ConductScience.org, home

Trial · NCT04508023

A Study of Rivaroxaban to Reduce the Risk of Major Venous and Arterial Thrombotic Events, Hospitalization and Death in Medically Ill Outpatients With Acute, Symptomatic Coronavirus Disease 2019 (COVID-19) Infection

NCT04508023, Phase 3, Terminated, Janssen Research & Development, LLC; results first posted 2023-07-18

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. A Study of Rivaroxaban to Reduce the Risk of Major Venous and Arterial Thrombotic Events, Hospitalization and Death in Medically Ill Outpatients With Acute, Symptomatic Coronavirus Disease 2019 (COVID-19) Infection. Trials, record NCT04508023. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04508023

On this page

Trial

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

Title
A Study of Rivaroxaban to Reduce the Risk of Major Venous and Arterial Thrombotic Events, Hospitalization and Death in Medically Ill Outpatients With Acute, Symptomatic Coronavirus Disease 2019 (COVID-19) Infection
NCT number
NCT04508023
Status
Terminated
Phases
Phase 3
Enrollment
1,284 participants, actual
Lead sponsor
Janssen Research & Development, LLC
Conditions
Coronavirus Disease 2019 (COVID-19)
Interventions
Rivaroxaban, Placebo, Standard of Care (SOC)
First posted
2020-08-11
Last updated
2023-07-18
Results first posted
2023-07-18
Limitations and caveats
The study was terminated prematurely due to enrollment challenges.

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Time to First Occurrence of Primary Efficacy Composite EndpointUp to Day 35
Number of participants with time to first occurrence of primary efficacy composite endpoint were reported. Time to first occurrence of primary efficacy composite endpoint is defined as time from randomization to first occurrence of any component of the primary endpoint. The components were: symptomatic venous thromboembolism (VTE), myocardial infarction (MI), ischemic stroke, acute limb ischemia, non-central nervous system (non-CNS) systemic embolization, all-cause hospitalization, and all-cause mortality.
Primary
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
Up to Day 35
Number of participants with time to first occurrence of the principle safety outcome (fatal bleeding and critical site bleeding) based on a Modification of the ISTH criteria were reported. Fatal bleeding is defined as any bleeding event that leads to fatal outcome. Critical site bleeding defined as any bleeding event that occurred at critical site such as intracranial, intra-spinal, intraocular, pericardial, intra-articular, intra-muscular with compartment syndrome, retroperitoneal.
SecondaryNumber of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesFrom Day 1 up to Day 35
Number of participants with time to the first occurrence of secondary efficacy outcomes which included thrombotic events (symptomatic VTE, myocardial infarction, ischemic stroke, acute limb ischemia, non-CNS systemic embolization), emergency room (ER) visit, all-cause mortality, all-cause hospitalization, any thrombotic outcome and all-cause mortality, and any thrombotic outcome and all-cause hospitalization, were reported.
SecondaryNumber of Participants With Time to First Occurrence of Major Bleeding Based on a Modification of the ISTH CriteriaUp to Day 35
Number of participants with time to first occurrence of the major bleeding based on a modification of the ISTH criteria were reported. Major bleeding is defined as clinically overt bleeding that is associated with a reduction in hemoglobin of 2 grams per deciliter (g/dL) or more, or a transfusion of 2 or more units of packed red blood cells or whole blood, or occurrence at a critical site defined as intracranial, intra-spinal, intraocular, pericardial, intra-articular, intra-muscular with compartment syndrome, retroperitoneal, or fatal outcome.
SecondaryNumber of Participants Who Were Hospitalized or Dead on Day 35At Day 35 (+/- 6 days)Number of participants who were hospitalized or dead on Day 35 were reported.

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Time to First Occurrence of Primary Efficacy Composite EndpointUp to Day 35Intent-To-Treat (ITT) analysis set included all randomized participants who provided informed consent.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARY
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
Up to Day 35The safety analysis set included participants in ITT who received at least 1 dose of study intervention.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesFrom Day 1 up to Day 35ITT analysis set included all randomized participants who provided informed consent.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Time to First Occurrence of Major Bleeding Based on a Modification of the ISTH CriteriaUp to Day 35The safety analysis set included participants in ITT who received at least 1 dose of study intervention.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Were Hospitalized or Dead on Day 35At Day 35 (+/- 6 days)ITT analysis set included all randomized participants who provided informed consent.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group30

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Time to First Occurrence of Primary Efficacy Composite EndpointRivaroxaban 10 Milligrams (mg)22Participants
Number of Participants With Time to First Occurrence of Primary Efficacy Composite EndpointPlacebo19Participants
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
Rivaroxaban 10 Milligrams (mg)Fatal Bleeding0Participants
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
PlaceboFatal Bleeding0Participants
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
Rivaroxaban 10 Milligrams (mg)Critical Site Bleeding0Participants
Number of Participants With Time to First Occurrence of The Principle Safety Outcome (Fatal Bleeding and Critical Site Bleeding) Based on a Modification of the International Society on Thrombosis and Haemostasis (ISTH) Criteria
PlaceboCritical Site Bleeding0Participants
Number of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesRivaroxaban 10 Milligrams (mg)Symptomatic VTE0Participants
Number of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesPlaceboSymptomatic VTE3Participants
Number of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesRivaroxaban 10 Milligrams (mg)Myocardial Infraction0Participants
Number of Participants With Time to the First Occurrence of Secondary Efficacy OutcomesPlaceboMyocardial Infraction0Participants

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRivaroxaban 10 Milligrams (mg)641
Overall StudySTARTEDPlacebo643
Overall StudyTreated (Safety Analysis Set)Rivaroxaban 10 Milligrams (mg)599
Overall StudyTreated (Safety Analysis Set)Placebo598
Overall StudyCOMPLETEDRivaroxaban 10 Milligrams (mg)640
Overall StudyCOMPLETEDPlacebo641
Overall StudyNOT COMPLETEDRivaroxaban 10 Milligrams (mg)1
Overall StudyNOT COMPLETEDPlacebo2

Adverse events166

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAngina PectorisCardiac disordersRivaroxaban 10 Milligrams (mg)0599
otherAngina PectorisCardiac disordersPlacebo1598
otherPalpitationsCardiac disordersRivaroxaban 10 Milligrams (mg)0599
otherPalpitationsCardiac disordersPlacebo2598
otherEar PainEar and labyrinth disordersRivaroxaban 10 Milligrams (mg)0599
otherEar PainEar and labyrinth disordersPlacebo1598
otherVertigoEar and labyrinth disordersRivaroxaban 10 Milligrams (mg)1599
otherVertigoEar and labyrinth disordersPlacebo1598
otherEye PruritusEye disordersRivaroxaban 10 Milligrams (mg)0599
otherEye PruritusEye disordersPlacebo1598

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRivaroxaban 10 Milligrams (mg)2641
Total, all-cause mortalityPlacebo2643
Total, other adverse eventsRivaroxaban 10 Milligrams (mg)57599
Total, other adverse eventsPlacebo50598
Total, serious adverse eventsRivaroxaban 10 Milligrams (mg)1599
Total, serious adverse eventsPlacebo0598

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37154020RESULTPubMed
37591523DERIVEDPubMed

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 comparisons5

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

ComparisonSource
Rivaroxaban 10 Milligrams (mg) vs Placebo: Number of Participants With Time to First Occurrence of Primary Efficacy Composite EndpointTrial comparisons
Rivaroxaban 10 Milligrams (mg) vs Placebo: Number of Participants Who Were Hospitalized or Dead on Day 35Trial comparisons
Rivaroxaban 10 Milligrams (mg) vs Placebo: Number of Participants With Time to First Occurrence of Major Bleeding Based on a Modification of the ISTH CriteriaTrial comparisons
Rivaroxaban 10 Milligrams (mg) vs Placebo: deaths from any causeTrial comparisons
Rivaroxaban 10 Milligrams (mg) vs Placebo: 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.

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/NCT04508023

GET https://conductscience.org/api/trials/v1/NCT04508023/results?page=2