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Trial registered on ANZCTR


Registration number
ACTRN12606000068561
Ethics application status
Approved
Date submitted
2/02/2006
Date registered
20/02/2006
Date last updated
5/02/2020
Date data sharing statement initially provided
5/02/2020
Date results information initially provided
5/02/2020
Type of registration
Prospectively registered

Titles & IDs
Public title
REgulation of Coagulation in ORthopedic Surgery to prevent DVT and PE, controlled, double-blind, randomized study of BAY 59-7939 in the extended prevention of VTE in patients undergoing elective total hip replacement.
Scientific title
Regulation of Coagulation in Orthopedic Surgery to prevent Deep Venous Thrombosis and Pulmonary Embolism, controlled, double-blind, randomized study of BAY 59-7939 compared with enoxaprin administered for 5 weeks in the extended prevention of Venous Thromboembolism in patients undergoing elective total hip replacement.
Secondary ID [1] 240 0
Bayer Australia Ltd: Bay 59-7939/11354
Universal Trial Number (UTN)
Trial acronym
RECORD 1
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Patients undergoing total hip replacement. 1032 0
Condition category
Condition code
Cardiovascular 1106 1106 0 0
Other surgery
Musculoskeletal 1107 1107 0 0
Other surgery

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
The patients will be randomized to I treatment group. I. 10 mg od of Bay 59-7939 tablets active substance (10 mg tablet) plus a placebo syringe of enoxaparin (one tablet in the evening plus one s.c. injection in the evening)

The treatment period is day 0 to day 35. Day 0 is defined as the day prior elective hip replacement. On day 0 the first dose of enoxaparin or matching placebo will be given.

Day 1 will be defined as the day of the elective total hip replacement. In the evening of the surgery, BAY 59-7939 or matching placebo tablets will be administered orally. Thereafter, BAY 59-7939 or matching placebo tablets will be given once daily every 24 hours until day of venography (day 36). Last dose of BAY 59-7939 or matching placebo will be administered in the evening prior to venography.
Enoxaparin 40 mg or matching placebo will be administered subcutaneously in the evening of the surgery, thereafter once daily in the evening according to the hospital routine.

On day 36 a bilateral ascending venography is mandatory for all patients. If symptoms of DVT occur earlier, an ultrasound may be allowed. If the DVT is confirmed by ultrasound, a bilateral ascending venography is mandatory for all patients. No further study medication will be administered after the venography.
If symptoms of pulmonary embolism occur during the study (including follow-up of 30 days post study treatment) a lung scintigraphy with chest X-Ray or a spiral CT or a pulmonary angiography should be performed. Symptoms of DVT occurring during follow-up should be verified by ultrasound or venography.
Intervention code [1] 878 0
Prevention
Comparator / control treatment
The patients will be randomized to II treatment group. II. One placebo tablet of BAY 59-7939 plus one syringe of enoxaparin active substance at a dose of 40 mg. (one tablet in the evening plus one s.c. injection in the evening)
Control group
Active

Outcomes
Primary outcome [1] 1475 0
The primary efficacy endpoint as assessed by venography, is defined as a composite endpoint of:
- Any DVT (proximal and/or distal)
Timepoint [1] 1475 0
Assessed at day 36
Primary outcome [2] 1476 0
The primary efficacy endpoint as assessed by venography, is defined as a composite endpoint of:
- Non fatal PE
Timepoint [2] 1476 0
Assessed at day 36
Primary outcome [3] 1477 0
The primary efficacy endpoint as assessed by venography, is defined as a composite endpoint of:
- Death from all causes.
Timepoint [3] 1477 0
Assessed at day 36
Secondary outcome [1] 2650 0
Incidence of the composite endpoint comprising proximal DVT, non-fatal PE and VTE-related death.
Timepoint [1] 2650 0
Secondary efficacy endpoints as assessed at day 36 by venography.
Secondary outcome [2] 2651 0
Incidence of the composite endpoint that results from the primary endpoint by substituting VTE related death for all death (composite of any DVT and nonfatal PE and VTE-related death).
Timepoint [2] 2651 0
Secondary efficacy endpoints as assessed at day 36 by venography.
Secondary outcome [3] 2652 0
Incidence of the composite endpoint that results from major VTE by substituting all cause mortality for VTE related death (composite of proximal DVT and nonfatal PE and death from all causes ).
Timepoint [3] 2652 0
Secondary efficacy endpoints as assessed at day 36 by venography.
Secondary outcome [4] 2653 0
Incidence of symptomatic VTE (DVT, PE).
Timepoint [4] 2653 0
Secondary efficacy endpoints as assessed at day 36 by venography.
Secondary outcome [5] 2654 0
Incidence of DVT (total, proximal, distal).
Timepoint [5] 2654 0
Secondary efficacy endpoints as assessed at day 36 by venography.
Secondary outcome [6] 2655 0
Incidence of symptomatic VTE during follow-up.
Timepoint [6] 2655 0
Secondary efficacy endpoints as assessed at day 36 by venography.

Eligibility
Key inclusion criteria
Patients scheduled for elective total hip replacement.- Patients’ written informed consent for participation after receiving detailed written and oral information previous to any study specific procedures.
Minimum age
18 Years
Maximum age
Not stated
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Planned, staged total bilateral hip replacement.- Active bleeding or high risk of bleeding contraindicating treatment with low molecular weight heparin.- Contraindication listed in the labeling or conditions precluding patient treatment with enoxaparin.- Conditions prohibiting bilateral venography (amputation of one leg, allergy to contrast media).- Pregnant and breast-feeding women. Women with child-bearing potential not using adequate birth control method. - Drug or alcohol abuse.- Concomitant use of HIV-protease inhibitors.- Therapy with another investigational product within 30 days prior start of study.- Planned intermittent pneumatic compression during active treatment period.- Concomitant participation in another trial or study.- Ongoing oral anticoagulant therapy that cannot be stopped in the opinion of the investigator.

Study design
Purpose of the study
Prevention
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The packaging and dosage will be such, that the different treatment groups will appear identical. An interactive voice response system (IVRS) will be used to accomplish a blind allocation.
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random code.
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint(s)
Safety/efficacy
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)

Funding & Sponsors
Funding source category [1] 1211 0
Commercial sector/Industry
Name [1] 1211 0
Bayer Australia Limited
Address [1] 1211 0
875 Pacific Highway Pymble NSW 2073
Country [1] 1211 0
Australia
Funding source category [2] 1212 0
Commercial sector/Industry
Name [2] 1212 0
Johnson and Johnson
Address [2] 1212 0
Raritan NJ 08869
Country [2] 1212 0
United States of America
Primary sponsor type
Commercial sector/Industry
Name
Bayer Australia Limited
Address
875 Pacific Highway, Pymble NSW 2073
Country
Australia
Secondary sponsor category [1] 1071 0
Commercial sector/Industry
Name [1] 1071 0
Johnson and Johnson
Address [1] 1071 0
Raritan NJ 08869
Country [1] 1071 0
United States of America

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 305285 0
The Avenue Hospital Ethics Committee
Ethics committee address [1] 305285 0
40 The Avenue
Windsor VIC 3181
Ethics committee country [1] 305285 0
Australia
Date submitted for ethics approval [1] 305285 0
Approval date [1] 305285 0
28/03/2006
Ethics approval number [1] 305285 0

Summary
Brief summary
Trial website
Trial related presentations / publications
Eriksson BI, Borris LC, Friedman RJ, Haas S, Huisman MV, Kakkar AK, Bandel TJ, Beckmann H, Muehlhofer E, Misselwitz F, Geerts W; RECORD1 Study Group. Rivaroxaban versus enoxaparin for thromboprophylaxis after hip arthroplasty. N Engl J Med. 2008 Jun 26;358(26):2765-75. doi: 10.1056/NEJMoa0800374.
Public notes

Contacts
Principal investigator
Name 35825 0
Address 35825 0
Country 35825 0
Phone 35825 0
Fax 35825 0
Email 35825 0
Contact person for public queries
Name 10067 0
Clinical Research Manger
Address 10067 0
Bayer Australia Limited
PO Box 903
Pymble NSW 2073
Country 10067 0
Australia
Phone 10067 0
+61 2 93916140
Fax 10067 0
Email 10067 0
alana.chandler@bayerhealthcare.com
Contact person for scientific queries
Name 995 0
Medical Services Manager
Address 995 0
Bayer Australia Limited
PO Box 903
Pymble NSW 2073
Country 995 0
Australia
Phone 995 0
+61 2 93916147
Fax 995 0
Email 995 0
jane.worrallo@bayerhealthcare.com

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No/undecided IPD sharing reason/comment
What supporting documents are/will be available?
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary