ClinicalTrials.gg
CompletedNCT07807488Updated Sep 8, 2026

Bioequivalence Study of Rivaroxaban 2.5 mg Tablets Under Fasting and Fed Conditions

A Phase 1 interventional study of Rivaroxaban 2.5 mg Test Tablet and Rivaroxaban 2.5 mg Reference Tablet in Healthy Participants, sponsored by The Affiliated Hospital of Qingdao University. Completed at 1 site in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by The Affiliated Hospital of Qingdao University · Phase 1, Interventional, and Other

From the registry’s dates

  • Registered 4 years 5 months after the study started (first participant enrolled Mar 2022, registered Sep 2026).
Phase
Phase 1
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This completed study compared how the body absorbed a single 2.5 mg dose of a test rivaroxaban tablet and the reference product (Xarelto) in healthy adults. The comparison was conducted separately under fasting and fed conditions. The study also evaluated the safety and tolerability of both products.

Read the detailed description

This was a single-center, randomized, open-label, single-dose, two-sequence, four-period, fully replicated crossover bioequivalence study. Healthy adults were enrolled independently into a fasting cohort (36 participants) or a fed cohort (28 participants). Within each cohort, participants were randomized 1:1 to the TRTR or RTRT treatment sequence. In each period, participants received one 2.5 mg rivaroxaban tablet with 240 mL of water; consecutive doses were separated by a washout interval of at least 7 days. Blood samples for pharmacokinetic assessment were collected before dosing and through 48 hours after dosing. Bioequivalence of the test and reference formulations was evaluated separately within the fasting and fed cohorts using Cmax, AUC0-t, and AUC0-infinity. The fasting and fed cohorts were not formally compared as a food-effect analysis.

02

Conditions studied

  • Healthy Participants

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Keywords

  • Rivaroxaban
  • Bioequivalence
  • Pharmacokinetics
  • Fasting
  • Fed
03

In context

Fasting

392 studies on the registry are indexed under Fasting; 63 are open to participants now.

This study's enrollment of 64 is above the median of 45 across 311 interventional studies indexed under Fasting.

Browse Fasting studies →

Lead sponsor

The Affiliated Hospital of Qingdao University is the lead sponsor of 149 studies on the registry; 56 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy male or female participant aged 18 years or older.
  • Body weight at least 50 kg for males or at least 45 kg for females, with from 19.0 to 26.0 kg/m2, inclusive.
  • No plan for conception or gamete donation and willing to use effective from screening (from 2 weeks before screening for females) until 6 months after the last dose.
  • greater than 80 mL/min.
  • and activated partial thromboplastin time within the normal ranges.
  • Voluntarily provided written and understood the study procedures.
  • Able to comply with and complete the study requirements.

Exclusion criteria

Exclusion Criteria:

  • Specific allergy history, current allergic disease, allergic constitution, or known to rivaroxaban, related compounds, or formulation components.
  • abnormal findings on physical examination, vital signs, , or clinical laboratory testing.
  • Clinically significant neurologic, cardiovascular, renal, hepatic, gastrointestinal, respiratory, metabolic, musculoskeletal, or other disease that could affect drug absorption, distribution, metabolism, or excretion.
  • Active pathological bleeding, coagulation abnormality, or clinically relevant bleeding risk.
  • Positive test for antibody, surface antigen, antibody, or syphilis antibody.
  • Hereditary lactose or galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption.
  • Positive pregnancy test or breastfeeding.
  • History of drug abuse within 5 years or positive urine drug screen.
  • Hospitalization or surgery within 3 months before screening.
  • Regular alcohol intake exceeding 14 units per week within 3 months or positive breath alcohol test.
  • Smoking more than 5 cigarettes per day on average within 3 months.
  • Participation in another clinical study with study drug exposure within 3 months.
  • Blood donation or blood loss of at least 400 mL within 3 months, or donation of 2 therapeutic units of within 1 month.
  • Use of prescription medication within 14 days, or nonprescription medication, herbal medicine, or health products within 7 days before dosing.
  • Use within 28 days before first dosing of drugs that strongly inhibit or induce P-glycoprotein or .
  • Consumption within 48 hours before dosing of grapefruit or related products, alcohol-, caffeine-, or xanthine-containing foods or beverages; strenuous exercise; or other factors potentially affecting pharmacokinetics.
  • Intolerance of venipuncture or history of needle or blood phobia.
  • Special dietary requirements or inability to comply with the standardized diet and study restrictions.
  • Any other condition that could prevent completion of the study or that the investigator considered unsuitable for participation.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Other
    TRTR Sequence

    Participants received the test formulation in Periods 1 and 3 and the reference formulation in Periods 2 and 4. The same sequence was used within both the fasting and fed cohorts.

    Drug: Rivaroxaban 2.5 mg Test Tablet · Drug: Rivaroxaban 2.5 mg Reference Tablet

  • Other
    RTRT Sequence

    Participants received the reference formulation in Periods 1 and 3 and the test formulation in Periods 2 and 4. The same sequence was used within both the fasting and fed cohorts.

    Drug: Rivaroxaban 2.5 mg Test Tablet · Drug: Rivaroxaban 2.5 mg Reference Tablet

Interventions

  • One 2.5 mg rivaroxaban tablet manufactured by Qilu Pharmaceutical Co., Ltd. was administered orally with 240 mL of water in the assigned study periods.

  • One 2.5 mg Xarelto rivaroxaban tablet manufactured by Bayer Pharma AG was administered orally with 240 mL of water in the assigned study periods.

06

What researchers measure

Primary outcomes

  1. Maximum Plasma Concentration (Cmax) of Rivaroxaban

    The maximum observed plasma concentration of rivaroxaban after administration of the test or reference formulation, reported in ng/mL.

    Time frame: Predose through 48 hours after each dose

  2. Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t)

    Area under the rivaroxaban plasma concentration-time curve from time zero to the last quantifiable concentration, calculated after administration of the test or reference formulation and reported in h\*ng/mL.

    Time frame: Predose through 48 hours after each dose

  3. Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-infinity)

    Area under the rivaroxaban plasma concentration-time curve from time zero extrapolated to infinity, calculated after administration of the test or reference formulation and reported in h\*ng/mL.

    Time frame: Predose through 48 hours after each dose

Secondary outcomes

  1. Time to Maximum Plasma Concentration (Tmax) of Rivaroxaban

    Time from dosing to the maximum observed plasma concentration of rivaroxaban after administration of the test or reference formulation, reported in hours.

    Time frame: Predose through 48 hours after each dose

  2. Terminal Elimination Half-Life (t1/2) of Rivaroxaban

    Terminal elimination half-life of rivaroxaban after administration of the test or reference formulation, reported in hours.

    Time frame: Predose through 48 hours after each dose

  3. Terminal Elimination Rate Constant (Lambda z) of Rivaroxaban

    Terminal elimination rate constant of rivaroxaban estimated from the terminal phase of the log-linear plasma concentration-time curve, reported as 1/hour.

    Time frame: Predose through 48 hours after each dose

  4. Number of Participants With Adverse Events

    Safety was assessed using adverse events, serious adverse events, adverse drug reactions, vital signs, physical examinations, clinical laboratory tests, coagulation tests, and 12-lead electrocardiograms.

    Time frame: From the first dose through the end-of-study safety follow-up, up to 40 days

07

Study locations

1 site
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2022 to primary completion in Apr 2022, 0 months.

Of 18 phase 1 interventional studies under Fasting, half reached primary completion within 1 month of starting (the median), counting those still running; a quarter within 0 and three quarters within 3. This study's 0 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 2, 2026
First posted
Sep 8, 2026
StartActual
Mar 16, 2022
Primary completionActual
Apr 15, 2022
CompletionActual
Apr 25, 2022
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07807488
Responsible party
Cao Yu (Principal Investigator, The Affiliated Hospital of Qingdao University) — Principal investigator
First posted
Sep 8, 2026
Start date
Mar 16, 2022
Primary completion
Apr 15, 2022
Completion
Apr 25, 2022
Last update
Sep 8, 2026

Oversight

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

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Rivaroxaban

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