Ximelagatran Phase III trials.
Major Group . | Study Name . | Treatment . | n . | VTE . | P . | Bleeding . | P . |
---|---|---|---|---|---|---|---|
Abbreviations: DVT, deep venous thrombosis; NS, not significant; VTE, venous thromboembolism. | |||||||
amelagatran 2 mg subcutaneous (SC) immediately pre-op; 3 mg SC the evening of surgery followed by ximelagatran 24 mg po bid | |||||||
benoxaparin 40 mg SC 12 hrs pre-op and then daily | |||||||
cmelagatran 3 mg SC 4–12 hrs post-op followed by ximelagatran 24 mg po bid | |||||||
denoxparin 30 mg SC q12 starting 12–24 hrs post-op | |||||||
e24 mg po q12h | |||||||
f36 mg po bid | |||||||
Orthopedic Surgery Prophylaxis | |||||||
Melagatran/Ximelagatran (Europe) | |||||||
Hip or knee replacement | Express29 | melagatrana | |||||
ximelagatrane | 1141 | 20.3% | < .001 | 3.1% | < .001 | ||
enoxaparinb | 1184 | 26.6% | |||||
Hip or knee replacement | Methro III30 | melagatranc | |||||
ximelagatran | 1146 | 31.0% | NS | 1.4% | NS | ||
enoxaparinb | 1122 | 27.3% | 1.7% | ||||
Ximelagatran only (North America) | |||||||
Knee replacement | 31 | ximelagatrane | 276 | 19.2% | NS | 1.7% | NS |
warfarin | 261 | 25.7% | 0.9% | ||||
Knee replacement | Exult32 | ximelagatran 24e | 614 | 24.9% | 0.8% | NS | |
ximelagatran 36f | 629 | 20.3% | .003 | 0.8% | NS | ||
warfarin | 608 | 27.6% | 0.7% | NS | |||
Hip replacement | 33 | ximelagatrane | 782 | 7.9% | < .05 | 0.8% | NS |
enoxaparind | 775 | 4.6% | 0.9% | ||||
Other Indications | |||||||
Group | Study Name | Treatment | n | Stroke and Systemic Emboli | P | Major Bleeding | P |
Atrial fibrillation | Sportif III34 | ximelagatranf | 1704 | 1.6%/yr | NS | 1.3%/yr | NS |
warfarin | 1703 | 2.3%/yr | NS | 1.8%/yr | NS | ||
Recurrence | |||||||
DVT treatment | Thrive III35 | ximelagatrane | 612 | 2.0% | < .0001 | 1.0% | NS |
placebo | 611 | 11.0% | 0.8% | NS |
Major Group . | Study Name . | Treatment . | n . | VTE . | P . | Bleeding . | P . |
---|---|---|---|---|---|---|---|
Abbreviations: DVT, deep venous thrombosis; NS, not significant; VTE, venous thromboembolism. | |||||||
amelagatran 2 mg subcutaneous (SC) immediately pre-op; 3 mg SC the evening of surgery followed by ximelagatran 24 mg po bid | |||||||
benoxaparin 40 mg SC 12 hrs pre-op and then daily | |||||||
cmelagatran 3 mg SC 4–12 hrs post-op followed by ximelagatran 24 mg po bid | |||||||
denoxparin 30 mg SC q12 starting 12–24 hrs post-op | |||||||
e24 mg po q12h | |||||||
f36 mg po bid | |||||||
Orthopedic Surgery Prophylaxis | |||||||
Melagatran/Ximelagatran (Europe) | |||||||
Hip or knee replacement | Express29 | melagatrana | |||||
ximelagatrane | 1141 | 20.3% | < .001 | 3.1% | < .001 | ||
enoxaparinb | 1184 | 26.6% | |||||
Hip or knee replacement | Methro III30 | melagatranc | |||||
ximelagatran | 1146 | 31.0% | NS | 1.4% | NS | ||
enoxaparinb | 1122 | 27.3% | 1.7% | ||||
Ximelagatran only (North America) | |||||||
Knee replacement | 31 | ximelagatrane | 276 | 19.2% | NS | 1.7% | NS |
warfarin | 261 | 25.7% | 0.9% | ||||
Knee replacement | Exult32 | ximelagatran 24e | 614 | 24.9% | 0.8% | NS | |
ximelagatran 36f | 629 | 20.3% | .003 | 0.8% | NS | ||
warfarin | 608 | 27.6% | 0.7% | NS | |||
Hip replacement | 33 | ximelagatrane | 782 | 7.9% | < .05 | 0.8% | NS |
enoxaparind | 775 | 4.6% | 0.9% | ||||
Other Indications | |||||||
Group | Study Name | Treatment | n | Stroke and Systemic Emboli | P | Major Bleeding | P |
Atrial fibrillation | Sportif III34 | ximelagatranf | 1704 | 1.6%/yr | NS | 1.3%/yr | NS |
warfarin | 1703 | 2.3%/yr | NS | 1.8%/yr | NS | ||
Recurrence | |||||||
DVT treatment | Thrive III35 | ximelagatrane | 612 | 2.0% | < .0001 | 1.0% | NS |
placebo | 611 | 11.0% | 0.8% | NS |