An observational study in Venous Thromboembolism, sponsored by Boehringer Ingelheim. Completed at 222 sites in 37 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-04-29.
Sponsored by Boehringer Ingelheim · Observational
RE-COVERY is a large, multi-national, multi-center observational study based on new data collection. The study will enroll and characterize patients within 30 days of being diagnosed with an acute DVT and/or PE. The study has two main objectives. Objective 1 will characterize the DVT / PE patient population. All patients with a DVT and/or PE will be enrolled for cross-sectional characterization of the VTE patient population. Objective 2 will compare the safety and effectiveness of dabigatran etexilate regimens for treatment of VTE in comparison to VKA regimens. Patients treated with dabigatran etexilate or VKA will be followed up for the occurrence of outcome events for up to one year.
818 studies on the registry are indexed under Thromboembolism; 98 are open to participants now.
This study's enrollment of 7,797 is above the median of 500 across 344 observational 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.
Patients with acute venous thromboembolism
Exclusion criteria:
Patients will be enrolled for cross sectional characterization of baseline characteristics
Patients treated with dabigatran for acute VTE will be followed for one year
Patients treated with VKA for acute VTE will be followed for one year
Objective 1: Age
Age in years of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 1: Sex
Sex of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 1: Index Event
Type of index event (e.g., DVT or PE or DVT and PE) diagnosed at the time of acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 1: Anticoagulant Treatment
Type of treatment received following acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
Time frame: Baseline collected within 14 days but not more than 6 months after diagnosis of acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs)
Incidence rate of ISTH (International Society on Thrombosis and Haemostasis) major bleeding and CRNMB (clinically relevant non major bleeding) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality
Incidence rate of Symptomatic Recurrent VTE (Venous Thromboembolism) including VTE related mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 2: Incidence Rate of Recurrent DVT and/or PE
Incidence rate of Recurrent Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 2: Incidence Rate of VTE-related Mortality
Incidence rate of VTE-related Mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
Objective 2: Incidence Rate of All-cause Mortality
Incidence rate of all-cause mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
Time frame: 12 months following acute deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
This study characterizes patients following acute venous thromboembolism and assesses the safety and effectiveness of dabigatran etexilate in the treatment and secondary prevention of acute DVT and PE in comparison to vitamin K antagonist in routine clinical practice. This is a large multi-center observational study based on new data collection.
| Milestone | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) |
|---|---|---|---|---|---|
| Started | 3714 | 1006 | 0 | 1375 | 0 |
| Completed | 3714 | 1006 | 0 | 1375 | 0 |
| Not completed | 0 | 0 | 0 | 0 | 0 |
| Milestone | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) |
|---|---|---|---|---|---|
| Started | 3714 | 1006 | 910 | 1375 | 792 |
| Completed | 0 | 778 | 910 | 529 | 792 |
| Not completed | 3714 | 228 | 0 | 846 | 0 |
| Withdrew: Participants not participating in obj 2 | 3714 | 228 | 0 | 846 | 0 |
| Milestone | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) |
|---|---|---|---|---|---|
| Started | 0 | 778 | 910 | 529 | 792 |
| Completed | 0 | 710 | 812 | 471 | 714 |
| Not completed | 0 | 68 | 98 | 58 | 78 |
| Withdrew: Lost to follow-up | 0 | 41 | 41 | 32 | 46 |
| Withdrew: Withdrawal by subject | 0 | 11 | 14 | 5 | 2 |
| Withdrew: Adverse drug reaction | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Death | 0 | 12 | 41 | 21 | 30 |
| Withdrew: Other | 0 | 3 | 2 | 0 | 0 |
Age in years of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
| years | All Participants With a DVT and/or PE |
|---|---|
| Objective 1: Age | 61.5 ± 17.0 |
Sex of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
| Participants | All Participants With a DVT and/or PE |
|---|---|
| Male — Participants | 3062 |
| Female — Participants | 3032 |
| Missing data — Participants | 1 |
Type of index event (e.g., DVT or PE or DVT and PE) diagnosed at the time of acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
| Participants | All Participants With a DVT and/or PE |
|---|---|
| DVT — Participants | 3644 |
| PE — Participants | 1588 |
| DVT and PE — Participants | 863 |
Type of treatment received following acute Venous Thromboembolism (VTE) event of eligible patients collected for Objective 1 during baseline at the time of index event. Aim of Objective 1 was to characterize the Venous Thromboembolism (VTE) patient population including the initial acute event phase, i.e. all patients regardless of treatment. Patients who enrolled in Objective 1 and were treated with VKA or dabigatran were also eligible for Objective 2. The aim of objective 2 was to analyze the safety and effectiveness of dabigatran regimens in the treatment of DVT and PE over 1 year of follow-up in comparison to a VKA regimen. The arm presented in this endpoint was separated into three arms in the participant flow tables ("Not assigned to Dabigatran etexilate or Vitamin K antagonist","Dabigatran etexilate (1)" and "Vitamin K antagonist (1)") in order to distinguish patients participating in both objectives from patients only in objective 2.
| Participants | All Participants With a DVT and/or PE |
|---|---|
| Dabigatran — Participants | 947 |
| vitamin K antagonist (VKA) — Participants | 1388 |
| Edoxaban — Participants | 103 |
| Rivaroxaban — Participants | 1558 |
| Apixaban — Participants | 686 |
| Other — Participants | 1413 |
Incidence rate of ISTH (International Society on Thrombosis and Haemostasis) major bleeding and CRNMB (clinically relevant non major bleeding) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
| events per 100 patient-years | Dabigatran Etexilate | Vitamin K Antagonist |
|---|---|---|
| Objective 2: Incidence Rate of ISTH (International Society on Thrombosis and Haemostasis) Major Bleeding and CRNMB (Clinically Relevant Non Major Bleeding) Per 100 Patient-years (Pt-yrs) | 2.63 (1.79 to 3.73) | 4.42 (3.18 to 5.97) |
Incidence rate of Symptomatic Recurrent VTE (Venous Thromboembolism) including VTE related mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
| events per 100 patient-years | Dabigatran Etexilate | Vitamin K Antagonist |
|---|---|---|
| Objective 2: Symptomatic Recurrent VTE (Venous Thromboembolism) Including VTE Related Mortality | 1.53 (0.91 to 2.42) | 2.01 (1.21 to 3.14) |
Incidence rate of Recurrent Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE) per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
| events per 100 patient-years | Dabigatran Etexilate | Vitamin K Antagonist |
|---|---|---|
| Objective 2: Incidence Rate of Recurrent DVT and/or PE | 1.61 (0.97 to 2.52) | 2.22 (1.38 to 3.40) |
Incidence rate of VTE-related Mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
| events per 100 patient-years | Dabigatran Etexilate | Vitamin K Antagonist |
|---|---|---|
| Objective 2: Incidence Rate of VTE-related Mortality | 0 (0 to 0) | 0.42 (0.11 to 1.08) |
Incidence rate of all-cause mortality per 100 patient-years (1/(100\*patient-years)). Each patient in the two treatment groups was weighted proportionally to the probability of that patient being assigned to the opposite treatment group, conditional on relevant observed baseline variables. The propensity scores were estimated using the multivariable logistic regression model. For the restricted patient set, as a sensitivity analysis, the calculation of incidence rates and cumulative risks was performed without censoring at permanent discontinuation.
| events per 100 patient-years | Dabigatran Etexilate | Vitamin K Antagonist |
|---|---|---|
| Objective 2: Incidence Rate of All-cause Mortality | 2.12 (1.37 to 3.12) | 3.06 (2.05 to 4.39) |
Collected over From the time of VTE until the end of the study (Dabigatran etexilate (1) and (2) and Vitamin K antagonist (1) and (2)) or from the time of informed consent until the end of the study (not assigned to Dabigatran etexilate or Vitamin K antagonist), up to 12 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | 54/3,714 (1.5%) | 60/3,714 (1.6%) | 0/3,714 (0%) |
| Dabigatran Etexilate (1) | 13/1,006 (1.3%) | 22/1,006 (2.2%) | 0/1,006 (0%) |
| Dabigatran Etexilate (2) | 42/910 (4.6%) | 47/910 (5.2%) | 0/910 (0%) |
| Vitamin K Antagonist (1) | 25/1,375 (1.8%) | 34/1,375 (2.5%) | 0/1,375 (0%) |
| Vitamin K Antagonist (2) | 30/792 (3.8%) | 41/792 (5.2%) | 0/792 (0%) |
| Event | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) |
|---|---|---|---|---|---|
| DeathGeneral disorders | 7/3714 | 3/1006 | 6/910 | 7/1375 | 7/792 |
| Cardiac arrestCardiac disorders | 5/3714 | 0/1006 | 5/910 | 0/1375 | 1/792 |
| Cardio-respiratory arrestCardiac disorders | 1/3714 | 1/1006 | 4/910 | 2/1375 | 0/792 |
| Respiratory failureRespiratory, thoracic and mediastinal disorders | 0/3714 | 0/1006 | 3/910 | 1/1375 | 2/792 |
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 3/3714 | 0/1006 | 0/910 | 0/1375 | 2/792 |
| PneumoniaInfections and infestations | 2/3714 | 1/1006 | 0/910 | 0/1375 | 2/792 |
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 2/3714 | 1/1006 | 2/910 | 1/1375 | 2/792 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 1/3714 | 0/1006 | 0/910 | 0/1375 | 2/792 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 5/3714 | 0/1006 | 0/910 | 3/1375 | 1/792 |
| HaematuriaRenal and urinary disorders | 0/3714 | 2/1006 | 1/910 | 1/1375 | 0/792 |
All Eligible: patients fulfilling all inclusion criteria and no exclusion criteria.
| Age, Continuous(Years) | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) | Total |
|---|---|---|---|---|---|---|
| Mean | 62.5 ± 17.2 | 58.3 ± 16.6 | 58.4 ± 16.6 | 61.3 ± 16.6 | 59.0 ± 16.6 | 60.9 ± 17.0 |
| Sex/Gender, Customized(Participants) | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) | Total |
|---|---|---|---|---|---|---|
| Male | 1806 | 548 | 477 | 708 | 417 | 3956 |
| Female | 1907 | 458 | 433 | 667 | 375 | 3840 |
| Missing | 1 | 0 | 0 | 0 | 0 | 1 |
| Race (NIH/OMB)(Participants) | Not Assigned to Dabigatran Etexilate or Vitamin K Antagonist | Dabigatran Etexilate (1) | Dabigatran Etexilate (2) | Vitamin K Antagonist (1) | Vitamin K Antagonist (2) | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 2 | 1 | 2 | 2 | 7 | 14 |
| Asian | 420 | 149 | 147 | 96 | 124 | 936 |
| Native Hawaiian or Other Pacific Islander | 4 | 0 | 0 | 0 | 0 | 4 |
| Black or African American | 111 | 2 | 7 | 71 | 18 | 209 |
| White | 2620 | 828 | 742 | 1152 | 600 | 5942 |
| More than one race | 5 | 6 | 11 | 7 | 42 | 71 |
| Unknown or Not Reported | 552 | 20 | 1 | 47 | 1 | 621 |
Showing the first 100 of 222 sites across 37 countries.
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Boehringer Ingelheim