MedPath

Dabigatran Etexilate in Patients With Mechanical Heart Valves

Registration Number
NCT01452347
Lead Sponsor
Boehringer Ingelheim
Brief Summary

To validate the dosing algorithm for dabigatran etexilate in patients receiving a mechanical heart valve.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
328
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dabigatran etexilatedabigatran etexilate high dosePatient dose dependent on screening CrCl levels and TT
warfarinwarfarin 3mgwarfarin doses to maintain INR levels
Dabigatran etexilatedabigatran etexilate intermediate dosePatient dose dependent on screening CrCl levels and TT
Dabigatran etexilatedabigatran etexilate low dosePatient dose dependent on screening CrCl levels and TT
warfarinwarfarin 5mgwarfarin doses to maintain INR levels
warfarinwarfarin 1mgwarfarin doses to maintain INR levels
Primary Outcome Measures
NameTimeMethod
Comparison of Observed and Predicted Trough Dabigatran Plasma Concentrations at Steady State (C Trough,ss) at Week 1Week 1

Comparisons between dabigatran trough plasma levels as predicted by simulations to those observed in the study are performed to validate the dosing algorithm for Dabigatran Etexilate (DE) .

Despite the primary endpoint only being assessed in patients who received dabigatran etexilate, Warfarin was included as a comparator treatment in this study in order to facilitate informal comparisons of outcome events, and to look for efficacy signals in this previously unexplored population.

Comparison of Observed and Predicted Trough Dabigatran Plasma Concentrations (C Trough,ss) at Week 2Week 2

Comparisons between dabigatran trough plasma levels as predicted by simulations to those observed in the study are performed to validate the dosing algorithm for Dabigatran Etexilate (DE).

Despite the primary endpoint only being assessed in patients who received dabigatran etexilate, Warfarin was included as a comparator treatment in this study in order to facilitate informal comparisons of outcome events, and to look for efficacy signals in this previously unexplored population.

Comparison of Observed and Predicted Trough Dabigatran Plasma Concentrations (C Trough,ss) at Week 4Week 4

Comparisons between dabigatran trough plasma levels as predicted by simulations to those observed in the study are performed to validate the dosing algorithm for Dabigatran Etexilate (DE).

Despite the primary endpoint only being assessed in patients who received dabigatran etexilate, Warfarin was included as a comparator treatment in this study in order to facilitate informal comparisons of outcome events, and to look for efficacy signals in this previously unexplored population.

Comparison of Observed and Predicted Trough Dabigatran Plasma Concentrations (C Trough,ss) at End of Trial (EoT) at Week 12Week 12

Comparisons between dabigatran trough plasma levels as predicted by simulations to those observed in the study are performed to validate the dosing algorithm for Dabigatran Etexilate (DE).

(As the trial was stopped prematurely, EOT may not be 12 weeks after randomisation for most of the patients)

Despite the primary endpoint only being assessed in patients who received dabigatran etexilate, Warfarin was included as a comparator treatment in this study in order to facilitate informal comparisons of outcome events, and to look for efficacy signals in this previously unexplored population.

Secondary Outcome Measures
NameTimeMethod
Percentage of Patients With Observed Trough Dabigatran Plasma Concentrations < 50 ng/mL at Week 1Week 1

Percentage of patients with observed Ctrough,ss value \< 50 ng/mL are presented. This outcome measure was only analysed for all patients together and not by dose group.

Percentage of Patients With Observed Trough Dabigatran Plasma Concentrations < 50 ng/mL at Week 2Week 2

Percentage of patients with observed Ctrough,ss value \< 50 ng/mL are presented. This outcome measure was only analysed for all patients together and not by dose group.

Percentage of Patients With Observed Trough Dabigatran Plasma Concentrations < 50 ng/mL at Week 4Week 4

Percentage of patients with observed Ctrough,ss value \< 50 ng/mL are presented. This outcome measure was only analysed for all patients together and not by dose group.

Percentage of Patients With Observed Trough Dabigatran Plasma Concentrations < 50 ng/mL at End of Trial (EoT) Week 12Week 12

Percentage of patients with observed Ctrough,ss value \< 50 ng/mL (As the trial was stopped prematurely, EOT may not be 12 weeks after randomisation for most of the patients) This outcome measure was only analysed for all patients together and not by dose group.

Trial Locations

Locations (40)

1160.113.32005 Boehringer Ingelheim Investigational Site

🇧🇪

Gent, Belgium

1160.113.42001 Boehringer Ingelheim Investigational Site

🇨🇿

Prague 5, Czech Republic

1160.113.32007 Boehringer Ingelheim Investigational Site

🇧🇪

Brussel, Belgium

1160.113.32003 Boehringer Ingelheim Investigational Site

🇧🇪

Bruxelles, Belgium

1160.113.42002 Boehringer Ingelheim Investigational Site

🇨🇿

Brno, Czech Republic

1160.113.11007 Boehringer Ingelheim Investigational Site

🇨🇦

Toronto, Ontario, Canada

1160.113.42004 Boehringer Ingelheim Investigational Site

🇨🇿

Ostrava, Czech Republic

1160.113.46004 Sahlgrenska Universitetssjukhuset

🇸🇪

Göteborg, Sweden

1160.113.46003 Skånes Universitetssjukhus Lund

🇸🇪

Lund, Sweden

1160.113.45002 Boehringer Ingelheim Investigational Site

🇩🇰

Odense C, Denmark

1160.113.45001 Boehringer Ingelheim Investigational Site

🇩🇰

Copenhagen, Denmark

1160.113.11011 Boehringer Ingelheim Investigational Site

🇨🇦

London, Ontario, Canada

1160.113.32001 Boehringer Ingelheim Investigational Site

🇧🇪

Leuven, Belgium

1160.113.11002 Boehringer Ingelheim Investigational Site

🇨🇦

Edmonton, Alberta, Canada

1160.113.11009 Boehringer Ingelheim Investigational Site

🇨🇦

Hamilton, Ontario, Canada

1160.113.33001 Boehringer Ingelheim Investigational Site

🇫🇷

Paris cedex 18, France

1160.113.33003 Boehringer Ingelheim Investigational Site

🇫🇷

Rennes Cedex 2, France

1160.113.49002 Boehringer Ingelheim Investigational Site

🇩🇪

Essen, Germany

1160.113.11001 Boehringer Ingelheim Investigational Site

🇨🇦

Saint John, New Brunswick, Canada

1160.113.11012 Boehringer Ingelheim Investigational Site

🇨🇦

Newmarket, Ontario, Canada

1160.113.33004 Boehringer Ingelheim Investigational Site

🇫🇷

Bron, France

1160.113.49001 Boehringer Ingelheim Investigational Site

🇩🇪

Dresden, Germany

1160.113.11006 Boehringer Ingelheim Investigational Site

🇨🇦

Winnipeg, Manitoba, Canada

1160.113.32002 Boehringer Ingelheim Investigational Site

🇧🇪

Genk, Belgium

1160.113.33002 Boehringer Ingelheim Investigational Site

🇫🇷

Pessac, France

1160.113.42005 Boehringer Ingelheim Investigational Site

🇨🇿

Hradec Kralove, Czech Republic

1160.113.42003 Boehringer Ingelheim Investigational Site

🇨🇿

Olomouc, Czech Republic

1160.113.47001 Boehringer Ingelheim Investigational Site

🇳🇴

Oslo, Norway

1160.113.48004 Boehringer Ingelheim Investigational Site

🇵🇱

Gdansk, Poland

1160.113.31001 Boehringer Ingelheim Investigational Site

🇳🇱

Amsterdam, Netherlands

1160.113.31002 Boehringer Ingelheim Investigational Site

🇳🇱

Amsterdam, Netherlands

1160.113.31004 Boehringer Ingelheim Investigational Site

🇳🇱

Breda, Netherlands

1160.113.49008 Boehringer Ingelheim Investigational Site

🇩🇪

Frankfurt am Main, Germany

1160.113.47002 Boehringer Ingelheim Investigational Site

🇳🇴

Bergen, Norway

1160.113.48001 Boehringer Ingelheim Investigational Site

🇵🇱

Wroclaw, Poland

1160.113.48003 Boehringer Ingelheim Investigational Site

🇵🇱

Warszawa, Poland

1160.113.46001 Akademiska Sjukhuset

🇸🇪

Uppsala, Sweden

1160.113.49003 Boehringer Ingelheim Investigational Site

🇩🇪

Heidelberg, Germany

1160.113.49004 Boehringer Ingelheim Investigational Site

🇩🇪

Freiburg, Germany

1160.113.49010 Boehringer Ingelheim Investigational Site

🇩🇪

Witten, Germany

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