RecruitingPhase 3NCT07288489

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.

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)


Sponsor

VarmX B.V.

Enrollment

800 participants

Start Date

Aug 18, 2026

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying a drug called Usual Pharmacological Care and a drug called VMX-C001 for people with blood loss, surgical and coagulation disorder. The study is currently recruiting participants at 37 locations.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGVMX-C001

A fixed dose of VMX-C001 will be administered prior to commencement of procedure.

DRUGUsual Pharmacological Care

Usual pharmacological care should be treatment planned to restore coagulation or support haemostasis for the required procedure.


Locations(37)

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

Memorial Hermann Hospital-TMC Investigational Drugs Services Pharmacy

Houston, 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

Multiprofile Hospital for Active Treatment Heart and Brain EAD

Pleven, Pleven, Bulgaria

Multiprofile Hospital for Active Treatment AD Haskovo

Haskovo, Bulgaria

UMBAL Kanev AD

Rousse, Bulgaria

Multiprofile Hospital for Active Treatment Hristo Botev

Vratsa, Bulgaria

CHU de Saint-Etienne - Hopital Bellevue

Saint Priest En Jarez, Pays de la Loire Region, France

Fukuoka Neurosurgical Hospital

Fukuoka-Shi, Fukuoka, Japan

Japanese Red Cross Kumamoto Hospital

Kumamoto-shi, Kumamoto, Japan

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

Gloucestershire Hospitals NHS Foundation Trust - Gloucestershire Royal Hospital

Gloucester, Gloucestershire, United Kingdom

Guys and St Thomas NHS Foundation Trust - St Thomas Hospital

London, London, United Kingdom

Kings College Hospital NHS Foundation Trust

London, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT07288489


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