Ignite Creation Date:
2025-12-24 @ 7:00 PM
Ignite Modification Date:
2026-02-26 @ 5:45 PM
Study NCT ID:
NCT02829957
Status:
COMPLETED
Last Update Posted:
2023-11-13
First Post:
2016-07-06
Is Gene Therapy:
True
Has Adverse Events:
True
Brief Title:
RAMBLE - Rivaroxaban vs. Apixaban for Heavy Menstrual Bleeding
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D054556', 'term': 'Venous Thromboembolism'}], 'ancestors': [{'id': 'D013923', 'term': 'Thromboembolism'}, {'id': 'D016769', 'term': 'Embolism and Thrombosis'}, {'id': 'D014652', 'term': 'Vascular Diseases'}, {'id': 'D002318', 'term': 'Cardiovascular Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'C522181', 'term': 'apixaban'}, {'id': 'D000069552', 'term': 'Rivaroxaban'}], 'ancestors': [{'id': 'D013876', 'term': 'Thiophenes'}, {'id': 'D013457', 'term': 'Sulfur Compounds'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D009025', 'term': 'Morpholines'}, {'id': 'D010078', 'term': 'Oxazines'}, {'id': 'D006573', 'term': 'Heterocyclic Compounds, 1-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'jefkline@iu.edu', 'phone': '317-880-3869', 'title': 'Dr. Jeffrey Kline', 'organization': 'Indiana University'}, 'certainAgreement': {'piSponsorEmployee': True}, 'limitationsAndCaveats': {'description': 'Terminated secondary to low rate of enrollment despite extraordinary recruitment efforts.'}}, 'adverseEventsModule': {'timeFrame': 'Each participant was assessed for adverse events from their baseline visit through their 3-month follow-up visit.', 'eventGroups': [{'id': 'EG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months', 'otherNumAtRisk': 8, 'deathsNumAtRisk': 8, 'otherNumAffected': 4, 'seriousNumAtRisk': 8, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months', 'otherNumAtRisk': 11, 'deathsNumAtRisk': 11, 'otherNumAffected': 5, 'seriousNumAtRisk': 11, 'deathsNumAffected': 0, 'seriousNumAffected': 0}], 'otherEvents': [{'term': 'Crossover to another anticoagulant', 'stats': [{'groupId': 'EG000', 'numAtRisk': 8, 'numEvents': 3, 'numAffected': 3}, {'groupId': 'EG001', 'numAtRisk': 11, 'numEvents': 1, 'numAffected': 1}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'NON_SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (10.0)'}, {'term': 'PBAC > 100', 'stats': [{'groupId': 'EG000', 'numAtRisk': 8, 'numEvents': 5, 'numAffected': 2}, {'groupId': 'EG001', 'numAtRisk': 11, 'numEvents': 11, 'numAffected': 5}], 'organSystem': 'Reproductive system and breast disorders', 'assessmentType': 'NON_SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (10.0)'}, {'term': 'Anticoagulant discontinued for more than 48 hours', 'stats': [{'groupId': 'EG000', 'numAtRisk': 8, 'numEvents': 1, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 11, 'numEvents': 1, 'numAffected': 1}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'NON_SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (10.0)'}, {'term': 'Worsening DVT', 'stats': [{'groupId': 'EG000', 'numAtRisk': 8, 'numEvents': 1, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 11, 'numEvents': 0, 'numAffected': 0}], 'organSystem': 'Vascular disorders', 'assessmentType': 'NON_SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (10.0)'}, {'term': 'Bleeding that causes unplanned visit to a healthcare provider', 'stats': [{'groupId': 'EG000', 'numAtRisk': 8, 'numEvents': 1, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 11, 'numEvents': 0, 'numAffected': 0}], 'organSystem': 'Blood and lymphatic system disorders', 'assessmentType': 'NON_SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA (10.0)'}], 'frequencyThreshold': '5'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'PBAC Scores', 'denoms': [{'units': 'Participants', 'counts': [{'value': '6', 'groupId': 'OG000'}, {'value': '10', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '292', 'groupId': 'OG000', 'lowerLimit': '74', 'upperLimit': '600'}, {'value': '146', 'groupId': 'OG001', 'lowerLimit': '3', 'upperLimit': '378'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '3 months', 'description': 'Measure Description: A PBAC Score of \\< 100 indicates a normal menstrual cycle. The lowest possible score would be zero. Higher values indicate worse outcomes. The higher theoretical range value cannot be calculated. The scoring mechanism is as follows;\n\nTowels\n\n* 1 point for each lightly stained towel\n* 5 points or each moderately soiled towel\n* 20 points if the towel is completely saturated with blood\n\nTampons\n\n* 1 point for each lightly stained tampon\n* 5 points for each moderately soiled tampon\n* 10 points if the tampon is completely saturated with blood\n\nClots\n\n* 1 point for small clots\n* 5 points for large clots', 'unitOfMeasure': 'score on a scale', 'dispersionType': 'Full Range', 'reportingStatus': 'POSTED', 'populationDescription': 'The number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.'}, {'type': 'SECONDARY', 'title': 'Number of Participants Who Discontinued Planned Drug Administration', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '4', 'groupId': 'OG000'}, {'value': '2', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Number of Patients That Held Drug for Menorrhagia', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '1, 2, and 3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Major Hemorrhage', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Venous Thromboembolism (VTE)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Number of Participants Who Crossed Over to Another Anticoagulant', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '3', 'groupId': 'OG000'}, {'value': '1', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Number of Participants With Clinically Relevant Non-major Bleeding', 'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'OG000'}, {'value': '11', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '3', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '3 months', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Hemoglobin Concentration', 'denoms': [{'units': 'Participants', 'counts': [{'value': '4', 'groupId': 'OG000'}, {'value': '10', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '12.8', 'groupId': 'OG000', 'lowerLimit': '11.6', 'upperLimit': '14.5'}, {'value': '13.25', 'groupId': 'OG001', 'lowerLimit': '10.7', 'upperLimit': '14.6'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '3 months', 'description': 'Measure Description: Normal hemoglobin range for adult women - 12 - 16 g/dL. Lower levels indicate worse outcomes.', 'unitOfMeasure': 'g/dl', 'dispersionType': 'Full Range', 'reportingStatus': 'POSTED', 'populationDescription': 'The number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.'}, {'type': 'SECONDARY', 'title': 'Physical Component Summary of Standard From 36', 'denoms': [{'units': 'Participants', 'counts': [{'value': '4', 'groupId': 'OG000'}, {'value': '10', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'OG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'classes': [{'categories': [{'measurements': [{'value': '55.5', 'groupId': 'OG000', 'lowerLimit': '35.6', 'upperLimit': '75.4'}, {'value': '45.6', 'groupId': 'OG001', 'lowerLimit': '25.8', 'upperLimit': '80.4'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '3 months', 'description': 'The RAND 36-Item Health Survey (Version 1.0) taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. All items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.', 'unitOfMeasure': 'Score', 'dispersionType': 'Full Range', 'reportingStatus': 'POSTED', 'populationDescription': 'The number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'FG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}], 'periods': [{'title': 'Overall Study', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '8'}, {'groupId': 'FG001', 'numSubjects': '11'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '6'}, {'groupId': 'FG001', 'numSubjects': '10'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '2'}, {'groupId': 'FG001', 'numSubjects': '1'}]}], 'dropWithdraws': [{'type': 'Lost to Follow-up', 'reasons': [{'groupId': 'FG000', 'numSubjects': '2'}, {'groupId': 'FG001', 'numSubjects': '1'}]}]}]}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '8', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '19', 'groupId': 'BG002'}]}], 'groups': [{'id': 'BG000', 'title': 'Rivaroxaban', 'description': 'Rivaroxaban: 15mg BID for 7 days, then 20mg daily for three months'}, {'id': 'BG001', 'title': 'Apixaban', 'description': 'Apixaban: 10mg BID for 7 days, then 5mg BID for three months'}, {'id': 'BG002', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Categorical', 'classes': [{'categories': [{'title': '<=18 years', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Between 18 and 65 years', 'measurements': [{'value': '8', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '19', 'groupId': 'BG002'}]}, {'title': '>=65 years', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '8', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '19', 'groupId': 'BG002'}]}, {'title': 'Male', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Ethnicity (NIH/OMB)', 'classes': [{'categories': [{'title': 'Hispanic or Latino', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '1', 'groupId': 'BG002'}]}, {'title': 'Not Hispanic or Latino', 'measurements': [{'value': '8', 'groupId': 'BG000'}, {'value': '10', 'groupId': 'BG001'}, {'value': '18', 'groupId': 'BG002'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race (NIH/OMB)', 'classes': [{'categories': [{'title': 'American Indian or Alaska Native', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Asian', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Native Hawaiian or Other Pacific Islander', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Black or African American', 'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}]}, {'title': 'White', 'measurements': [{'value': '6', 'groupId': 'BG000'}, {'value': '8', 'groupId': 'BG001'}, {'value': '14', 'groupId': 'BG002'}]}, {'title': 'More than one race', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Region of Enrollment', 'classes': [{'title': 'United States', 'categories': [{'measurements': [{'value': '8', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '19', 'groupId': 'BG002'}]}]}], 'paramType': 'NUMBER', 'unitOfMeasure': 'participants'}, {'title': 'd-dimer', 'classes': [{'categories': [{'measurements': [{'value': '661', 'groupId': 'BG000', 'lowerLimit': '327', 'upperLimit': '1176'}, {'value': '1031', 'groupId': 'BG001', 'lowerLimit': '404', 'upperLimit': '49815'}, {'value': '840.5', 'groupId': 'BG002', 'lowerLimit': '327', 'upperLimit': '49815'}]}]}], 'paramType': 'MEDIAN', 'description': 'D-Dimer normal level \\< 250', 'unitOfMeasure': 'ng/ml', 'dispersionType': 'FULL_RANGE'}, {'title': 'pbac-pictoral bloodloss assessment chart', 'classes': [{'categories': [{'measurements': [{'value': '173.5', 'groupId': 'BG000', 'lowerLimit': '39', 'upperLimit': '785'}, {'value': '142', 'groupId': 'BG001', 'lowerLimit': '74', 'upperLimit': '320'}, {'value': '148', 'groupId': 'BG002', 'lowerLimit': '39', 'upperLimit': '785'}]}]}], 'paramType': 'MEDIAN', 'description': 'A PBAC Score of \\< 100 indicates a normal menstrual cycle. The lowest possible score would be zero. Higher values indicate worse outcomes. The higher theoretical range value cannot be calculated. The scoring mechanism is as follows;\n\nTowels\n\n1 point for each lightly stained towel 5 points or each moderately soiled towel 20 points if the towel is completely saturated with blood\n\nTampons 1 point for each lightly stained tampon 5 points for each moderately soiled tampon 10 points if the tampon is completely saturated with blood\n\nClots\n\n1 point for small clots 5 points for large clots', 'unitOfMeasure': 'score', 'dispersionType': 'FULL_RANGE'}, {'title': 'hgb', 'classes': [{'categories': [{'measurements': [{'value': '12.6', 'groupId': 'BG000', 'lowerLimit': '11.4', 'upperLimit': '14.7'}, {'value': '13.0', 'groupId': 'BG001', 'lowerLimit': '7.1', 'upperLimit': '15.0'}, {'value': '12.7', 'groupId': 'BG002', 'lowerLimit': '7.1', 'upperLimit': '15.0'}]}]}], 'paramType': 'MEDIAN', 'description': 'Normal hemoglobin range for adult women - 12 - 16 g/dL. Lower levels indicate worse outcomes.', 'unitOfMeasure': 'g/dl', 'dispersionType': 'FULL_RANGE'}, {'title': 'Short Form Health Survey (SF-36)', 'classes': [{'categories': [{'measurements': [{'value': '57.9', 'groupId': 'BG000', 'lowerLimit': '35.4', 'upperLimit': '75.4'}, {'value': '55.4', 'groupId': 'BG001', 'lowerLimit': '25.8', 'upperLimit': '80.6'}, {'value': '55.4', 'groupId': 'BG002', 'lowerLimit': '25.8', 'upperLimit': '80.6'}]}]}], 'paramType': 'MEDIAN', 'description': 'The RAND 36-Item Health Survey (Version 1.0) taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. All items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.', 'unitOfMeasure': 'Score', 'dispersionType': 'FULL_RANGE'}], 'populationDescription': 'The number of participants at baseline differ from those of the outcome measurements because some participants were lost to followup.'}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2021-02-09', 'size': 97132, 'label': 'Study Protocol', 'hasIcf': False, 'hasSap': False, 'filename': 'Prot_000.pdf', 'typeAbbrev': 'Prot', 'uploadDate': '2022-01-31T11:07', 'hasProtocol': True}, {'date': '2021-02-09', 'size': 97139, 'label': 'Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'SAP_001.pdf', 'typeAbbrev': 'SAP', 'uploadDate': '2022-01-31T13:07', 'hasProtocol': False}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2', 'PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 19}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2016-09'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2023-10', 'completionDateStruct': {'date': '2020-02-13', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2023-10-23', 'studyFirstSubmitDate': '2016-07-06', 'resultsFirstSubmitDate': '2021-01-14', 'studyFirstSubmitQcDate': '2016-07-11', 'lastUpdatePostDateStruct': {'date': '2023-11-13', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2023-04-18', 'studyFirstPostDateStruct': {'date': '2016-07-12', 'type': 'ESTIMATED'}, 'resultsFirstPostDateStruct': {'date': '2023-05-10', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2020-02-13', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'PBAC Scores', 'timeFrame': '3 months', 'description': 'Measure Description: A PBAC Score of \\< 100 indicates a normal menstrual cycle. The lowest possible score would be zero. Higher values indicate worse outcomes. The higher theoretical range value cannot be calculated. The scoring mechanism is as follows;\n\nTowels\n\n* 1 point for each lightly stained towel\n* 5 points or each moderately soiled towel\n* 20 points if the towel is completely saturated with blood\n\nTampons\n\n* 1 point for each lightly stained tampon\n* 5 points for each moderately soiled tampon\n* 10 points if the tampon is completely saturated with blood\n\nClots\n\n* 1 point for small clots\n* 5 points for large clots'}], 'secondaryOutcomes': [{'measure': 'Number of Participants Who Discontinued Planned Drug Administration', 'timeFrame': '3 months'}, {'measure': 'Number of Patients That Held Drug for Menorrhagia', 'timeFrame': '1, 2, and 3 months'}, {'measure': 'Number of Participants With Major Hemorrhage', 'timeFrame': '3 months'}, {'measure': 'Number of Participants With Venous Thromboembolism (VTE)', 'timeFrame': '3 months'}, {'measure': 'Number of Participants Who Crossed Over to Another Anticoagulant', 'timeFrame': '3 months'}, {'measure': 'Number of Participants With Clinically Relevant Non-major Bleeding', 'timeFrame': '3 months'}, {'measure': 'Hemoglobin Concentration', 'timeFrame': '3 months', 'description': 'Measure Description: Normal hemoglobin range for adult women - 12 - 16 g/dL. Lower levels indicate worse outcomes.'}, {'measure': 'Physical Component Summary of Standard From 36', 'timeFrame': '3 months', 'description': 'The RAND 36-Item Health Survey (Version 1.0) taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. All items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'conditions': ['Venous Thromboembolism', 'Menstruation']}, 'referencesModule': {'references': [{'pmid': '26272306', 'type': 'BACKGROUND', 'citation': 'De Crem N, Peerlinck K, Vanassche T, Vanheule K, Debaveye B, Middeldorp S, Verhamme P, Peetermans M. Abnormal uterine bleeding in VTE patients treated with rivaroxaban compared to vitamin K antagonists. Thromb Res. 2015 Oct;136(4):749-53. doi: 10.1016/j.thromres.2015.07.030. Epub 2015 Aug 4.'}, {'pmid': '26970315', 'type': 'BACKGROUND', 'citation': 'Myers B, Webster A. Heavy menstrual bleeding on Rivaroxaban - Comparison with Apixaban. Br J Haematol. 2017 Mar;176(5):833-835. doi: 10.1111/bjh.14003. Epub 2016 Mar 11. No abstract available.'}, {'pmid': '26113241', 'type': 'BACKGROUND', 'citation': 'Beam DM, Kahler ZP, Kline JA. Immediate Discharge and Home Treatment With Rivaroxaban of Low-risk Venous Thromboembolism Diagnosed in Two U.S. Emergency Departments: A One-year Preplanned Analysis. Acad Emerg Med. 2015 Jul;22(7):788-95. doi: 10.1111/acem.12711. Epub 2015 Jun 25.'}, {'pmid': '27143861', 'type': 'BACKGROUND', 'citation': 'Kline JA, Kahler ZP, Beam DM. Outpatient treatment of low-risk venous thromboembolism with monotherapy oral anticoagulation: patient quality of life outcomes and clinician acceptance. Patient Prefer Adherence. 2016 Apr 15;10:561-9. doi: 10.2147/PPA.S104446. eCollection 2016.'}, {'pmid': '17532811', 'type': 'BACKGROUND', 'citation': 'Liu Z, Doan QV, Blumenthal P, Dubois RW. A systematic review evaluating health-related quality of life, work impairment, and health-care costs and utilization in abnormal uterine bleeding. Value Health. 2007 May-Jun;10(3):183-94. doi: 10.1111/j.1524-4733.2007.00168.x.'}, {'pmid': '23808982', 'type': 'BACKGROUND', 'citation': 'Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, Masiukiewicz U, Pak R, Thompson J, Raskob GE, Weitz JI; AMPLIFY Investigators. Oral apixaban for the treatment of acute venous thromboembolism. N Engl J Med. 2013 Aug 29;369(9):799-808. doi: 10.1056/NEJMoa1302507. Epub 2013 Jul 1.'}, {'pmid': '21128814', 'type': 'BACKGROUND', 'citation': 'EINSTEIN Investigators; Bauersachs R, Berkowitz SD, Brenner B, Buller HR, Decousus H, Gallus AS, Lensing AW, Misselwitz F, Prins MH, Raskob GE, Segers A, Verhamme P, Wells P, Agnelli G, Bounameaux H, Cohen A, Davidson BL, Piovella F, Schellong S. Oral rivaroxaban for symptomatic venous thromboembolism. N Engl J Med. 2010 Dec 23;363(26):2499-510. doi: 10.1056/NEJMoa1007903. Epub 2010 Dec 3.'}, {'pmid': '22449293', 'type': 'BACKGROUND', 'citation': 'EINSTEIN-PE Investigators; Buller HR, Prins MH, Lensin AW, Decousus H, Jacobson BF, Minar E, Chlumsky J, Verhamme P, Wells P, Agnelli G, Cohen A, Berkowitz SD, Bounameaux H, Davidson BL, Misselwitz F, Gallus AS, Raskob GE, Schellong S, Segers A. Oral rivaroxaban for the treatment of symptomatic pulmonary embolism. N Engl J Med. 2012 Apr 5;366(14):1287-97. doi: 10.1056/NEJMoa1113572. Epub 2012 Mar 26.'}, {'pmid': '23216615', 'type': 'BACKGROUND', 'citation': 'Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, Porcari A, Raskob GE, Weitz JI; AMPLIFY-EXT Investigators. Apixaban for extended treatment of venous thromboembolism. N Engl J Med. 2013 Feb 21;368(8):699-708. doi: 10.1056/NEJMoa1207541. Epub 2012 Dec 8.'}]}, 'descriptionModule': {'briefSummary': 'A large proportion of women with menstruating potential with newly diagnosed VTE or atrial fibrillation, treated with apixaban will have less menstrual blood loss than patients randomized to rivaroxaban.', 'detailedDescription': "Heavy menstrual bleeding (HMB) complicates the treatment of approximately 9-25% of patients treated with orally administered anti-Xa anticoagulants for venous thromboembolism (VTE, including either pulmonary embolism or deep vein thrombosis). In particular, recent evidence has suggested an increase in length and severity of menstrual bleeding for women treated with rivaroxaban, and this effect may be less severe apixaban treatment.(1;2) Increase in uterine bleeding with rivaroxaban has necessitated hysterectomy in rare cases.(3) Other complications of HMB include reduced drug adherence, decreased perception of wellness (quality of life) and anemia.(4;5) The anti-Xa agents may increase HMB more than vitamin K antagonists.(1) However, in the principal investigators' experience treating over 100 women of menstruating age with rivaroxaban for VTE with varying degree of HMB, no woman has expressed desire to switch to a VKA even when offered this option (unpublished data). We have successfully reduced perception of HMB by switching from rivaroxaban to apixaban in six patients. Comparison of published and supplemental data from AMPLIFY and AMPLIFY Extend to EINSTEIN and EINSTEIN extend trials also support a lower rate of uterine bleeding with apixaban compared with rivaroxaban, although exact comparisons are difficult to make.(6;9) Myers et al recently reported a 9.4% rate of HMB with apixaban, compared with a 25% rate of HMB with rivaroxaban.(2) Accordingly, we hypothesize that women with menstruating potential with newly diagnosed VTE or atrial fibrillation/flutter, treated with apixaban will have less menstrual blood loss than patients randomized to rivaroxaban."}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT'], 'maximumAge': '50 Years', 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Non-pregnant women, age 18-50\n\n * For study purposes, evidence of negative pregnancy is accounted for by the treating physician's initiation of treatment with oral anticoagulants\n* Objectively diagnosed VTE or atrial fibrillation/flutter\n* Patient reported active menstruation - does not apply to women who were recently pregnant\n* Clinical plan and patient agreement to treat with oral anticoagulation for 3 months or longer\n* Patients must have a working telephone\n\nExclusion Criteria:\n\n* Package insert exclusions for Eliquis (Apixban) or Xarelto (Rivaroxaban): \\[active pathological bleeding or severe hypersensitivity reaction to XARELTO or ELIQUIS (e.g., anaphylactic reactions)\\]\n* Plan to become pregnant in the next three months.\n* Concomitant prescribed use of aspirin or thienopyridenes or other platelet inhibiting drugs\n* Plan for surgical hysterectomy or endometrial ablation\n* Known uterine cancer\n* Von Willebrand's disease, or hemophilia\n* Known coagulopathy from liver disease\n* Conditions likely to preclude adherence to study procedures: Active intravenous drug use, known alcoholism, homelessness, or uncontrolled psychiatric illness."}, 'identificationModule': {'nctId': 'NCT02829957', 'acronym': '(RAMBLE)', 'briefTitle': 'RAMBLE - Rivaroxaban vs. Apixaban for Heavy Menstrual Bleeding', 'nctIdAliases': ['NCT02761044'], 'organization': {'class': 'OTHER', 'fullName': 'Indiana University'}, 'officialTitle': 'Randomized Trial to Test the Effect of Rivaroxaban or Apixaban on Menstrual Blood Loss in Women', 'orgStudyIdInfo': {'id': 'RAMBLE'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'ACTIVE_COMPARATOR', 'label': 'Rivaroxaban', 'interventionNames': ['Drug: Rivaroxaban']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Apixaban', 'interventionNames': ['Drug: Apixaban']}], 'interventions': [{'name': 'Apixaban', 'type': 'DRUG', 'otherNames': ['Eliquis'], 'description': '10mg BID for 7 days, then 5mg BID for three months', 'armGroupLabels': ['Apixaban']}, {'name': 'Rivaroxaban', 'type': 'DRUG', 'otherNames': ['Xarelto'], 'description': '15mg BID for 7 days, then 20mg daily for three months', 'armGroupLabels': ['Rivaroxaban']}]}, 'contactsLocationsModule': {'locations': [{'zip': '46202', 'city': 'Indianapolis', 'state': 'Indiana', 'country': 'United States', 'facility': 'Eskenazi Health System', 'geoPoint': {'lat': 39.76838, 'lon': -86.15804}}, {'zip': '46202', 'city': 'Indianapolis', 'state': 'Indiana', 'country': 'United States', 'facility': 'Indiana University Health Methodist Hospital', 'geoPoint': {'lat': 39.76838, 'lon': -86.15804}}], 'overallOfficials': [{'name': 'Jeffrey A Kline, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Indiana University'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Indiana University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Principal Investigator', 'investigatorFullName': 'Jeffrey Kline', 'investigatorAffiliation': 'Indiana University'}}}}