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JNJ-64179375/kg

Phase 2

VTE Prophylaxis With Anticoagulation After Total Knee Replacement Surgery | Small molecule | Cardiovascular |Johnson & Johnson|Last Updated: Nov 25, 2019

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment308

FDA Designations

No designations recorded

Clinical trial landscape

JNJ-64179375/kg · 1 trial · 1 indication

Phase 2 1
NCT03251482A Study to Evaluate the Safety and Efficacy of Intravenous JNJ-64179375 Versus Oral Apixaban in Participants Undergoing Elective Total Knee Replacement SurgeryVTE Prophylaxis With Anticoagulation After Total Knee Replacement Surgery
COMPLETED308 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of Intravenous JNJ-64179375 Versus Oral Apixaban in Participants Undergoing Elective Total Knee Replacement Surgery
VTE Prophylaxis With Anticoagulation After Total Knee Replacement SurgeryUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Bleeding Events (Clinical Events Committee [CEC]- Adjudicated)
Up to Day 10 to 14 (visit observation period)

Number of participants with treatment-emergent bleeding events (BE) (adjudicated by CEC) were reported. Bleeding event was defined as the composite of major, clinically relevant nonmajor (CRNM), and minimal bleeding events assessed through the Day 10 to 14.

Number of Participants With Total Venous Thromboembolism (VTE) (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)

Number of participants with total VTE were reported. Total VTE was defined as the composite of CEC-adjudicated proximal and/or distal deep vein thrombosis (DVT) (asymptomatic confirmed by venography assessment of the operated leg or objectively confirmed symptomatic), nonfatal pulmonary embolism (PE), or any death assessed through the Day 10 to 14 visit. 1 participant had an asymptomatic distal clot in the non-operated leg which is not counted in the Total VTE and 2 participants had symptomatic proximal clots at the Day 10 to 14 venography and are counted in both the asymptomatic proximal and symptomatic proximal groups.

Secondary Endpoints

Number of Participants With Composite of Major and CRNM Bleeding Events (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
Number of Participants With Major Bleeding Event (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
Number of Participants With Clinically Relevant Non-major (CRNM) Bleeding Events (CEC-adjudicated)
Up to Day 10 to 14 (visit observation period)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Part 1: Cohort 1 (0.3 mg/kg JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenously (IV) or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Cohort 2 (0.6 mg/kg JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 0.6 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Cohort 3 (1.2 mg/kg JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 1.2 mg/kg IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 4 (JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 Dose to be determined (TBD) based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 5 (JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 1: Optional Cohort 6 (JNJ-64179375/Apixaban)EXPERIMENTALParticipants will receive JNJ-64179375 Dose TBD based on preliminary data (dose may range from 0.1 to 1.8 mg/kg or any dose from the preceding cohorts) IV or JNJ-64179375 placebo (saline) IV infusion as a single dose on Day 1 and matching apixaban placebo or 2.5 mg apixaban, orally twice a day for 10 to 14 days.
Part 2: Group A: JNJ-64179375 A mg/kg and apixaban placeboEXPERIMENTALParticipants will receive JNJ-64179375 Dose A mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group B: JNJ-64179375 B mg/kg and apixaban placeboEXPERIMENTALParticipants will receive JNJ-64179375 Dose B mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group C: JNJ-64179375 C mg/kg and apixaban placeboEXPERIMENTALParticipants will receive JNJ-64179375 Dose C mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group D: JNJ-64179375 D mg/kg and apixaban placeboEXPERIMENTALParticipants will receive JNJ-64179375 Dose D mg/kg (TBD based on review of data from Part 1) IV as a single dose on Day 1 and apixaban placebo orally twice a day for 10 to 14 days.
Part 2: Group E: JNJ-64179375 placebo IV and apixaban 2.5 mgEXPERIMENTALParticipants will receive JNJ-64179375 placebo (saline) IV as a single dose on Day 1 and apixaban 2.5 mg orally twice a day for 10 to 14 days.

Interventions

NameTypeDescription
JNJ-64179375 0.3 mg/kgDRUGJNJ-64179375 0.3 milligram per kilogram (mg/kg) intravenous (IV) infusion as a single dose on Day 1.
JNJ-64179375 0.6 mg/kgDRUGJNJ-64179375 0.6 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 1.2 mg/kgDRUGJNJ-64179375 1.2 mg/kg IV infusion as a single dose on Day 1.
JNJ-64179375 (Dose to be Determined)DRUGJNJ-64179375 IV infusion (Dose to be determined) as a single dose on Day 1.
JNJ-64179375 A mg/kgDRUGJNJ-64179375 Dose A mg/kg IV as a single dose on Day 1.
JNJ-64179375 B mg/kgDRUGJNJ-64179375 Dose B mg/kg IV as a single dose on Day 1.
JNJ-64179375 C mg/kgDRUGJNJ-64179375 Dose C mg/kg IV as a single dose on Day 1.
JNJ-64179375 D mg/kgDRUGJNJ-64179375 Dose D mg/kg IV as a single dose on Day 1.
Placebo JNJ-64179375DRUGMatching JNJ-64179375 placebo (normal saline) administered as IV infusion as a single dose on Day 1.
Apixaban placeboDRUGMatching apixaban placebo administered orally twice a day for 10 to 14 days.
Apixaban 2.5 mgDRUGApixaban 2.5 mg administered orally twice a day for 10 to 14 days.
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites103

Inclusion Criteria: * Weight greater than or equal to (\>=) 40 kg to less than or equal to (\<=) 150 kilogram (kg) * Medically appropriate for postoperative anticoagulant prophylaxis as determined by the investigator * Has undergone an elective primary unilateral total knee replacement (TKR) * Befo...

Countries:United StatesArgentinaBelgiumBrazilBulgariaCanadaItalyJapanLatviaLithuaniaMalaysiaPolandRussiaSpainTurkey (Türkiye)Ukraine
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Frequently asked questions about JNJ-64179375/kg

What is JNJ-64179375 used for?

JNJ-64179375 is an investigational small molecule being studied for venous thromboembolism (VTE) prophylaxis with anticoagulation after total knee replacement surgery. It is also being evaluated in healthy volunteers to assess its safety, tolerability, pharmacokinetics, immunogenicity, and pharmacodynamics.

Who makes JNJ-64179375?

JNJ-64179375 is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The drug is currently in clinical development and has not been approved by regulatory authorities.

What phase is JNJ-64179375 in?

JNJ-64179375 has completed Phase 1 and Phase 2 clinical trials. The Phase 1 trials evaluated safety and tolerability in healthy subjects, while the Phase 2 trial compared the drug to apixaban in patients undergoing total knee replacement surgery. It remains investigational.

What clinical trials has JNJ-64179375 been in?

JNJ-64179375 has been studied in three completed trials: NCT02949206 and NCT03080987, both Phase 1 studies in healthy volunteers, and NCT03251482, a Phase 2 study in patients undergoing elective total knee replacement surgery comparing the drug to oral apixaban.

Is JNJ-64179375 the same as apixaban?

No, JNJ-64179375 is not the same as apixaban. In a Phase 2 clinical trial, intravenous JNJ-64179375 was compared against oral apixaban in participants undergoing elective total knee replacement surgery. The two drugs are distinct investigational and approved anticoagulants, respectively.