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Fondaparinux

Phase 3

Thromboembolism | Small molecule | Other |GSK plc|Last Updated: Sep 4, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment21,435
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00320424Hip Fracture Study of GSK576428 (Fondaparinux Sodium)PHASE3 COMPLETED 48Feb 16, 2006Oct 26, 2006Sep 4, 20181
NCT00139815Michelangelo - Oasis 5PHASE3 COMPLETED 20,078Apr 1, 2003Dec 1, 2005Sep 15, 2016 -
NCT00038961A Study to Evaluate the Efficacy and Safety of Fondaparinux Sodium When Used With Intermittent Pneumatic Compression to Prevent Venous Thromboembolic (IPC) Versus IPC Alone for the Prevention of Venous Thromboembolic Events in Subjects at Increased Risk Undergoing Major Abdominal Surgery (APOLLO).PHASE3 COMPLETED 1,309Nov 1, 2001Oct 1, 2004Sep 1, 2016 -
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Study Endpoints
Primary Endpoints
Rate of Major Bleeding During Treatment Period
From the first study drug injection up to Day 17

Rate (%) was defined as number of events divided by the number of participants evaluated multiplied by 100. Signs and symptoms suggestive of venous thromboembolic events (VTE) included, but were not limited to lower extremity deep vein thrombosis (DVT): erythema, warmth, pain, swelling, tenderness and pulmonary embolism (PE): pleuritic chest pain, dyspnea, cough, hemoptysis, syncope, light-headedness/dizziness, tachypnea, and tachycardia. Intended treatment period started 24±2 hours after surgical closure. Venogram was obtained not later than 2 calendar days after the last study drug administration (between Day 11 and 17). These events were adjudicated by the Central Independent Adjudication Committee of Efficacy (CIACE).

death, myocardial infarction or refractory
up to and including Day 9

first occurrence of any component of death, myocardial infarction or

major bleeding
Up to Day 9

incidence of adjudicated major bleeding

venous thromboembolism (VTE)
adjudicated mandatory venogram positive for DVT between day 5 and day 10; up to day 10 for symptomatic DVT and/or adjudicated non fatal Pe , adjudicated fatal PE

the incidence of VTE determined as any of the following VTE outcomes recorded up to the first venogram performed or up to Day 10, whichever occurred first: adjudicated manadatory veongram positive for DVT between Day 5 and Day 10; adjudicated symptomatic DVT and/or adjudicated non-fatal PE; adjudicated fatal PE

Secondary Endpoints
Rate of PE During Treatment Period
Up to Day 17
Rate of DVT During Treatment Period
Up to Day 17
Rate of Proximal DVT During Treatment Period
Up to Day 17
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION
Treatment Arms
ArmTypeDescription
EnoxaparinACTIVE_COMPARATOR -
FondaparinuxEXPERIMENTAL -
Placebo + intermittent pneumatic compression (IPC)PLACEBO_COMPARATOR -
fondaparinux + intermittent pneumatic compression (IPC)EXPERIMENTAL -
Interventions
NameTypeDescription
FondaparinuxDRUG -
enoxaparinDRUGenoxaparin 1mg/kg s.c. injection twice daily x 2 to 8 days
fondaparinux sodiumDRUG2.5 mg fondparinux sodium, daily, s.c. starting 6 to 8 hours after surgical closure for up to 7 +/- 2 days, administered on top of IPC +/- elastic stockings (ES)
placeboOTHERplacebo, daily, s.c. starting 6 to 8 hours after surgical closure for up to 7 +/- 2 days, administered on top of IPC +/- elastic stockings (ES)
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Eligibility Criteria
Age Range20 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Patients undergoing hip fracture surgery within 10 days following the time of fracture of the hip (proximal femur) (or following the time of fracture estimated from trauma). Exclusion Criteria: * Active, clinically significant bleeding (excluding drainage).

Countries:
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