Status: Finalised
First registered on:
20/05/2013
Last updated on:
22/02/2019
1. Study identification
EU PAS Register NumberEUPAS3979
Official titleAn Observational Post-Authorization Safety Specialist Cohort Event Monitoring Study (SCEM) to Monitor the Safety and Utilization of Rivaroxaban (Xarelto®) for the Prevention of Stroke in Patients with AF, Treatment of DVT and PE, and the Prevention of Recurrent DVT and PE in the Secondary Care Hospital Setting in England and Wales
Study title acronymROSE
Study typeObservational study
Brief description of the studyA study to evaluate the use and short term safety of Rivaroxaban (Xarelto®) during real-life use in Secondary Care (hospitals) in England and Wales. Rivaroxaban is an anti-coagulant medication which has previously been used only in patients having hip or knee replacement surgery but will now also be used to prevent stroke and systemic embolism in patients with non-valvular atrial fibrillation. Rivaroxaban will also be used to treat deep vein thrombosis (DVT) and pulmonary embolism (PE) and to prevent recurrent DVT and PE. This study aims to evaluate the use of rivaroxaban and its short term safety when used by patients for these new indications. This study was requested by the Committee for Medicinal products for Human use (CHMP). The study will recruit patients starting rivaroxaban treatment and asking their care team to answer some simple questions about them at the time they start and again in 12 weeks time. The study will also recruit patients starting alternative anticoagulant therapies and their care team will be asked the same questions. These patients will be used to compare the differences between users of rivaroxaban and users of alternative anticoagulant therapies. If a participant has an adverse event during the 12 week period, we may ask the patient’s care team to fill out a further follow up questionnaire. No other examinations or tests will be performed. The participant’s consent will be obtained to access their medical charts. Any adult patient started by their care team on rivaroxaban or an alternative anticoagulant for the specified indications during the study period will be eligible to take part. It is a national study covering the whole of England and Wales. The study will last for approximately 3 years of data collection (in order to reach a cohort of 3400 patients - 1700 rivaroxaban users and 1700 alternative anticoagulant therapy users), although each individual patient will only be involved for a 12 week period of observation.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsDSRU
Department/Research group
Organisation/affiliationDrug Safety Research Unit
Details of (Primary) lead investigator
Title Professor
Last name Shakir
First name Saad
Is this study being carried out with the collaboration of a research network?
Yes
Stroke Research Network
Non-malignant Haematology Group
Cardiovascular Group
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed19/12/201219/12/2012
Start date of data collection21/05/201305/09/2013
Start date of data analysis01/11/201631/03/2017
Date of interim report, if expected13/04/201513/08/2015
Date of final study report28/02/201726/06/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBayer plc100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Evans
First name Alison
Address line 1DSRU
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Evans
First name Alison
Address line 1Drug Safety Research Unit
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameXarelto
CountryUnited Kingdom
Substance INN(s)RIVAROXABAN
7. Medical conditions to be studied
Medical condition(s)Yes
Atrial fibrillation
Deep vein thrombosis
Pulmonary embolism
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects3400
Additional information
1700 rivaroxaban patients comprising of at least 561 treated for stroke and systemic embolism in non-valvular AF and at least 1005 for the treatment of DVT and PE and prevention of recurrent thromboembolic events.
A similar number (at least 1700) new user patients receiving alternative anticoagulation therapy will be recruited concurrently.
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To monitor the short-term (up to 12 weeks) safety profile and drug utilisation of rivaroxaban as prescribed to patients for medical conditions requiring anticoagulation by specialist Healthcare Professionals in the secondary care hospital setting in England and Wales.
Are there primary outcomes?Yes
To provide timely information for rivaroxaban users on the estimation of the cumulative incidence risk (separately) of haemorrhage (within
gastrointestinal and urogenital organ sites (which meets the criteria for a major bleed) and all intracranial sites
Are there secondary outcomes?Yes
1.Prescriber/cohort accrual, type of prescriber, setting 2.Non-clinical reasons for prescribing, prognostic health factors, clinical risk factors for haemorrhage 3.Changes of health profile/adherence/treatment 4.Quantify risk of haemorrhage within GI/urogenital/intracranial sites for contextual cohort & within critical organ sites for both cohorts; major & non-major bleeds; other events.
13. Study design
What is the design of the study?
Intensive monitoring schemes
Cohort study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
The observation period for all recruited patients will be 12 weeks. Selected events of interest will be followed up by asking the prescribing healthcare professionals to complete a follow-up questionnaire.
15. Data analysis plan
Please provide a brief summary of the analysis method
Data analysis will include • Response rates to describe recruitment • Hazard rates to explore the incidence of selected events • Descriptive analyses of baseline health profile of patients • Analysis of risk and incidence densities to describe the risk profile of events reported in patient subgroups of special interest
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
