001 (0.1%) 5
Disorientation 1/3997 (0%) 1 0/4001 (0%) 0
Panic attack 2/3997 (0.1%) 2 1/4001 (0%) 1
Somatisation disorder 1/3997 (0%) 1 0/4001 (0%) 0
Suicide attempt 1/3997 (0%) 1 1/4001 (0%) 1
Mental status changes 1/3997 (0%) 1 1/4001 (0%) 1
Bipolar disorder 1/3997 (0%) 1 0/4001 (0%) 0
Major depression 1/3997 (0%) 1 1/4001 (0%) 2
Mental disorder 0/3997 (0%) 0 1/4001 (0%) 1
Psychotic disorder 1/3997 (0%) 1 1/4001 (0%) 2
Psychiatric decompensation 0/3997 (0%) 0 1/4001 (0%) 1
Renal and urinary disorders
Acute prerenal failure 0/3997 (0%) 0 1/4001 (0%) 1
Anuria 1/3997 (0%) 1 0/4001 (0%) 0
Azotaemia 0/3997 (0%) 0 1/4001 (0%) 1
Calculus ureteric 0/3997 (0%) 0 1/4001 (0%) 1
Calculus urinary 0/3997 (0%) 0 1/4001 (0%) 2
Cystitis haemorrhagic 1/3997 (0%) 1 0/4001 (0%) 0
Haematuria 9/3997 (0.2%) 9 7/4001 (0.2%) 7
Nephritis 1/3997 (0%) 1 0/4001 (0%) 0
Nephrolithiasis 0/3997 (0%) 0 1/4001 (0%) 1
Nephrotic syndrome 0/3997 (0%) 0 2/4001 (0%) 2
Obstructive uropathy 1/3997 (0%) 1 0/4001 (0%) 0
Proteinuria 1/3997 (0%) 1 0/4001 (0%) 0
Renal failure 12/3997 (0.3%) 12 14/4001 (0.3%) 14
Renal failure acute 31/3997 (0.8%) 32 16/4001 (0.4%) 16
Renal failure chronic 1/3997 (0%) 1 1/4001 (0%) 1
Urinary bladder haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Urinary retention 2/3997 (0.1%) 2 0/4001 (0%) 0
Cystitis glandularis 1/3997 (0%) 1 0/4001 (0%) 0
Urethral haemorrhage 0/3997 (0%) 0 1/4001 (0%) 1
Renal impairment 2/3997 (0.1%) 2 1/4001 (0%) 1
Pulmonary renal syndrome 1/3997 (0%) 1 0/4001 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/3997 (0%) 1 1/4001 (0%) 1
Epididymitis 1/3997 (0%) 1 1/4001 (0%) 1
Penile haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Prostatitis 1/3997 (0%) 1 0/4001 (0%) 0
Vaginal haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Postmenopausal haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Perineal fistula 1/3997 (0%) 1 0/4001 (0%) 0
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema 8/3997 (0.2%) 8 5/4001 (0.1%) 5
Acute respiratory distress syndrome 1/3997 (0%) 1 5/4001 (0.1%) 5
Acute respiratory failure 35/3997 (0.9%) 37 12/4001 (0.3%) 13
Apnoeic attack 1/3997 (0%) 1 0/4001 (0%) 0
Aspiration 0/3997 (0%) 0 1/4001 (0%) 1
Asthma 8/3997 (0.2%) 9 6/4001 (0.1%) 7
Atelectasis 1/3997 (0%) 1 0/4001 (0%) 0
Bronchitis chronic 3/3997 (0.1%) 3 2/4001 (0%) 2
Chronic obstructive pulmonary disease 109/3997 (2.7%) 138 104/4001 (2.6%) 131
Chronic respiratory failure 2/3997 (0.1%) 2 4/4001 (0.1%) 4
Dyspnoea 19/3997 (0.5%) 20 17/4001 (0.4%) 18
Dyspnoea paroxysmal nocturnal 1/3997 (0%) 1 0/4001 (0%) 0
Epistaxis 4/3997 (0.1%) 4 4/4001 (0.1%) 4
Haemoptysis 9/3997 (0.2%) 9 2/4001 (0%) 2
Haemothorax 1/3997 (0%) 1 1/4001 (0%) 1
Hypercapnia 1/3997 (0%) 1 2/4001 (0%) 2
Hypoxia 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Interstitial lung disease 2/3997 (0.1%) 2 2/4001 (0%) 2
Lung disorder 1/3997 (0%) 1 5/4001 (0.1%) 5
Lung infiltration 0/3997 (0%) 0 2/4001 (0%) 2
Obliterative bronchiolitis 1/3997 (0%) 1 0/4001 (0%) 0
Pleural effusion 9/3997 (0.2%) 11 10/4001 (0.2%) 11
Pleurisy 1/3997 (0%) 1 1/4001 (0%) 1
Pneumonia aspiration 4/3997 (0.1%) 4 11/4001 (0.3%) 12
Pneumonitis 1/3997 (0%) 1 1/4001 (0%) 1
Pneumothorax 1/3997 (0%) 1 4/4001 (0.1%) 4
Productive cough 1/3997 (0%) 1 0/4001 (0%) 0
Pulmonary congestion 1/3997 (0%) 1 2/4001 (0%) 2
Pulmonary embolism 4/3997 (0.1%) 4 4/4001 (0.1%) 4
Pulmonary fibrosis 3/3997 (0.1%) 4 3/4001 (0.1%) 3
Pulmonary haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Pulmonary hypertension 3/3997 (0.1%) 3 2/4001 (0%) 2
Pulmonary oedema 9/3997 (0.2%) 9 14/4001 (0.3%) 14
Respiratory acidosis 1/3997 (0%) 1 0/4001 (0%) 0
Respiratory disorder 0/3997 (0%) 0 1/4001 (0%) 1
Respiratory distress 1/3997 (0%) 1 1/4001 (0%) 1
Respiratory failure 56/3997 (1.4%) 59 40/4001 (1%) 41
Hydrothorax 0/3997 (0%) 0 1/4001 (0%) 1
Pneumomediastinum 0/3997 (0%) 0 1/4001 (0%) 1
Tracheal stenosis 1/3997 (0%) 1 0/4001 (0%) 0
Bronchopleural fistula 1/3997 (0%) 1 0/4001 (0%) 0
Obstructive airways disorder 1/3997 (0%) 1 0/4001 (0%) 0
Asthmatic crisis 0/3997 (0%) 0 1/4001 (0%) 1
Bronchial hyperreactivity 1/3997 (0%) 1 0/4001 (0%) 0
Lung cyst 0/3997 (0%) 0 1/4001 (0%) 1
Skin and subcutaneous tissue disorders
Angioedema 3/3997 (0.1%) 4 1/4001 (0%) 1
Dermatitis contact 0/3997 (0%) 0 1/4001 (0%) 1
Ecchymosis 2/3997 (0.1%) 2 0/4001 (0%) 0
Erythema 1/3997 (0%) 1 0/4001 (0%) 0
Haemorrhage subcutaneous 1/3997 (0%) 1 0/4001 (0%) 0
Purpura 1/3997 (0%) 1 0/4001 (0%) 0
Rash 0/3997 (0%) 0 1/4001 (0%) 1
Skin ulcer 6/3997 (0.2%) 6 3/4001 (0.1%) 3
Swelling face 0/3997 (0%) 0 1/4001 (0%) 1
Urticaria 1/3997 (0%) 1 0/4001 (0%) 0
Skin ulcer haemorrhage 1/3997 (0%) 1 0/4001 (0%) 0
Neuropathic ulcer 1/3997 (0%) 1 0/4001 (0%) 0
Social circumstances
Disability 1/3997 (0%) 1 0/4001 (0%) 0
Social problem 1/3997 (0%) 1 0/4001 (0%) 0
Surgical and medical procedures
Angioplasty 0/3997 (0%) 0 1/4001 (0%) 1
Cardiac pacemaker insertion 0/3997 (0%) 0 1/4001 (0%) 1
Radical hysterectomy 1/3997 (0%) 1 0/4001 (0%) 0
Toe amputation 0/3997 (0%) 0 1/4001 (0%) 1
Central venous catheterisation 0/3997 (0%) 0 1/4001 (0%) 1
Peripheral artery angioplasty 0/3997 (0%) 0 1/4001 (0%) 1
Tumour excision 1/3997 (0%) 1 0/4001 (0%) 0
Chemotherapy 2/3997 (0.1%) 2 2/4001 (0%) 2
Mitral valve repair 1/3997 (0%) 1 0/4001 (0%) 0
Vascular disorders
Aortic aneurysm 0/3997 (0%) 0 1/4001 (0%) 1
Aortic aneurysm rupture 1/3997 (0%) 1 0/4001 (0%) 0
Aortic stenosis 3/3997 (0.1%) 5 3/4001 (0.1%) 3
Aortic thrombosis 0/3997 (0%) 0 1/4001 (0%) 1
Arterial rupture 1/3997 (0%) 2 0/4001 (0%) 0
Arterial thrombosis limb 1/3997 (0%) 1 2/4001 (0%) 2
Arteriosclerosis 3/3997 (0.1%) 3 0/4001 (0%) 0
Arteritis 1/3997 (0%) 1 1/4001 (0%) 1
Bleeding varicose vein 1/3997 (0%) 1 0/4001 (0%) 0
Circulatory collapse 1/3997 (0%) 1 1/4001 (0%) 1
Essential hypertension 1/3997 (0%) 1 0/4001 (0%) 0
Femoral arterial stenosis 0/3997 (0%) 0 2/4001 (0%) 2
Femoral artery aneurysm 1/3997 (0%) 1 0/4001 (0%) 0
Haematoma 1/3997 (0%) 1 0/4001 (0%) 0
Hypertension 7/3997 (0.2%) 7 4/4001 (0.1%) 4
Hypertensive crisis 3/3997 (0.1%) 3 1/4001 (0%) 1
Hypotension 10/3997 (0.3%) 10 7/4001 (0.2%) 7
Hypovolaemic shock 2/3997 (0.1%) 2 2/4001 (0%) 2
Iliac artery thrombosis 0/3997 (0%) 0 1/4001 (0%) 1
Lymphoedema 1/3997 (0%) 1 1/4001 (0%) 1
Orthostatic hypotension 2/3997 (0.1%) 2 0/4001 (0%) 0
Peripheral ischaemia 3/3997 (0.1%) 3 5/4001 (0.1%) 5
Shock 2/3997 (0.1%) 2 3/4001 (0.1%) 3
Thrombophlebitis 0/3997 (0%) 0 1/4001 (0%) 1
Thrombosis 2/3997 (0.1%) 2 0/4001 (0%) 0
Vasculitis 1/3997 (0%) 1 0/4001 (0%) 0
Venous thrombosis 0/3997 (0%) 0 1/4001 (0%) 1
Subclavian vein thrombosis 0/3997 (0%) 0 1/4001 (0%) 1
Shock haemorrhagic 2/3997 (0.1%) 2 1/4001 (0%) 1
Subclavian artery stenosis 0/3997 (0%) 0 1/4001 (0%) 1
Deep vein thrombosis 4/3997 (0.1%) 4 5/4001 (0.1%) 5
Haemorrhage 2/3997 (0.1%) 2 0/4001 (0%) 0
Neurogenic shock 0/3997 (0%) 0 1/4001 (0%) 1
Superior vena caval occlusion 1/3997 (0%) 1 0/4001 (0%) 0
Extremity necrosis 1/3997 (0%) 1 0/4001 (0%) 0
Peripheral embolism 1/3997 (0%) 1 2/4001 (0%) 2
Venous thrombosis limb 0/3997 (0%) 0 1/4001 (0%) 1
Peripheral arterial occlusive disease 2/3997 (0.1%) 3 2/4001 (0%) 2
Arteriosclerosis obliterans 0/3997 (0%) 0 1/4001 (0%) 1
Aortic dissection rupture 2/3997 (0.1%) 2 0/4001 (0%) 0
Other (Not Including Serious) Adverse Events
Rivaroxaban (Xarelto, BAY59-7939) Enoxaparin
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2297/3997 (57.5%) 2291/4001 (57.3%)
Blood and lymphatic system disorders
Anaemia 87/3997 (2.2%) 93 85/4001 (2.1%) 87
Neutropenia 20/3997 (0.5%) 32 16/4001 (0.4%) 20
Thrombocytopenia 29/3997 (0.7%) 32 25/4001 (0.6%) 27
Cardiac disorders
Atrial fibrillation 74/3997 (1.9%) 82 61/4001 (1.5%) 65
Cardiac failure 43/3997 (1.1%) 46 38/4001 (0.9%) 44
Mitral valve incompetence 36/3997 (0.9%) 36 32/4001 (0.8%) 33
Tachycardia 32/3997 (0.8%) 33 43/4001 (1.1%) 49
Tricuspid valve incompetence 19/3997 (0.5%) 19 22/4001 (0.5%) 22
Ventricular extrasystoles 24/3997 (0.6%) 26 17/4001 (0.4%) 17
Ear and labyrinth disorders
Vertigo 26/3997 (0.7%) 26 25/4001 (0.6%) 26
Eye disorders
Conjunctivitis 16/3997 (0.4%) 16 24/4001 (0.6%) 24
Gastrointestinal disorders
Abdominal pain 89/3997 (2.2%) 109 56/4001 (1.4%) 64
Abdominal pain upper 59/3997 (1.5%) 63 53/4001 (1.3%) 62
Constipation 362/3997 (9.1%) 418 346/4001 (8.6%) 375
Diarrhoea 214/3997 (5.4%) 238 230/4001 (5.7%) 256
Dyspepsia 53/3997 (1.3%) 54 62/4001 (1.5%) 69
Gastritis 36/3997 (0.9%) 37 38/4001 (0.9%) 38
Gastritis erosive 20/3997 (0.5%) 21 19/4001 (0.5%) 19
Gingival bleeding 20/3997 (0.5%) 22 9/4001 (0.2%) 9
Hiatus hernia 20/3997 (0.5%) 20 16/4001 (0.4%) 16
Nausea 207/3997 (5.2%) 242 226/4001 (5.6%) 253
Vomiting 170/3997 (4.3%) 205 149/4001 (3.7%) 175
Haemorrhoidal haemorrhage 22/3997 (0.6%) 23 12/4001 (0.3%) 12
General disorders
Asthenia 52/3997 (1.3%) 54 31/4001 (0.8%) 32
Chest pain 89/3997 (2.2%) 102 77/4001 (1.9%) 82
Fatigue 33/3997 (0.8%) 35 35/4001 (0.9%) 35
Injection site haemorrhage 8/3997 (0.2%) 8 21/4001 (0.5%) 23
Oedema peripheral 132/3997 (3.3%) 153 115/4001 (2.9%) 127
Pain 42/3997 (1.1%) 46 39/4001 (1%) 40
Pyrexia 132/3997 (3.3%) 158 131/4001 (3.3%) 162
Hepatobiliary disorders
Cholelithiasis 49/3997 (1.2%) 50 47/4001 (1.2%) 48
Hepatic function abnormal 17/3997 (0.4%) 18 24/4001 (0.6%) 24
Hepatic steatosis 48/3997 (1.2%) 48 61/4001 (1.5%) 61
Infections and infestations
Bronchitis 64/3997 (1.6%) 65 47/4001 (1.2%) 48
Cellulitis 22/3997 (0.6%) 22 18/4001 (0.4%) 19
Nasopharyngitis 37/3997 (0.9%) 38 36/4001 (0.9%) 36
Oral candidiasis 31/3997 (0.8%) 31 34/4001 (0.8%) 35
Pneumonia 73/3997 (1.8%) 75 65/4001 (1.6%) 68
Upper respiratory tract infection 30/3997 (0.8%) 33 26/4001 (0.6%) 27
Urinary tract infection 138/3997 (3.5%) 148 142/4001 (3.5%) 151
Injury, poisoning and procedural complications
Fall 33/3997 (0.8%) 38 40/4001 (1%) 40
Contusion 38/3997 (1%) 50 42/4001 (1%) 63
Investigations
Alanine aminotransferase increased 32/3997 (0.8%) 32 61/4001 (1.5%) 66
Aspartate aminotransferase increased 23/3997 (0.6%) 23 35/4001 (0.9%) 36
Blood creatinine increased 38/3997 (1%) 40 36/4001 (0.9%) 39
Blood urea increased 24/3997 (0.6%) 27 23/4001 (0.6%) 24
Creatinine renal clearance decreased 36/3997 (0.9%) 40 35/4001 (0.9%) 35
Gamma-glutamyltransferase increased 31/3997 (0.8%) 31 32/4001 (0.8%) 32
Haemoglobin decreased 23/3997 (0.6%) 26 12/4001 (0.3%) 12
Metabolism and nutrition disorders
Dehydration 43/3997 (1.1%) 49 30/4001 (0.7%) 30
Diabetes mellitus 39/3997 (1%) 40 34/4001 (0.8%) 34
Hyperglycaemia 46/3997 (1.2%) 54 50/4001 (1.2%) 63
Hyperkalaemia 62/3997 (1.6%) 66 51/4001 (1.3%) 57
Hypoglycaemia 37/3997 (0.9%) 46 39/4001 (1%) 48
Hypokalaemia 191/3997 (4.8%) 219 184/4001 (4.6%) 219
Hyponatraemia 35/3997 (0.9%) 38 34/4001 (0.8%) 34
Decreased appetite 38/3997 (1%) 42 40/4001 (1%) 44
Musculoskeletal and connective tissue disorders
Arthralgia 62/3997 (1.6%) 68 76/4001 (1.9%) 87
Back pain 97/3997 (2.4%) 105 82/4001 (2%) 85
Muscle spasms 25/3997 (0.6%) 25 28/4001 (0.7%) 30
Musculoskeletal pain 46/3997 (1.2%) 50 61/4001 (1.5%) 66
Neck pain 14/3997 (0.4%) 14 22/4001 (0.5%) 25
Osteoarthritis 29/3997 (0.7%) 30 22/4001 (0.5%) 24
Pain in extremity 110/3997 (2.8%) 127 103/4001 (2.6%) 113
Nervous system disorders
Dizziness 81/3997 (2%) 83 72/4001 (1.8%) 80
Headache 205/3997 (5.1%) 237 185/4001 (4.6%) 221
Syncope 23/3997 (0.6%) 24 19/4001 (0.5%) 21
Psychiatric disorders
Anxiety 89/3997 (2.2%) 99 94/4001 (2.3%) 98
Confusional state 28/3997 (0.7%) 28 23/4001 (0.6%) 24
Depression 68/3997 (1.7%) 68 73/4001 (1.8%) 77
Insomnia 172/3997 (4.3%) 199 185/4001 (4.6%) 202
Sleep disorder 25/3997 (0.6%) 25 16/4001 (0.4%) 18
Renal and urinary disorders
Dysuria 22/3997 (0.6%) 23 15/4001 (0.4%) 15
Haematuria 65/3997 (1.6%) 68 48/4001 (1.2%) 53
Renal cyst 65/3997 (1.6%) 65 61/4001 (1.5%) 63
Renal failure 52/3997 (1.3%) 55 47/4001 (1.2%) 48
Renal failure acute 25/3997 (0.6%) 26 19/4001 (0.5%) 19
Urinary retention 22/3997 (0.6%) 23 17/4001 (0.4%) 19
Renal impairment 39/3997 (1%) 40 29/4001 (0.7%) 31
Reproductive system and breast disorders
Benign prostatic hyperplasia 44/3997 (1.1%) 45 20/4001 (0.5%) 20
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 71/3997 (1.8%) 92 59/4001 (1.5%) 84
Cough 107/3997 (2.7%) 118 94/4001 (2.3%) 100
Dyspnoea 107/3997 (2.7%) 120 99/4001 (2.5%) 112
Epistaxis 123/3997 (3.1%) 145 66/4001 (1.6%) 83
Haemoptysis 37/3997 (0.9%) 40 32/4001 (0.8%) 37
Pleural effusion 28/3997 (0.7%) 32 31/4001 (0.8%) 32
Oropharyngeal pain 27/3997 (0.7%) 28 27/4001 (0.7%) 28
Skin and subcutaneous tissue disorders
Decubitus ulcer 21/3997 (0.5%) 22 18/4001 (0.4%) 23
Ecchymosis 42/3997 (1.1%) 47 39/4001 (1%) 42
Erythema 27/3997 (0.7%) 30 37/4001 (0.9%) 41
Pruritus 47/3997 (1.2%) 47 50/4001 (1.2%) 51
Rash 41/3997 (1%) 44 50/4001 (1.2%) 51
Vascular disorders
Haematoma 24/3997 (0.6%) 29 24/4001 (0.6%) 26
Hypertension 154/3997 (3.9%) 177 156/4001 (3.9%) 178
Hypertensive crisis 20/3997 (0.5%) 23 16/4001 (0.4%) 18
Hypotension 82/3997 (2.1%) 91 93/4001 (2.3%) 102
Phlebitis 37/3997 (0.9%) 38 38/4001 (0.9%) 41
Aortic arteriosclerosis 25/3997 (0.6%) 25 19/4001 (0.5%) 19

Limitations/Caveats

A heterogeneous population (with different acute medical illnesses and severity of illness) was included in the trial. VTE risk in acute medical illnesses is moderate [with no thromboprophylaxis] .

More Information

Certain Agreements

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

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Therapeutic Area Head
Organization BAYER
Phone
Email clinical-trials-contact@bayerhealthcare.com
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT00571649
Other Study ID Numbers:
  • 12839
  • 2007-004614-14
First Posted:
Dec 12, 2007
Last Update Posted:
Sep 15, 2016
Last Verified:
Aug 1, 2016