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Phase 3 Trial of VMX-C001 vs Usual Pharmacological Care in Patients Taking a FXa Direct Oral Anticoagulant Who Require Urgent Surgery With or Without Heparin.
Sponsor: VarmX B.V.
Summary
The goal of this clinical trial is to learn if VMX-C001 works to to allow blood clotting control in participants who take FXa Direct Oral Anticoagulants (DOACs) during surgery or other invasive procedures that carry a high risk of bleeding. The main question it aims to answer is: ● What is the proportion of participants in whom the stopping of bleeding was classed as good or excellent during the procedure, as judged by a group of experts who did not know which treatment was given? Researchers will compare a fixed dose of VMX-C001 to the usual treatment that would be given for the required procedure. Participants will: * Be given either a fixed dose of VMX-C001 or usual treatment before they undergo the required procedure in theatre * Have regular clinical assessments, including laboratory tests, during their hospital stay following the procedure * Return to the clinic for a check-up and tests approximately 28 days after the procedure was conducted.
Official title: A Phase 3 Prospective Randomised Clinical Trial of VMX-C001 vs Usual Pharmacological Care in Patients Receiving a FXa Direct Oral Anticoagulant (FXa DOAC) Who Require Urgent Surgery or Other Invasive Procedure That is Associated With a High Risk of Bleeding, With or Without Planned Administration of Heparin (EQUILIBRIX-S)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
800
Start Date
2026-03
Completion Date
2031-01
Last Updated
2026-02-27
Healthy Volunteers
No
Conditions
Interventions
VMX-C001
A fixed dose of VMX-C001 will be administered prior to commencement of procedure.
Usual Pharmacological Care
Usual pharmacological care should be treatment planned to restore coagulation or support haemostasis for the required procedure.
Locations (26)
Chandler Regional Medical Center (CRMC)
Chandler, Arizona, United States
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, United States
HonorHealth John C Lincoln Medical Center
Phoenix, Arizona, United States
Stanford Hospital and Clinics
Stanford, California, United States
Denver Metro Orthopedics, P.C. - Englewood Location
Englewood, Colorado, United States
Medical Center of the Rockies
Fort Collins, Colorado, United States
Christiana Care
Newark, Delaware, United States
University of South Florida
Tampa, Florida, United States
University of Iowa Health Care
Iowa City, Iowa, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Beaumont Hospital, Royal Oak
Royal Oak, Michigan, United States
William Beaumont Hospital - Troy Campus
Troy, Michigan, United States
Duke University Medical Center
Durham, North Carolina, United States
The University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, United States
Texas Tech University Health Sciences Center - El Paso
El Paso, Texas, United States
The University of Texas McGovern Medical School at Houston
Houston, Texas, United States
Royal Brisbane and Women's Hospital (RBWH)
Herston, Queensland, Australia
Mater Private Hospital
South Brisbane, Queensland, Australia
Gold Coast University Hospital
Southport, Queensland, Australia
St Vincent Hospital, Melbourne
Fitzroy, Victoria, Australia
Alfred Health, Melbourne
Melbourne, Victoria, Australia
Fiona Stanley Hospital
Murdoch, Western Australia, Australia
Auckland City Hospital
Grafton, Auckand, New Zealand
Aotearoa Clinical Trials - Middlemore (ACTT) Middlemore Hospital
Papatoetoe, Auckland, New Zealand
Waikato Hospital
Hamilton, Waikato Region, New Zealand
Wellington Hospital
Newtown, Wellington Region, New Zealand