MedPath

A randomized pilot study comparing the safety of DAbigatran and RIvaroxaban versus NAdroparin in the prevention of venous thromboembolism after knee arthroplasty surgery. DARINA

Conditions
After total knee arthroplasty (TKA) surgery, patients are at risk to develop venous thromboembolism (VTE). Two novel agents, dabigatran and rivaroxaban, recently gained market authorisation for prevention of venous thromboembolism after knee arthroplasty.Our aim is to compare the long term use of dabigatran and rivaroxaban versus nadroparin on safety after total knee arthroplasty (TKA)
Therapeutic area: Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Surgical Procedures, Operative [E04]
Registration Number
EUCTR2011-003556-39-NL
Lead Sponsor
Martini Hospital Groningen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Patients > 18 years and weighing more than 40 kg who are scheduled for primary elective total knee arthroplasty according to the ‘joint care program’ and want to provided signed informed consent are eligible for the study.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 75
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 75

Exclusion Criteria

Patients will be excluded if they meet one of the following exclusion criteria.
-a known inherited or acquired clinically significant active high risk of bleeding or bleeding disorder;
-major surgery, trauma, uncontrolled severe arterial hypertension, or myocardial infarction within the last 3 months;
-history of acute intracranial disease or hemorrhagic stroke;
-gastrointestinal or urogenital bleeding or ulcer disease within the last 6 months;
-cirrhotic patients with moderate hepatic impairment (aspartate or alanine aminotransferase (AST, ALT) levels higher than 2x the upper limit of the normal range (ULN) within the last month);
-severe renal insufficiency (creatinine clearance < 30 mL/min);
-treatment with anticoagulants during study drug treatment;
-active malignant disease;
-pregnancy or breastfeeding;
-and unable to give informed consent.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath