Daiichi Sankyo initiates Phase III Edoxaban trial

Daiichi Sankyo has initiated a new large-scale phase III trial for Edoxaban, its investigational ora

This new study, known as Hokusai VTE, is evaluating the safety and efficacy of Edoxaban in reducing recurrent venous thromboembolic (VTE) complications in patients with deep-vein thrombosis (DVT) and/or pulmonary embolism (PE).

The primary efficacy endpoint for Hokusai VTE is the recurrence of symptomatic VTE. The primary safety assessment of the trial is the incidence of major and clinically relevant non-major bleeding.

The new study will include approximately 7,500 patients in more than 450 clinical sites in approximately 40 countries worldwide. This is an event-driven, randomized, double-blind, double-dummy, parallel-group, multi-center, multinational study, which will randomize patients to two different treatment groups. Both groups will receive open label enoxaparin or unfractionated heparin for at least five days and up to 12 days, followed by double-blind warfarin or Edoxaban 60mg once-daily.

Patients will be treated for up to 12 months in accordance to the standard of care and international guidelines.

Harry Buller, professor of Internal Medicine, chairman of the department for vascular medicine at the Academic Medical Center, Amsterdam, and chairman of the Steering Committee for Hokusai VTE, said: "The incidence of VTE is predicted to double by 2050. Based on what we've seen in Phase II and other trials, Edoxaban shows promise as an agent to help fulfill the need for treatment options that are safe, effective and more convenient than the current standard of care, which requires extensive monitoring, careful dose adjusting and may have the potential for various drug and food interactions."

Glenn Gormley, president of pharma development at Daiichi Sankyo, said: "Hokusai VTE is the largest, single Phase III study ever undertaken in the area of VTE, and is our second large-scale Edoxaban trial. Daiichi Sankyo is proud to be advancing the research of Factor Xa inhibitors with Edoxaban, which may help prevent deadly clots in various patient populations."