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CompletedNCT03669068Updated Jul 31, 2020

Gastrointestinal Endoscopy in Patients With Prothrombotic Conditions: THE ENDOHEM REGISTRY

An observational study in Gastrointestinal Bleeding, Cardiovascular Complication and Anticoagulants; Circulating, Hemorrhagic Disorder, sponsored by Hospital Universitario Ramon y Cajal. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-31.

Sponsored by Hospital Universitario Ramon y Cajal · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,602
Ages
18 Years and older
Sex
All
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Study summary

This observational study evaluates the safety of gastrointestinal endoscopy in patients on oral anticoagulants (Vitamin K antagonists, rivaroxaban, dabigatran, edoxaban, and apixaban). This registry aims to assess the incidence, characteristics and risk factors for cardiovascular and bleeding events associated with an endoscopic procedure. Besides, it aims to evaluate the differences between Vitamin K antagonists and DOACs users and to estimate the impact of anticoagulation withdrawal time on the primary and secondary outcomes.

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Conditions studied

  • Gastrointestinal Bleeding
  • Cardiovascular Complication
  • Anticoagulants; Circulating, Hemorrhagic Disorder
  • Gastrointestinal Endoscopy

Keywords

  • Gastrointestinal endoscopy
  • Oral anticoagulants
  • Gastrointestinal bleeding
  • Cardiovascular event
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In context

Gastrointestinal Hemorrhage

339 studies on the registry are indexed under Gastrointestinal Hemorrhage; 79 are open to participants now.

This study's enrollment of 1,602 is above the median of 200 across 116 observational studies indexed under Gastrointestinal Hemorrhage.

Browse Gastrointestinal Hemorrhage studies →

Lead sponsor

Hospital Universitario Ramon y Cajal is the lead sponsor of 29 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients on oral anticoagulants (Vitamin K antagonist, apixaban, edoxaban, rivaroxaban or dabigatran)

Inclusion criteria

  • Age >= 18 years.
  • Patients with preoperative use of oral anticoagulants (Vitamin K antagonist, apixaban, edoxaban, rivaroxaban or dabigatrán) undergoing gastrointestinal endoscopy.
  • Patients on oral anticoagulants (Vitamin K antagonist, apixaban, edoxaban, rivaroxaban or dabigatran) presenting with gastrointestinal bleeding, regardless of receiving gastrointestinal endoscopy.
  • Signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Negative to participate in the study.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,602 participants (actual)
Target follow-up
3 Months
Patient registry
Yes

Groups and cohorts

  • Elective endoscopy

    Patients undergoing gastrointestinal endoscopy unrelated to anticoagulant-induced gastrointestinal bleeding.

    Procedure: Gastrointestinal endoscopy

  • Gastrointestinal bleeding

    Patients with anticoagulant-induced gastrointestinal bleeding will be analyzed separately

    Procedure: Gastrointestinal endoscopy

Interventions

  • ProcedureGastrointestinal endoscopy

    Two separated groups will be included in the registry: 1. Patients with oral anticoagulants-induced gastrointestinal bleeding unrelated to an endoscopic procedure. 2. Patients undergoing elective gastrointestinal endoscopy.

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What researchers measure

Primary outcomes

  1. Incidence of Cardiovascular events

    Nº of patients during the study period presenting with a cardiovascular event, defined as any of the following entities: pulmonary thromboembolism, venous thromboembolism, acute coronary syndrome, arterial peripheral embolism or cerebrovascular accident.

    Time frame: 3 months

Secondary outcomes

  1. Incidence of therapeutic endoscopy-related gastrointestinal bleeding

    Nº of patients during the study period presenting with therapeutic endoscopy-related gastrointestinal bleeding

    Time frame: 3 months

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Study locations

1 site
  • Hospital Universitario Ramón y Cajal
    Madrid, 28034, Spain
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References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03669068
Lead sponsor
Hospital Universitario Ramon y Cajal
Collaborators
University of Salamanca, Hospital Universitario Central de Asturias, Hospital Universitario 12 de Octubre, Puerta de Hierro University Hospital, Hospital del Mar, Hospital de Viladecans, Hospital Clinic of Barcelona, Hospital de Avilés, Hospital General de Villalba, Hospital General de Granollers, Hospital Sant Pau
Responsible party
Enrique Rodríguez de Santiago (Principal Investigator. MSc. Gastroenterologist, Hospital Universitario Ramon y Cajal) — Principal investigator
First posted
Sep 13, 2018
Start date
Jan 1, 2018
Primary completion
Apr 1, 2020
Completion
May 30, 2020
Last update
Jul 31, 2020

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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