Recent Updates
Recently added Catalysts

Apixaban

Phase 4FDA approved

Deep Vein Thrombosis | Small molecule | Cardiovascular |Pfizer, Inc.|Trials Updated: Jun 23, 2016

Apixaban development status

FDA approval on record Dec 28, 2012 as Eliquis
Approval holderBristol Myers Squibb
ApplicationNDA202155
Highest phase Phase 4 (NCT02100228)
Phase scored for PFEPhase 3
Registered trials 91 across 21 sponsors since Nov 2004

Label indication ELIQUIS is a factor Xa inhibitor indicated: to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. (1.1) for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery. FDA label

Apixaban target and mechanism

Molecular targetF10
Target classInhibitor
ModalitySmall molecule

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment302

FDA Designations

No designations recorded

Apixaban clinical trials

Apixaban · 2 trials · 3 indications

Phase 3 1Phase 2 1
NCT01780987AStudy To Evaluate Safety And Eficacy Of Apixaban In Japanese Acute Deep Vein Thrombosis (DVT) And Pulmonary Embolism (PE) PatientsDeep Vein Thrombosis
COMPLETED80 Analytics
PHASE3COMPLETED
AStudy To Evaluate Safety And Eficacy Of Apixaban In Japanese Acute Deep Vein Thrombosis (DVT) And Pulmonary Embolism (PE) Patients
Deep Vein ThrombosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Major Bleeding Events [Per International Society on Thrombosis and Homeostasis (ISTH) Definition] or Clinically Relevant Non-major (CRNM) Bleeding Events Adjudicated by Clinical Event Committee During the Treatment Period
Baseline to Week 24

Major bleeding event was defined as an acute clinically overt bleeding accompanied by a decrease in hemoglobin of 2 g/dL or more, a transfusion of 4 or more units of packed red blood cells (a unit of packed red blood cells equal to about 200 cc), or bleeding that occurred in critical sites (e.g. intracranial). Fatal bleeding was also defined as a major bleeding event. CRNM bleeding event was defined as an acute clinically overt bleeding that did not satisfy the definition of major bleeding and that led to either hospitalization, physician guided medical or surgical treatment for bleeding, or a change in antithrombotic therapy.

Number of Participants With Major (Per International Society on Thrombosis and Haemostasis [ISTH] Criteria) or Clinically Relevant Non-major Bleeding Adjudicated by Clinical Event Committee During the Treatment Period
Baseline to Week 12

Major bleeding event was acute clinically overt bleeding accompanied by decrease in hemoglobin of 2 g/dL or more over a 24-hour period, transfusion of 2 or more units of packed red blood cells, or bleeding that occurs in critical site (e.g., intracranial). Fatal bleeding was also major bleeding event. Clinical relevant non-major bleeding was acute or sub-acute clinically overt bleeding that does not satisfy the criteria for major bleeding and that leads to either hospital admission for bleeding, physician guided medical or surgical treatment for bleeding or a change in antithrombotic therapy.

Secondary Endpoints

Number of Participants With Adjudicated Recurrent Symptomatic Venous Thromboembolism (VTE) [Nonfatal Deep Venous Thrombosis (DVT) or Nonfatal Pulmonary Embolism (PE)] or VTE-Related Death During the Intended Treatment Period
Baseline to Week 24
Number of Participants With Adjudicated Thrombotic Burden Worsened in Acute Symptomatic Proximal Deep Venous Thrombosis (DVT)
Baseline to Week 24
Number of Participants With Adjudicated Thrombotic Burden Worsened in Acute Symptomatic Pulmonary Embolism (PE)
Baseline to Week 24
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ApixabanEXPERIMENTAL -
UFH/WarfarinACTIVE_COMPARATOR -
Apixaban 5mg BIDEXPERIMENTAL -
Apixaban 2.5mg BIDEXPERIMENTAL -
WarfarinACTIVE_COMPARATOR -

Interventions

NameTypeDescription
ApixabanDRUG10 mg BID for 7 days followed by 5 mg BID for 23 weeks (total 24 weeks)
Unfractionated Heparin (UFH)DRUGDosing adjustment based on APTT = 1.5-2.5 times the control value, and until INR ≥ 1.5 for 5 days or more
WarfarinDRUGDosing for 24 weeks to target INR range between 1.5-2.5
Warfarin sodiumDRUGAt each visit, the subject to take appropriate Warfarin tablet (on investigator's order) once a day every morning for 12 weeks
Unlock Study Design Details

Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Acute symptomatic proximal DVT with evidence of proximal thrombosis * Acute symptomatic PE with evidence of thrombosis in segmental or more proximal branches Exclusion Criteria: * Active bleeding or high risk for bleeding contraindicating treatment with UFH and a VKA. * Unco...

Countries:Japan
Unlock Eligibility Criteria

Competitive Landscape -Thrombosis and Embolism 38 trials (matched to "Deep Vein Thrombosis")

Unlock Competitive Intelligence

Frequently asked questions about Apixaban

What is Apixaban?

Apixaban is a small molecule drug developed by Pfizer, Inc. (ticker: PFE) for cardiovascular conditions. It has been studied in atrial fibrillation and deep vein thrombosis, and is being investigated as an inhibitor of factor X (F10).

What is Apixaban used for in atrial fibrillation?

Apixaban has been studied for use in atrial fibrillation, a condition characterized by irregular heartbeats. A Phase 2 clinical trial (NCT00787150) evaluated its safety in patients with atrial fibrillation, and it is also being investigated for deep vein thrombosis.

What does Apixaban target?

Apixaban targets factor X (F10), a key enzyme in the blood coagulation cascade. As an inhibitor of F10, it works by directly blocking this target to exert its anticoagulant effects.

Who is developing Apixaban?

Apixaban is being developed by Pfizer, Inc., a pharmaceutical company traded under the ticker symbol PFE. Pfizer is responsible for the clinical development of apixaban in cardiovascular indications.

What phase is Apixaban in?

Apixaban is in Phase 2 clinical development for atrial fibrillation, with a completed Phase 2 trial (NCT00787150). It has also been tested in a Phase 3 trial for deep vein thrombosis and pulmonary embolism, but it is not approved for these indications.

What clinical trials is Apixaban in?

Apixaban has been evaluated in clinical trials including NCT00787150, a completed Phase 2 study in atrial fibrillation, and NCT01780987, a completed Phase 3 study in Japanese patients with acute deep vein thrombosis and pulmonary embolism.