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Trial · NCT02829957

RAMBLE - Rivaroxaban vs. Apixaban for Heavy Menstrual Bleeding

NCT02829957, Phase 2, Phase 3, Completed, Indiana University; results first posted 2023-05-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. RAMBLE - Rivaroxaban vs. Apixaban for Heavy Menstrual Bleeding. Trials, record NCT02829957. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02829957

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Trial

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

Title
RAMBLE - Rivaroxaban vs. Apixaban for Heavy Menstrual Bleeding
NCT number
NCT02829957
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
19 participants, actual
Lead sponsor
Indiana University
Conditions
Venous Thromboembolism, Menstruation
Interventions
Apixaban, Rivaroxaban
First posted
2016-07-12
Last updated
2023-11-13
Results first posted
2023-05-10
Limitations and caveats
Terminated secondary to low rate of enrollment despite extraordinary recruitment efforts.

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryPBAC Scores3 months
Measure Description: A PBAC Score of \< 100 indicates a normal menstrual cycle. The lowest possible score would be zero. Higher values indicate worse outcomes. The higher theoretical range value cannot be calculated. The scoring mechanism is as follows; Towels * 1 point for each lightly stained towel * 5 points or each moderately soiled towel * 20 points if the towel is completely saturated with blood Tampons * 1 point for each lightly stained tampon * 5 points for each moderately soiled tampon * 10 points if the tampon is completely saturated with blood Clots * 1 point for small clots * 5 points for large clots
SecondaryNumber of Participants Who Discontinued Planned Drug Administration3 months
SecondaryNumber of Patients That Held Drug for Menorrhagia1, 2, and 3 months
SecondaryNumber of Participants With Major Hemorrhage3 months
SecondaryNumber of Participants With Venous Thromboembolism (VTE)3 months
SecondaryNumber of Participants Who Crossed Over to Another Anticoagulant3 months
SecondaryNumber of Participants With Clinically Relevant Non-major Bleeding3 months
SecondaryHemoglobin Concentration3 monthsMeasure Description: Normal hemoglobin range for adult women - 12 - 16 g/dL. Lower levels indicate worse outcomes.
SecondaryPhysical Component Summary of Standard From 363 months
The RAND 36-Item Health Survey (Version 1.0) taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. All items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPBAC Scores3 monthsThe number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.score on a scaleMEDIAN
SECONDARYNumber of Participants Who Discontinued Planned Drug Administration3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients That Held Drug for Menorrhagia1, 2, and 3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Major Hemorrhage3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Venous Thromboembolism (VTE)3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Crossed Over to Another Anticoagulant3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Clinically Relevant Non-major Bleeding3 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHemoglobin Concentration3 monthsThe number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.g/dlMEDIAN
SECONDARYPhysical Component Summary of Standard From 363 monthsThe number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.ScoreMEDIAN

Results by group18

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

OutcomeGroupCategoryValueSpreadUnits
PBAC ScoresRivaroxaban292Full Range 74 to 600score on a scale
PBAC ScoresApixaban146Full Range 3 to 378score on a scale
Number of Participants Who Discontinued Planned Drug AdministrationRivaroxaban4Participants
Number of Participants Who Discontinued Planned Drug AdministrationApixaban2Participants
Number of Patients That Held Drug for MenorrhagiaRivaroxaban0Participants
Number of Patients That Held Drug for MenorrhagiaApixaban0Participants
Number of Participants With Major HemorrhageRivaroxaban0Participants
Number of Participants With Major HemorrhageApixaban0Participants
Number of Participants With Venous Thromboembolism (VTE)Rivaroxaban0Participants
Number of Participants With Venous Thromboembolism (VTE)Apixaban0Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRivaroxaban8
Overall StudySTARTEDApixaban11
Overall StudyCOMPLETEDRivaroxaban6
Overall StudyCOMPLETEDApixaban10
Overall StudyNOT COMPLETEDRivaroxaban2
Overall StudyNOT COMPLETEDApixaban1

Adverse events10

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCrossover to another anticoagulantBlood and lymphatic system disordersRivaroxaban383
otherCrossover to another anticoagulantBlood and lymphatic system disordersApixaban1111
otherPBAC > 100Reproductive system and breast disordersRivaroxaban285
otherPBAC > 100Reproductive system and breast disordersApixaban51111
otherAnticoagulant discontinued for more than 48 hoursBlood and lymphatic system disordersRivaroxaban181
otherAnticoagulant discontinued for more than 48 hoursBlood and lymphatic system disordersApixaban1111
otherWorsening DVTVascular disordersRivaroxaban181
otherWorsening DVTVascular disordersApixaban0110
otherBleeding that causes unplanned visit to a healthcare providerBlood and lymphatic system disordersRivaroxaban181
otherBleeding that causes unplanned visit to a healthcare providerBlood and lymphatic system disordersApixaban0110

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRivaroxaban08
Total, all-cause mortalityApixaban011
Total, other adverse eventsRivaroxaban48
Total, other adverse eventsApixaban511
Total, serious adverse eventsRivaroxaban08
Total, serious adverse eventsApixaban011

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
17532811BACKGROUNDPubMed
21128814BACKGROUNDPubMed
22449293BACKGROUNDPubMed
23216615BACKGROUNDPubMed
23808982BACKGROUNDPubMed
26113241BACKGROUNDPubMed
26272306BACKGROUNDPubMed
26970315BACKGROUNDPubMed
27143861BACKGROUNDPubMed

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 comparisons8

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

ComparisonSource
Rivaroxaban vs Apixaban: Number of Participants Who Discontinued Planned Drug AdministrationTrial comparisons
Rivaroxaban vs Apixaban: Number of Participants With Venous Thromboembolism (VTE)Trial comparisons
Rivaroxaban vs Apixaban: Number of Patients That Held Drug for MenorrhagiaTrial comparisons
Rivaroxaban vs Apixaban: Number of Participants With Major HemorrhageTrial comparisons
Rivaroxaban vs Apixaban: Number of Participants Who Crossed Over to Another AnticoagulantTrial comparisons
Rivaroxaban vs Apixaban: Number of Participants With Clinically Relevant Non-major BleedingTrial comparisons
Rivaroxaban vs Apixaban: deaths from any causeTrial comparisons
Rivaroxaban vs Apixaban: serious adverse eventsTrial comparisons

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.

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GET https://conductscience.org/api/trials/v1/NCT02829957

GET https://conductscience.org/api/trials/v1/NCT02829957/registered