Janssen Stops Xarelto Cardiac Trial Due to Positive Data

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Based on positive data, Janssen Research & Development says it has stopped early a Phase 3 trial (COMPASS) that was evaluating the efficacy and safety of Xarelto (rivaroxaban) for preventing major adverse cardiac events (MACE), including cardiovascular death, myocardial infarction and stroke in patients with coronary artery disease or with peripheral artery disease, is stopping earlier than planned. “This decision is based on the recommendation of the study’s independent data monitoring committee, as the primary MACE endpoint has reached its pre-specified criteria for superiority,” the company says.


The study enrolled 27,402 patients from more than 600 sites across more than 30 countries. Patients were randomized to receive either rivaroxaban 2.5 mg twice daily in addition to aspirin 100 mg once daily, rivaroxaban 5 mg twice daily alone, or aspirin 100 mg once daily alone. The company says it will present a complete data analysis at a medical meeting later this year, and it is completing a submission for FDA to add the indication on Xarelto’s approved label. The drug is currently approved for reducing the risk of stroke and blood clots in people with atrial fibrillation not caused by a heart valve problem.

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