The three purposes of this study are the following: * To compare during a 6-month treatment the safety and effectiveness of idrabiotaparinux (SSR126517) with that of idraparinux (SR34006), taking into account new events of deep venous thrombosis (DVT) and pulmonary embolism (PE), and bleeding risk; * To compare the activities of idrabiotaparinux and idraparinux directly in blood during and after a 6-month treatment; * To check the ability of avidin (SSR29261) to reverse the blood thinning activity of idrabiotaparinux at the end of a 6-month treatment period.
The study consists in a 6-month treatment period followed by an observational period of 3 to 6 months with a month 9 visit and a phone/contact visit at month 12. All participants who complete the 6-month treatment period are re-randomized to either the idrabiotaparinux/idraparinux bioequipotency sub-study or the avidin neutralizing effect sub-study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
757
0.5 mL pre-filled syringe for 3.0 mg Subcutaneous injection
0.5 mL pre-filled syringe for 2.5 mg Subcutaneous injection
100 mg in 10 mg/mL solution Intravenous infusion for 30 minutes
Avidin matching powder in 10 mg/mL solution Intravenous infusion for 30 minutes
Sanofi-Aventis
Bridgewater, New Jersey, United States
Sanofi-Aventis
Buenos Aires, Argentina
Sanofi-Aventis
Macquarie Park, Australia
Sanofi-Aventis
Vienna, Austria
Sanofi-Aventis
Diegem, Belgium
Sanofi-Aventis
São Paulo, Brazil
Sanofi-Aventis
Laval, Canada
Sanofi-Aventis
Prague, Czechia
Sanofi-Aventis
Copenhagen, Denmark
sanofi-aventis France
Paris, France
...and 10 more locations
Bioequipotency sub-study: idrabiotaparinux/idraparinux ratio for pharmacodynamic exposure parameters
Time frame: Day 183
Avidin neutralizing effect substudy: decrease in anti-Xa activity between the start and end of the avidin infusion
Time frame: Day 183 to Day 188
Pharmacokinetic profile: idrabiotaparinux and idraparinux plasma concentrations
Time frame: Days 15, 36, 57, 92 and 183
Safety: number of participants with clinically relevant bleedings and number of deaths as confirmed by a Central Independent Adjudication Committee (CIAC)
Time frame: First 6 months
Efficacy: number of participants with symptomatic recurrent venous thromboembolism as confirmed by the CIAC
Time frame: First 6 months
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