ClinicalTrials.gg
CompletedNCT03280368ARCADEUpdated Feb 12, 2020

Adherence and Coagulation Assays in Dabigatran-treated Patients With Atrial Fibrillation

An observational study in Atrial Fibrillation, Medication Adherence and Blood Coagulation Tests, sponsored by Hospitalsenheden Vest. Completed at 1 site in Denmark. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-12.

Sponsored by Hospitalsenheden Vest · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
430
Ages
18 Years and older
Sex
All
01

Study summary

In patients with non-valvular atrial fibrillation treated with dabigatran etexilate, the level of adherence will be measured using a questionnaire, the Danish National Prescription Registry and pillcount and will be related to plasma levels of dabigatran measured by liquid chromatography tandem mass spectrometry (LC-MS/MS) and coagulation assays. The aim of the study is to measure the level of adherence and evaluate the usefulness of different coagulation assays to measure adherence in these patients. Furthermore, the aim is to determine the correlation between the anticoagulant effect of dabigatran using different coagulation assays and plasma levels of dabigatran.

Most studies so far have been performed in vitro with plasma samples spiked with dabigatran. In this study the present knowledge from results of coagulation assays in dabigatran spiked plasma samples will be compared to the results of coagulation assays using blood samples from real-life patients.

02

Conditions studied

  • Atrial Fibrillation
  • Medication Adherence
  • Blood Coagulation Tests
  • Anticoagulants; Circulating, Hemorrhagic Disorder
  • Drug Effect
  • Drug Use
  • Drug Toxicity
  • Drug Intolerance
  • Blood Clot
  • Blood Coagulation Disorder
  • Laboratory Problem
  • Bleeding
  • Thrombosis
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's enrollment of 430 is above the median of 300 across 1,400 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Hospitalsenheden Vest is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Patients with atrial fibrillation with an indication for initiation of dabigatran etexilate

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older
  • Non-valvular atrial fibrillation
  • Indication for dabigatran etexilate

Exclusion criteria

Exclusion Criteria:

  • Use of anticoagulant medication within the last month
  • to dabigatran etexilate
  • Unable or not wishing to give
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
430 participants (actual)
Patient registry
No

Groups and cohorts

  • A healthy volunteers

    Pre-clinical study. Healthy volunteers. Plasma pooled and spiked with dabigatran. Measurement of plasma concentration of dabigatran with liquid chromatography tandem mass-spectrometry and the anticoagulant effect of dabigatran using coagulation assays.

    Other: Bloodtest

  • A patients

    Pre-clinical study. Patients with atrial fibrillation treated with dabigatran etexilate.

    Other: Bloodtest

  • B

    Patients with an indication for treatment with dabigatran etexilate for atrial fibrillation and intended for electrocardioversion. Inclusion before initiation of anticoagulation.

    Other: Bloodtest · Other: Questionnaires

  • C

    Patients with an indication for treatment with dabigatran etexilate for atrial fibrillation. Inclusion before initiation of anticoagulation.

    Other: Bloodtest · Other: Questionnaires

Interventions

  • OtherBloodtest
  • OtherQuestionnaires
06

What researchers measure

Primary outcomes

  1. Medication adherence Stability after storage at -80 degrees C; correlation between plasma concentration and the anticoagulant effect of dabigatran

    Measured by pillcount, bloodtests, the Danish National Prescription Registry and the Morisky Medication Adherence Scale

    Time frame: 2 years

Secondary outcomes

  1. Patient treatment satisfaction

    Measured by the Anticlot Treatment Scale

    Time frame: 2 years

  2. Medication persistence

    Time from start to end of dabigatran treatment

    Time frame: 2 years

  3. Kidney function

    Creatinine and Glomerular Filtration Rate calculated by the Cockroft Gault formula

    Time frame: 2 years

  4. Side-effects

    Bleeding, gastrointestinal side-effects

    Time frame: 2 years

  5. Dabigatran plasma concentrations

    Measured by liquid-chromatography tandem mass spectrometry (ng/mL)

    Time frame: 2 years

  6. Weight

    kilograms

    Time frame: 2 years

  7. Height

    meters

    Time frame: 2 years

  8. Waist circumference

    centimeters

    Time frame: 2 years

  9. Prothrombin time

    seconds

    Time frame: 2 years

  10. Activated partial thromboplastin time

    seconds

    Time frame: 2 years

  11. ROTEM

    Clotting time (seconds)

    Time frame: 2 years

  12. Diluted thrombin time (calibrated for dabigatran)

    ng/mL

    Time frame: 2 years

  13. Ecarin chromogenic assay

    ng/mL

    Time frame: 2 years

07

Study locations

1 site
  • Hospital Unit West
    Herning, Mid-Jutland 7400, Denmark
08

References and documents

Publications

  • Comuth WJ, de Maat MPM, van de Kerkhof D, Malczynski J, Husted S, Kristensen SD, Munster AB. Adherence to dabigatran etexilate in atrial fibrillation patients intended to undergo electrical cardioversion. Eur Heart J Cardiovasc Pharmacother. 2019 Apr 1;5(2):91-99. doi: 10.1093/ehjcvp/pvy047. Erratum In: Eur Heart J Cardiovasc Pharmacother. 2019 Apr 1;5(2):99. doi: 10.1093/ehjcvp/pvz010. PubMed 30608563 ↗
  • Comuth WJ, Lauridsen HH, Kristensen SD, Munster AB. Translation, Cultural Adaptation, and Psychometric Properties of the Danish Version of the Anti-Clot Treatment Scale. TH Open. 2018 Sep 13;2(3):e280-e290. doi: 10.1055/s-0038-1670631. eCollection 2018 Jul. PubMed 31249952 ↗
  • Comuth WJ, Henriksen LO, van de Kerkhof D, Husted SE, Kristensen SD, de Maat MPM, Munster AB. Comprehensive characteristics of the anticoagulant activity of dabigatran in relation to its plasma concentration. Thromb Res. 2018 Apr;164:32-39. doi: 10.1016/j.thromres.2018.02.141. Epub 2018 Feb 17. PubMed 29475179 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2014, a primary completion of Nov 2019 and a completion of Jan 2020. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 26, 2016
First posted
Sep 12, 2017
Start
Jun 2014
Primary completionActual
Nov 2019
CompletionActual
Jan 2020
Last update
Feb 12, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03280368
Lead sponsor
Hospitalsenheden Vest
Collaborators
Catharina Ziekenhuis Eindhoven, Siemens Corporation, Corporate Technology, Diagnostica Stago, Boehringer Ingelheim, European Society of Cardiology, ANIARA, University of Aarhus, Erasmus Medical Center
Responsible party
Willemijn Comuth (Cardiologist, PhD-fellow, Hospitalsenheden Vest) — Principal investigator
First posted
Sep 12, 2017
Start date
Jun 2014
Primary completion
Nov 2019
Completion
Jan 2020
Last update
Feb 12, 2020

Study contacts

Willemijn Comuth, MD
principal investigator · Hospitalsenheden Vest
Steen Husted, MD, PhD
study chair · Hospitalsenheden Vest

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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