Table 1

Summary of clinical studies of new oral anticoagulant agents in the prevention of venous thromboembolism after major orthopedic surgery

StudyPhaseSurgeryDosingComparator(s)Status
Dabigatran etexilate*
 RE-NOVATEIIITHA150 and 220 mg odEnoxaparinCompleted
 RE-MODELIIITKA150 and 220 mg odEnoxaparinCompleted
 RE-MOBILIZEIIITKA150 and 220 mg odEnoxaparinCompleted
 RE-NOVATE IIIIITHA220 mg odEnoxaparinCompleted
Rivaroxaban
 RECORD1IIITHA10 mg odEnoxaparinCompleted
 RECORD2IIITHA10 mg odEnoxaparinCompleted
 RECORD3IIITKA10 mg odEnoxaparinCompleted
 RECORD4IIITKA10 mg odEnoxaparinCompleted
Apixaban
 ADVANCE-1 (NCT00371683)IIITKA2.5 mg bidEnoxaparinCompleted
 ADVANCE-2 (NCT00452530)IIITKA2.5 mg bidEnoxaparinCompleted
 ADVANCE-3 (NCT00423319)IIITHA2.5 mg bidEnoxaparinCompleted
YM150
 ONYXIITHA3–60 mg odEnoxaparinCompleted
 ONYX-2IITHA5–120 mg odEnoxaparinCompleted
 PEARL-1 (NCT00408239)IITKAEscalating doses (bid or od)EnoxaparinCompleted
 PEARL-2 (NCT00595426)IITKAbid or odWarfarinCompleted
 ONYX-3 (NCT00902928)II/IIITHAbid or odEnoxaparinOngoing
Edoxaban (DU-176b)
NCT00107900IITHADose rangingCompleted
NCT00398216IITHADose rangingDalteparinCompleted
Betrixaban
 EXPERTIITKA15 or 40 mg odEnoxaparinCompleted
  • bid = twice daily; od = once daily; THA = total hip arthroplasty; TKA = total knee arthroplasty; VTE = venous thromboembolism.

  • * Dabigatran etexilate was approved in the European Union and Canada for the prevention of VTE after THA and TKA in 2008.

  • Rivaroxaban was approved in the European Union, Canada and several other countries for the prevention of VTE after THA and TKA in 2008.

  • Enoxaparin 30 mg bid.

  • Source: www.clinicaltrials.gov.