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Apixaban

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment80

FDA Designations

No designations recorded

Clinical trial landscape

Apixaban · 3 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 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.

Cmax
dosing to 3 days
AUC(INF)
dosing to 3 days

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
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ApixabanEXPERIMENTAL -
UFH/WarfarinACTIVE_COMPARATOR -
Apixaban 5mg BIDEXPERIMENTAL -
Apixaban 2.5mg BIDEXPERIMENTAL -
WarfarinACTIVE_COMPARATOR -
1EXPERIMENTALPeriod I: fasting state, Period II: fed state
2EXPERIMENTALPeriod I: fed state, Period II: fasting state

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
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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:JapanSingapore
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Frequently asked questions about Apixaban

What is Apixaban used for?

Apixaban is an investigational small molecule being studied for use in atrial fibrillation, deep vein thrombosis, and pulmonary embolism. It has been evaluated in clinical trials enrolling healthy volunteers and patients with these cardiovascular conditions. The drug is being developed by Pfizer, Inc.

What does Apixaban target?

Apixaban is a small molecule that targets factor Xa, an enzyme involved in blood coagulation. By inhibiting factor Xa, it reduces thrombin generation and blood clot formation. This mechanism is relevant for conditions like atrial fibrillation and deep vein thrombosis, where preventing clots is a therapeutic goal.

Who makes Apixaban?

Apixaban is being developed by Pfizer, Inc., a pharmaceutical company listed on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to evaluate the safety and efficacy of Apixaban in cardiovascular indications.

What phase is Apixaban in?

Apixaban is in Phase 2 clinical development. A Phase 2 study in atrial fibrillation has been completed, along with a Phase 1 food effect study and a Phase 3 study in Japanese patients with deep vein thrombosis and pulmonary embolism. The drug is investigational and not yet approved.

What clinical trials is Apixaban in?

Apixaban has been studied in several completed trials. NCT00787150 is a Phase 2 study in atrial fibrillation with 222 participants. NCT01437839 is a Phase 1 food effect study in healthy volunteers with 22 participants. NCT01780987 is a Phase 3 study in Japanese patients with deep vein thrombosis and pulmonary embolism with 80 participants.

Is Apixaban the same as Eliquis?

Apixaban is the generic name for the drug marketed as Eliquis. Eliquis is the brand name used for apixaban in approved indications. In clinical development, the drug is referred to as apixaban, and it is being studied for cardiovascular conditions like atrial fibrillation and deep vein thrombosis.