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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT00718224




Registration number
NCT00718224
Ethics application status
Date submitted
17/07/2008
Date registered
18/07/2008
Date last updated
23/01/2013

Titles & IDs
Public title
Evaluation of AVE5026 as Compared to Enoxaparin for the Prevention of Thromboembolism in Patients Undergoing Elective Knee Replacement Surgery
Scientific title
A Multinational, Multicenter, Randomized, Double-blind Study Comparing the Efficacy and Safety of Semuloparin (AVE5026) With Enoxaparin for the Prevention of Venous Thromboembolism in Patients Undergoing Elective Knee Replacement Surgery
Secondary ID [1] 0 0
2007-007946-37
Secondary ID [2] 0 0
EFC10571
Universal Trial Number (UTN)
Trial acronym
SAVE-KNEE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Venous Thromboembolism 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system
Blood 0 0 0 0
Clotting disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Semuloparin sodium
Treatment: Drugs - Enoxaparin
Treatment: Drugs - Placebo

Experimental: Semuloparin - Semuloparin sodium 20 mg (10 mg if Severe Renal Impairment \[SRI\]) once daily for 7-10 days with an initial dose given 8 hours after surgery

To maintain the blind, placebo for Enoxaparin sodium:

* 12 and 24 hours after surgery, then once daily if no SRI
* 12 hours after surgery only if SRI

Active comparator: Enoxaparin - Enoxaparin sodium 30 mg twice daily (20 mg once daily if Severe Renal Impairment \[SRI\]) for 7-10 days with an initial dose given 12 hours after surgery

Placebo for Semuloparin sodium 8 hours after surgery to maintain the blind


Treatment: Drugs: Semuloparin sodium
0.3 mL (0.2 mL if SRI) solution in ready-to-use 0.5 mL pre-filled syringe

Subcutaneous injection

Treatment: Drugs: Enoxaparin
0.3 mL (0.2 mL if SRI) solution in ready-to-use 0.5 mL pre-filled syringe

Subcutaneous injection

Treatment: Drugs: Placebo
0.3 mL (0.2 mL if SRI) solution in ready-to-use 0.5 ml prefilled syringe strictly identical in appearance but without active component

Subcutaneous injection
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants Who Experienced Venous Thromboembolism Event (VTE) or All-cause Death
Timepoint [1] 0 0
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first
Secondary outcome [1] 0 0
Percentage of Participants Who Experienced "Major" VTE or All-cause Death
Timepoint [1] 0 0
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first
Secondary outcome [2] 0 0
Percentage of Participants Who Experienced Clinically Relevant Bleedings
Timepoint [2] 0 0
From first study drug injection up to 3 days after last study drug injection
Secondary outcome [3] 0 0
Percentage of Participants Who Required the Initiation of Curative Anticoagulant or Thrombolytic Treatment After VTE Assessment
Timepoint [3] 0 0
From randomization up to 10 days after surgery or the day of mandatory venography, whichever came first

Eligibility
Key inclusion criteria
- Knee replacement surgery or revision of at least one component of a knee prosthesis implanted = 6 months prior to study entry.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Any major orthopedic surgeries in the 3 months prior to study;
* Deep vein thrombosis or pulmonary embolism within the last 12 months, or known post-phlebitic syndrome;
* Any contraindications to the performance of venography;
* High risk of bleeding;
* Know allergy to heparin, or enoxaparin, or pork products;
* End stage renal disease or patient on dialysis.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study design
Purpose of the study
Prevention
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/07/2008
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
1/05/2009
Sample size
Target
Accrual to date
Final
1150
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment hospital [1] 0 0
sanofi-aventis Australia & New Zealand administrative office - Macquarie Park
Recruitment postcode(s) [1] 0 0
- Macquarie Park
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
New Jersey
Country [2] 0 0
Argentina
State/province [2] 0 0
Buenos Aires
Country [3] 0 0
Belarus
State/province [3] 0 0
Minsk
Country [4] 0 0
Canada
State/province [4] 0 0
Laval
Country [5] 0 0
Colombia
State/province [5] 0 0
Santafe de Bogota
Country [6] 0 0
Czech Republic
State/province [6] 0 0
Praha
Country [7] 0 0
Denmark
State/province [7] 0 0
Horsholm
Country [8] 0 0
Estonia
State/province [8] 0 0
Tallinn
Country [9] 0 0
Greece
State/province [9] 0 0
Athens
Country [10] 0 0
Lithuania
State/province [10] 0 0
Vilnius
Country [11] 0 0
Mexico
State/province [11] 0 0
Mexico
Country [12] 0 0
Poland
State/province [12] 0 0
Warszawa
Country [13] 0 0
Romania
State/province [13] 0 0
Bucuresti
Country [14] 0 0
Russian Federation
State/province [14] 0 0
Moscow
Country [15] 0 0
South Africa
State/province [15] 0 0
Midrand
Country [16] 0 0
Ukraine
State/province [16] 0 0
Kiev

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Sanofi
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary objective was to compare the efficacy of Semuloparin sodium (AVE5026) with Enoxaparin for the prevention of Venous Thromboembolic Events \[VTE\] in patients undergoing elective knee replacement surgery.

The secondary objectives were to evaluate the safety of AVE5026 in patients undergoing elective knee replacement surgery, and to document AVE5026 exposure in this population.
Trial website
https://clinicaltrials.gov/study/NCT00718224
Trial related presentations / publications
Lassen MR, Fisher W, Mouret P, Agnelli G, George D, Kakkar A, Mismetti P, Turpie AG; SAVE Investigators. Semuloparin for prevention of venous thromboembolism after major orthopedic surgery: results from three randomized clinical trials, SAVE-HIP1, SAVE-HIP2 and SAVE-KNEE. J Thromb Haemost. 2012 May;10(5):822-32. doi: 10.1111/j.1538-7836.2012.04701.x.
Public notes

Contacts
Principal investigator
Name 0 0
Michael R. LASSEN, MD
Address 0 0
Horsholm Hospital, Horsholm, Denmark
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT00718224