Prospective Randomized Open Label Multi-center Study of the Safety and Pharmacokinetics of Apixaban versus Vitamin K Antagonist or Low Molecular Weight Heparin in Pediatric Subjects with Congenital or Acquired Heart Disease Requiring Chronic Anticoagulation for Thromboembolism Prevention
Investigating the Safety of an Investigational Medication for Children with Heart Conditions
Brief description of study.
The purpose of this study is to find out whether apixaban is safe for children to take, and how much apixaban will be in their blood when they take a certain apixaban dose. We will compare apixaban to other blood thinners commonly used.
Detailed description of study
The purpose of this study is to find out whether apixaban is safe for children to take, and how much apixaban will be in their blood when they take a certain apixaban dose. We will compare apixaban to other blood thinners commonly used.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Heart disease
-
Age: 18 years or below
-
Gender: All
Inclusion Criteria
Congenital or acquired heart diseases requiring chronic anticoagulation for thromboprophylaxis (eg, single ventricle physiology including all 3 stages of palliation, dilated cardiomyopathy, Kawasaki disease with coronary aneurysms, and pulmonary hypertension).
Eligible subjects include those who newly start anticoagulants and those who are currently on VKA or LMWH or other anticoagulants for thromboprophylaxis.
Able to tolerate enteral medication [eg, by mouth, Nasogastric (NG) tube, or Gastric-(G) tube].
Exclusion Criteria
Recent thromboembolic events less than 6 months prior to enrollment
Use of aggressive life-saving therapies such as ventricular assist devices (VAD) or extracorporeal membrane oxygenation (ECMO) at the time of enrollment
Prosthetic heart valves, and mechanical heart valves
Active bleeding at the time of enrollment
Known inherited bleeding disorder or coagulopathy (eg, hemophilia, von Willebrand disease, etc)
Known intracranial congenital vascular malformation or tumor
Any major bleeding other than perioperative in the preceding 3 months
Uncontrolled severe hypertension
Liver dysfunction
Renal dysfunction
In the opinion of the Investigator, it is not possible for the subject to be compliant with the protocol and study procedures
Pregnancy during the study period
Concurrent use of or participation in another experimental drug/device trial
The purpose of this study is to investigate the safety of an investigational medication for children who need blood thinners due to heart conditions. Blood thinners are medicines that help prevent blood clots from forming. This study will compare the investigational medication to other commonly used blood thinners.
Participants in the study will follow certain procedures to help researchers gather information. These procedures may include taking the investigational medication and having blood tests to measure how much of the medication is in the body. This helps to understand how the medication is working.
- Who can participate: Children with heart diseases who need long-term blood thinners can join. They must be able to take medicine by mouth or through a feeding tube.
- Study details: Participants will take either the investigational medication or another blood thinner. Their blood will be tested to see how the medication is working.