Pharmacokinetic, Pharmacodynamic, Safety, and Efficacy Study of Rivaroxaban for Thromboprophylaxis in Pediatric Participants 2 to 8 Years of Age After the Fontan Procedure (UNIVERSE)
A Prospective, Open-Label, Active-Controlled Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, and Efficacy of Rivaroxaban for Thromboprophylaxis in Pediatric Subjects 2 to 8 Years of Age After the Fontan Procedure
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina
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Cordoba, Argentina
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Brussel, Belgium
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Gent, Belgium
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Leuven, Belgium
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Curitiba, Brazil
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Porto Alegre, Brazil
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Sao Paulo, Brazil
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British Columbia
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Vancouver, British Columbia, Canada
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Ontario
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Fukuoka, Japan
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Kitakyushu-shi, Japan
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Setagaya Ku, Japan
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Shizuoka-shi, Japan
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Kuala Lumpur, Malaysia
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Mexico, Mexico
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Leiden, Netherlands
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Rotterdam, Netherlands
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Utrecht, Netherlands
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A Coruña, Spain
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Barcelona, Spain
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Bilbao, Spain
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Madrid, Spain
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Valencia, Spain
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California
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Los Angeles, California, United States
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Florida
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Gainesville, Florida, United States
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Illinois
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Oak Lawn, Illinois, United States
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Indiana
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Indianapolis, Indiana, United States
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Iowa
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Iowa City, Iowa, United States
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Maryland
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Baltimore, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Minnesota
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Minneapolis, Minnesota, United States
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Nebraska
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Omaha, Nebraska, United States
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North Carolina
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Durham, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Pennsylvania
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Hershey, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Tennessee
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Memphis, Tennessee, United States
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Texas
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Houston, Texas, United States
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Utah
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Salt Lake City, Utah, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant must be considered to be clinically stable by the investigator and able to tolerate oral or enteral administration of a suspension formulation and oral/enteral feedings
- Satisfactory initial post-Fontan transthoracic echocardiographic Screening as defined in the Post-Fontan Echocardiographic Examination Research Protocol
- Parent/legally acceptable representative must sign an informed consent form (ICF) and child assent will also be provided, if applicable, according to local requirements
Exclusion Criteria:
- Evidence of thrombosis, including those that are asymptomatic confirmed by post-Fontan procedure transthoracic echocardiogram, or other imaging techniques, during the Screening period of the study
- History of gastrointestinal disease or surgery associated with clinically relevant impaired absorption
- History of or signs/symptoms suggestive of protein-losing enteropathy
- Active bleeding or high risk for bleeding contraindicating antiplatelet or anticoagulant therapy, including a history of intracranial bleeding
- Platelet count less than (<)50*10^9/Liters (L) at Screening
- Estimated glomerular filtration rate (eGFR) <30 milliliters per minute per 1.73 meter square (mL/min/1.73m^2)
- Known clinically significant liver disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Rivaroxaban
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Participants will receive oral suspension containing rivaroxaban 1 milligram per milliliter (mg/ml) twice daily in Part A and Part B. Following total daily doses of Rivaroxaban will be administered based on the weight of the participants: 7 to <8 kilogram (kg) will receive 2.2 milligram (mg); 8 to <10 kg will receive 3.2 mg; 10 to<12 kg will receive 3.4 mg; 12 to <20 will receive 4.0 mg and 20 to <30 will receive 5.0 mg.
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Experimental: Acetylsalicylic Acid
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Participants will receive 5 milligram per kilogram (mg/kg) of acetylsalicylic acid once daily up to 12 months in Part B.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With Any Thrombotic Event (Venous or Arterial and Symptomatic or Asymptomatic)
Time Frame: Up to 12 months
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Thrombotic event was defined as the appearance of a new thrombotic burden within the cardiovascular system on either routine surveillance or clinically indicated imaging, or the occurrence of a clinical event known to be strongly associated with thrombus (such as cardioembolic stroke, pulmonary embolism).
The event included ischemic stroke, pulmonary embolism, venous thrombosis, arterial/intracardiac thrombosis, and other thrombosis.
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Up to 12 months
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Plasma Concentration of Rivaroxaban at Day 1 (0.5-1.5 Hours Postdose)
Time Frame: Day 1: 0.5-1.5 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 0.5-1.5 hours postdose
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Plasma Concentration of Rivaroxaban at Day 1 (1.5-4 Hours Postdose)
Time Frame: Day 1: 1.5-4 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 1.5-4 hours postdose
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Plasma Concentration of Rivaroxaban at Day 4 (Up to 3 Hours Predose)
Time Frame: Day 4: Up to 3 hours predose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: Up to 3 hours predose
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Plasma Concentration of Rivaroxaban at Day 4 (0.5-1.5 Hours Postdose)
Time Frame: Day 4: 0.5-1.5 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 0.5-1.5 hours postdose
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Plasma Concentration of Rivaroxaban at Day 4 (1.5-4 Hours Postdose)
Time Frame: Day 4: 1.5-4 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 1.5-4 hours postdose
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Plasma Concentration of Rivaroxaban at Day 4 (6-8 Hours Postdose)
Time Frame: Day 4: 6-8 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 6-8 hours postdose
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Plasma Concentration of Rivaroxaban at Month 3 (Up to 3 Hours Predose)
Time Frame: Month 3: Up to 3 hours predose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: Up to 3 hours predose
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Plasma Concentration of Rivaroxaban at Month 3 (0.5-1.5 Hours Postdose)
Time Frame: Month 3: 0.5-1.5 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 0.5-1.5 hours postdose
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Plasma Concentration of Rivaroxaban at Month 3 (2.5-4 Hours Postdose)
Time Frame: Month 3: 2.5-4 hours postdose
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Plasma rivaroxaban concentrations for Parts A and B were assessed.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 2.5-4 hours postdose
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Percentage of Participants With Bleeding Events
Time Frame: Up to 12 months
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Bleeding events were categorized into major, clinically relevant non-major bleeding (CRNM), and trivial bleeding events.
Major bleeding: overt bleeding and associated with a fall in hemoglobin of 2 gram per deciliter (g/dL) or more; or leading to a transfusion of the equivalent of 2 or more units of packed red blood cells or whole blood in adults; or occurring in a critical site: intracranial, intraspinal, intraocular, pericardial, intra-articular, intramuscular with compartment syndrome, retroperitoneal; or contributing to death.
CRNM bleeding: overt bleeding not meeting the criteria for major bleeding but associated with: Medical intervention, or Unscheduled contact with a physician, cessation of study treatment, or Discomfort for the subject such as pain, or Impairment of activities of daily life.
Trivial bleeding: any other overt bleeding event that does not meet criteria for CRNM bleeding.
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Up to 12 months
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Absolute Prothrombin Time (PT) at Day 1 (0.5-1.5 Hours Postdose)
Time Frame: Day 1: 0.5-1.5 hours postdose
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Absolute prothrombin time was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 0.5-1.5 hours postdose
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Absolute PT at Day 1 (1.5-4 Hours Postdose)
Time Frame: Day 1: 1.5-4 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 1.5-4 hours postdose
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Absolute PT at Day 4 (Up to 3 Hours Predose)
Time Frame: Day 4: Up to 3 hours predose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average the participants included in the given time-range is presented here.
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Day 4: Up to 3 hours predose
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Absolute PT at Day 4 (0.5-1.5 Hours Postdose)
Time Frame: Day 4: 0.5-1.5 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 0.5-1.5 hours postdose
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Absolute PT at Day 4 (1.5-4 Hours Postdose)
Time Frame: Day 4: 1.5-4 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 1.5-4 hours postdose
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Absolute PT at Day 4 (6-8 Hours Postdose)
Time Frame: Day 4: 6-8 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 6-8 hours postdose
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Absolute PT at Month 3 (Up to 3 Hours Predose)
Time Frame: Month 3: Up to 3 hours predose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: Up to 3 hours predose
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Absolute PT at Month 3 (0.5-1.5 Hours Postdose)
Time Frame: Month 3: 0.5-1.5 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 0.5-1.5 hours postdose
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Absolute PT at Month 3 (2.5-4 Hours Postdose)
Time Frame: Month 3: 2.5-4 hours postdose
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Absolute PT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 2.5-4 hours postdose
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Activated Partial Thromboplastin Time (aPTT) at Day 1 (0.5-1.5 Hours Postdose)
Time Frame: Day 1: 0.5-1.5 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 0.5-1.5 hours postdose
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aPTT at Day 1 (1.5-4 Hours Postdose)
Time Frame: Day 1: 1.5-4 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and average of the participants included in the given time-range is presented here.
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Day 1: 1.5-4 hours postdose
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aPTT at Day 4 (Up to 3 Hours Predose)
Time Frame: Day 4: Up to 3 hours predose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: Up to 3 hours predose
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aPTT at Day 4 (0.5-1.5 Hours Postdose)
Time Frame: Day 4: 0.5-1.5 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average the participants included in the given time-range is presented here.
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Day 4: 0.5-1.5 hours postdose
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aPTT at Day 4 (1.5-4 Hours Postdose)
Time Frame: Day 4: 1.5-4 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average for the participants included in the given time-range is presented here.
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Day 4: 1.5-4 hours postdose
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aPTT at Day 4 (6-8 Hours Postdose)
Time Frame: Day 4: 6-8 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 6-8 hours postdose
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aPTT at Month 3 (Up to 3 Hours Predose)
Time Frame: Month 3: Up to 3 hours predose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: Up to 3 hours predose
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aPTT at Month 3 (0.5-1.5 Hours Postdose)
Time Frame: Month 3: 0.5-1.5 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 0.5-1.5 hours postdose
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aPTT at Month 3 (2.5-4 Hours Postdose)
Time Frame: Month 3: 2.5-4 hours postdose
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aPTT was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 2.5-4 hours postdose
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Anti-FXa at Day 1 (0.5-1.5 Hours Postdose)
Time Frame: Day 1: 0.5-1.5 hours postdose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 0.5-1.5 hours postdose
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Anti-FXa at Day 1 (1.5-4 Hours Postdose)
Time Frame: Day 1: 1.5-4 hours postdose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 1: 1.5-4 hours postdose
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Anti-FXa at Day 4 (6-8 Hours Postdose)
Time Frame: Day 4: 6-8 hours postdose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Day 4: 6-8 hours postdose
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Anti-FXa at Month 3 (Up to 3 Hours Predose)
Time Frame: Month 3: Up to 3 hours predose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: Up to 3 hours predose
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Anti-FXa at Month 3 (0.5-1.5 Hours Postdose)
Time Frame: Month 3: 0.5-1.5 hours postdose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 0.5-1.5 hours postdose
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Anti-FXa at Month 3 (2.5-4 Hours Postdose)
Time Frame: Month 3: 2.5-4 hours postdose
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Anti-FXa was assessed as pharmacodynamic parameter.
Each participant was assessed once within the specified time-range and the average of the participants included in the given time-range is presented here.
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Month 3: 2.5-4 hours postdose
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
Time Frame: Up to 12 months
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TEAEs were defined as those adverse events (AEs) that occurred from the first day of study drug to the last day of study drug + 2 days inclusive.
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product.
An AE does not necessarily have a causal relationship with the intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal (investigational or non-investigational) product, whether or not related to that medicinal (investigational or non-investigational) product.AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product.
An AE does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
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Up to 12 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Embolism and Thrombosis
- Thrombosis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Inflammatory Agents
- Peripheral Nervous System Agents
- Protease Inhibitors
- Enzyme Inhibitors
- Fibrin Modulating Agents
- Antirheumatic Agents
- Sensory System Agents
- Analgesics, Non-Narcotic
- Analgesics
- Antipyretics
- Anti-Inflammatory Agents, Non-Steroidal
- Cyclooxygenase Inhibitors
- Fibrinolytic Agents
- Platelet Aggregation Inhibitors
- Anticoagulants
- Factor Xa Inhibitors
- Antithrombins
- Serine Proteinase Inhibitors
- Rivaroxaban
- Aspirin
Other Study ID Numbers
Other Study ID Numbers
- CR108075
- 39039039CHD3001 (Other Identifier: Janssen Research & Development, LLC)
- 2015-002610-76 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated device product
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