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Not yet recruitingNCT05900388XAPAEDUSUpdated Oct 2, 2026

A Study to Observe the Pattern of Use and Safety of Rivaroxaban in Children Under 2 Years Old With Venous Thromboembolism (VTE)

An observational study in Venous Thromboembolism and Children Under 2 Years, sponsored by Bayer. Not yet recruiting at 4 sites in 4 countries. Open to participants aged Up to 2 Years. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Bayer · Observational

Updated Oct 2, 2026Start date moved4 sites added+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
850
Ages
Up to 2 Years
Sex
All
01

Study summary

This is an observational study in which only data are collected from participants receiving their usual treatment. The study is done in children under 2 years old with venous thromboembolism (VTE).

VTE is a condition in which blood clots form in the veins, usually in the leg. This can cause pain and swelling. The clot can also break apart and travel in the blood to the lungs where it can block the blood flow. This can be life threatening.

Rivaroxaban is approved for doctors to prescribe to children with VTE, but there is limited information about how it is used, how well it works, and how safe it is in children under 2 years old. Children in this study are already receiving or will receive rivaroxaban or other currently used medicines for VTE from their doctor according to the approved product information.

The purpose of this study is to collect information on the pattern of use and safety of rivaroxaban and other standard medicines for VTE in children under 2 years old.

The main information that researchers will collect in this study:

  • Age, gender, and other information about the child and their illness
  • Type of VTE treatment given to the child
  • Occurrence of medically important bleeding and its severity

Further information that researchers will collect:

  • Changes in the characteristics of the children given VTE treatment (e.g., changes in the age range of children given VTE treatment) and changes in the treatment pattern for VTE
  • Return of VTE symptoms
  • Types of doctors who prescribe VTE treatment and their set-up (e.g., special clinics versus hospitals) Besides this data collection, no further tests or examinations are needed in this study.

The data for this study will be collected from electronic health records and health insurance claims data until 2026.

Researchers will observe each child during treatment until:

  • end of the anticoagulation treatment period e.g. discontinuation of all study drugs,
  • their information is no longer available, or
  • the study ends.
02

Conditions studied

  • Venous Thromboembolism
  • Children Under 2 Years
03

In context

Venous Thromboembolism

694 studies on the registry are indexed under Venous Thromboembolism; 152 are open to participants now.

This study's planned enrollment of 850 is above the median of 700 across 283 observational studies indexed under Venous Thromboembolism.

Browse Venous Thromboembolism studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 2 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children aged under two years who initiate an anticoagulation therapy with rivaroxaban oral suspension or any other anticoagulation drug (index date) following a VTE diagnosis during year 2021 to 2026.

Inclusion criteria

  • Evidence of initiation of an anticoagulant therapy (index drug), either rivaroxaban oral suspension or other anticoagulation therapies (heparins, Vitamin K antagonists (VKAs), other Direct oral anticoagulants (DOACs)). Initiation will be defined as a first record of any anticoagulation therapy (rivaroxaban or SOC) without any anticoagulation therapy in the previous 6 months, or since date of birth for children less than 6 months
  • Evidence of a prior VTE diagnosis (index VTE), defined as the presence of at least one primary/main or secondary diagnosis code for VTE recorded in inpatient setting in the previous 30 days
  • Age less than two years on index date.
  • Baseline period for availability of patient data history in the data source. A minimal baseline period of six months before index date for children aged between six months and two years, and a baseline period since birth for children less than six months of age will be required.

Exclusion criteria

Exclusion Criteria:

- None

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
850 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pediatric patients with VTE

    Pediatric patients under two years who initiate an anticoagulation therapy with rivaroxaban oral suspension or Standard of care (SOC) following a VTE diagnosis.

    Drug: Rivaroxaban (Xarelto, BAY59-7939) · Drug: Standard of care (SOC)

Interventions

  • DrugRivaroxaban (Xarelto, BAY59-7939)

    Retrospective cohort analysis using National health registers in Denmark and Sweden; Système National Des Données De Santé (SNDS) in France and Sistema d'Informació per al Desenvolupament de l'Investigació en Atenció Primària (SIDIAP) in Spain

  • DrugStandard of care (SOC)

    Retrospective cohort analysis using National health registers in Denmark and Sweden; Système National Des Données De Santé (SNDS) in France and Sistema d'Informació per al Desenvolupament de l'Investigació en Atenció Primària (SIDIAP) in Spain. SOC including heparins, Vitamin K antagonists (VKAs) and Other Direct oral anticoagulants (DOACs).

06

What researchers measure

Primary outcomes

  1. Descriptive summary of demographic characteristics of patients

    Time frame: Retrospective data analysis from 2021 to 2026

  2. Descriptive summary of characteristics of index venous thromboembolism (VTE)

    Time frame: Retrospective data analysis from 2021 to 2026

  3. Co-morbidities reported in the previous six months before index date, or since date of birth for children less than six months

    Time frame: Retrospective data analysis from 2021 to 2026

  4. Prior treatments reported in the previous six months before index date (or since date of birth for children less than six months)

    Time frame: Retrospective data analysis from 2021 to 2026

  5. Comedication during follow-up

    Time frame: Retrospective data analysis from 2021 to 2027

  6. Descriptive summary of Health resource utilization in the previous six months before index date (or since date of birth for children less than six months)

    Time frame: Retrospective data analysis from 2021 to 2026

  7. Duration of oral, nasogastric/gastric feeding before index date, if available

    Time frame: Retrospective data analysis from 2021 to 2026

  8. Substance and class of anticoagulant drug therapy

    For analyzing Index drug therapy and Maintenance therapy.

    Time frame: Retrospective data analysis from 2021 to 2027

  9. Duration of use anticoagulant drug therapy

    For analyzing Index drug therapy and Maintenance therapy.

    Time frame: Retrospective data analysis from 2021 to 2027

  10. Dosing of anticoagulant drug administration

    For analyzing Index drug therapy and Maintenance therapy.

    Time frame: Retrospective data analysis from 2021 to 2027

  11. Route of anticoagulant drug administration

    For analyzing Index drug therapy and Maintenance therapy.

    Time frame: Retrospective data analysis from 2021 to 2027

  12. Switching to other anticoagulant therapy (Yes/No)

    Time frame: Retrospective data analysis from 2021 to 2027

  13. Number of successive anticoagulation agents during an anticoagulant treatment period

    Time frame: Retrospective data analysis from 2021 to 2027

  14. Sequence of successive anticoagulation agents during an anticoagulant treatment period

    Time frame: Retrospective data analysis from 2021 to 2027

  15. Incidence and severity of major bleeding according to anticoagulation therapy

    Time frame: Retrospective data analysis from 2021 to 2027

  16. Incidence and severity of clinically Relevant Non-Major (CRNM) bleeding according to anticoagulation therapy

    Time frame: Retrospective data analysis from 2021 to 2027

Secondary outcomes

  1. Time trends by calendar year in patient characteristics

    Description by calendar year of age group at index date and medical history at index date.

    Time frame: Retrospective data analysis from 2021 to 2026

  2. Time trends by calendar year in anticoagulation treatment patterns

    Description by calendar year of class of anticoagulation therapy at initiation.

    Time frame: Retrospective data analysis from 2021 to 2026

  3. Incidence of recurrent symptomatic VTE according to anticoagulation therapy

    Time frame: Retrospective data analysis from 2021 to 2027

  4. Physician specialty and care settings (inpatient care, secondary outpatient care, primary care) for prescriptions of anticoagulation therapy

    Time frame: Retrospective data analysis from 2021 to 2027

07

Study locations

4 sites
  • Many locations
    Many Locations, Denmark
  • Many locations
    Many Locations, France
  • Many locations
    Many Locations, Spain
  • Many locations
    Many Locations, Sweden
08

References and documents

Individual participant data

Plan to share: No — Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
4 sites added, 4 sites removed
Show 4 added (1 Denmark, 1 France, 1 Spain, 1 Sweden)
  • Many locations · Many Locations, Denmark
  • Many locations · Many Locations, France
  • Many locations · Many Locations, Spain
  • Many locations · Many Locations, Sweden
Show 4 removed
  • Many locations · Multiple Locations, Denmark
  • Many locations · Multiple Locations, France
  • Many locations · Multiple Locations, Spain
  • Many locations · Multiple Locations, Sweden
Oct 2, 2026
Start date
Sep 1, 2026→Sep 1, 2027
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    4 sites added, 4 sites removed
    Show 4 added (1 Denmark, 1 France, 1 Spain, 1 Sweden)
    • Many locations · Many Locations, Denmark
    • Many locations · Many Locations, France
    • Many locations · Many Locations, Spain
    • Many locations · Many Locations, Sweden
    Show 4 removed
    • Many locations · Multiple Locations, Denmark
    • Many locations · Multiple Locations, France
    • Many locations · Multiple Locations, Spain
    • Many locations · Multiple Locations, Sweden
    Start date Sep 1, 2026→Sep 1, 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05900388
Lead sponsor
Bayer
Collaborators
Janssen Research & Development, LLC
Responsible party
Sponsor
First posted
Jun 12, 2023
Start date
Sep 1, 2027 (estimated)
Primary completion
Jun 30, 2029 (estimated)
Completion
Jun 30, 2029 (estimated)
Last update
Oct 2, 2026

Study contacts

Bayer Clinical Trials Contact
Contact
clinical-trials-contact@bayer.com
(+)1-888-84 22937

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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