Title

A Phase 2b Study of DU-176b, Prevention of Venous Thromboembolism in Patients After Total Knee Arthroplasty
A Phase 2b, Randomized, Double-Blind, Multi-Dose Efficacy, Safety and Dose-finding Study of the Oral Factor Xa Inhibitor DU-176b Compared With Placebo for Prevention of Venous Thromboembolism in Patients After Total Knee Arthroplasty (STARS J-1)
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    edoxaban ...
  • Study Participants

    523
The objective of this study is to assess the efficacy, safety and dose-response relationship of DU-176b compared with placebo for the prevention of venous thromboembolism in patients after elective total knee arthroplasty.
Study Started
Jul 31
2006
Primary Completion
Sep 30
2007
Study Completion
Jul 31
2008
Results Posted
Jan 26
2015
Estimate
Last Update
Feb 25
2019

Drug DU-176b

DU-176b 5mg tablets oral, once daily for 2 weeks

  • Other names: edoxaban

Drug DU-176b

DU-176b 15mg tablets, oral once daily for 2 weeks

  • Other names: edoxaban

Drug DU-176b

DU-176b 30 mg tablets, oral, once daily for 2 weeks

  • Other names: edoxaban

Drug DU-176b

DU-176b 60 mg tablets, oral, once daily for 2 weeks

  • Other names: edoxaban

Drug Placebo

Matching placebo oral tablets, once daily for 2 weeks

DU-176b 5 mg Experimental

DU-176b 15 mg Experimental

DU-176b 30 mg Experimental

DU-176b 60 mg Experimental

Placebo Placebo Comparator

Criteria

Inclusion Criteria:

Patients undergoing unilateral total knee arthroplasty

Exclusion Criteria:

risks of hemorrhage
thromboembolic risks
weight less than 40 kg
pregnant, suspect pregnancy, or subjects who want to become pregnant

Summary

DU-176b 5 mg

DU-176b 15 mg

DU-176b 30 mg

DU-176b 60 mg

Placebo

All Events

Event Type Organ System Event Term DU-176b 5 mg DU-176b 15 mg DU-176b 30 mg DU-176b 60 mg Placebo

Proportion of Subjects With Venous Thromboembolism Events.

The primary efficacy endpoint was the proportion of subjects who experienced at least one of the thromboembolic events listed below during the period from the start of study treatment to the venography at the end of study treatment. Lower extremity DVT confirmed by bilateral venography at the end of study treatment Definite diagnosis of symptomatic PE Symptomatic DVT confirmed before the venography at the end of study treatment The objectives were to verify the non-inferiority of edoxaban to enoxaparin with regard to prevention of VTE

DU-176b 5 mg

29.5
percentage of participants
95% Confidence Interval: 20.0 to 39.1

DU-176b 15 mg

26.1
percentage of participants
95% Confidence Interval: 17.1 to 35.1

DU-176b 30 mg

12.5
percentage of participants
95% Confidence Interval: 5.6 to 19.4

DU-176b 60 mg

9.1
percentage of participants
95% Confidence Interval: 3.1 to 15.1

Placebo

48.3
percentage of participants
95% Confidence Interval: 37.9 to 58.7

Incidence of Major Bleeding or Clinically Relevant Non-major Bleeding

Incidence of Major Bleeding or Clinically Relevant Non-major Bleeding. Related to the study drug

DU-176b 5 mg

1.9
percentage of subjects with bleeds
95% Confidence Interval: 0.5 to 6.8

DU-176b 15 mg

3.8
percentage of subjects with bleeds
95% Confidence Interval: 1.5 to 9.3

DU-176b 30 mg

3.9
percentage of subjects with bleeds
95% Confidence Interval: 1.5 to 9.6

DU-176b 60 mg

4.7
percentage of subjects with bleeds
95% Confidence Interval: 2.0 to 10.6

Placebo

3.9
percentage of subjects with bleeds
95% Confidence Interval: 1.5 to 9.7

Total

445
Participants

Age, Continuous

71.2
years (Mean)
Standard Deviation: 7.3

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

DU-176b 5 mg

DU-176b 15 mg

DU-176b 30 mg

DU-176b 60 mg

Placebo

Drop/Withdrawal Reasons

DU-176b 5 mg

DU-176b 15 mg

DU-176b 30 mg

DU-176b 60 mg

Placebo