StAtins for Venous Event Reduction in Patients with Venous Thromboembolism : The SAVER Trial

2023-504486-23-00 Protocol CTO # 2095 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 29 May 2024 · Status Ongoing, recruiting · 2 EU/EEA countries · 14 sites · Protocol CTO # 2095

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 2,500
Countries 2
Sites 14

Venous thromboembolism

To determine the primary outcome event rate (i.e. symptomatic recurrent major VTE [proximal DVT or segmental or larger PE]) in patients taking generic rosuvastatin compared to placebo

Key facts

Sponsor
Centre Hospitalier Regional Et Universitaire De Brest, Ostfold Hospital Trust, Ottawa Hospital Research Institute
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
29 May 2024 → ongoing
Decision date (initial)
2024-07-31
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
The Canadian Institutes of Health Research (CIHR)

External identifiers

EU CT number
2023-504486-23-00
EudraCT number
2021-001559-15
ClinicalTrials.gov
NCT04319627

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety, Efficacy

To determine the primary outcome event rate (i.e. symptomatic recurrent major VTE [proximal DVT or segmental or larger PE]) in patients taking generic rosuvastatin compared to placebo

Secondary objectives 5

  1. To determine the major bleeding event rate in patients taking generic rosuvastatin compared to placebo.
  2. To explore if rosuvastatin reduces the incidence of PTS, as measured by the Villalta scale at end of study.
  3. To determine if rosuvastatin reduces the incidence of arterial vascular events
  4. To determine if rosuvastatin reduces the incidence of recurrent non-major VTE
  5. To determine the safety of rosuvastatin

Conditions and MedDRA coding

Venous thromboembolism

VersionLevelCodeTermSystem organ class
20.0 HLT 10037379 Pulmonary embolism and thrombosis 10047065
21.1 LLT 10066529 Deep vein thrombosis recurrent 10047065
21.1 LLT 10043630 Thrombosis of leg deep venous 10047065
20.1 PT 10066881 Deep vein thrombosis postoperative 100000004863
21.1 LLT 10037436 Pulmonary thromboembolism 10038738
20.0 LLT 10043642 Thrombosis venous deep 10047065
21.1 LLT 10024105 Left deep vein thrombosis 10047065
21.0 PT 10037377 Pulmonary embolism 100000004855
21.1 LLT 10000853 Acute massive pulmonary embolism 10038738
20.0 LLT 10014521 Embolism pulmonary 10038738
21.1 PT 10051055 Deep vein thrombosis 100000004866
20.0 PT 10063909 Post procedural pulmonary embolism 100000004863
21.0 PT 10047249 Venous thrombosis 100000004866
21.1 LLT 10065052 Deep vein thrombosis leg 10047065
21.1 LLT 10049918 Deep venous thrombosis proximal 10047065
21.1 LLT 10047251 Venous thrombosis deep (limbs) 10047065
20.0 LLT 10073531 Iliofemoral deep vein thrombosis 10047065
21.0 LLT 10080372 Leg venous thrombosis 10047065
20.0 PT 10037459 Pulmonary venous thrombosis 100000004855
21.1 LLT 10066738 Recurrent pulmonary embolism 10038738
21.1 LLT 10049916 Deep venous thrombosis femoral 10047065

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Symptomatic objectively confirmed proximal leg DVT (above the trifurcation of the popliteal vein) and/or PE (segmental or greater) diagnosed in the last 30 days.

Exclusion criteria 10

  1. Unable or unwilling to provide written informed consent
  2. < 18 years of age
  3. Women of childbearing potential unwilling to use appropriate contraception
  4. Currently prescribed a statin
  5. A known medical history or current diagnosis of any of the following for which statins are indicated in secondary prevention: a) Diabetes; b) Abdominal aortic aneurysm; c) Peripheral arterial disease; d) Stroke; e) Transient ischemic attack (TIA); f) Myocardial infarction (MI); g) Acute coronary syndromes; h) Stable/unstable angina; i) Coronary or other arterial revascularization
  6. Known diagnosis of hypercholesterolemia or dyslipidemia
  7. Contraindication to rosuvastatin; a) Known hypersensitivity or intolerance to statins; b) History of muscle disorders or statin-related muscle pain; c) Known liver disease (active liver disease, e.g. Hepatitis A, B, C, non-alcoholic fatty liver); d) Chronic kidney disease (creatinine clearance < 30ml/min); e) Currently pregnant or breast feeding; f) Taking cyclosporine; g) Taking atazanavir/ritonavir; h) Taking darolutamide; i) Taking regorafenib
  8. Unstable medical or psychological condition that would interfere with trial participation
  9. Life expectancy less than 3 months
  10. Patient without social security affiliation or not beneficiary of such social security (Criteria for France)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Symptomatic recurrent major VTE (proximal DVT or segmental or larger PE) occurring between randomization and the end of follow-up (i.e. completion of the trial) in patients taking generic rosuvastatin.

Secondary endpoints 4

  1. Post-thrombotic syndrome as measured by the Villalta score
  2. Non-major VTE; a) Distal DVT (distal to the trifurcation of the popliteal vein); b) Isolated sub-segmental PE; c) Upper Extremity DVT; d) Unusual site DVT; e) Superficial vein thrombosis
  3. Arterial vascular events: o Fatal myocardial infarction o Non-fatal myocardial infarction o Hospitalization for unstable angina o Coronary artery revascularization o Sudden cardiac death o Ischemic stroke
  4. All-cause mortality (no adjudication required)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Rosuvastatin Calcium

SUB20721 · Substance

Active substance
Rosuvastatin Calcium
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
20 mg milligram(s)
Max total dose
36000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo Rosuvastatin Calcium 20 mg tablets

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Regional Et Universitaire De Brest

Sponsor organisation
Centre Hospitalier Regional Et Universitaire De Brest
Address
2 Avenue Marechal Foch
City
Brest
Postcode
29200
Country
France

Scientific contact point

Organisation
Centre Hospitalier Regional Et Universitaire De Brest
Contact name
Francis COUTURAUD

Public contact point

Organisation
Centre Hospitalier Regional Et Universitaire De Brest
Contact name
Francis COUTURAUD

Ostfold Hospital Trust

3 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
Ostfold Hospital Trust
Address
P. O. Box 16
City
Fredrikstad
Postcode
1603
Country
Norway

Scientific contact point

Organisation
Ostfold Hospital Trust
Contact name
Waleed Ghanima

Public contact point

Organisation
Ostfold Hospital Trust
Contact name
Waleed Ghanima

Ottawa Hospital Research Institute

Sponsor organisation
Ottawa Hospital Research Institute
Address
501 Smyth Road
City
Ottawa
Postcode
K1H 8L6
Country
Canada

Scientific contact point

Organisation
Ottawa Hospital Research Institute
Contact name
Aurelien Delluc

Public contact point

Organisation
Ottawa Hospital Research Institute
Contact name
Aurelien Delluc

Sponsor responsibilities

Article 77 compliance
Centre Hospitalier Regional Et Universitaire De Brest
Contact point sponsor
Centre Hospitalier Regional Et Universitaire De Brest

Locations

2 EU/EEA countries · 14 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 600 12
Norway Ongoing, recruiting 150 2
Rest of world
Australia, Canada
1,750

Investigational sites

France

12 sites · Ongoing, recruiting
CHU Gabriel-Montpied
63, 58 Rue Montalembert, 63000, Clermont Ferrand
Hôpital NOVO - Site de Pontoise
95, 6 Avenue de l'Île de France, 95303, Cergy Pontoise
Centre Hospitalier Intercommunal Toulon / La Seine-Sur-Mer
83, 54 Rue Henri Sainte Claire Deville, 83100, Toulon
Centre Hospitalier Regional Et Universitaire De Brest
29, Boulevard Tanguy Prigent, 29609, Brest Cedex 2
Centre Hospitalier Groupe Hospitalier De La Rochelle Re Aunis
17, 1 Rue Du Docteur Schweitzer, 17000, La Rochelle
Centre Hospitalier Universitaire De Saint Etienne
42, St Priest En Jarez, 25 Boulevard Pasteur, St Etienne Cedex 2
Assistance Publique Hopitaux De Paris
92, 178 Rue Des Renouillers, 92701, Colombes Cedex
Centre Hospitalier Regional D'Angers
49, 4 Rue Larrey, 49100, Angers
Centre Hospitalier Universitaire De Dijon
21, 14 Rue Paul Gaffarel, 21000, Dijon
Centre Hospitalier Des Pays De Morlaix
Pneumology, 15 Rue De Kersaint Gilly, Bp 97237, Morlaix
Direction Centrale Du Service De Sante Des Armees
Pneumology, Rue Colonel Fonferrier, 29200, Brest
Centre Hospitalier Universitaire Rouen
Internal Medicine, 1 Rue De Germont, Bp 96031, Rouen Cedex

Norway

2 sites · Ongoing, recruiting
Ostfold Hospital Trust
Clinic of Internal Medicine Kalnes, P. O. Box 16, 1603, Fredrikstad
Akershus University Hospital
Department of Haematology, Sykehusveien 25, 1474, Loerenskog

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2025-05-09 2025-05-09
Norway 2024-05-29 2024-05-29

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Corrective measures 1 · Art. 77 CTR

Corrective measure CM-FR-0001

Member state
France
Publication date
2024-08-05
Type
3
Reason
7
Immediate action required
Yes
Justification
In line with CTR Q&amp;A / point 1.23, the sponsor is asked to submit a substantial modification application in order to update the CTA in line with the documentation approved during the appeal procedure within 10 days after the submission of this corrective measure.

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 25 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol - Extract (for publication) D4_Patient facing document France Villalta scale 1.0
Protocol - Extract (for publication) D4_Patient facing documents France EQ-5D-5L questionnaire 1.2
Protocol (for publication) D1_Protocol 2023-504486-23-00 7.0
Protocol (for publication) D1_Protocol 2023-504486-23-00_ Tracked Changes 7.0
Recruitment arrangements (for publication) K1_Recruitement arrangements 1
Recruitment arrangements (for publication) K1_Recrutement arrangements 2
Recruitment arrangements (for publication) K1_Recrutement arrangements_FR 1
Subject information and informed consent form (for publication) D4_Patient facing documents Norway EQ-5D-5L questionnaire 1
Subject information and informed consent form (for publication) L1_SIS and ICF adult_NO_Tracked change 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_Tracked changes 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_Tracked Changes 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF infant follow-up 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF pregnancy 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF pregnancy_Tracked changes 1.2
Subject information and informed consent form (for publication) L2_Other subject information material_Letter to GP 1.0
Subject information and informed consent form (for publication) L2_Patient wallet card_FR 1.0
Subject information and informed consent form (for publication) L2_Patient wallet card_NO 1.0
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC rosuvastatin calcium 20mg 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR 2023-504486-23-00 6.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR 2023-504486-23-00 final 4.2
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR 2023-504486-23-00_tracked change 6.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_NO 2023-504486-23-00 4.3
Synopsis of the protocol (for publication) D1_Protocol synopsis_NO 2023-504486-23-00 tracked Changes 4.3

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-06 Norway Acceptable
2023-07-24
2023-07-27
2 SUBSTANTIAL MODIFICATION SM-1 2023-09-08 Norway Acceptable
2023-11-22
2023-11-22
3 SUBSEQUENT ADDITION OF MSC APP-3 2024-02-06 Acceptable
2023-11-22
2024-03-29
4 SUBSTANTIAL MODIFICATION SM-3 2024-04-12 Norway Acceptable
2024-05-23
2024-05-23
5 SUBSTANTIAL MODIFICATION SM-4 2024-08-14 Norway Acceptable
2024-11-15
2024-11-19
6 SUBSTANTIAL MODIFICATION SM-6 2025-07-11 Norway Acceptable
2025-09-15
2025-09-25
7 SUBSTANTIAL MODIFICATION SM-7 2026-03-06 Acceptable 2026-03-18