AzTrials
AzTrials

Venous ThrombosisPhase 3NCT00440193

Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Deep Vein Thrombosis - The EINSTEIN DVT Study

A Phase 3 study testing Rivaroxaban (Xarelto, BAY59-7939) and Enoxaparin followed by VKA in people with Venous Thrombosis, run by Bayer at 324 sites in 34 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This is a multicenter, randomized, open-label, assessor-blind, event-driven, non-inferiority program for efficacy with a study treatment duration of 3, 6 or 12 months in patients with confirmed acute symptomatic DVT without symptomatic PE (Einstein-DVT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Venous Thrombosis
What is being tested?
Rivaroxaban (Xarelto, BAY59-7939) and Enoxaparin followed by VKA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,449 participants
Where
324 sitesin 34 countries
Study dates
Mar 2007to Apr 2010
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed acute symptomatic proximal DVT without symptomatic PE

Who cannot join

  • Legal lower age limitations (country specific)
  • Thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current episode of DVT and/or PE
  • Other indication for VKA than DVT and/or PE
  • The pre-randomization anti-coagulant treatment (Criteria # 4) has been prolonged from 36 hours to a maximum of 48 hours.

Trial locations and contacts

324 sites in 34 countries.

324 sites in 34 countries

France39 sites
  • Study site

    Agen, 47923

  • Study site

    Amiens, 80000

  • Study site

    Angers, 49033

  • Study site

    Arras, 62000

  • Study site

    Besançon, 25000

  • Study site

    Bordeaux, 33000

  • Study site

    Brest, 29609

  • Study site

    Castelnau-le-Lez, 34170

  • Study site

    Clamart, 92141

  • Study site

    Clermont-Ferrand, 63000

  • Study site

    Colombes, 92701

  • Study site

    Créteil, 94000

  • Study site

    Dijon, 21000

  • Study site

    Grenoble, 38028

  • Study site

    Grenoble, 38043

  • Study site

    Lille, 59037

  • Study site

    Limoges, 87042

  • Study site

    Metz-Tessy, 74370

  • Study site

    Montpellier, 34295

  • Study site

    Nantes, 44000

  • Study site

    Nice, 06002

  • Study site

    Nîmes, 30029

  • Study site

    Orthez, 64300

  • Study site

    Paris, 75004

  • Study site

    Paris, 75015

  • Study site

    Paris, 75475

  • Study site

    Paris, 75877

  • Study site

    Paris, 75908

  • Study site

    Pierre-Bénite, 69495

  • Study site

    Roanne, 42328

  • Study site

    Rouen, 76031

  • Study site

    Saint-Etienne, 42055

  • Study site

    Strasbourg, 67091

  • Study site

    Toulon, 83000

  • Study site

    Toulouse, 31403

  • Study site

    Tours, 37044

  • Study site

    Valenciennes, 59322

  • Study site

    Vandœuvre-lès-Nancy, 54511

  • Study site

    Vernon, 27200

Other trials in France

Germany33 sites
  • Study site

    Augsburg, Bavaria, 86156

  • Study site

    Berlin, State of Berlin, 10713

  • Study site

    Berlin, State of Berlin, 12099

  • Study site

    Bruchsal, Baden-Wurttemberg, 76646

  • Study site

    Darmstadt, Hesse, 64297

  • Study site

    Dresden, Saxony, 01307

  • Study site

    Düsseldorf, North Rhine-Westphalia, 40225

  • Study site

    Essen, North Rhine-Westphalia, 45122

  • Study site

    Frankfurt am Main, Hesse, 60590

  • Study site

    Frankfurt am Main, Hesse, 60596

  • Study site

    Giessen, Hesse, 35392

  • Study site

    Greifswald, Mecklenburg-Vorpommern, 17475

  • Study site

    Halle, Saxony-Anhalt, 06120

  • Study site

    Hamburg, Free and Hanseatic City of Hamburg, 20251

  • Study site

    Hanover, Lower Saxony, 30625

  • Study site

    Heidelberg, Baden-Wurttemberg, 69115

  • Study site

    Homburg, Saarland, 66421

  • Study site

    Homburg, Saarland, 66424

  • Study site

    Karlsbad, Baden-Wurttemberg, 76307

  • Study site

    Leipzig, Saxony, 04289

  • Study site

    Magdeburg, Saxony-Anhalt, 39112

  • Study site

    Mainz, Rhineland-Palatinate, 55131

  • Study site

    Mannheim, Baden-Wurttemberg, 68167

  • Study site

    München, Bavaria, 80331

  • Study site

    München, Bavaria, 81377

  • Study site

    Neckargemünd, Baden-Wurttemberg, 69151

  • Study site

    Paderborn, North Rhine-Westphalia, 33098

  • Study site

    Rotenburg (Wümme), Lower Saxony, 27342

  • Study site

    Soest, North Rhine-Westphalia, 59494

  • Study site

    Tübingen, Baden-Wurttemberg, 72076

  • Study site

    Wiesbaden, Hesse, 65183

  • Study site

    Witten, North Rhine-Westphalia, 58455

  • Study site

    Würzburg, Bavaria, 97080

Other trials in Germany

United States23 sites
  • Study site

    Albuquerque, New Mexico, 87108-4763

  • Study site

    Baltimore, Maryland, 21215

  • Study site

    Bay Pines, Florida, 33744

  • Study site

    Boston, Massachusetts, 02215

  • Study site

    Camp Hill, Pennsylvania, 17011

  • Study site

    Chapel Hill, North Carolina, 27599-7035

  • Study site

    Corsicana, Texas, 75110

  • Study site

    Covington, Louisiana, 70433

  • Study site

    Fredericksburg, Virginia, 22401

  • Study site

    Greensboro, North Carolina, 27401

  • Study site

    Greensboro, North Carolina, 27403

  • Study site

    Idaho Falls, Idaho, 83404

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Miami, Florida, 33136-1096

  • Study site

    Miami, Florida, 33136

  • Study site

    Murray, Utah, 84157

  • Study site

    Oklahoma City, Oklahoma, 73104

  • Study site

    Pittsburgh, Pennsylvania, 15224

  • Study site

    Redlands, California, 92373

  • Study site

    Salt Lake City, Utah, 84132

  • Study site

    San Antonio, Texas, 78229

  • Study site

    Spokane, Washington, 99204

  • Study site

    Tacoma, Washington, 98405

Other trials in United States

Australia22 sites
  • Study site

    Adelaide, South Australia, 5042

  • Study site

    Box Hill, Victoria, 3128

  • Study site

    Brisbane, Queensland, 4029

  • Study site

    Clayton, Victoria, 3168

  • Study site

    Darlinghurst, New South Wales, 2010

  • Study site

    Fremantle, Western Australia, 6160

  • Study site

    Garran, Australian Capital Territory, 2605

  • Study site

    Geelong, Victoria, 3220

  • Study site

    Gosford, New South Wales, 2250

  • Study site

    Kogarah, New South Wales, 2217

  • Study site

    Lismore, New South Wales, 2480

  • Study site

    Melbourne, Victoria, 3135

  • Study site

    Melbourne, Victoria, 3181

  • Study site

    Perth, Western Australia, 6000

  • Study site

    Redcliffe, Queensland, 4020

  • Study site

    Southport, Queensland, 4215

  • Study site

    St Leonards, New South Wales, 2065

  • Study site

    Sydney, New South Wales, 2031

  • Study site

    Sydney, New South Wales, 2139

  • Study site

    Sydney, New South Wales, 2229

  • Study site

    Woodville South, South Australia, 5011

  • Study site

    Woolloongabba, Queensland, 4102

Other trials in Australia

China17 sites
  • Study site

    Beijing, 100020

  • Study site

    Beijing, 100029

  • Study site

    Beijing, 100037

  • Study site

    Beijing, 100038

  • Study site

    Beijing, 100044

  • Study site

    Beijing, 100730

  • Study site

    Beijing, 100853

  • Study site

    Guangzhou, Guangdong, 510000

  • Study site

    Guangzhou, Guangdong, 510120

  • Study site

    Hangzhou, Zhejiang, 310016

  • Study site

    Harbin, Heilongjiang, 150086

  • Study site

    Shanghai, 200001

  • Study site

    Shanghai, 200032

  • Study site

    Shanghai, 200433

  • Study site

    Shenyang, Liaoning, 110016

  • Study site

    Suzhou, Jiangsu, 215004

  • Study site

    Wuhan, Hubei, 430022

Other trials in China

Italy15 sites
  • Study site

    Bologna, 40138

  • Study site

    Chieti, 66013

  • Study site

    Cremona, 26100

  • Study site

    Milan, 20122

  • Study site

    Milan, 20132

  • Study site

    Milan, 20142

  • Study site

    Naples, 80131

  • Study site

    Padova, 35128

  • Study site

    Palermo, 90127

  • Study site

    Parma, 43100

  • Study site

    Pavia, 27100

  • Study site

    Piacenza, 29100

  • Study site

    Reggio Emilia, 42100

  • Study site

    Varese, 21100

  • Study site

    Venezia, 30122

Other trials in Italy

Poland15 sites
  • Study site

    Bialystok, 15-276

  • Study site

    Bydgoszcz, 85-168

  • Study site

    Gdansk, 80-952

  • Study site

    Katowice, 40-365

  • Study site

    Krakow, 31-066

  • Study site

    Lodz, 90-153

  • Study site

    Lublin, 20-081

  • Study site

    Poznan, 60-631

  • Study site

    Poznan, 61-848

  • Study site

    Torun, 87-100

  • Study site

    Warsaw, 01-138

  • Study site

    Warsaw, 02-097

  • Study site

    Warsaw, 04-479

  • Study site

    Wroclaw, 50-326

  • Study site

    Wroclaw, 51-124

Other trials in Poland

Israel13 sites
  • Study site

    Afula, Israel, 18101

  • Study site

    Ashkelon, Israel, 78306

  • Study site

    Beersheba, Israel, 84101

  • Study site

    Haifa, Israel, 31048

  • Study site

    Haifa, Israel, 31096

  • Study site

    Haifa, Israel, 34362

  • Study site

    Holon, Israel, 58100

  • Study site

    Jerusalem, Israel, 91120

  • Study site

    Kfar Saba, Israel, 44281

  • Study site

    Petah Tikva, Israel, 49100

  • Study site

    Rehovot, Israel, 76100

  • Study site

    Safed, Israel, 13100

  • Study site

    Tel Aviv, Israel, 64239

Other trials in Israel

Belgium12 sites
  • Study site

    Bruxelles - Brussel, 1070

  • Study site

    Bruxelles - Brussel, 1200

  • Study site

    Duffel, 2570

  • Study site

    Genk, 3600

  • Study site

    Ghent, 9000

  • Study site

    Hasselt, 3500

  • Study site

    Leuven, 3000

  • Study site

    Liège, 4000

  • Study site

    Lier, 2500

  • Study site

    Namur, 5000

  • Study site

    Yvoir, 5530

  • Study site

    Zottegem, 9620

Other trials in Belgium

South Africa12 sites
  • Study site

    Cape Town, Cape, 7500

  • Study site

    Cape Town, Western Cape, 7460

  • Study site

    Johannesburg, Gauteng, 1724

  • Study site

    Johannesburg, Gauteng, 2132

  • Study site

    Johannesburg, Gauteng, 2157

  • Study site

    Johannesburg, Gauteng, 2191

  • Study site

    Johannesburg, Gauteng, 2193

  • Study site

    Pretoria, Gauteng, 0084

  • Study site

    Pretoria, Gauteng, 0157

  • Study site

    Pretoria, Gauteng, 0181

  • Study site

    Somerset West, Western Cape, 7130

  • Study site

    Worcester, Western Cape, 6850

Other trials in South Africa

Brazil10 sites
  • Study site

    Botucatu, São Paulo, 18618 000

  • Study site

    Curitiba, Paraná, 80050-350

  • Study site

    Londrina, Paraná, 86038440

  • Study site

    Rio de Janeiro

  • Study site

    São Paulo, São Paulo, 01323-001

  • Study site

    São Paulo, São Paulo, 01509-900

  • Study site

    São Paulo, São Paulo, 04023-061

  • Study site

    São Paulo, São Paulo, 04039-004

  • Study site

    Sorocaba, São Paulo, 18031-000

  • Study site

    Uberaba, Minas Gerais, 38010 380

Other trials in Brazil

Netherlands10 sites
  • Study site

    Amsterdam, 1105 AZ

  • Study site

    Arnhem, 6815 AD

  • Study site

    Dordrecht, 3318 AT

  • Study site

    Enschede, 7511 JX

  • Study site

    Groningen, 9713 GZ

  • Study site

    Hoofddorp, 2134 TM

  • Study site

    Maastricht, 6229 HX

  • Study site

    Rotterdam, 3083 AN

  • Study site

    Zwijndrecht, 3331 LZ

  • Study site

    Zwolle, 8025 AB

Other trials in Netherlands

Czechia9 sites
  • Study site

    Karlovy Vary, 360 00

  • Study site

    Kladno, 27259

  • Study site

    Ostrava, 728 80

  • Study site

    Ostrava-Poruba, 708 52

  • Study site

    Prague, 110 00

  • Study site

    Prague, 12800

  • Study site

    Prague, 140 21

  • Study site

    Prague, 150 00

  • Study site

    Usti Nad Lebem, 401 13

Other trials in Czechia

Spain9 sites
  • Study site

    Alcorcón, Madrid, 28922

  • Study site

    Barcelona, Barcelona, 08025

  • Study site

    Barcelona, Barcelona, 08036

  • Study site

    Fuenlabrada, Madrid, 28942

  • Study site

    Girona, Girona, 17007

  • Study site

    Madrid, Madrid, 28034

  • Study site

    Pamplona, Pamplona, 31008

  • Study site

    Terrassa, Barcelona, 08221

  • Study site

    Xàtiva, Valencia, 46800

Other trials in Spain

Hungary8 sites
  • Study site

    Budapest, 1096

  • Study site

    Budapest, 1115

  • Study site

    Debrecen, 4032

  • Study site

    Kecskemét, 6000

  • Study site

    Kistarcsa, 2143

  • Study site

    Miskolc, 3526

  • Study site

    Szentes, 6600

  • Study site

    Szombathely, 9700

Other trials in Hungary

Austria6 sites
  • Study site

    Feldkirch, Vorarlberg, 6807

  • Study site

    Graz, Styria, 8036

  • Study site

    Innsbruck, 6020

  • Study site

    Salzburg, 5020

  • Study site

    Vienna, State of Vienna, 1090

  • Study site

    Vienna, State of Vienna, 1140

Other trials in Austria

India6 sites
  • Study site

    Hyderabad, 500082

  • Study site

    Kochi, Kerala, 682026

  • Study site

    Kolkata, 700029

  • Study site

    Mumbai, Maharashtra, 400016

  • Study site

    New Delhi, 110060

  • Study site

    Pune, 411001

Other trials in India

New Zealand6 sites
  • Study site

    Auckland, 0622

  • Study site

    Auckland, 1023

  • Study site

    Auckland, 2024

  • Study site

    Christchurch, 8011

  • Study site

    Palmerston North, 4414

  • Study site

    Wellington South, 6021

Other trials in New Zealand

South Korea6 sites
  • Study site

    Daegu, Daegu, 700721

  • Study site

    Daegu, 705-718

  • Study site

    Seoul, Korea, 110-744

  • Study site

    Seoul, 120-752

  • Study site

    Seoul, 137-701

  • Study site

    Taegu, 700-712

Other trials in South Korea

Sweden6 sites
  • Study site

    Borås, 501 82

  • Study site

    Gothenburg, 413 45

  • Study site

    Gothenburg, 416 85

  • Study site

    Jönköping, 551 85

  • Study site

    Sundsvall, 851 86

  • Study site

    Västervik, 593 81

Other trials in Sweden

Switzerland6 sites
  • Study site

    Chur, Kanton Graubünden, 7000

  • Study site

    Genéve 14, Genève 14, 1211

  • Study site

    Lausanne, Canton of Vaud, 1005

  • Study site

    Lausanne, Canton of Vaud, 1011

  • Study site

    Lucerne, 6000

  • Study site

    Zurich, Canton of Zurich, 8091

Other trials in Switzerland

United Kingdom6 sites
  • Study site

    Chelmsford, Essex, CM1 5ET

  • Study site

    Isleworth, Greater London, TW7 6AF

  • Study site

    London, Greater London, SE1 7EH

  • Study site

    London, Greater London, SE5 9RS

  • Study site

    London

  • Study site

    Plymouth, Devon, PL6 8DH

Other trials in United Kingdom

Canada5 sites
  • Study site

    London, Ontario, N6A 4G5

  • Study site

    Ottawa, Ontario, K1Y 4E9

  • Study site

    Toronto, Ontario, M4N 3M5

  • Study site

    Toronto, Ontario, M6R 1B5

  • Study site

    Winnipeg, Manitoba, R2H 2A6

Other trials in Canada

Indonesia5 sites
  • Study site

    Bandung, 40161

  • Study site

    Jakarta, Indonesia, 10330

  • Study site

    Jakarta, 10430

  • Study site

    Medan, 20152

  • Study site

    Semarang, 50241

Other trials in Indonesia

Taiwan5 sites
  • Study site

    Kaosiung, Kaoshiong, 807

  • Study site

    Taichung, 40705

  • Study site

    Taipei, 10016

  • Study site

    Taipei, 112

  • Study site

    Taipei, 220

Other trials in Taiwan

Denmark4 sites
  • Study site

    Aarhus C, 8000

  • Study site

    Brædstrup, 8740

  • Study site

    Frederiksberg, 2000F

  • Study site

    Hellerup, 2900

Other trials in Denmark

Norway4 sites
  • Study site

    Fredrikstad, 1603

  • Study site

    Oslo, 0407

  • Study site

    Rud, 1309

  • Study site

    Trondheim, 7006

Other trials in Norway

Thailand3 sites
  • Study site

    Bangkok, Bangkok, 10700

  • Study site

    Bangkok, 10400

  • Study site

    Pathumwan, Bangkok, Thailand, 10330

Other trials in Thailand

Hong Kong2 sites
  • Study site

    Hong Kong

  • Study site

    Wan Chai

Other trials in Hong Kong

Philippines2 sites
  • Study site

    Quezon City, 0850

  • Study site

    Quezon City, 1102

Other trials in Philippines

Singapore2 sites
  • Study site

    Singapore, 169608

  • Study site

    Singapore, 308433

Other trials in Singapore

Finland1 site
  • Study site

    Seinäjoki, 60220

Other trials in Finland

Malaysia1 site
  • Study site

    Kuala Selangor, 68000

Other trials in Malaysia

Puerto Rico1 site
  • Study site

    San Juan, 00927

Other trials in Puerto Rico

About this study

Official title: Oral Direct Factor Xa Inhibitor Rivaroxaban in Patients With Acute Symptomatic Deep-Vein Thrombosis or Pulmonary Embolism

This is a multicenter, randomized, open-label, assessor-blind, event-driven, non-inferiority program for efficacy with a study treatment duration of 3, 6 or 12 months in patients with confirmed acute symptomatic DVT without symptomatic PE (Einstein-DVT).

Read the detailed description

Within the US 'Johnson \& Johnson Pharmaceutical Research \& Development, L.L.C.' is sponsor.

The treatment period was followed by an observational period of 30 days starting the day after the last intake of study medication, regardless of the actual duration of study drug administration. Participants who did not complete the treatment period also entered the observational period. It was also possible that participants did not enter the observational period, e.g. due to withdrawal of consent or termination of study participation. Participants who were transferring from study 11702 DVT (NCT00440193) to the extension study 11899 (NCT00439725) did not enter the observational period.

Being tested
Rivaroxaban (Xarelto, BAY59-7939), Enoxaparin followed by VKA
Medical subject headings
Venous Thrombosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Rivaroxaban (Xarelto, BAY59-7939)Drug

    During the first 3 weeks patients will receive 15 mg rivaroxaban twice-daily. Thereafter, patients will receive rivaroxaban 20 mg once-daily. Rivaroxaban will be administered orally and should be taken with food.

  • Enoxaparin followed by VKADrug

    Enoxaparin 1.0 mg/kg twice daily with a minimal duration of 5 days. This 5 days treatment could include the period up to 36 h before randomization if enoxaparin twice-daily was used. VKA should be started as soon as possible but not later than 48 hours after randomization.

Study groups in NCT00440193
Study groupRoleWhat they receive
Rivaroxaban (Xarelto, BAY59-7939)ExperimentalParticipants were to receive rivaroxaban 15 mg oral tablet twice daily for 3 weeks, followed by 20 mg once daily
Receives: Drug: Rivaroxaban (Xarelto, BAY59-7939)
Enoxaparin/VKAActive comparatorParticipants were to receive 1.0 mg/kg enoxaparin twice daily (subcutaneous) for at least 5 days, plus vitamin K antagonist (VKA) (oral) at individually titrated doses to achieve a target international normalized ratio (INR) of 2.5 (range: 2.0 to 3.0)
Receives: Drug: Enoxaparin followed by VKA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Symptomatic Recurrent Venous Thromboembolism [VTE] (i.e. the Composite of Recurrent Deep Vein Thrombosis [DVT] or Fatal or Non-fatal Pulmonary Embolism [PE]) Until the Intended End of Study Treatment

    All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for fatal PE) or unexplained death for which DVT/PE could not be ruled out (for fatal PE), and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

Secondary outcomes (6)
  1. Percentage of Participants With the Composite Variable Comprising Recurrent DVT, Non-fatal PE and All Cause Mortality Until the Intended End of Study Treatment

    All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound (for DVT), venography (for DVT), spiral computed tomography (CT) scanning (for PE), pulmonary angiography (for PE), ventilation/perfusion lung scan (for PE), lung scintigraphy (for PE), autopsy (for deaths), results/films/images of confirmatory testing, and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

  2. Percentage of Participants With an Event for Net Clinical Benefit 1 Until the Intended End of Study Treatment

    Net clinical benefit 1: composite of recurrent DVT or non-fatal or fatal PE, and major bleeding. Major bleeding was overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of ≥2 units, occurring in a critical site or contributing to death. Net clinical benefit was considered greater in those participants with fewer composite events. All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment, based on either compression ultrasound, venography, spiral computed tomography scanning, pulmonary angiography, ventilation/perfusion lung scan, lung scintigraphy, autopsy or unexplained death for which DVT/PE could not be ruled out, results/films/images of confirmatory testing, and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

  3. Percentage of Participants With Recurrent DVT Until the Intended End of Study Treatment

    All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either compression ultrasound, venography, results/films/images of confirmatory testing, and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

  4. Percentage of Participants With Clinically Relevant Bleeding, Treatment-emergent (Time Window: Until 2 Days After Last Dose)

    All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Clinically relevant bleeding included major bleeding (overt bleeding associated with 2 g/dL or greater fall in hemoglobin, leading to a transfusion of 2 or more units of packed red blood cells or whole blood, occurring in a critical site or contributing to death) and non-major bleeding associated with medical intervention, unscheduled physician contact, (temporary) cessation of study treatment, discomfort for the participants such as pain, or impairment of activities of daily life.

    Measured: 3-, 6- or 12-month study treatment period

  5. Percentage of Participants With All Deaths

    All events were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based on either autopsy, results/films/images of confirmatory testing, and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

  6. Percentage of Participants With Other Vascular Events, On-treatment (Time Window: Until 1 Day After Last Dose)

    All pre-defined vascular events (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, unstable angina, ischemic stroke, transient ischemic attack, non-central nervous system systemic embolism or vascular death) were adjudicated and confirmed by a central independent adjudication committee blinded to treatment. Events were assessed based results/films/images of confirmatory testing, and/or case summaries.

    Measured: 3-, 6- or 12-month study treatment period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2007 (estimated)
  2. Study startMar 2007
  3. Primary completionApr 2010
  4. Study completionApr 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
3,449 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00440193
Sponsor's protocol ID
11702a
Other IDs
2006-004495-13, 11702b
Status last verified
Jan 2014
First submitted
23 Feb 2007
Last updated
27 Feb 2014
Data monitoring committee
Yes

Publications

  • EINSTEIN Investigators; Bauersachs R, Berkowitz SD, Brenner B, Buller HR, Decousus H, Gallus AS, Lensing AW, Misselwitz F, Prins MH, Raskob GE, Segers A, Verhamme P, Wells P, Agnelli G, Bounameaux H, Cohen A, Davidson BL, Piovella F, Schellong S. Oral rivaroxaban for symptomatic venous thromboembolism. N Engl J Med. 2010 Dec 23;363(26):2499-510. doi: 10.1056/NEJMoa1007903. Epub 2010 Dec 3.

    PubMed 21128814
  • Cohen AT, Dobromirski M. The use of rivaroxaban for short- and long-term treatment of venous thromboembolism. Thromb Haemost. 2012 Jun;107(6):1035-43. doi: 10.1160/TH11-12-0859. Epub 2012 Feb 28.

    PubMed 22371186
  • Prins MH, Lensing AW. Derivation of the non-inferiority margin for the evaluation of direct oral anticoagulants in the treatment of venous thromboembolism. Thromb J. 2013 Jul 6;11(1):13. doi: 10.1186/1477-9560-11-13.

    PubMed 23829521
  • Prins MH, Lensing AW, Bauersachs R, van Bellen B, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Decousus H, Raskob GE, Berkowitz SD, Wells PS; EINSTEIN Investigators. Oral rivaroxaban versus standard therapy for the treatment of symptomatic venous thromboembolism: a pooled analysis of the EINSTEIN-DVT and PE randomized studies. Thromb J. 2013 Sep 20;11(1):21. doi: 10.1186/1477-9560-11-21.

    PubMed 24053656
  • Wang Y, Wang C, Chen Z, Zhang J, Liu Z, Jin B, Ying K, Liu C, Shao Y, Jing Z, Meng IL, Prins MH, Pap AF, Muller K, Lensing AW; Chinese EINSTEIN Investigators. Rivaroxaban for the treatment of symptomatic deep-vein thrombosis and pulmonary embolism in Chinese patients: a subgroup analysis of the EINSTEIN DVT and PE studies. Thromb J. 2013 Dec 16;11(1):25. doi: 10.1186/1477-9560-11-25.

    PubMed 24341332
  • Bamber L, Wang MY, Prins MH, Ciniglio C, Bauersachs R, Lensing AW, Cano SJ. Patient-reported treatment satisfaction with oral rivaroxaban versus standard therapy in the treatment of acute symptomatic deep-vein thrombosis. Thromb Haemost. 2013 Oct;110(4):732-41. doi: 10.1160/TH13-03-0243. Epub 2013 Jul 11.

    PubMed 23846019
  • van Bellen B, Bamber L, Correa de Carvalho F, Prins M, Wang M, Lensing AW. Reduction in the length of stay with rivaroxaban as a single-drug regimen for the treatment of deep vein thrombosis and pulmonary embolism. Curr Med Res Opin. 2014 May;30(5):829-37. doi: 10.1185/03007995.2013.879439. Epub 2014 Jan 22.

    PubMed 24432872
  • Cano SJ, Lamping DL, Bamber L, Smith S. The Anti-Clot Treatment Scale (ACTS) in clinical trials: cross-cultural validation in venous thromboembolism patients. Health Qual Life Outcomes. 2012 Sep 26;10:120. doi: 10.1186/1477-7525-10-120.

    PubMed 23013426
  • Dobesh PP, Volkl AA, Pap AF, Damaraju CV, Levitan B, Yuan Z, Amin AN. Benefit-Risk Assessment of Rivaroxaban in Older Patients With Nonvalvular Atrial Fibrillation or Venous Thromboembolism. Drugs Aging. 2025 May;42(5):469-484. doi: 10.1007/s40266-025-01192-7. Epub 2025 Mar 31.

    PubMed 40163217
  • Yang L, Wu J. Cost-effectiveness of rivaroxaban compared with enoxaparin plus warfarin for the treatment of hospitalised acute deep vein thrombosis in China. BMJ Open. 2020 Jul 30;10(7):e038433. doi: 10.1136/bmjopen-2020-038433.

    PubMed 32737096
  • Ten Cate H, Lensing AWA, Weitz JI, Middeldorp S, Beyer-Westendorf J, Kubitza D, Brighton T, Raskob GE, Mismetti P, Prandoni P, Gebel M, Prins MH. The prothrombin time does not predict the risk of recurrent venous thromboembolism or major bleeding in rivaroxaban-treated patients. Thromb Res. 2018 Oct;170:75-83. doi: 10.1016/j.thromres.2018.08.008. Epub 2018 Aug 15.

    PubMed 30121419
  • Di Nisio M, Vedovati MC, Riera-Mestre A, Prins MH, Mueller K, Cohen AT, Wells PS, Beyer-Westendorf J, Prandoni P, Bounameaux H, Kubitza D, Schneider J, Pisters R, Fedacko J, Fontes-Carvalho R, Lensing AW. Treatment of venous thromboembolism with rivaroxaban in relation to body weight. A sub-analysis of the EINSTEIN DVT/PE studies. Thromb Haemost. 2016 Sep 27;116(4):739-46. doi: 10.1160/TH16-02-0087. Epub 2016 Aug 18.

    PubMed 27535349
  • Prins MH, Lensing AW, Brighton TA, Lyons RM, Rehm J, Trajanovic M, Davidson BL, Beyer-Westendorf J, Pap AF, Berkowitz SD, Cohen AT, Kovacs MJ, Wells PS, Prandoni P. Oral rivaroxaban versus enoxaparin with vitamin K antagonist for the treatment of symptomatic venous thromboembolism in patients with cancer (EINSTEIN-DVT and EINSTEIN-PE): a pooled subgroup analysis of two randomised controlled trials. Lancet Haematol. 2014 Oct;1(1):e37-46. doi: 10.1016/S2352-3026(14)70018-3. Epub 2014 Sep 28.

    PubMed 27030066
  • Bauersachs RM, Lensing AW, Prins MH, Kubitza D, Pap AF, Decousus H, Beyer-Westendorf J, Prandoni P. Rivaroxaban versus enoxaparin/vitamin K antagonist therapy in patients with venous thromboembolism and renal impairment. Thromb J. 2014 Nov 24;12:25. doi: 10.1186/1477-9560-12-25. eCollection 2014.

    PubMed 25750589
  • Wells PS, Gebel M, Prins MH, Davidson BL, Lensing AW. Influence of statin use on the incidence of recurrent venous thromboembolism and major bleeding in patients receiving rivaroxaban or standard anticoagulant therapy. Thromb J. 2014 Nov 26;12:26. doi: 10.1186/1477-9560-12-26. eCollection 2014.

    PubMed 25698905

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