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RE-COVERY DVT/PE: Global Study on Treatment Secondary Prevention of Acute Venous Thromboembolism

Characterization of Patients Following Acute Venous Thromboembolism (VTE) and Safety and Effectiveness of Dabigatran Etexilate (DE) in the Treatment and Secondary Prevention of Acute Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) in Comparison to Vitamin K Antagonist (VKA) in Routine Clinical Practice - RE-COVERY DVT/PE

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02596230
Enrollment
7797
Registered
2015-11-04
Start date
2015-11-05
Completion date
2019-03-31
Last updated
2020-04-29

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

Conditions

Venous Thromboembolism

Brief summary

RE-COVERY is a large, multi-national, multi-center observational study based on new data collection. The study will enroll and characterize patients within 30 days of being diagnosed with an acute DVT and/or PE. The study has two main objectives. Objective 1 will characterize the DVT / PE patient population. All patients with a DVT and/or PE will be enrolled for cross-sectional characterization of the VTE patient population. Objective 2 will compare the safety and effectiveness of dabigatran etexilate regimens for treatment of VTE in comparison to VKA regimens. Patients treated with dabigatran etexilate or VKA will be followed up for the occurrence of outcome events for up to one year.

Interventions

None listed

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Written informed consent provided by the patient in accordance with local regulations 2. Diagnosis of an acute DVT and/or PE (For objective 1, assessment of patient for study participation should be done ideally within 14 days but not more than 6 months after diagnosis of the acute VTE. For Objective 2, patient assessment should occur ideally within 14 days but not more than 30 days from diagnosis) 3. Age \>= 18 years 4. For Objective 2, the planned anticoagulation therapy should be for at least 3 months 5. For Objective 2, dabigatran and vitamin K antagonist patients should be available for follow-up data collection

Exclusion criteria

1. Need for anticoagulation therapy for conditions other than venous thromboembolism (VTE) 2. Current participation in a clinical trial for VTE indication or current use of an unapproved drug

Design outcomes

Primary

MeasureTime frameDescription
Objective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Incidence rate of Symptomatic Recurrent VTE (Venous Thromboembolism) including VTE related mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Objective 1: Index EventBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Type of index event (e.g., DVT or PE or DVT and PE) diagnosed at the time of acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.
Objective 1: Anticoagulant TreatmentBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Type of treatment received following acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.
Objective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Incidence rate of ISTH (International Society on Thrombosis and Haemostasis) major bleeding and CRNMB (clinically relevant non major bleeding) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Objective 1: AgeBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Age in years of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.
Objective 1: SexBaseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Sex of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.

Secondary

MeasureTime frameDescription
Objective 2: Incidence Rate of VTE-related Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Incidence rate of VTE-related Mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Objective 2: Incidence Rate of All-cause Mortality12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Incidence rate of all-cause mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Objective 2: Incidence Rate of Recurrent DVT and/or PE12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).Incidence rate of Recurrent Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Countries

Argentina, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, Colombia, Czechia, Egypt, Germany, Greece, Hungary, Italy, Latvia, Lebanon, Malaysia, Mexico, Netherlands, New Zealand, Peru, Philippines, Poland, Portugal, Romania, Russia, Saudi Arabia, Serbia, Slovakia, Slovenia, South Korea, Thailand, Turkey (Türkiye), United Arab Emirates, United Kingdom, United States, Vietnam

Participant flow

Recruitment details

This study characterizes patients following acute venous thromboembolism and assesses the safety and effectiveness of dabigatran etexilate in the treatment and secondary prevention of acute DVT and PE in comparison to vitamin K antagonist in routine clinical practice. This is a large multi-center observational study based on new data collection.

Pre-assignment details

All subjects were screened for eligibility to participate in the trial. Subjects attended specialist sites which would then ensure that they met all inclusion/exclusion criteria. The study enrolled and characterized all patients within 30 days after being diagnosed with an acute DVT and/or PE.

Participants by arm

ArmCount
Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist
Participants diagnosed with an acute Deep Vein Thrombosis (DVT) irrespective of location and/or Pulmonary Embolism (PE) and treated with either Edoxaban, Rivaroxaban, Apixaban or other anticoagulation treatments. Participants analyzed for objective 1 only.
3,714
Dabigatran Etexilate (1)
Participants diagnosed with an acute Deep Vein Thrombosis (DVT) irrespective of location and/or Pulmonary Embolism (PE) and treated with Dabigatran etexilate. Participants analyzed for objective 1 or for objective 1 and 2.
1,006
Dabigatran Etexilate (2)
Participants diagnosed with an acute Deep Vein Thrombosis (DVT) irrespective of location and/or Pulmonary Embolism (PE) and treated with Dabigatran etexilate. New participants analyzed for objective 2 only.
910
Vitamin K Antagonist (1)
Participants diagnosed with an acute Deep Vein Thrombosis (DVT) irrespective of location and/or Pulmonary Embolism (PE) and treated with Vitamin K antagonist. Participants analyzed for objective 1 or for objective 1 and 2.
1,375
Vitamin K Antagonist (2)
Participants diagnosed with an acute Deep Vein Thrombosis (DVT) irrespective of location and/or Pulmonary Embolism (PE) and treated with Vitamin K antagonist. New participants analyzed for objective 2 only.
792
Total7,797

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Objective 2, One YearAdverse drug reaction01000
Objective 2, One YearDeath012412130
Objective 2, One YearLost to Follow-up041413246
Objective 2, One YearOther03200
Objective 2, One YearWithdrawal by Subject0111452
Screening Period for Objective 2Participants not participating in obj 23,71422808460

Baseline characteristics

CharacteristicNot Assigned to Dabigatran Etexilate or Vitamin K AntagonistTotalVitamin K Antagonist (2)Vitamin K Antagonist (1)Dabigatran Etexilate (2)Dabigatran Etexilate (1)
Age, Continuous62.5 Years
STANDARD_DEVIATION 17.2
60.9 Years
STANDARD_DEVIATION 17
59.0 Years
STANDARD_DEVIATION 16.6
61.3 Years
STANDARD_DEVIATION 16.6
58.4 Years
STANDARD_DEVIATION 16.6
58.3 Years
STANDARD_DEVIATION 16.6
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants14 Participants7 Participants2 Participants2 Participants1 Participants
Race (NIH/OMB)
Asian
420 Participants936 Participants124 Participants96 Participants147 Participants149 Participants
Race (NIH/OMB)
Black or African American
111 Participants209 Participants18 Participants71 Participants7 Participants2 Participants
Race (NIH/OMB)
More than one race
5 Participants71 Participants42 Participants7 Participants11 Participants6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
4 Participants4 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
552 Participants621 Participants1 Participants47 Participants1 Participants20 Participants
Race (NIH/OMB)
White
2620 Participants5942 Participants600 Participants1152 Participants742 Participants828 Participants
Sex/Gender, Customized
Female
1907 Participants3840 Participants375 Participants667 Participants433 Participants458 Participants
Sex/Gender, Customized
Male
1806 Participants3956 Participants417 Participants708 Participants477 Participants548 Participants
Sex/Gender, Customized
Missing
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
54 / 3,71413 / 1,00642 / 91025 / 1,37530 / 792
other
Total, other adverse events
0 / 3,7140 / 1,0060 / 9100 / 1,3750 / 792
serious
Total, serious adverse events
60 / 3,71422 / 1,00647 / 91034 / 1,37541 / 792

Outcome results

Primary

Objective 1: Age

Age in years of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.

Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: All eligible patients with a DVT and/or PE (regardless of treatment) were enrolled for cross-sectional characterisation of the VTE patient population

ArmMeasureValue (MEAN)Dispersion
All Participants With a DVT and/or PEObjective 1: Age61.5 yearsStandard Deviation 17
Primary

Objective 1: Anticoagulant Treatment

Type of treatment received following acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.

Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: All eligible patients with a DVT and/or PE (regardless of treatment) were enrolled for cross-sectional characterisation of the VTE patient population.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
All Participants With a DVT and/or PEObjective 1: Anticoagulant TreatmentDabigatranParticipants947 Participants
All Participants With a DVT and/or PEObjective 1: Anticoagulant Treatmentvitamin K antagonist (VKA)Participants1388 Participants
All Participants With a DVT and/or PEObjective 1: Anticoagulant TreatmentEdoxabanParticipants103 Participants
All Participants With a DVT and/or PEObjective 1: Anticoagulant TreatmentRivaroxabanParticipants1558 Participants
All Participants With a DVT and/or PEObjective 1: Anticoagulant TreatmentApixabanParticipants686 Participants
All Participants With a DVT and/or PEObjective 1: Anticoagulant TreatmentOtherParticipants1413 Participants
Primary

Objective 1: Index Event

Type of index event (e.g., DVT or PE or DVT and PE) diagnosed at the time of acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.

Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: All eligible patients with a DVT and/or PE (regardless of treatment) were enrolled for cross-sectional characterisation of the VTE patient population.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
All Participants With a DVT and/or PEObjective 1: Index EventDVTParticipants3644 Participants
All Participants With a DVT and/or PEObjective 1: Index EventPEParticipants1588 Participants
All Participants With a DVT and/or PEObjective 1: Index EventDVT and PEParticipants863 Participants
Primary

Objective 1: Sex

Sex of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables (Not assigned to Dabigatran etexilate or Vitamin K antagonist,Dabigatran etexilate (1) and Vitamin K antagonist (1)) in order to distinguish patients participating in both objectives from patients only in objective 2.

Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: All eligible patients with a DVT and/or PE (regardless of treatment) were enrolled for cross-sectional characterisation of the VTE patient population.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
All Participants With a DVT and/or PEObjective 1: SexMaleParticipants3062 Participants
All Participants With a DVT and/or PEObjective 1: SexFemaleParticipants3032 Participants
All Participants With a DVT and/or PEObjective 1: SexMissing dataParticipants1 Participants
Primary

Objective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)

Incidence rate of ISTH (International Society on Thrombosis and Haemostasis) major bleeding and CRNMB (clinically relevant non major bleeding) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: Restricted set: The restricted population was composed of all eligible patients, which lay within the region of propensity score overlap and who took the prescribed treatment at least once.

ArmMeasureValue (NUMBER)
All Participants With a DVT and/or PEObjective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)2.63 events per 100 patient-years
Vitamin K AntagonistObjective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)4.42 events per 100 patient-years
p-value: 0.18895% CI: [0.322, 1.249]Regression, Cox
Primary

Objective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality

Incidence rate of Symptomatic Recurrent VTE (Venous Thromboembolism) including VTE related mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: Restricted set: The restricted population was composed of all eligible patients, which lay within the region of propensity score overlap. The propensity scores are estimated after the multiple imputation is performed based on eligible patients who took the prescribed treatment at least once.

ArmMeasureValue (NUMBER)
All Participants With a DVT and/or PEObjective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality1.53 events per 100 patient-years
Vitamin K AntagonistObjective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality2.01 events per 100 patient-years
p-value: 0.60695% CI: [0.3, 2.017]Regression, Cox
Secondary

Objective 2: Incidence Rate of All-cause Mortality

Incidence rate of all-cause mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: Restricted set: The restricted population was composed of all eligible patients, which lay within the region of propensity score overlap. The propensity scores are estimated after the multiple imputation is performed based on eligible patients who took the prescribed treatment at least once.

ArmMeasureValue (NUMBER)
All Participants With a DVT and/or PEObjective 2: Incidence Rate of All-cause Mortality2.12 events per 100 patient-years
Vitamin K AntagonistObjective 2: Incidence Rate of All-cause Mortality3.06 events per 100 patient-years
p-value: 0.6995% CI: [0.402, 1.828]Regression, Cox
Secondary

Objective 2: Incidence Rate of Recurrent DVT and/or PE

Incidence rate of Recurrent Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: Restricted set: The restricted population was composed of all eligible patients, which lay within the region of propensity score overlap. The propensity scores are estimated after the multiple imputation is performed based on eligible patients who took the prescribed treatment at least once.

ArmMeasureValue (NUMBER)
All Participants With a DVT and/or PEObjective 2: Incidence Rate of Recurrent DVT and/or PE1.61 events per 100 patient-years
Vitamin K AntagonistObjective 2: Incidence Rate of Recurrent DVT and/or PE2.22 events per 100 patient-years
p-value: 0.54295% CI: [0.299, 1.885]Regression, Cox
Secondary

Objective 2: Incidence Rate of VTE-related Mortality

Incidence rate of VTE-related Mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.

Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).

Population: Restricted set: The restricted population was composed of all eligible patients, which lay within the region of propensity score overlap. The propensity scores are estimated after the multiple imputation is performed based on eligible patients who took the prescribed treatment at least once.

ArmMeasureValue (NUMBER)
All Participants With a DVT and/or PEObjective 2: Incidence Rate of VTE-related Mortality0 events per 100 patient-years
Vitamin K AntagonistObjective 2: Incidence Rate of VTE-related Mortality0.42 events per 100 patient-years
p-value: 0.996Regression, Cox

Source: ClinicalTrials.gov · Data processed: Mar 6, 2026