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Rivaroxaban for treatment in venous thrombosis in children

Multicenter, open-label, active-controlled, randomized study to evaluate the efficacy and safety of an age-and body weight-adjusted rivaroxaban regimen compared to standard of care in children with acute venous thromboembolism - EINSTEIN Junior Phase III: oral rivaroxaban in young children with venous thrombosis

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2014-000565-47-AT
Enrollment
170
Registered
2014-06-23
Start date
2014-07-25
Completion date
Unknown
Last updated
2019-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Venous Thrombosis MedDRA version: 20.0 Level: LLT Classification code 10066899 Term: Venous thromboembolism System Organ Class: 100000004866

Interventions

Sponsors

Bayer AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Children aged 6 months to =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Active bleeding or bleeding risk contraindicating anticoagulant therapy 2. An estimated glomerular filtration rate (eGFR) 5x upper level of normal (ULN) or total bilirubin (TB) > 2x ULN with direct bilirubin > 20% of the total 4. Platelet count 95th age percentile 6. Life expectancy < 3 months 7. Concomitant use of strong inhibitors of both cytochrome P450 isoenzyme 3A4 (CYP3A4) and P-glycoprotein (P-gp), including but not limited to all human immunodeficiency virus protease Inhibitors and the following azole-antimycotics agents: ketoconazole, itraconazole, voriconazole, posaconazole, if used systemically (fluconazole is allowed). For exceptions, see Section 4.4 of the Study Protocol. 8. Concomitant use of strong inducers of CYP3A4, including but not limited to rifampicin, rifabutin, phenobarbital, phenytoin and carbamazepine 9. Childbearing potential without proper contraceptive measures, pregnancy or breast feeding 10. Hypersensitivity or any other contraindication listed in the local labeling for the comparator treatment or experimental treatment 11. Inability to cooperate with the study procedures 12. Participation in a study with an investigational drug or medical device within 30 days prior to randomization

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary efficacy objective is: To assess the incidence of symptomatic recurrent venous thromboembolism The principal safety objective is: ? To assess the incidence of overt major and clinically relevant non-major bleeding. ; Primary end point(s): 1. Efficacy: The composite of all symptomatic recurrent venous thromboembolism 2. Safety: The composite of overt major and clinically relevant non-major bleeding. ; Secondary Objective: The secondary efficacy objective is: To assess the incidence of symptomatic recurrent venous thromboembolism and asymptomatic deterioration on repeat imaging. An additional objective is: To characterize the pharmacokinetic / pharmacodynamics profile of rivaroxaban. ; Timepoint(s) of evaluation of this end point: 1. At the end of the main study treatment period: After 90 days of treatment and again at 30 days post Treatment (for children below 2 years + catheter related thrombosis: after 30 days of treatment and again at 30 days post Treatment) 2. At the end of main study treatment period: After 90 days of treatment and again at 30 days post Treatment (for children below 2 years + catheter related thrombosis: after 30 days of Treatment and again at 30 days post treatment)

Secondary

MeasureTime frame
Secondary end point(s): 1. The composite of all symptomatic recurrent venous thromboembolism and asymptomatic deterioration on repeat imaging. 2. Results of pharmacokinetics (PK)/ pharmacodynamics (PD) analyses ; Timepoint(s) of evaluation of this end point: 1. After the end of main study Treatment period: After 90 days of treatment and again at 30 days post Treatment (for children below 2 years + catheter related thrombosis: after 30 days of treatment and again at 30 days post treatment) 2. PK and PD as defined in the protocol

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Finland, France, Germany, Hong Kong, Hungary, Ireland, Israel, Italy, Japan, Mexico, Netherlands, Poland, Portugal, Romania, Russian Federation, Singapore, Slovakia, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States

Contacts

Public ContactBayer Clinical Trials Contact

Bayer AG

clinical-trials-contact@bayerhealthcare.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026