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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT03891524




Registration number
NCT03891524
Ethics application status
Date submitted
25/03/2019
Date registered
27/03/2019
Date last updated
15/07/2022

Titles & IDs
Public title
A Study of JNJ-70033093 (BMS-986177) Versus Subcutaneous Enoxaparin in Participants Undergoing Elective Total Knee Replacement Surgery
Scientific title
A Randomized, Open-Label, Study Drug-Dose Blind, Multicenter Study to Evaluate the Efficacy and Safety of JNJ-70033093 (BMS-986177), an Oral Factor XIa Inhibitor, Versus Subcutaneous Enoxaparin in Subjects Undergoing Elective Total Knee Replacement Surgery
Secondary ID [1] 0 0
70033093THR2001
Secondary ID [2] 0 0
CR108600
Universal Trial Number (UTN)
Trial acronym
AXIOMATIC-TKR
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Arthroplasty, Replacement, Knee 0 0
Condition category
Condition code

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - JNJ-70033093 25 mg
Treatment: Drugs - JNJ-70033093 50 mg
Treatment: Drugs - JNJ-70033093 100 mg
Treatment: Drugs - JNJ-70033093 200 mg
Treatment: Drugs - Placebo
Treatment: Drugs - Enoxaparin 40 mg

Experimental: Group A: JNJ-70033093 25 mg + Placebo BID - Participants will receive JNJ-70033093 25 milligram (mg) (1*25 mg capsule) and 1 placebo capsule twice daily (BID), orally for 10 to 14 postoperative days.

Experimental: Group B: JNJ-70033093 50 mg BID - Participants will receive JNJ-70033093 50 mg (2*25 mg capsules) BID orally for 10 to 14 postoperative days.

Experimental: Group C: JNJ-70033093 100 mg + Placebo BID - Participants will receive JNJ-70033093 100 mg (1*100 mg capsule) and 1 placebo capsule BID orally for 10 to 14 postoperative days.

Experimental: Group D: JNJ-70033093 200 mg BID - Participants will receive JNJ-70033093 200 mg (2*100 mg capsules) BID orally for 10 to 14 postoperative days.

Experimental: Group E: JNJ-70033093 25 mg Once Daily + Placebo - Participants will receive JNJ-70033093 25 mg (1*25 mg capsule) once daily and 1 placebo capsule in the morning and 2 placebo capsules in the evening, orally for 10 to 14 postoperative days.

Experimental: Group F: JNJ-70033093 200 mg Once Daily + Placebo - Participants will receive JNJ-70033093 200 mg (2*100 mg capsules in the morning) once daily and 2 placebo capsules in the evening, orally for 10 to 14 postoperative days.

Experimental: Group G: JNJ-70033093 50 mg once daily + Placebo - Participants will receive JNJ-70033093 50 mg (2*25 mg capsules in the morning) once daily and 2 placebo capsules in the evening, orally for 10 to 14 postoperative days.

Active Comparator: Group I: Enoxaparin 40 mg Once Daily - Participants will receive enoxaparin 40 mg once daily subcutaneously for 10 to 14 postoperative days.


Treatment: Drugs: JNJ-70033093 25 mg
Participants will receive JNJ-70033093 25 mg (1*25 mg capsule) BID (in Group A) or once daily (in Group E), orally for 10 to 14 postoperative days.

Treatment: Drugs: JNJ-70033093 50 mg
Participants will receive JNJ-70033093 50 mg (2*25 mg capsules) BID orally for 10 to 14 postoperative days.

Treatment: Drugs: JNJ-70033093 100 mg
Participants will receive JNJ-70033093 100 mg (1*100 mg capsule) BID, orally for 10 to 14 postoperative days.

Treatment: Drugs: JNJ-70033093 200 mg
Participants will receive JNJ-70033093 200 mg (2*100 mg capsules) BID (in Group D) or once daily (in Group F), orally for 10 to 14 postoperative days.

Treatment: Drugs: Placebo
Participants will receive placebo matching to JNJ-70033093, orally.

Treatment: Drugs: Enoxaparin 40 mg
Participants will receive enoxaparin 40 mg once daily subcutaneously for 10 to 14 postoperative days.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants With Total Venous Thromboembolism (VTE) (CEC-adjudicated)
Timepoint [1] 0 0
Up to Day 14
Secondary outcome [1] 0 0
Number of Participants With Any Bleeding Event (CEC-adjudicated)
Timepoint [1] 0 0
Up to Day 14; Up to Day 52
Secondary outcome [2] 0 0
Number of Participants With Total VTE (CEC-adjudicated)
Timepoint [2] 0 0
Up to Day 52
Secondary outcome [3] 0 0
Number of Participants With Composite of Major and Clinically Relevant Nonmajor Bleeding (CRNM) Events (CEC-adjudicated)
Timepoint [3] 0 0
Up to Day 14, Up to Day 52
Secondary outcome [4] 0 0
Number of Participants With Major Bleeding Events (CEC-adjudicated)
Timepoint [4] 0 0
Up to Day 14; Up to Day 52
Secondary outcome [5] 0 0
Number of Participants With CRNM Bleeding Events (CEC-adjudicated)
Timepoint [5] 0 0
Up to Day 14; Up to Day 52
Secondary outcome [6] 0 0
Number of Participants With Minimal Bleeding Events (CEC-adjudicated)
Timepoint [6] 0 0
Up to Day 14; Up to Day 52
Secondary outcome [7] 0 0
Number of Participants With Major or CRNM Bleeding Events (CEC-adjudicated)
Timepoint [7] 0 0
Up to Day 14; Up to Day 52
Secondary outcome [8] 0 0
Number of Participants With Major VTE (CEC-adjudicated)
Timepoint [8] 0 0
Up to Day 52
Secondary outcome [9] 0 0
Number of Participants With Major VTE (CEC-adjudicated)
Timepoint [9] 0 0
Up to Day 14
Secondary outcome [10] 0 0
Number of Participants With Proximal Deep Vein Thrombosis (DVT) (CEC-adjudicated)
Timepoint [10] 0 0
Up to Day 14
Secondary outcome [11] 0 0
Number of Participants With Proximal DVT (CEC-adjudicated)
Timepoint [11] 0 0
Up to Day 52
Secondary outcome [12] 0 0
Number of Participants With Distal DVT (CEC-adjudicated)
Timepoint [12] 0 0
Up to Day 14
Secondary outcome [13] 0 0
Number of Participants With Distal DVT (CEC-adjudicated)
Timepoint [13] 0 0
Up to Day 52
Secondary outcome [14] 0 0
Number of Participants With Nonfatal Pulmonary Embolism (PE) (CEC-adjudicated)
Timepoint [14] 0 0
Up to Day 14
Secondary outcome [15] 0 0
Number of Participants With Nonfatal Pulmonary Embolism (PE) (CEC-adjudicated)
Timepoint [15] 0 0
Up to Day 52
Secondary outcome [16] 0 0
Number of Participants With Deaths (CEC-adjudicated)
Timepoint [16] 0 0
Up to Day 14
Secondary outcome [17] 0 0
Number of Participants With Deaths (CEC-adjudicated)
Timepoint [17] 0 0
Up to Day 52
Secondary outcome [18] 0 0
Apparent Clearance (CL/F) of JNJ-70033093
Timepoint [18] 0 0
Up to Day 14
Secondary outcome [19] 0 0
Apparent Volume of Distribution (V/F) of JNJ-70033093
Timepoint [19] 0 0
Up to Day 14
Secondary outcome [20] 0 0
Impact of Selected Demographics: Apparent Clearance (CL/F) Based on Sex
Timepoint [20] 0 0
Up to Day 14
Secondary outcome [21] 0 0
Impact of Selected Demographic: Age on CL/F
Timepoint [21] 0 0
Up to Day 14
Secondary outcome [22] 0 0
Impact of Selected Demographic: Weight on CL/F
Timepoint [22] 0 0
Up to Day 14
Secondary outcome [23] 0 0
Impact of Selected Laboratory Values: Renal Function on CL/F
Timepoint [23] 0 0
Up to Day 14
Secondary outcome [24] 0 0
Impact of Selected Demographics: Sex on Apparent Volume of Distribution (V/F)
Timepoint [24] 0 0
Up to Day 14
Secondary outcome [25] 0 0
Impact of Selected Demographics : Age on V/F
Timepoint [25] 0 0
Up to Day 14
Secondary outcome [26] 0 0
Impact of Selected Demographics : Weight on V/F
Timepoint [26] 0 0
Up to Day 14
Secondary outcome [27] 0 0
Impact of Selected Laboratory Values: Renal Function on V/F
Timepoint [27] 0 0
Up to Day 14
Secondary outcome [28] 0 0
Trend Test for Primary Efficacy Event Rate (CEC Adjudicated) by Multiple Comparison Procedure - Modelling (MCP-Mod) Approach
Timepoint [28] 0 0
Up to 14 days
Secondary outcome [29] 0 0
Trend Test for the Composite of On-Treatment Major and Clinically Relevant Nonmajor Bleeding (CEC Adjudicated) by MCP-Mod Approach
Timepoint [29] 0 0
Up to 14 days

Eligibility
Key inclusion criteria
- Medically stable and appropriate for anticoagulant prophylaxis as determined by the
investigator on the basis of physical examination, medical history, and vital signs
performed as part of screening for elective total knee replacement (TKR) surgery

- Medically stable and appropriate for anticoagulant prophylaxis on the basis of
clinical laboratory tests performed as part of local standard-of-care as part of
screening for elective TKR surgery

- Has plans to undergo an elective primary unilateral TKR surgery

- A woman must be- a) Not of childbearing potential; b) Of childbearing potential and
practicing a highly effective method of contraception (failure rate of less than [<]1
percent [%] per year when used consistently and correctly) and agrees to remain on a
highly effective method for the duration of study drug with JNJ-70033093 plus 5
half-lives of study drug plus 30 days (duration of ovulatory cycle) for a total of 34
days after the completion of treatment, pregnancy testing (serum or urine) prior to
the first dose of study drug

- Willing and able to adhere to the lifestyle restrictions specified in this protocol
Minimum age
50 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- History of any condition for which the use of low molecular-weight heparin (LMWH) is
not recommended in the opinion of the investigator (for example, previous allergic
reaction, creatinine clearance <30 milliliter per minute [mL/minute])

- History of severe hepatic impairment

- Planned bilateral revision or unicompartmental procedure

- Unable to undergo venography (for example, due to contrast agent allergy, poor venous
access, or impaired renal function that would increase the risk of contrast-induced
nephropathy

- Known previous pulmonary embolism (PE) or deep vein thrombosis (DVT) in either lower
extremity

Study design
Purpose of the study
Prevention
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?


The people assessing the outcomes
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
Arkansas
Country [4] 0 0
United States of America
State/province [4] 0 0
California
Country [5] 0 0
United States of America
State/province [5] 0 0
Colorado
Country [6] 0 0
United States of America
State/province [6] 0 0
Florida
Country [7] 0 0
United States of America
State/province [7] 0 0
Texas
Country [8] 0 0
Argentina
State/province [8] 0 0
Caba
Country [9] 0 0
Argentina
State/province [9] 0 0
Ciudad Autonoma de Buenos Aires
Country [10] 0 0
Argentina
State/province [10] 0 0
Córdoba
Country [11] 0 0
Argentina
State/province [11] 0 0
La Plata
Country [12] 0 0
Argentina
State/province [12] 0 0
Rosario
Country [13] 0 0
Argentina
State/province [13] 0 0
San Martín
Country [14] 0 0
Belgium
State/province [14] 0 0
Antwerpen
Country [15] 0 0
Belgium
State/province [15] 0 0
Genk
Country [16] 0 0
Belgium
State/province [16] 0 0
Hasselt
Country [17] 0 0
Belgium
State/province [17] 0 0
Merksem
Country [18] 0 0
Brazil
State/province [18] 0 0
Belo Horizonte
Country [19] 0 0
Brazil
State/province [19] 0 0
Santo André
Country [20] 0 0
Bulgaria
State/province [20] 0 0
Pleven
Country [21] 0 0
Bulgaria
State/province [21] 0 0
Sofa
Country [22] 0 0
Bulgaria
State/province [22] 0 0
Sofia
Country [23] 0 0
Bulgaria
State/province [23] 0 0
Stara Zagora
Country [24] 0 0
Canada
State/province [24] 0 0
Ontario
Country [25] 0 0
Greece
State/province [25] 0 0
Kifisia
Country [26] 0 0
Greece
State/province [26] 0 0
Nea Ionia
Country [27] 0 0
Greece
State/province [27] 0 0
Patra
Country [28] 0 0
Greece
State/province [28] 0 0
Thessaloniki
Country [29] 0 0
Hungary
State/province [29] 0 0
Budapest
Country [30] 0 0
Hungary
State/province [30] 0 0
Debrecen
Country [31] 0 0
Hungary
State/province [31] 0 0
Gyõr
Country [32] 0 0
Hungary
State/province [32] 0 0
Kaposvar
Country [33] 0 0
Hungary
State/province [33] 0 0
Kecskemét
Country [34] 0 0
Hungary
State/province [34] 0 0
Szeged
Country [35] 0 0
Hungary
State/province [35] 0 0
Szekesfehervar
Country [36] 0 0
Hungary
State/province [36] 0 0
Szolnok
Country [37] 0 0
Israel
State/province [37] 0 0
Haifa
Country [38] 0 0
Israel
State/province [38] 0 0
Kfar Saba
Country [39] 0 0
Israel
State/province [39] 0 0
Rehovot
Country [40] 0 0
Italy
State/province [40] 0 0
Bergamo
Country [41] 0 0
Italy
State/province [41] 0 0
Bologna
Country [42] 0 0
Italy
State/province [42] 0 0
Pavia
Country [43] 0 0
Italy
State/province [43] 0 0
Rozzano
Country [44] 0 0
Italy
State/province [44] 0 0
Torino
Country [45] 0 0
Japan
State/province [45] 0 0
Chiba
Country [46] 0 0
Japan
State/province [46] 0 0
Hakodate
Country [47] 0 0
Japan
State/province [47] 0 0
Hamamatsu
Country [48] 0 0
Japan
State/province [48] 0 0
Itami-shi
Country [49] 0 0
Japan
State/province [49] 0 0
Kagoshima-shi
Country [50] 0 0
Japan
State/province [50] 0 0
Kitakyushu-shi,
Country [51] 0 0
Japan
State/province [51] 0 0
Matsumoto
Country [52] 0 0
Japan
State/province [52] 0 0
Nagoya
Country [53] 0 0
Japan
State/province [53] 0 0
Nerima-Ku
Country [54] 0 0
Japan
State/province [54] 0 0
Okayama
Country [55] 0 0
Japan
State/province [55] 0 0
Okinawa, Tomigusuku-shi
Country [56] 0 0
Japan
State/province [56] 0 0
Saitama-shi
Country [57] 0 0
Japan
State/province [57] 0 0
Saitama
Country [58] 0 0
Japan
State/province [58] 0 0
Suzaka
Country [59] 0 0
Japan
State/province [59] 0 0
Tokyo
Country [60] 0 0
Poland
State/province [60] 0 0
Bielsk Podlaski
Country [61] 0 0
Poland
State/province [61] 0 0
Grajewo
Country [62] 0 0
Poland
State/province [62] 0 0
Kielce
Country [63] 0 0
Poland
State/province [63] 0 0
Krakow
Country [64] 0 0
Poland
State/province [64] 0 0
Lodz
Country [65] 0 0
Poland
State/province [65] 0 0
Lublin
Country [66] 0 0
Poland
State/province [66] 0 0
Tarnow
Country [67] 0 0
Poland
State/province [67] 0 0
Warszawa
Country [68] 0 0
Poland
State/province [68] 0 0
Wroclaw
Country [69] 0 0
Portugal
State/province [69] 0 0
Aveiro
Country [70] 0 0
Portugal
State/province [70] 0 0
Cascais
Country [71] 0 0
Portugal
State/province [71] 0 0
Porto
Country [72] 0 0
Portugal
State/province [72] 0 0
Setubal
Country [73] 0 0
Portugal
State/province [73] 0 0
Viana do Castelo
Country [74] 0 0
Russian Federation
State/province [74] 0 0
Kurgan
Country [75] 0 0
Russian Federation
State/province [75] 0 0
Moscow
Country [76] 0 0
Russian Federation
State/province [76] 0 0
Nizhniy Novgorod
Country [77] 0 0
Russian Federation
State/province [77] 0 0
Saint-Petersburg
Country [78] 0 0
Russian Federation
State/province [78] 0 0
Samara
Country [79] 0 0
Russian Federation
State/province [79] 0 0
Smolensk
Country [80] 0 0
Russian Federation
State/province [80] 0 0
Sochi
Country [81] 0 0
South Africa
State/province [81] 0 0
Pretoria
Country [82] 0 0
South Africa
State/province [82] 0 0
Worcester
Country [83] 0 0
Spain
State/province [83] 0 0
Alcorcón
Country [84] 0 0
Spain
State/province [84] 0 0
Badalona
Country [85] 0 0
Spain
State/province [85] 0 0
Barcelona
Country [86] 0 0
Spain
State/province [86] 0 0
Jaen
Country [87] 0 0
Spain
State/province [87] 0 0
Madrid
Country [88] 0 0
Spain
State/province [88] 0 0
Sabadell
Country [89] 0 0
Spain
State/province [89] 0 0
Valencia
Country [90] 0 0
Turkey
State/province [90] 0 0
Adana
Country [91] 0 0
Turkey
State/province [91] 0 0
Ankara
Country [92] 0 0
Turkey
State/province [92] 0 0
Antalya
Country [93] 0 0
Turkey
State/province [93] 0 0
Istanbul
Country [94] 0 0
Turkey
State/province [94] 0 0
Izmir
Country [95] 0 0
Ukraine
State/province [95] 0 0
Ivano-Frankivsk
Country [96] 0 0
Ukraine
State/province [96] 0 0
Kharkiv
Country [97] 0 0
Ukraine
State/province [97] 0 0
Kyiv
Country [98] 0 0
Ukraine
State/province [98] 0 0
Lviv-Vynnyky
Country [99] 0 0
Ukraine
State/province [99] 0 0
Odesa
Country [100] 0 0
Ukraine
State/province [100] 0 0
Vinnytsia

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Janssen Research & Development, LLC
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
Bristol-Myers Squibb
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to determine the efficacy of JNJ-70033093 in preventing total
venous thromboembolism (VTE) events (proximal and/or distal deep vein thrombosis [DVT]
[asymptomatic confirmed by venography assessment or objectively confirmed symptomatic],
nonfatal pulmonary embolism [PE], or any death) during the treatment period.
Trial website
https://clinicaltrials.gov/ct2/show/NCT03891524
Trial related presentations / publications
Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed

Contacts
Principal investigator
Name 0 0
Janssen Research & Development, LLC Clinical Trial
Address 0 0
Janssen Research & Development, LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT03891524