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Apixaban for Blood Clots in Children
Study Summary
This trial looks at whether the drug apixaban is safe and effective for children with a blood clotting disorder.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowTimeline
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Side effects data
From 2018 Phase 4 trial • 557 Patients • NCT01884337Trial Design
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- Your blood platelet count is less than 50 billion per liter.My kidney function is currently not adequate.My high blood pressure is not under control.I plan to treat my blood clot with blood thinners for 6 to 12 weeks.I am currently experiencing or at high risk of bleeding.My liver isn't working normally.I am currently pregnant or breastfeeding.I am not using life-saving devices like VAD or ECMO.I have been on blood thinner medication for my clot for more than 14 days.My newborn has been on standard blood thinning treatment for 5 to 14 days.I cannot take pills or receive tube feeding.I have been diagnosed with antiphospholipid syndrome.I have a genetic condition that increases my risk of bleeding.You have a blood clot that has been confirmed by imaging tests.I can eat by mouth or through a feeding tube and handle medications this way.My newborn may receive standard blood clot prevention treatment for up to 14 days before being assigned to a study group.I have not had a brain bleed in the last 3 months.I am under 18 years old and weigh at least 2.6 kg.I am not taking any medications that are not allowed in the study.I have had a procedure to treat a blood clot.You have a mechanical heart valve.
- Group 1: Apixaban
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
Do you have to be a certain age to participate in this research?
"The age requirements to enroll in this particular trial are 0 days to 17 years old. Out of the 127 clinical trials being conducted, only 7 are for individuals younger than 18."
Are there other experimental drugs similar to Apixaban?
"Apixaban was first tested in 2015 at the Shrewsbury & Telford Hospital National Health Service. There have been 348 completed clinical trials to date, with 50 more ongoing. A notable amount of these studies are based in Palo Alto, California."
Have other treatments been trialed like this one before?
"Research for Apixaban began in 2015 with a study sponsored by the pharmaceutical company, Pfizer. The first trial had 4012 participants and, after being approved in Phase 4, there are now 50 active studies involving Apixaban being conducted in 380 cities across 35 countries."
Does Apixaban have a good safety profile for patients?
"Since Apixaban has been approved, it is classified as a Phase 4 trial and received a score of 3 for safety."
What are some of the more popular reasons that patients take Apixaban?
"While atrial fibrillation is the primary reason Apixaban is prescribed, it can also be an effective treatment for deep vein thrombosis, disease, and cerebrovascular accident."
Are there any more vacancies in this clinical trial for new volunteers?
"That is accurate. The clinicaltrials.gov website has information suggesting that this trial is looking for more participants. This trial was first posted on November 22nd, 2015 and was last edited on October 4th, 2022. The study needs around 250 individuals to fill the positions at 70 different locations."
To what extent do the inclusion criteria limit subject recruitment for this research?
"This trial is recruiting 250 patients, between the ages of 0 Days and 17 who have venous thromboembolism. It is required that participants also meet the following criteria: Birth to <18 years of age with a minimum weight of 2.6 kg at the time of randomization., Presence of an index VTE which is confirmed by imaging., Intention to manage the index VTE with anticoagulation treatment for at least 6 to 12 weeks., Subjects able to tolerate oral feeding, nasogastric (NG), gastric (G) feeding and are currently tolerating enteric medications, as per investigator"
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