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Trial · NCT00371683

Study of Apixaban for the Prevention of Thrombosis-related Events Following Knee Replacement Surgery

NCT00371683, Phase 3, Completed, Bristol-Myers Squibb; results first posted 2015-12-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Apixaban for the Prevention of Thrombosis-related Events Following Knee Replacement Surgery. Trials, record NCT00371683. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00371683

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Apixaban for the Prevention of Thrombosis-related Events Following Knee Replacement Surgery
NCT number
NCT00371683
Status
Completed
Phases
Phase 3
Enrollment
3,608 participants, actual
Lead sponsor
Bristol-Myers Squibb
Conditions
Deep Vein Thrombosis, Pulmonary Embolism
Interventions
Enoxaparin + Placebo, Apixaban + Placebo
First posted
2006-09-04
Last updated
2015-12-30
Results first posted
2015-12-30

Source ClinicalTrials.gov

Registered outcomes24

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEvent Rate of the Composite of Adjudicated Venous Thromboembolism (VTE) Events and All-Cause Death With Onset During the Intended Treatment Period - Primary SubjectsFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomization
An Independent Central Adjudication Committee (ICAC) adjudicated all venograms, suspected symptomatic deep vein thrombosis (DVT) and pulmonary embolism (PE), acute clinically overt bleeding events, suspected thrombocytopenia, suspected acute MI, suspected acute stroke, and cause of death. Event rate was number of participants with the composite endpoint divided by the number of participants analyzed and reported as percentage (%). Surgery=Day 1; Randomization/Treatment started on Day of Surgery or the next day (Day 1 or Day 2). A mandatory bilateral ascending contrast venogram was performed on all participants after 12 days (±2 days) of study treatment. Intended Treatment Period=starts on the day of randomization; for treated participants, the period ends at the latter of 2 days after last dose of study drug or 14 days after the first dose of study drug; for randomized participants who were not treated, the period ends 14 days after randomization.
Primary
Event Rate for Participants With Major Bleeding, Clinically Relevant Non-Major Bleeding, Major or Clinically Relevant Non-Major Bleeding, Any Bleeding With Onset During the Treatment Period - Treated Population
First dose of study drug to last dose, plus 2 days post last dose
ICAC adjudicated acute clinically overt bleeding events as per International Society on Thrombosis and Hemostasis (ISTH) guidelines modified for surgical patients. Event rate was number of participants with the composite endpoint divided by the number of participants analyzed (%). Clinically relevant (CR); Non-Major (N-M) Bleeding. Day 1=Day of surgery. Treatment started (first dose) day of surgery or next day. Treatment continued for 12 days.
Primary
Event Rate for Participants With Major Bleeding, Clinically Relevant (CR) Non-Major (N-M) Bleeding , Major or Clinically Relevant (CR) Non-Major (N-M) Bleeding, Any Bleeding With Onset During the Follow-Up Period
Last dose of study drug to Day 72 (60 days)
ICAC adjudicated acute clinically overt bleeding events as per International Society on Thrombosis and Hemostasis (ISTH) guidelines modified for surgical patients. Event rate was number of participants with the composite endpoint divided by the number of participants analyzed (%). Follow up Period was from the end of the treatment period (last dose) up to 60 days post last dose, Day 72.
SecondaryEvent Rate of Composite of Adjudicated Proximal DVT, Non-Fatal PE and All-Cause Death With Onset During the Intended Treatment Period PE and All-cause Death During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomization
A mandatory bilateral ascending contrast venogram was performed on all participants after 12 days (±2 days) of study treatment. An ICAC adjudicated all venograms, suspected proximal DVT and non-fatal PE, and all-cause of death. Event rate was number of participants with the composite endpoint divided by the number of participants analyzed and reported as percentage (%).
SecondaryEvent Rate of Adjudicated VTE / VTE-related Death With Onset During the Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomization
VTE / VTE-related death was defined as the combination of fatal or non-fatal PE, and symptomatic or asymptomatic DVT. A mandatory bilateral ascending contrast venogram was performed on all participants after 12 days (±2 days) of study treatment. An ICAC adjudicated all venograms, suspected symptomatic DVT and PE, and cause of death. Event rate was number of participants with the endpoint divided by the number of participant's analyzed (%).
SecondaryEvent Rate for Participants With Proximal DVT/Non-Fatal PE/ VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationAn ICAC adjudicated all venograms, suspected symptomatic DVT and PE, and cause of death. Event rate was number of participants with the endpoint divided by the number of participant's analyzed (%).
SecondaryEvent Rate for Total Participants With Adjudicated VTE/All-Cause Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationICAC adjudicated all venograms, suspected symptomatic DVT and PE, and cause of death. Event rate was number of participants with the endpoint divided by the number of participant's analyzed (%).
SecondaryEvent Rate for Total Participants With VTE/ VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomization
ICAC adjudicated all venograms, suspected symptomatic DVT and PE, and cause of death. VTE includes DVT and PE. Event rate was number of participants with the endpoint divided by the number of participant's analyzed (%).
SecondaryEvent Rate for Participants With All-Cause Death During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationEvent rate was number of participants with all-cause death divided by the number of participant's analyzed (%).
SecondaryEvent Rate for Participants With VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationICAC adjudicated cause of death. Event rate was number of participants with the endpoint divided by the number of participant's analyzed (%).

Outcomes24

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEvent Rate of the Composite of Adjudicated Venous Thromboembolism (VTE) Events and All-Cause Death With Onset During the Intended Treatment Period - Primary SubjectsFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomization
Primary Population=All randomized participants who: have an adjudicated and evaluable bilateral venogram performed during the Intended Treatment Period; or have an adjudicated VTE during the Intended Treatment Period; or die due to any cause during the Intended Treatment Period.
percentage of participantsNUMBER
SECONDARYEvent Rate of Composite of Adjudicated Proximal DVT, Non-Fatal PE and All-Cause Death With Onset During the Intended Treatment Period PE and All-cause Death During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationRandomized participants with either an adjudicated and evaluable bilateral proximal venogram or an adjudicated non-fatal PE or death, during the Intended Treatment Period, were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate of Adjudicated VTE / VTE-related Death With Onset During the Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationRandomized participants with an adjudicated and evaluable bilateral venogram or an adjudicated event associated with the endpoint, during the Intended Treatment Period, were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Participants With Proximal DVT/Non-Fatal PE/ VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationRandomized participants with either an adjudicated and evaluable bilateral proximal venogram or an adjudicated event associated with the endpoint, during the Intended Treatment Period, were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Total Participants With Adjudicated VTE/All-Cause Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationRandomized participants with either an adjudicated and evaluable bilateral proximal venogram or an adjudicated event associated with the endpoint, during the Intended Treatment Period, were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Total Participants With VTE/ VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationRandomized participants with either an adjudicated and evaluable bilateral proximal venogram or an adjudicated event associated with the endpoint, during the Intended Treatment Period, were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Participants With All-Cause Death During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationAll Randomized participants were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Participants With VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationAll randomized participants were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Participants With Symptomatic VTE/ All-Cause Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationAll randomized participants were analyzed.percentage of participantsNUMBER
SECONDARYEvent Rate for Participants With Symptomatic VTE/ VTE-Related Death With Onset During the Intended Treatment PeriodFrom Day 1 or Day 2 to last dose, plus 2 days or 14 days post randomizationAll randomized participants were analyzed.percentage of participantsNUMBER

Results by group178

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Event Rate of the Composite of Adjudicated Venous Thromboembolism (VTE) Events and All-Cause Death With Onset During the Intended Treatment Period - Primary SubjectsApixaban 2.5mg BID8.9995% Confidence Interval 7.47 to 10.79percentage of participants
Event Rate of the Composite of Adjudicated Venous Thromboembolism (VTE) Events and All-Cause Death With Onset During the Intended Treatment Period - Primary SubjectsEnoxaparin 30 mg SC Injection q 12 Hours8.8595% Confidence Interval 7.33 to 10.66percentage of participants
Event Rate of Composite of Adjudicated Proximal DVT, Non-Fatal PE and All-Cause Death With Onset During the Intended Treatment Period PE and All-cause Death During the Intended Treatment PeriodApixaban 2.5mg BID2.0595% Confidence Interval 1.39 to 3.01percentage of participants
Event Rate of Composite of Adjudicated Proximal DVT, Non-Fatal PE and All-Cause Death With Onset During the Intended Treatment Period PE and All-cause Death During the Intended Treatment PeriodEnoxaparin 30 mg SC Injection q 12 Hours1.6495% Confidence Interval 1.06 to 2.55percentage of participants
Event Rate of Adjudicated VTE / VTE-related Death With Onset During the Treatment PeriodApixaban 2.5mg BID8.9195% Confidence Interval 7.40 to 10.71percentage of participants
Event Rate of Adjudicated VTE / VTE-related Death With Onset During the Treatment PeriodEnoxaparin 30 mg SC Injection q 12 Hours8.6195% Confidence Interval 7.10 to 10.40percentage of participants
Event Rate for Participants With Proximal DVT/Non-Fatal PE/ VTE-Related Death With Onset During the Intended Treatment PeriodApixaban 2.5mg BID1.9795% Confidence Interval 1.33 to 2.92percentage of participants
Event Rate for Participants With Proximal DVT/Non-Fatal PE/ VTE-Related Death With Onset During the Intended Treatment PeriodEnoxaparin 30 mg SC Injection q 12 Hours1.4095% Confidence Interval 0.86 to 2.26percentage of participants
Event Rate for Total Participants With Adjudicated VTE/All-Cause Death With Onset During the Intended Treatment PeriodApixaban 2.5mg BID2.1395% Confidence Interval 1.46 to 3.10percentage of participants
Event Rate for Total Participants With Adjudicated VTE/All-Cause Death With Onset During the Intended Treatment PeriodEnoxaparin 30 mg SC Injection q 12 Hours1.9795% Confidence Interval 1.32 to 2.94percentage of participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
DB Treatment Period-Randomized PatientsSTARTEDApixaban 2.5mg BID1,599
DB Treatment Period-Randomized PatientsSTARTEDEnoxaparin 30 mg SC Injection q 12 Hours1,596
DB Treatment Period-Randomized PatientsCOMPLETEDApixaban 2.5mg BID1,509
DB Treatment Period-Randomized PatientsCOMPLETEDEnoxaparin 30 mg SC Injection q 12 Hours1,489
DB Treatment Period-Randomized PatientsNOT COMPLETEDApixaban 2.5mg BID90
DB Treatment Period-Randomized PatientsNOT COMPLETEDEnoxaparin 30 mg SC Injection q 12 Hours107
Follow-Up Period - Randomized PatientsSTARTEDApixaban 2.5mg BID1,553
Follow-Up Period - Randomized PatientsSTARTEDEnoxaparin 30 mg SC Injection q 12 Hours1,533
Follow-Up Period - Randomized PatientsCOMPLETEDApixaban 2.5mg BID1,492
Follow-Up Period - Randomized PatientsCOMPLETEDEnoxaparin 30 mg SC Injection q 12 Hours1,461

Adverse events326

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVomitingGastrointestinal disordersApixaban 2.5mg BID991,596
otherVomitingGastrointestinal disordersEnoxaparin 30 mg SC Injection q 12 Hours1021,588
otherInsomniaPsychiatric disordersApixaban 2.5mg BID771,596
otherInsomniaPsychiatric disordersEnoxaparin 30 mg SC Injection q 12 Hours861,588
otherDizzinessNervous system disordersApixaban 2.5mg BID1031,596
otherDizzinessNervous system disordersEnoxaparin 30 mg SC Injection q 12 Hours881,588
otherDeep vein thrombosisVascular disordersApixaban 2.5mg BID1271,596
otherDeep vein thrombosisVascular disordersEnoxaparin 30 mg SC Injection q 12 Hours1131,588
otherNauseaGastrointestinal disordersApixaban 2.5mg BID2081,596
otherNauseaGastrointestinal disordersEnoxaparin 30 mg SC Injection q 12 Hours2411,588

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityApixaban 2.5mg BID
Total, all-cause mortalityEnoxaparin 30 mg SC Injection q 12 Hours
Total, other adverse eventsApixaban 2.5mg BID7131,596
Total, other adverse eventsEnoxaparin 30 mg SC Injection q 12 Hours7411,588
Total, serious adverse eventsApixaban 2.5mg BID1231,596
Total, serious adverse eventsEnoxaparin 30 mg SC Injection q 12 Hours1231,588

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
19657123DERIVEDPubMed
35570249DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Apixaban 2.5mg BID vs Enoxaparin 30 mg SC Injection q 12 Hours: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00371683

GET https://conductscience.org/api/trials/v1/NCT00371683/registered?page=2