Study identifier:D9604C00001
ClinicalTrials.gov identifier:NCT05926349
EudraCT identifier:N/A
CTIS identifier:2022-501353-37
A Randomized Study of Andexanet Alfa Compared to Usual Care in Patients Receiving a Factor Xa Inhibitor who Require Urgent Surgery or Procedure (ANNEXA-RS)
Urgent surgery
Phase 3
No
Andexanet alfa, Usual Care
All
0
Interventional
18 Years - 130 Years
Allocation: Randomized
Endpoint Classification: -
Intervention Model: Parallel Assignment
Masking: -
Primary Purpose: Treatment
Verified 01 Oct 2024 by AstraZeneca
AstraZeneca
-
The study will aim to find out if the drug andexanet alfa is safe and effective in preventing major bleeding during urgent surgery or invasive procedures. The study will compare the use of andexanet alfa to the usual care given at the study center.
This study will be an open-label, randomised, controlled, prospective, multicenter study. The study will include patients requiring urgent surgery or procedure that needs to be performed within 15 hours of the last dose of blood-thinning drug (direct oral activated Factor X (FXa) inhibitor). The study will comprise of the following periods: -Screening, followed by surgery or procedure and study intervention. -Follow-up period: there will be four follow-up visits over a duration of approximately 30 days. -Follow-up visit for patients with positive anti-andexanet alfa antibody test: patients with a positive anti-andexanet alfa antibody response at day 30 will have a follow-up anti-andexanet alfa antibody test approximately 120 days post-surgery or procedure. Patients will be randomised in the ratio of 1:1 to receive either andexanet alfa or usual care.
No locations available
Arms | Assigned Interventions |
---|---|
Experimental: Andexanet Alfa Group Patients will receive andexanet alfa as IV bolus followed by an infusion. | Drug: Andexanet alfa Andexanet is a recombinant version of human FXa Other Name: Andexxa®, Ondexxya® |
Active Comparator: Usual Care Group Patients will receive treatment based on the Investigator’s discretion, according to regional, local/institutional guidelines or practices. | Drug: Usual Care As per the label of the chosen usual care product(s) and/or usual care standards. |
This information is not intended to replace the informed medical advice or medical treatments of a healthcare professional. Only a physician can determine if a specific medicine is the correct treatment for a particular patient. If you have questions regarding any information contained in this site, you must consult a suitably qualified healthcare professional. Before prescribing any AstraZeneca products, Healthcare Professionals should view their country specific information.