MAGELLAN: Venous Thromboembolic Event (VTE) Prophylaxis in Medically Ill Patients
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 |
---|---|---|
|
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
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
- 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.
- 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
- 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).
- 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.
- 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).
- 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
- 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.
- 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
- 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.
- 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.
- 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.
- 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.
- 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
- 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
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 | |
59 | Baltimore | Maryland | United States | 21215 | |
60 | Baltimore | Maryland | United States | 21237 | |
61 | Framingham | Massachusetts | United States | 01702 | |
62 | Ann Arbor | Michigan | United States | 48106 | |
63 | Detroit | Michigan | United States | 48201 | |
64 | Detroit | Michigan | United States | 48202 | |
65 | Grand Rapids | Michigan | United States | 49525 | |
66 | Lansing | Michigan | United States | 48910 | |
67 | Petoskey | Michigan | United States | 49770-2297 | |
68 | Pontiac | Michigan | United States | 48341 | |
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 | |
77 | Hackensack | New Jersey | United States | 07601-1991 | |
78 | New Brunswick | New Jersey | United States | 08901 | |
79 | Somerville | New Jersey | United States | 08876-2598 | |
80 | Summit | New Jersey | United States | 07901 | |
81 | Teaneck | New Jersey | United States | 07666 | |
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 | |
87 | New York | New York | United States | 10065 | |
88 | Stony Brook | New York | United States | 11794 | |
89 | Valhalla | New York | United States | 10595 | |
90 | Durham | North Carolina | United States | 27710 | |
91 | Elizabeth City | North Carolina | United States | 27909 | |
92 | Greensboro | North Carolina | United States | 27403 | |
93 | Fargo | North Dakota | United States | 58122 | |
94 | Canton | Ohio | United States | 44718 | |
95 | Columbus | Ohio | United States | 43215 | |
96 | Maumee | Ohio | United States | 43537-1899 | |
97 | Toledo | Ohio | United States | 43606 | |
98 | Bethlehem | Pennsylvania | United States | 18015 | |
99 | Camp Hill | Pennsylvania | United States | 17011 | |
100 | Danville | Pennsylvania | United States | 17822 | |
101 | Philadelphia | Pennsylvania | United States | 19107 | |
102 | Philadelphia | Pennsylvania | United States | 19124 | |
103 | Scranton | Pennsylvania | United States | 18510 | |
104 | Wilkes-Barre | Pennsylvania | United States | 18711-3752 | |
105 | Charleston | South Carolina | United States | 29425 | |
106 | Memphis | Tennessee | United States | 38104 | |
107 | Nashville | Tennessee | United States | 37232-2650 | |
108 | Corsicana | Texas | United States | 75110 | |
109 | Dallas | Texas | United States | 75216-7167 | |
110 | Edinburg | Texas | United States | 78539 | |
111 | Houston | Texas | United States | 77024 | |
112 | Houston | Texas | United States | 77030-4009 | |
113 | Houston | Texas | United States | 77030 | |
114 | McAllen | Texas | United States | 78503 | |
115 | San Antonio | Texas | United States | 78218 | |
116 | Ogden | Utah | United States | 84403 | |
117 | Richmond | Virginia | United States | 23249 | |
118 | Richmond | Virginia | United States | 23298 | |
119 | Everett | Washington | United States | 98201 | |
120 | Tacoma | Washington | United States | 98405 | |
121 | Clarksburg | West Virginia | United States | 26301 | |
122 | Avellaneda | Buenos Aires | Argentina | B1870CID | |
123 | San Miguel | Buenos Aires | Argentina | 1663 | |
124 | Hospital de Agudos "Dr. Carlos Bocalandro" | Tres de Febrero | Buenos Aires | Argentina | 1657 |
125 | Buenos Aires | Ciudad Auton. de Buenos Aires | Argentina | 1221 | |
126 | Hospital Británico | Buenos Aires | Ciudad Auton. de Buenos Aires | Argentina | 1280 |
127 | Sanatorio Mitre | Buenos Aires | Ciudad Auton. de Buenos Aires | Argentina | C1039AAO |
128 | Buenos Aires | Ciudad Auton. de Buenos Aires | Argentina | C1431FWO | |
129 | Vicente López | Argentina | 1638 | ||
130 | Garran | Australian Capital Territory | Australia | 2605 | |
131 | Kogarah | New South Wales | Australia | 2217 | |
132 | Lismore | New South Wales | Australia | 2480 | |
133 | Sydney | New South Wales | Australia | 2229 | |
134 | Auchenflower | Queensland | Australia | 4066 | |
135 | Brisbane | Queensland | Australia | 4066 | |
136 | Brisbane | Queensland | Australia | 4101 | |
137 | Redcliffe | Queensland | Australia | 4020 | |
138 | Southport | Queensland | Australia | 4215 | |
139 | Woollongabba | Queensland | Australia | 4102 | |
140 | Adelaide | South Australia | Australia | 5042 | |
141 | Launceston | Tasmania | Australia | 7250 | |
142 | Box Hill | Victoria | Australia | 3128 | |
143 | Clayton | Victoria | Australia | 3168 | |
144 | Melbourne | Victoria | Australia | 3135 | |
145 | Melbourne | Victoria | Australia | 3144 | |
146 | Perth | Western Australia | Australia | 6000 | |
147 | Kittsee | Burgenland | Austria | 2421 | |
148 | Oberpullendorf | Burgenland | Austria | 7350 | |
149 | Wolfsberg | Kärnten | Austria | 9400 | |
150 | Linz | Oberösterreich | Austria | 4020 | |
151 | Gratwein | Steiermark | Austria | 8113 | |
152 | Graz | Steiermark | Austria | 8036 | |
153 | Hartberg | Steiermark | Austria | 8230 | |
154 | Leoben | Steiermark | Austria | 8700 | |
155 | Zams | Tirol | Austria | 6511 | |
156 | Innsbruck | Austria | 6020 | ||
157 | Linz | Austria | 4020 | ||
158 | Mürzzuschlag | Austria | 8680 | ||
159 | St. Pölten | Austria | 3100 | ||
160 | Wien | Austria | 1030 | ||
161 | Wien | Austria | 1100 | ||
162 | Wien | Austria | 1140 | ||
163 | Aalst | Belgium | 9300 | ||
164 | Brugge | Belgium | 8000 | ||
165 | Bruxelles - Brussel | Belgium | 1000 | ||
166 | Dendermonde | Belgium | 9200 | ||
167 | Hasselt | Belgium | 3500 | ||
168 | HUY | Belgium | 4500 | ||
169 | Ieper | Belgium | 8900 | ||
170 | Leuven | Belgium | 3000 | ||
171 | Malmedy | Belgium | 4960 | ||
172 | MOL | Belgium | 2400 | ||
173 | Montigny S/sambre | Belgium | 6061 | ||
174 | Mortsel | Belgium | 2640 | ||
175 | Roeselare | Belgium | 8800 | ||
176 | Sint-niklaas | Belgium | 9100 | ||
177 | Tubize | Belgium | 1480 | ||
178 | Turnhout | Belgium | 2300 | ||
179 | Curitiba | Parana | Brazil | 80050-350 | |
180 | Porto Alegre | Rio Grande do Sul | Brazil | 90610-000 | |
181 | Campinas | Sao Paulo | Brazil | 130839 970 | |
182 | Santo Andre | Sao Paulo | Brazil | 09190-610 | |
183 | São Paulo | Sao Paulo | Brazil | 01323-001 | |
184 | São Paulo | Sao Paulo | Brazil | 04039 002 | |
185 | Sao Paulo | Brazil | 05403-900 | ||
186 | Sao Paulo | Brazil | 05443000 | ||
187 | Pleven | Bulgaria | 5800 | ||
188 | Ruse | Bulgaria | 7002 | ||
189 | Sofia | Bulgaria | 1233 | ||
190 | Sofia | Bulgaria | 1606 | ||
191 | Stara Zagora | Bulgaria | 6000 | ||
192 | Varna | Bulgaria | 9010 | ||
193 | Veliko Tarnovo | Bulgaria | 5000 | ||
194 | Calgary | Alberta | Canada | T2N 2T9 | |
195 | Edmonton | Alberta | Canada | T5H 3V9 | |
196 | Edmonton | Alberta | Canada | T6G 2B7 | |
197 | Edmonton | Alberta | Canada | T6L 5X8 | |
198 | Vancouver | British Columbia | Canada | V5Z 1M9 | |
199 | Saint John | New Brunswick | Canada | E2L 4L2 | |
200 | Cobourg | Ontario | Canada | K9A 5W6 | |
201 | Ottawa | Ontario | Canada | K1Y 4E9 | |
202 | Scarborough | Ontario | Canada | M1P 2V5 | |
203 | Toronto | Ontario | Canada | M5T 2S8 | |
204 | Hotel Dieu-Grace Hospital | Windsor | Ontario | Canada | N9A 1E1 |
205 | Greenfield Park | Quebec | Canada | J4V 2H1 | |
206 | CHUM - Hopital Notre-Dame | Montreal | Quebec | Canada | H2L 4M1 |
207 | Montreal | Quebec | Canada | H2L 4M1 | |
208 | Montreal | Quebec | Canada | H2W 1T8 | |
209 | Montreal | Quebec | Canada | H3T 1M5 | |
210 | Ste-Foy | Quebec | Canada | G1V 4G5 | |
211 | Quebec | Canada | G1J 1Z4 | ||
212 | Quebec | Canada | G1V 4G5 | ||
213 | Santiago | Chile | 760 0448 | ||
214 | Santiago | Chile | |||
215 | Viña del Mar | Chile | |||
216 | Guangzhou | Guangdong | China | 510120 | |
217 | Guangzhou | Guangdong | China | 510405 | |
218 | Guangzhou | Guangdong | China | ||
219 | Changsha | Hunan | China | 410013 | |
220 | Nanjing | Jiangsu | China | 210008 | |
221 | Nanjing | Jiangsu | China | ||
222 | Changchun | Jilin | China | ||
223 | Dalian | Liaoning | China | 116027 | |
224 | Shenyang | Liaoning | China | 110001 | |
225 | Shenyang | Liaoning | China | 110004 | |
226 | Shenyang | Liaoning | China | 110015 | |
227 | The 1st Affiliated Hosp of the 4th Military Med Uni | Xi'an | Shaanxi | China | 710032 |
228 | 1st Affiliated Hosp., Med College Xi'an Jiaotong Univ. | Xi'an | Shaanxi | China | 710061 |
229 | Chengdu | Sichuan | China | 610041 | |
230 | Beijing | China | 100005 | ||
231 | Beijing | China | 100020 | ||
232 | Beijing | China | 100029 | ||
233 | Beijing | China | 100034 | ||
234 | Beijing | China | 100037 | ||
235 | Beijing | China | 100044 | ||
236 | Beijing Friendship Hosp. | Beijing | China | 100050 | |
237 | Beijing | China | 100050 | ||
238 | Beijing | China | 100053 | ||
239 | Beijing | China | 100088 | ||
240 | Beijing | China | 100853 | ||
241 | Chongqing | China | 400038 | ||
242 | Chongqing | China | 400042 | ||
243 | Shanghai | China | 200003 | ||
244 | Shanghai | China | 200025 | ||
245 | Shanghai | China | 200127 | ||
246 | Shanghai | China | 200233 | ||
247 | Shanghai | China | |||
248 | MedellÃn | Antioquia | Colombia | ||
249 | Bogotá | Distrito Capital de Bogotá | Colombia | ||
250 | Cali | Valle del Cauca | Colombia | ||
251 | Bogota | Colombia | |||
252 | Bogotá | Colombia | |||
253 | Cali | Colombia | |||
254 | MedellÃn | Colombia | |||
255 | Osijek | Croatia | 310 00 | ||
256 | Rijeka | Croatia | 51000 | ||
257 | Zadar | Croatia | 23000 | ||
258 | Zagreb | Croatia | 10000 | ||
259 | Zagreb | Croatia | 1000 | ||
260 | Brno | Czech Republic | 656 91 | ||
261 | Kutna Hora | Czech Republic | 284 30 | ||
262 | Nove Mesto na Morave | Czech Republic | 592 31 | ||
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 | ||
271 | Frederiksberg C | Denmark | 2000 | ||
272 | Kolding | Denmark | 6000 | ||
273 | København NV | Denmark | 2400 | ||
274 | København S | Denmark | 2300 | ||
275 | Roskilde | Denmark | 4000 | ||
276 | Tallinn | Estonia | 10138 | ||
277 | Tallinn | Estonia | 13419 | ||
278 | Tallinn | Estonia | EE-10617 | ||
279 | Tartu | Estonia | EE-51014 | ||
280 | Helsinki | Finland | 00290 | ||
281 | Hämeenlinna | Finland | 13530 | ||
282 | Jyväskylä | Finland | 40620 | ||
283 | Lahti | Finland | 15850 | ||
284 | Lappeenranta | Finland | 53130 | ||
285 | Raisio | Finland | 21200 | ||
286 | Turku | Finland | 20520 | ||
287 | Turku | Finland | 20700 | ||
288 | Arras | France | 62000 | ||
289 | Besancon | France | 25000 | ||
290 | Brest Cedex | France | 29609 | ||
291 | Castelnau Le Lez | France | 34170 | ||
292 | Clermont Ferrand | France | 63000 | ||
293 | Colombes Cedex | France | 92701 | ||
294 | Dijon | France | 21000 | ||
295 | Lille | France | 59037 | ||
296 | Lille | France | 59307 | ||
297 | Limoges | France | 87042 | ||
298 | Lomme | France | 59160 | ||
299 | Lyon | France | 69003 | ||
300 | Montpellier Cedex | France | 34295 | ||
301 | Nice | France | 06280 | ||
302 | Nimes | France | 30029 | ||
303 | Paris | France | 75004 | ||
304 | Paris | France | 75010 | ||
305 | Paris | France | 75475 | ||
306 | Paris | France | 75877 | ||
307 | Pierre Benite | France | 69495 | ||
308 | Reims | France | 51092 | ||
309 | Roubaix | France | 59100 | ||
310 | Saint Herblain Cedex | France | 44805 | ||
311 | Saint-etienne | France | 42000 | ||
312 | Strasbourg Cedex | France | 67091 | ||
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 | ||
357 | Shatin | Hong Kong | |||
358 | Baja | Hungary | 6500 | ||
359 | Balassagyarmat | Hungary | 2660 | ||
360 | Budapest | Hungary | 1076 | ||
361 | Budapest | Hungary | 1134 | ||
362 | Budapest | Hungary | 1145 | ||
363 | Debrecen | Hungary | 4012 | ||
364 | Gyor | Hungary | 9024 | ||
365 | Hodmezovasarhely | Hungary | 6800 | ||
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 | |
379 | Coimbatore | Tamil N?du | India | 641 004 | |
380 | Kolkata | West Bengal | India | 700 099 | |
381 | Hyderabad | India | 500034 | ||
382 | Hyderabad | India | 500082 | ||
383 | Hyderabad | India | 600 038 | ||
384 | Mumbai | India | 400022 | ||
385 | Noida | India | |||
386 | Jakarta | Indonesia | 10430 | ||
387 | Jakarta | Indonesia | 11420 | ||
388 | Surabaya | Indonesia | 60286 | ||
389 | Afula | Israel | 1834111 | ||
390 | Ashkelon | Israel | 7830604 | ||
391 | Haifa | Israel | 31048 | ||
392 | Haifa | Israel | 3109601 | ||
393 | Holon | Israel | 58100 | ||
394 | Kfar Saba | Israel | 4428164 | ||
395 | Rehovot | Israel | 7610001 | ||
396 | Tel Aviv | Israel | 64239 | ||
397 | Zefat | Israel | 1311001 | ||
398 | Acquaviva delle Fonti | Bari | Italy | 70021 | |
399 | Napoli | Campania | Italy | 80123 | |
400 | Modena | Emilia-Romagna | Italy | 41100 | |
401 | Parma | Emilia-Romagna | Italy | 43100 | |
402 | Piacenza | Emilia-Romagna | Italy | 29121 | |
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 | |
409 | Milano | Lombardia | Italy | 20162 | |
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 | ||
421 | Reggio Calabria | Italy | 89124 | ||
422 | Vicenza | Italy | 36100 | ||
423 | Ichinomiya | Aichi | Japan | 491-8551 | |
424 | Kasugai | Aichi | Japan | 487-0013 | |
425 | Obu | Aichi | Japan | 474-8511 | |
426 | Matsuyama | Ehime | Japan | 790-0024 | |
427 | Toon | Ehime | Japan | 791-0281 | |
428 | Chikushino | Fukuoka | Japan | 818-8516 | |
429 | Takasaki | Gunma | Japan | 370-0829 | |
430 | Kure | Hiroshima | Japan | 737-0023 | |
431 | Hakodate | Hokkaido | Japan | 040-8611 | |
432 | Sapporo | Hokkaido | Japan | 065-0033 | |
433 | Amagasaki | Hyogo | Japan | 660-8511 | |
434 | Kanazawa | Ishikawa | Japan | 920-8650 | |
435 | Hanamaki | Iwate | Japan | 025-0075 | |
436 | Ebina | Kanagawa | Japan | 243-0433 | |
437 | Kamakura | Kanagawa | Japan | 247-8533 | |
438 | Yokohama | Kanagawa | Japan | 236-0051 | |
439 | Nangoku | Kochi | Japan | 783-8509 | |
440 | Matsusaka | Mie | Japan | 515-8544 | |
441 | Tsu | Mie | Japan | 514-1101 | |
442 | Tsu | Mie | Japan | 514-8507 | |
443 | Kashiwazaki | Niigata | Japan | 945-8585 | |
444 | Tomigusuku | Okinawa | Japan | 901-0243 | |
445 | Urasoe | Okinawa | Japan | 901-2132 | |
446 | Daito | Osaka | Japan | 574-0074 | |
447 | Yao | Osaka | Japan | 581-0011 | |
448 | Kusatsu | Shiga | Japan | 525-8585 | |
449 | Hamamatsu | Shizuoka | Japan | 432-8580 | |
450 | Meguro-ku | Tokyo | Japan | 152-8902 | |
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 | ||
463 | Seoul | Korea, Republic of | 138736 | ||
464 | Daugavpils | Latvia | LV-5417 | ||
465 | Liepaja | Latvia | 3402 | ||
466 | Riga | Latvia | 1002 | ||
467 | Riga | Latvia | 1005 | ||
468 | Riga | Latvia | LV-1001 | ||
469 | Riga | Latvia | LV-1038 | ||
470 | Valmiera | Latvia | LV-4201 | ||
471 | Ventspils | Latvia | LV-3601 | ||
472 | Kaunas | Lithuania | LT-3000 | ||
473 | Kaunas | Lithuania | LT-3002 | ||
474 | Kaunas | Lithuania | LT-3026 | ||
475 | Klaipeda | Lithuania | LT-5800 | ||
476 | Klaipeda | Lithuania | LT-92231 | ||
477 | Siauliai | Lithuania | 76231 | ||
478 | Utena | Lithuania | LT-28142 | ||
479 | Vilnius | Lithuania | 04130 | ||
480 | Vilnius | Lithuania | 10207 | ||
481 | Vilnius | Lithuania | LT-2001 | ||
482 | Kirchberg | Luxembourg | 2540 | ||
483 | Luxembourg | Luxembourg | 1210 | ||
484 | Niederkorn | Luxembourg | 4602 | ||
485 | Kuala Lumpur | Malaysia | 59100 | ||
486 | Negeri Sembilan, | Malaysia | 70300 | ||
487 | Sarawak | Malaysia | 93400 | ||
488 | Tuxtla Gutiérrez | Chiapas | Mexico | 29000 | |
489 | Torreón | Coahuila | Mexico | 27250 | |
490 | Mexico D. F. | Distrito Federal | Mexico | 06760 | |
491 | Mexico D.F. | Distrito Federal | Mexico | 11340 | |
492 | Mexico D.F. | Distrito Federal | Mexico | 15900 | |
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.- 12839
- 2007-004614-14
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
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 |
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 |
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 |
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 |
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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 |
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
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 | |
clinical-trials-contact@bayerhealthcare.com |
- 12839
- 2007-004614-14