Medical Information Only. Always consult your healthcare provider before enrolling in any clinical trial.

NCT04142658 · ClinicalTrials.gov registry record · Phase 3

PROACT Xa - A Trial to Determine if Participants With an On-X Aortic Valve Can be Maintained Safely on Apixaban

A Phase 3 study, sponsored by Artivion.

Terminated
Registry status
Phase 3
Development phase
863
Enrollment target

NCT04142658: Clinical Trial Phase 3 study, sponsored by Artivion.

NCT04142658 is a Phase 3 study that was terminated before completion, run by Artivion. The registered enrollment target is 863 participants, above the 772-participant average among 15,282 other Phase 3 trials with a reported enrollment target (12% higher). According to ClinicalTrials.gov, the official US trial registry.

View on ClinicalTrials.gov ↗

View your shortlist →

The verdict

NCT04142658, a Phase 3 study, was terminated before completion, sponsored by Artivion.

TERMINATED
Registry status
Phase 3
Development phase
863 participants
Enrollment target

Study Summary

Currently, warfarin is the only approved anticoagulation for patients with mechanical valves. The purpose of this study is to determine if participants with an On-X Prosthetic Heart Valve / On-X aortic valve can be maintained safely and effectively on apixaban. Both the On-X aortic valve and apixaban have been approved for use by the US Food and Drug Administration (FDA) but they have not been approved to be used together.

Primary Outcome

Valve thrombosis was defined as any thrombus, not caused by infection, attached to or near an implanted On-X valve that occluded part of the blood-flow path, interfered with valve function, or was sufficiently large to warrant treatment other than continued oral anticoagulation. Valve-related thromboembolism was defined as any thromboembolic stroke, transient ischemic attack, myocardial infarction, or arterial thromboembolism to an organ or limb that was not associated with infection or an intra

Interventions

  • DRUG Warfarin
  • DRUG Apixaban 2.5 MG
  • DRUG Apixaban 5 MG
  • DEVICE On-X Aortic Mechanical Valve

Trial Details

FieldValue
Enrollment Target 863 participants
Start Date 2020-05-01
Est. Completion 2022-12-12
Phase Phase 3
Artivion

7 total trials

Why NCT04142658 stopped before completion

NCT04142658 is an interventional study that assigns participants to a tested intervention. The registered 863 participants enrollment target is mid-sized for trials with a published cap, above the 772-participant average among 15,282 other Phase 3 trials with a reported enrollment target (12% higher).

The record links to 0 conditions, and to 4 interventions - of which Warfarin is the first listed.

NCT04142658 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT04142658 about?

NCT04142658 is a clinical study titled "PROACT Xa - A Trial to Determine if Participants With an On-X Aortic Valve Can be Maintained Safely on Apixaban". Currently, warfarin is the only approved anticoagulation for patients with mechanical valves. The purpose of this study is to determine if participants with an On-X Prosthetic Heart Valve / On-X aortic valve can be maintained safely and effectively on apixaban. Both the On-X aortic valve and apixaba...

What is the current status of trial NCT04142658?

This trial is currently terminated. It is a Phase 3 study. The enrollment target is 863 participants. The study started on 2020-05-01. Estimated completion is 2022-12-12.

What interventions are being tested in trial NCT04142658?

The interventions under investigation include: Warfarin (DRUG), Apixaban 2.5 MG (DRUG), Apixaban 5 MG (DRUG), On-X Aortic Mechanical Valve (DEVICE).

Who is sponsoring clinical trial NCT04142658?

This trial is sponsored by Artivion, which has 7 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT04142658's enrollment target sits among peer trials

863 380th of 2000 higher than 1,621 of 2,000 other Phase 3 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 3 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

Nationwide trials with similar profiles

Cross-condition peers matched on enrollment target and registry start date, not the same-condition list above.

Similar enrollment target

  • NCT06256588 · 864 participants · Phase 3

    A Study of Dostarlimab vs Placebo After Chemoradiation in Adult Participants With Locally Advanced Unresected Head and Neck Squamous Cell Carcinoma

  • NCT06527794 · 864 participants · NA

    Remote Hypertension Management for Black Patients

  • NCT05914116 · 862 participants · Phase 1

    A Phase 1/2a Study of DB-1311/BNT324 in Advanced/Metastatic Solid Tumors

  • NCT05369052 · 865 participants · Phase 3

    Safety and Efficacy Study of Contezolid Acefosamil and Contezolid Compared to Linezolid Administered Intravenously and Orally to Adults With Moderate or Severe Diabetic Foot Infections (DFI)

Similar registry start date

  • NCT05962346 · started 2026-12 · NA

    Fetal Endoscopic Tracheal Occlusion for Congenital Diaphragmatic Hernia

  • NCT07125183 · started 2026-12 · Phase 2

    Study on Efficacy and Tolerability of Weekly Doxorubicin in Elderly Patients With Advanced or Metastatic Leiomyosarcoma

  • NCT07292298 · started 2026-11 · Phase 2

    Phase 2 Single-Arm Rectal Cancer Brachytherapy for Patients With Low-Lying Residual Adenocarcinoma After Total Neoadjuvant Therapy to Improve Organ Preservation Rates

  • NCT04263285 · started 2026-10 · NA

    Treatment of Depression Post-SCI

Source: ClinicalTrials.gov NCT04142658, the US trial registry maintained by the National Library of Medicine. NCT04142658 (mid enrollment · none site footprint · terminated) retrieved and formatted by PlainTrial, see methodology.