To clarify the effectiveness and safety of the direct factor Xa inhibitor rivaroxaban in domestic clinical use for patients with deep vein thrombosis and pulmonary embolism
Research design: multicenter collaboration, prospective, non-interventional, observational research Research outline: Registration period: Dec 2016 (after ethics committee approval) to May 2018 (1 year and 6 months) Investigation period: Dec 2016 (after ethics committee approval) to Nov 2019 (At least 1 year and 6 months) Target number of participants: 1,000 participants Estimated number of participating institutions: 150 medical institutions Research secretariat: Mebix, Inc. Research procedure: * Perform patient registration within 3 weeks of first prescription * Also record when the drug was discontinued for any reason, such as an event or bleeding etc, between the time of first prescription and registration * Track progress as much as possible until the end of the study period, regardless of continuation or discontinuation of study drug administration, and also in cases where there is manifestation of efficacy or safety events * Track progress of all cases as much as possible until the end of the study period, regardless of continuation, discontinuation or termination of study drug administration. Patients transferred to the hospital are managed in the same way. Registration method: Register case information in the WEB registration system (EDC) after obtaining written consent from the research participant him/herself or the legal guardian for all cases compliant with the registration criteria and not in conflict with the exclusion criteria. Administer rivaroxaban in compliance with the approved dosage in the separate attached document. Furthermore, when the usage or dose are adjusted at the discretion of the research doctor, record the dose adjustment and reason. EDC will be used for case data entry. \[EDC; Items to be entered into the case registration screen\] 1. Registration date 2. Facility name 3. Case registration number 4. Patient identification code (appropriate number within the facility) 5. Gender 6. Birthdate 7. Rivaroxaban commencement date 8. Age at first prescription (automatic calculation display) 9. Date of obtaining written consent 10. Other
Study Type
OBSERVATIONAL
Enrollment
1,000
Nihon University School of Medicine
Tokyo, Itabashi-ku, Japan
RECRUITINGRecurrence/exacerbation of symptomatic venous thromboembolism (VTE)
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Onset/exacerbation of symptomatic pulmonary embolism (PE)
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Onset/exacerbation of symptomatic deep vein thrombosis (DVT)
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Major bleeding event (ISTH bleeding criteria)
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Non-major bleeding event (bleeding events that do not correspond to major bleeding)
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Recurrence/exacerbation of symptomatic venous thromboembolism during the initial strengthening treatment period
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Bleeding event during the initial strengthening treatment period
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Acute coronary syndrome
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Cerebral infarction
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Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
VTE related death
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Cardiovascular death
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
All deaths
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Relationship between change in D-dimer and recurrence
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Comparison of examples of treatment continuation/discontinuation events
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)
Serious adverse events
Time frame: From the time of research participation to 30th November 2019 (At least 1 year and 6 months)