PROphylaxis in NOn Major Orthopaedic Surgery
NCT02401594 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 3608
Last updated 2018-12-07
Summary
PRONOMOS is an international multicentre, interventional, parallel, randomised, double-blind non-inferiority study comparing rivaroxaban 10mg od to an active comparator, enoxaparin 4000 UI od in 4040 valid subjects requiring orthopaedic surgery (except low risk such material removal foot surgery or hallux valgus without patient risk factor \[6\], and major orthopaedic surgeries for femoral neck and trochanteric fractures, THR, TKR)
Pre-randomization treatment with LMWH anticoagulant is allowed for a maximum duration of 24 hours. However, only a single pre-randomization dose of LMWH is allowed. After randomization, patients allocated to the rivaroxaban arm will receive rivaroxaban 10 mg once-daily started 6-10 hours provided haemostasis has been established after surgery or 24h hours after LMWH injection if needed for the intended treatment duration of 2 to 12 weeks based on medical judgment (according to immobilization). Patients allocated to the comparator arm will receive enoxaparin once daily for the same intended treatment duration. All patients will have a 30-day observational period after cessation of treatment.
Conditions
- Non-major Orthopaedic Surgery
Interventions
- DRUG
-
Rivaroxaban
10 mg once daily of Rivaroxaban active substance (10 mg tablet) plus a placebo syringe of enoxaparin 4000 UI once daily
- DRUG
-
Enoxaparin
A syringe of enoxaparin active substance 4000 UI once daily plus a placebo tablet of Rivaroxaban 10 mg.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Centre Hospitalier Universitaire de Saint Etienne
lead OTHER
Principal Investigators
-
Marc SAMAMA, PhD · Assistance Publique - Hôpitaux de Paris
-
Nadia ROSENCHER, MD · Assistance Publique - Hôpitaux de Paris
-
Patrick MISMETTI, PhD · Centre Hospitalier Universitaire de Saint Etienne
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-12-08
- Primary Completion
- 2018-04-11
- Completion
- 2018-04-16
Countries
- France
Study Locations
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