A Phase 3 interventional study of Dabigatran Dose 1 - day 2 to completion and Dabigatran Dose 1 - day 1 in Arthroplasty, Replacement, Knee and Thromboembolism, sponsored by Boehringer Ingelheim. Completed at 94 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-05-05.
Sponsored by Boehringer Ingelheim · Phase 3, Interventional, and Prevention
To determine the comparative efficacy and safety of two different doses (75mg day 1 followed by 150 mg day 2-completion, and 110 mg day 1 followed by 220 mg day 2-completion) of dabigatran administered orally (capsules), compared to enoxaparin 30 mg twice a day subcutaneous, in prevention of venous thromboembolism in patients with primary elective total knee replacement surgery
818 studies on the registry are indexed under Thromboembolism; 98 are open to participants now.
This study's enrollment of 2,615 is above the median of 196 across 436 interventional studies indexed under Thromboembolism.
Browse Thromboembolism studies →Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.
Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion criteria EXCLUSION CRITERIA
Spinal or epidural anesthesia, for which more than 3 attempts (sticks) at placement were made, or the placement was traumatic.
Please note that patients, who are not excluded under this criterion, are to have the catheter pulled at the completion of surgery.
low dose regimen taken once daily
Drug: Dabigatran Dose 1 - day 2 to completion · Drug: Dabigatran Dose 1 - day 1
high dose regimen taken once daily
Drug: Dabigatran Dose 2 - day 2 to completion · Drug: Dabigatran Dose 2 - day 1
30 mg subcutaneously twice daily
Drug: Enoxaparin
low dose regimen taken once daily
low dose regimen taken once daily
high dose regimen taken once daily
high dose regimen taken once daily
30 mg subcutaneously twice daily
Number of Participants With Total Venous Thromboembolic Event and All-cause Mortality During Treatment Period
Total Venous Thromboembolic Event (VTE) includes both proximal and distal deep vein thrombosis (DVT) (detected by routine bilateral venography), symptomatic DVT (confirmed by venous compression ultrasound, venography or autopsy) and pulmonary embolism (PE) (confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy). All of these components and all deaths were centrally adjudicated by the VTE events committee, which was not aware of the treatment allocation of the patients.
Time frame: First administration until 12-15 days
Number of Participants With Major Venous Thromboembolic Event and Venous Thromboembolic Event-related Mortality During Treatment Period
Major Venous Thromboembolic Event (VTE) is defined as proximal DVT and PE, as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants With Proximal Deep Vein Thrombosis During Treatment Period
Proximal Deep Vein Thrombosis as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants With Total Deep Vein Thrombosis During Treatment Period
Total Deep Vein Thrombosis as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants With Symptomatic Deep Vein Thrombosis During Treatment Period
Symptomatic Deep Vein Thrombosis, confirmed by venous compression ultrasound, venography or autopsy, and as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants With Pulmonary Embolism During Treatment Period
Pulmonary embolism confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy, and as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants Who Died During Treatment Period
All cause death, as adjudicated by the VTE events committee
Time frame: First administration until 12-15 days
Number of Participants With Total Venous Thromboembolic Event (VTE) and All-cause Mortality During the Follow-up Period
Total Venous Thromboembolic Event (VTE) includes both proximal and distal deep vein thrombosis (DVT) (detected by routine bilateral venography), symptomatic DVT (confirmed by venous compression ultrasound, venography or autopsy) and pulmonary embolism (PE) (confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy).
Time frame: 3 months
Number of Participants With Bleeding Events (Defined According to Modified McMaster Criteria) During Treatment Period
Major bleeding events were defined as * fatal * clinically overt associated with loss of haemoglobin \>=20g/L in excess of what was expected * clinically overt leading to the transfusion of \>=2 units packed cells or whole blood in excess of what was expected * symptomatic retroperitoneal, intracranial, intraocular or intraspinal * requiring treatment cessation * leading to re-operation Clinically-relevant was defined as * spontaneous skin hematoma greater than or equal to 25 cm² * wound hematoma greater than or equal to 100 cm² * spontaneous nose bleed lasting longer than 5 min * macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention * spontaneous rectal bleeding (more than a spot on toilet paper) * gingival bleeding lasting longer than 5 min * any other bleeding event considered clinically relevant by the investigator Minor bleeding events were defined as all other bleeding events that did not fulfil the criteria from above.
Time frame: First administration until 12-15 days
The treatment period is from first administration of study medication, until 3 days after last administration of study medication. Treatment duration is planned for 12 - 15 days. The study period is from first administration of study medication until day 84 - 91.
| Milestone | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Started | 857 | 871 | 868 |
| Completed | 806 | 823 | 819 |
| Not completed | 51 | 48 | 49 |
| Withdrew: Adverse event | 12 | 10 | 9 |
| Withdrew: Protocol violation | 10 | 11 | 8 |
| Withdrew: Lost to follow-up | 17 | 14 | 13 |
| Withdrew: Withdrawal by subject | 9 | 8 | 14 |
| Withdrew: Other | 3 | 5 | 5 |
| Milestone | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Started | 857 | 871 | 868 |
| Completed | 786 | 808 | 788 |
| Not completed | 71 | 63 | 80 |
| Withdrew: Adverse event | 49 | 40 | 54 |
| Withdrew: Protocol violation | 8 | 6 | 10 |
| Withdrew: Lost to follow-up | 1 | 2 | 1 |
| Withdrew: Withdrawal by subject | 4 | 4 | 5 |
| Withdrew: Other | 9 | 11 | 10 |
Total Venous Thromboembolic Event (VTE) includes both proximal and distal deep vein thrombosis (DVT) (detected by routine bilateral venography), symptomatic DVT (confirmed by venous compression ultrasound, venography or autopsy) and pulmonary embolism (PE) (confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy). All of these components and all deaths were centrally adjudicated by the VTE events committee, which was not aware of the treatment allocation of the patients.
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Total Venous Thromboembolic Event and All-cause Mortality During Treatment Period | 188 | 219 | 163 |
Major Venous Thromboembolic Event (VTE) is defined as proximal DVT and PE, as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Major Venous Thromboembolic Event and Venous Thromboembolic Event-related Mortality During Treatment Period | 21 | 20 | 15 |
Proximal Deep Vein Thrombosis as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Proximal Deep Vein Thrombosis During Treatment Period | 15 | 20 | 10 |
Total Deep Vein Thrombosis as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Total Deep Vein Thrombosis During Treatment Period | 184 | 218 | 158 |
Symptomatic Deep Vein Thrombosis, confirmed by venous compression ultrasound, venography or autopsy, and as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Symptomatic Deep Vein Thrombosis During Treatment Period | 7 | 6 | 5 |
Pulmonary embolism confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy, and as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants With Pulmonary Embolism During Treatment Period | 6 | 0 | 5 |
All cause death, as adjudicated by the VTE events committee
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Number of Participants Who Died During Treatment Period | 1 | 1 | 0 |
Total Venous Thromboembolic Event (VTE) includes both proximal and distal deep vein thrombosis (DVT) (detected by routine bilateral venography), symptomatic DVT (confirmed by venous compression ultrasound, venography or autopsy) and pulmonary embolism (PE) (confirmed by pulmonary V-Q scintigraphy, chest x-ray, pulmonary angiography, spiral CT or autopsy).
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Total VTE and all-cause mortality | 7 | 7 | 10 |
| asymptotic Deep Vein Thrombosis | 2 | 1 | 4 |
| symptotic Deep Vein Thrombosis | 2 | 4 | 2 |
| Pulmonary Embolism | 2 | 0 | 2 |
| death | 1 | 2 | 2 |
Major bleeding events were defined as * fatal * clinically overt associated with loss of haemoglobin \>=20g/L in excess of what was expected * clinically overt leading to the transfusion of \>=2 units packed cells or whole blood in excess of what was expected * symptomatic retroperitoneal, intracranial, intraocular or intraspinal * requiring treatment cessation * leading to re-operation Clinically-relevant was defined as * spontaneous skin hematoma greater than or equal to 25 cm² * wound hematoma greater than or equal to 100 cm² * spontaneous nose bleed lasting longer than 5 min * macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention * spontaneous rectal bleeding (more than a spot on toilet paper) * gingival bleeding lasting longer than 5 min * any other bleeding event considered clinically relevant by the investigator Minor bleeding events were defined as all other bleeding events that did not fulfil the criteria from above.
| Participants | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Major | 5 | 5 | 12 |
| Clinically relevant | 23 | 22 | 21 |
| Minor | 46 | 45 | 51 |
| None | 783 | 799 | 784 |
Collected over First administration until (usually) day 21, i.e., treatment period + 3 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dabigatran 220mg | — | 59/857 (6.9%) | 718/857 (83.8%) |
| Dabigatran 150mg | — | 57/871 (6.5%) | 724/871 (83.1%) |
| Enoxaparin | — | 45/868 (5.2%) | 711/868 (81.9%) |
| Event | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Deep vein thrombosisVascular disorders | 10/857 | 9/871 | 5/868 |
| Atrial fibrillationCardiac disorders | 6/857 | 2/871 | 4/868 |
| IleusGastrointestinal disorders | 5/857 | 3/871 | 0/868 |
| Myocardial infarctionCardiac disorders | 0/857 | 5/871 | 2/868 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 4/857 | 0/871 | 3/868 |
| Confusional statePsychiatric disorders | 3/857 | 0/871 | 0/868 |
| Haemoglobin decreasedInvestigations | 1/857 | 2/871 | 3/868 |
| AnaemiaBlood and lymphatic system disorders | 1/857 | 3/871 | 1/868 |
| PyrexiaGeneral disorders | 0/857 | 3/871 | 2/868 |
| CellulitisInfections and infestations | 2/857 | 3/871 | 2/868 |
| Event | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin |
|---|---|---|---|
| Oedema peripheralGeneral disorders | 244/857 | 275/871 | 254/868 |
| ConstipationGastrointestinal disorders | 229/857 | 268/871 | 245/868 |
| NauseaGastrointestinal disorders | 198/857 | 204/871 | 189/868 |
| PyrexiaGeneral disorders | 154/857 | 157/871 | 167/868 |
| Post procedural painInjury, poisoning and procedural complications | 110/857 | 114/871 | 84/868 |
| VomitingGastrointestinal disorders | 105/857 | 110/871 | 95/868 |
| InsomniaPsychiatric disorders | 100/857 | 105/871 | 109/868 |
| Deep vein thrombosisVascular disorders | 86/857 | 93/871 | 65/868 |
| Urinary retentionRenal and urinary disorders | 72/857 | 82/871 | 60/868 |
| DizzinessNervous system disorders | 56/857 | 59/871 | 79/868 |
| Age, Continuous(Years) | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin | Total |
|---|---|---|---|---|
| Mean | 66.2 ± 9.5 | 65.9 ± 9.5 | 66.3 ± 9.6 | 66.1 ± 9.5 |
| Sex: Female, Male(Participants) | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin | Total |
|---|---|---|---|---|
| Female | 486 | 507 | 504 | 1497 |
| Male | 371 | 364 | 364 | 1099 |
| Body Mass Index(kg/m^2) | Dabigatran 220mg | Dabigatran 150mg | Enoxaparin | Total |
|---|---|---|---|---|
| Mean | 31.6 ± 6.0 | 31.4 ± 6.1 | 31.4 ± 6.0 | 31.5 ± 6.1 |
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Boehringer Ingelheim