Pulmonary EmbolismPhase 3EinsteinChoiceNCT02064439
Reduced-dosed Rivaroxaban in the Long-term Prevention of Recurrent Symptomatic VTE(Venous Thromboembolism)
A Phase 3 study testing BAY 59-7939 and ASA in people with Pulmonary Embolism and Thromboembolism, run by Bayer at 266 sites in 31 countries.
Trial summary
This is a multicenter, randomized, double-blind, event-driven, superiority study for efficacy. Patients with confirmed symptomatic DVT (Deep Vein Thrombosis) or PE (Pulmonary embolism) who completed 6 or 12 months of treatment of anticoagulation are eligible for this trial Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pulmonary Embolism, Thromboembolism, Thrombosis
- What is being tested?
- BAY 59-7939 and ASA
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 3,365 participants
- Where
- 266 sitesin 31 countries
- Study dates
- 5 Mar 2014to 4 Nov 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Patients with confirmed symptomatic PE and/or DVT who have been treated for 6 to 12 months and did not interrupt anticoagulation for longer than 1 week
Who cannot join
- Legal lower age limitations (country specific) Indication for therapeutic-dosed anticoagulants Indication for antiplatelet therapy or a conventional non-steroid anti-inflammatory drug (NSAID) Hepatic disease which is associated with coagulopathy leading to a clinically relevant bleeding risk Calculated creatinine clearance < 30 mL/min
Trial locations and contacts
266 sites in 31 countries.
266 sites in 31 countries
China38 sites
Study site
Beijing, 100020
Study site
Beijing, 100029
Study site
Beijing, 100037
Study site
Beijing, 100053
Study site
Beijing, 100730
Study site
Changchun, Jilin, 130000
Study site
Changsha, Hunan, 410011
Study site
Changsha, Hunan, 410013
Study site
Chengdu, Sichuan, 610041
Study site
Fuzhou, Fujian, 350025
Study site
Guangzhou, Guangdong, 510080
Study site
Guangzhou, Guangdong, 510120
Study site
Hangzhou, Zhejiang, 310003
Study site
Hangzhou, Zhejiang, 310016
Study site
Harbin, Heilongjiang
Study site
Jinan, Shandong, 250012
Study site
Kunming, Yunnan, 650032
Study site
Nanning, Guangxi, 530021
Study site
Nantong, Jiangsu, 226001
Study site
Qingdao, Shandong, 266000
Study site
Shanghai, 200001
Study site
Shanghai, 200025
Study site
Shanghai, 200032
Study site
Shanghai, 200233
Study site
Shanghai, 200433
Study site
Shengyang, Liaoning, 110004
Study site
Shenyang, Liaoning, 110001
Study site
Shijiazhuang, Hebei, 050000
Study site
Suzhou, Jiangsu, 215004
Study site
Taiyuan, Shanxi, 030001
Study site
Tianjin, 300052
Study site
Tianjin, 300121
Study site
Tianjin, 300211
Study site
Wenzhou, Zhejiang, 325000
Study site
Wuhan, Hubei, 430032
Study site
Xi'an, Shaanxi, 710032
Study site
Xi'an, Shaanxi, 710061
Study site
Yinchuan, Ningxia, 750004
United States24 sites
Study site
Bellevue, Washington, 98004
Study site
Beverly Hills, California, 90211
Study site
Boston, Massachusetts, 02114-2696
Study site
Boston, Massachusetts, 02115
Study site
Boston, Massachusetts, 02215
Study site
Butte, Montana, 59701
Study site
Columbus, Georgia, 31904
Study site
Columbus, Ohio, 43210-1240
Study site
Denver, Colorado, 80262
Study site
Detroit, Michigan, 48202
Study site
Fredericksburg, Virginia, 22401
Study site
Jacksonville, Florida, 32207
Study site
Joliet, Illinois, 60435
Study site
La Jolla, California, 92037
Study site
Las Vegas, Nevada, 89169
Study site
Philadelphia, Pennsylvania, 19104
Study site
Raleigh, North Carolina, 27607
Study site
Rockport, Maine, 04856
Study site
San Antonio, Texas, 78229
Study site
Seattle, Washington, 98104
Study site
Spokane, Washington, 99216
Study site
Tacoma, Washington, 98405-2433
Study site
Toledo, Ohio, 43606
Study site
Ventura, California, 93003
France24 sites
Study site
Angers, 49933
Study site
Arras, 62000
Study site
Besançon, 25030
Study site
Bois-Guillaume, 76320
Study site
Brest, 29240
Study site
Brest, 29609
Study site
Castelnau-le-Lez, 34170
Study site
Clermont-Ferrand, 63000
Study site
Colombes, 92701
Study site
Dijon, 21000
Study site
Grenoble, 38043
Study site
Le Kremlin-Bicêtre, 94275
Study site
Le Mans, 72037
Study site
Limoges, 87042
Study site
Nice, 06002
Study site
Paris, 75475
Study site
Paris, 75674
Study site
Paris, 75908
Study site
Quimper, 29000
Study site
Saint-Etienne, 42055
Study site
Strasbourg, 67091
Study site
Toulon, 83056
Study site
Toulouse, 31403
Study site
Vernon, 27200
Canada13 sites
Study site
Edmonton, Alberta, T6G 2B7
Study site
Halifax, Nova Scotia, B3H 3A7
Study site
Hamilton, Ontario, L8L 2X2
Study site
Hamilton, Ontario, L8N 4A6
Study site
Hamilton, Ontario, L8V 1C3
Study site
London, Ontario, N6A 4G5
Study site
Montreal, Quebec, H1T 2M4
Study site
Montreal, Quebec, H3T 1E2
Study site
Montreal, Quebec, H3T 1M5
Study site
Ottawa, Ontario, K1H 8L6
Study site
Saint John, New Brunswick, E2L 4L2
Study site
Saint-Jérôme, Quebec, J7Z 5T3
Study site
Victoria, British Columbia, V8R 4R2
Australia12 sites
Study site
Box Hill, 3128
Study site
Brisbane, Queensland, 4029
Study site
Clayton, Victoria, 3168
Study site
Concord, New South Wales, 2139
Study site
Garran, Australian Capital Territory, 2605
Study site
Kogarah, New South Wales, 2217
Study site
Lismore, New South Wales, 2480
Study site
Melbourne, 3004
Study site
Randwick, New South Wales, 2031
Study site
Redcliffe, 4020
Study site
St Leonards, New South Wales, 2065
Study site
Westmead, New South Wales, 2145
Germany11 sites
Study site
Berlin, 10787
Study site
Darmstadt, Hesse, 64297
Study site
Dresden, Saxony, 01067
Study site
Dresden, Saxony, 01307
Study site
Erfurt, Thuringia, 99089
Study site
Heidelberg, Baden-Wurttemberg, 69120
Study site
Karlsbad, 76307
Study site
Magdeburg, Saxony-Anhalt, 39112
Study site
Mainz, Rhineland-Palatinate, 55131
Study site
München, Bavaria, 80336
Study site
Witten, North Rhine-Westphalia, 58448
Russia11 sites
Study site
Barnaul, 656045
Study site
Moscow, 111539
Study site
Moscow, 121552
Study site
Novosibirsk, 630055
Study site
Novosibirsk, 630087
Study site
Rostov-on-Don, 344022
Study site
Ryazan, 390026
Study site
Saint Petersburg, 197022
Study site
Saint Petersburg
Study site
Sochi, 354057
Study site
Tver', 170036
Hungary10 sites
Study site
Baja, 6500
Study site
Budapest, 1115
Study site
Debrecen, 4032
Study site
Gyula, 5700
Study site
Kecskemét, 6000
Study site
Miskolc, 3526
Study site
Pécs, 7624
Study site
Szentes, 6600
Study site
Szombathely, 9700
Study site
Zalaegerszeg, 8900
Netherlands10 sites
Study site
Alkmaar, 1815 JD
Study site
Almere Stad, 1315 RA
Study site
Amsterdam, 1105 AZ
Study site
Assen, 9401 RK
Study site
Dordrecht, 3318 AT
Study site
Groningen, 9713 GZ
Study site
Hoofddorp, 2134 TM
Study site
Maastricht, 6229 HX
Study site
Sittard, 6131 BK
Study site
Zwolle, 8025 AB
Brazil9 sites
Study site
Belo Horizonte, Minas Gerais, 30150-221
Study site
Campinas, São Paulo, 13083-970
Study site
Porto Alegre, Rio Grande do Sul
Study site
Rio de Janeiro
Study site
Santo André, São Paulo, 09060-650
Study site
Santo André, São Paulo, 09190-615
Study site
São Paulo, São Paulo, 01323-001
Study site
São Paulo, São Paulo, 04039-004
Study site
São Paulo, 05403-900
Czechia9 sites
Study site
Kladno, 27259
Study site
Liberec, 46063
Study site
Litomyšl, 570 14
Study site
Ostrava, 708 52
Study site
Ostrava, 728 80
Study site
Prague, 110 00
Study site
Prague, 118 33
Study site
Prague, 150 06
Study site
Ústí nad Labem, 401 13
Israel9 sites
Study site
Afula, 1834111
Study site
Haifa, 3109601
Study site
Haifa, 3339419
Study site
Holon, 5810001
Study site
Kfar Saba, 4428164
Study site
Nahariya, 2210001
Study site
Petah Tikva, 4941492
Study site
Safed, 1311001
Study site
Tel Aviv, 64239
Italy9 sites
Study site
Chieti, Abruzzo, 66013
Study site
Cosenza, Calabria, 87100
Study site
Padova, Veneto, 35128
Study site
Perugia, Umbria, 06156
Study site
Piacenza, Emilia-Romagna, 29121
Study site
Reggio Emilia, Emilia-Romagna, 42100
Study site
Treviso, Veneto, 31029
Study site
Treviso, Veneto, 31033
Study site
Varese, Lombardy, 21100
Mexico8 sites
Study site
Aguascalientes, 20230
Study site
Chihuahua City, 31203
Study site
Guadalajara, Jalisco, 44280
Study site
Guadalajara, Jalisco, 44340
Study site
León, Guanajuato, 37000
Study site
Mérida, Yucatán, 97129
Study site
Monterrey, Nuevo León, 64718
Study site
Xalapa, Veracruz, 91020
Denmark7 sites
Study site
Aarhus N, 8200
Study site
Copenhagen, 2300
Study site
Glostrup Municipality, 2600
Study site
Hellerup, 2900
Study site
Herning, 7400
Study site
København NV, 2400
Study site
Svendborg, 5700
South Africa7 sites
Study site
Bloemfontein, 9301
Study site
Johannesburg, Gauteng, 2132
Study site
Johannesburg, Gauteng, 2191
Study site
Pretoria, Gauteng, 0181
Study site
Pretoria West, Gauteng, 0082
Study site
Roodepoort, Gauteng, 1724
Study site
Worcester, Western Cape, 6850
New Zealand6 sites
Study site
Auckland, 1023
Study site
Auckland, 1309
Study site
Auckland, 2024
Study site
Christchurch, 8011
Study site
Palmerston North, 4414
Study site
Wellington, 6021
South Korea6 sites
Study site
Busan, 602-739
Study site
Daegu, 705-718
Study site
Donggu, Gwangju Gwang''yeogsi, 501-757
Study site
Seoul, 03080
Study site
Seoul, 120-752
Study site
Seoul, 135-710
Switzerland6 sites
Study site
Basel, Canton of Basel-City, 4031
Study site
Bern, 3010
Study site
Fribourg, 1700
Study site
Geneva, 1205
Study site
Lausanne, Canton of Vaud, 1011
Study site
Lucerne, 6000
Belgium5 sites
Study site
Aalst, 9300
Study site
Bruxelles - Brussel, 1070
Study site
Bruxelles - Brussel, 1200
Study site
Hasselt, 3500
Study site
Leuven, 3000
Poland5 sites
Study site
Bialystok, 15-276
Study site
Bydgoszcz, 85-681
Study site
Poznan, 60-631
Study site
Warsaw, 01-138
Study site
Wroclaw, 51-124
Spain5 sites
Study site
Girona, 17007
Study site
L'Hospitalet de Llobregat, Barcelona, 08907
Study site
Madrid, 28007
Study site
San Sebastián de los Reyes, Madrid, 28702
Study site
Torrevieja, Alicante, 03186
United Kingdom5 sites
Study site
Cardiff, CF14 4XW
Study site
Hull, Humberside, HU3 2JZ
Study site
London, SE1 7EH
Study site
Newcastle upon Tyne, Tyne and Wear, NE1 4LP
Study site
Plymouth, Devon, PL6 8DH
Austria3 sites
Study site
Graz, Styria, 8036
Study site
Innsbruck, Tyrol, 6020
Study site
Vienna, 1090
Taiwan3 sites
Study site
New Taipei City, 220
Study site
Taichung, 40447
Study site
Taipei, 11217
Turkey (Türkiye)2 sites
Study site
Istanbul, 34-300
Study site
Istanbul, 34760
About this study
Official title: Reduced-dosed Rivaroxaban and Standard-dosed Rivaroxaban Versus ASA in the Long-term Prevention of Recurrent Symptomatic Venous Thromboembolism in Patients With Symptomatic Deep-vein Thrombosis and/or Pulmonary Embolism
This is a multicenter, randomized, double-blind, event-driven, superiority study for efficacy.
Patients with confirmed symptomatic DVT (Deep Vein Thrombosis) or PE (Pulmonary embolism) who completed 6 or 12 months of treatment of anticoagulation are eligible for this trial
- Conditions
- Pulmonary Embolism, Thromboembolism, Thrombosis, Venous Thrombosis, Venous Thromboembolism
- Being tested
- BAY 59-7939, ASA
- Keywords
- deep vein thrombosis, pulmonary embolism, long-term prevention of recurrent symptomatic VTE
- Medical subject headings
- Pulmonary Embolism, Thromboembolism, Thrombosis, Venous Thrombosis, Venous Thromboembolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BAY 59-7939Drug
10 mg tablet once daily for 12 months
BAY 59-7939Drug
20 mg tablet once daily for 12 months
ASADrug
100 mg tablet once daily for 12 months
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | Rivaroxaban 10 mg once daily for 12 months Receives: Drug: BAY 59-7939 |
| Arm 2 | Experimental | Rivaroxaban 20 mg once daily for 12 months Receives: Drug: BAY 59-7939 |
| Arm 3 | Active comparator | ASA (Acetylsalicylic Acid) 100 mg once daily for 12 months Receives: Drug: ASA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With the Composite of Fatal or Non-fatal Symptomatic Recurrent Venous Thromboembolism
The primary efficacy outcomes (i.e., recurrent venous thromboembolism [VTE] defined as composite of fatal or non-fatal symptomatic recurrent VTE, including unexplained death for which pulmonary embolism [PE] could not be ruled out) as confirmed by the central independent adjudication committee (CIAC) were considered up to the end of the individual intended duration of treatment.
Incidence of the composite of the primary and secondary efficacy outcome and its components are based on the first occurrence to participant.
Measured: Up to 12 months, at least 6 months
Number of Participants With First Treatment-emergent Major Bleeding
The principal safety outcome was major bleeding which was defined according to the criteria of the International Society on Thrombosis and Hemostasis (ISTH) as clinically overt bleeding and associated with a fall in hemoglobin of 2 gram per deciliter (g/dL) or more, or leading to a transfusion of 2 or more units of packed red blood cells or whole blood, or occurring in a critical site, e.g. intracranial, intraspinal, intraocular, pericardial, intra articular, intramuscular with compartment syndrome, retroperitoneal, or contributing to death.
Incidence of the composite of the primary and secondary efficacy outcome and its components are based on the first occurrence to participant.
Measured: Up to 12 months, at least 6 months
Secondary outcomes (2)
Number of Participants With the Composite of the Primary Efficacy Outcome, Myocardial Infarction, Ischemic Stroke or Systemic Non-CNS Embolism
The secondary efficacy outcome is the composite of the primary efficacy outcome, myocardial infarction (MI), ischemic stroke or non-central nervous system (CNS) systemic embolism. Incidence of the composite of the primary and secondary efficacy outcome and its components are based on the first occurrence to participant.
Measured: Up to 12 months, at least 6 months
Number of Participants With Non-major Bleeding Associated With Study Drug Interruption for > 14 Days
The secondary safety outcome was clinically relevant non-major (CRNM) bleeding, which was adjudicated by the CIAC using the ASA criteria: the bleeding was non-major and the bleeding was associated with a study medication interruption of more than 14 days.
Measured: Up to 12 months, at least 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2014 (estimated)
- Study start5 Mar 2014
- Primary completion22 Sep 2016
- Study completion4 Nov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Pulmonary EmbolismStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 3,365 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Janssen Scientific Affairs, LLC
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02064439
- Sponsor's protocol ID
- 16416
- Other IDs
- 2013-000619-26
- Acronym
- EinsteinChoice
- Status last verified
- Nov 2017
- First submitted
- 14 Feb 2014
- Last updated
- 19 Dec 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Weitz JI, Bauersachs R, Beyer-Westendorf J, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Holberg G, Kakkar A, Lensing AW, Prins M, Haskell L, van Bellen B, Verhamme P, Wells PS, Prandoni P; EINSTEIN CHOICE Investigators. Two doses of rivaroxaban versus aspirin for prevention of recurrent venous thromboembolism. Rationale for and design of the EINSTEIN CHOICE study. Thromb Haemost. 2015 Aug 31;114(3):645-50. doi: 10.1160/TH15-02-0131. Epub 2015 May 21.
PubMed 25994838Dobesh 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 40163217Yamada N, Fu W, Shi Z, Park KH, Kim HS, Dai X, Lensing AW, Pap AF, Kohno T, Tajima T, Watakabe T, Mitsumori T. Risk of recurrent venous thromboembolism and major bleeding according to risk factor profiles in Asian patients: a subgroup analysis EINSTEIN-Extension and EINSTEIN-CHOICE. Thromb J. 2024 Jun 6;22(1):48. doi: 10.1186/s12959-024-00609-4.
PubMed 38844941Flumignan CD, Nakano LC, Baptista-Silva JC, Flumignan RL. Antiplatelet agents for the treatment of deep venous thrombosis. Cochrane Database Syst Rev. 2022 Jul 25;7(7):CD012369. doi: 10.1002/14651858.CD012369.pub2.
PubMed 35876829Weitz JI, Lensing AWA, Prins MH, Bauersachs R, Beyer-Westendorf J, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Decousus H, Freitas MCS, Holberg G, Kakkar AK, Haskell L, van Bellen B, Pap AF, Berkowitz SD, Verhamme P, Wells PS, Prandoni P; EINSTEIN CHOICE Investigators. Rivaroxaban or Aspirin for Extended Treatment of Venous Thromboembolism. N Engl J Med. 2017 Mar 30;376(13):1211-1222. doi: 10.1056/NEJMoa1700518. Epub 2017 Mar 18.
PubMed 28316279
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reduced-dosed Rivaroxaban and Standard-dosed Rivaroxaban Versus ASA in the Long-term Prevention of Recurrent Symptomatic Venous Thromboembolism in Patients With Symptomatic Deep-vein Thrombosis and/or Pulmonary Embolism
- ClinicalTrials.gov ID
- NCT02064439
- Acronym / sponsor ID
- EinsteinChoice / 16416
- Conditions
- Pulmonary Embolism, Thromboembolism, Thrombosis, Venous Thrombosis, Venous Thromboembolism
- Keywords
- deep vein thrombosis, pulmonary embolism, long-term prevention of recurrent symptomatic VTE
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,365 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Collaborators
- Janssen Scientific Affairs, LLC
- Study start
- 5 Mar 2014 (actual)
- Primary completion
- 22 Sep 2016 (actual)
- Study completion
- 4 Nov 2016 (actual)
- First posted
- 17 Feb 2014 (estimated)
- Results
- Posted 19 Dec 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, randomized, double-blind, event-driven, superiority study for efficacy.
Patients with confirmed symptomatic DVT (Deep Vein Thrombosis) or PE (Pulmonary embolism) who completed 6 or 12 months of treatment of anticoagulation are eligible for this trial
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: BAY 59-7939Rivaroxaban 10 mg once daily for 12 months |
| Arm 2 | Experimental | Drug: BAY 59-7939Rivaroxaban 20 mg once daily for 12 months |
| Arm 3 | Active comparator | Drug: ASAASA (Acetylsalicylic Acid) 100 mg once daily for 12 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Patients with confirmed symptomatic PE and/or DVT who have been treated for 6 to 12 months and did not interrupt anticoagulation for longer than 1 week
Key exclusion criteria (1 listed)
- Legal lower age limitations (country specific) Indication for therapeutic-dosed anticoagulants Indication for antiplatelet therapy or a conventional non-steroid anti-inflammatory drug (NSAID) Hepatic disease which is associated with coagulopathy leading to a clinically relevant bleeding risk Calculated creatinine clearance < 30 mL/min
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BAY 59-793910 mg tablet once daily for 12 months | Drug | Arm 1 |
| BAY 59-793920 mg tablet once daily for 12 months | Drug | Arm 2 |
| ASA100 mg tablet once daily for 12 months | Drug | Arm 3 |
Primary outcome
Number of Participants With the Composite of Fatal or Non-fatal Symptomatic Recurrent Venous Thromboembolism
Time frame: Up to 12 months, at least 6 months
The primary efficacy outcomes (i.e., recurrent venous thromboembolism [VTE] defined as composite of fatal or non-fatal symptomatic recurrent VTE, including unexplained death for which pulmonary embolism [PE] could not be ruled out) as confirmed by the central independent adjudication committee (CIAC) were considered up to the end of the individual intended duration of treatment. Incidence of the composite of the primary and secondary efficacy outcome and its components are based on the first occurrence to participant.
Number of Participants With First Treatment-emergent Major Bleeding
Time frame: Up to 12 months, at least 6 months
The principal safety outcome was major bleeding which was defined according to the criteria of the International Society on Thrombosis and Hemostasis (ISTH) as clinically overt bleeding and associated with a fall in hemoglobin of 2 gram per deciliter (g/dL) or more, or leading to a transfusion of 2 or more units of packed red blood cells or whole blood, or occurring in a critical site, e.g. intracranial, intraspinal, intraocular, pericardial, intra articular, intramuscular with compartment syndrome, retroperitoneal, or contributing to death. Incidence of the composite of the primary and secondary efficacy outcome and its components are based on the first occurrence to participant.
2 secondary outcomes
Number of Participants With the Composite of the Primary Efficacy Outcome, Myocardial Infarction, Ischemic Stroke or Systemic Non-CNS Embolism
Time frame: Up to 12 months, at least 6 months
Number of Participants With Non-major Bleeding Associated With Study Drug Interruption for > 14 Days
Time frame: Up to 12 months, at least 6 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 25994838Weitz JI, Bauersachs R, Beyer-Westendorf J, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Holberg G, Kakkar A, Lensing AW, Prins M, Haskell L, van Bellen B, Verhamme P, Wells PS, Prandoni P; EINSTEIN CHOICE Investigators. Two doses of rivaroxaban versus aspirin for prevention of recurrent venous thromboembolism. Rationale for and design of the EINSTEIN CHOICE study. Thromb Haemost. 2015 Aug 31;114(3):645-50. doi: 10.1160/TH15-02-0131. Epub 2015 May 21.
- Derived from this study: PubMed 40163217Dobesh 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.
- Derived from this study: PubMed 38844941Yamada N, Fu W, Shi Z, Park KH, Kim HS, Dai X, Lensing AW, Pap AF, Kohno T, Tajima T, Watakabe T, Mitsumori T. Risk of recurrent venous thromboembolism and major bleeding according to risk factor profiles in Asian patients: a subgroup analysis EINSTEIN-Extension and EINSTEIN-CHOICE. Thromb J. 2024 Jun 6;22(1):48. doi: 10.1186/s12959-024-00609-4.
- Derived from this study: PubMed 35876829Flumignan CD, Nakano LC, Baptista-Silva JC, Flumignan RL. Antiplatelet agents for the treatment of deep venous thrombosis. Cochrane Database Syst Rev. 2022 Jul 25;7(7):CD012369. doi: 10.1002/14651858.CD012369.pub2.
- Derived from this study: PubMed 28316279Weitz JI, Lensing AWA, Prins MH, Bauersachs R, Beyer-Westendorf J, Bounameaux H, Brighton TA, Cohen AT, Davidson BL, Decousus H, Freitas MCS, Holberg G, Kakkar AK, Haskell L, van Bellen B, Pap AF, Berkowitz SD, Verhamme P, Wells PS, Prandoni P; EINSTEIN CHOICE Investigators. Rivaroxaban or Aspirin for Extended Treatment of Venous Thromboembolism. N Engl J Med. 2017 Mar 30;376(13):1211-1222. doi: 10.1056/NEJMoa1700518. Epub 2017 Mar 18.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
266 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BAY 59-7939 and ASA in people with Pulmonary Embolism and Thromboembolism, run by Bayer at 266 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 266 sites in China, United States, France, Canada, Australia and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 19 Dec 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With the Composite of Fatal or Non-fatal Symptomatic Recurrent Venous Thromboembolism (time frame: Up to 12 months, at least 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02064439, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2017.