CClinicalTrials.gg
TerminatedNCT05966740Updated Jun 2, 2026Results posted

A Study in the United Sates That Looks at the Safety and Effectiveness of Pradaxa Pellets in Children Aged 3 Months to Less Than 12 Years Who Need Treatment of a Blood Clot or Who Have Had a Blood Clot and Are at Risk of Developing Another Blood Clot

An observational study in Venous Thromboembolism, sponsored by Boehringer Ingelheim. Terminated at 10 sites in United States. Open to participants aged 3 Months to 12 Years. Per ClinicalTrials.gov, last updated 2026-06-02.

Sponsored by Boehringer Ingelheim · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5
Ages
3 Months to 12 Years
Sex
All
01

Study summary

The main research question of this study is to obtain further safety and effectiveness data on Pradaxa Pellets in children aged 3 months to less than 12 years in routine clinical practice setting.

02

Conditions studied

  • Venous Thromboembolism
03

In context

Venous Thromboembolism

693 studies on the registry are indexed under Venous Thromboembolism; 151 are open to participants now.

This study's enrollment of 5 is below the median of 700 across 282 observational studies indexed under Venous Thromboembolism.

Browse Venous Thromboembolism studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
3 Months to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric patients aged 3 months to less than 12 years, who may be considered for anticoagulation with Pradaxa Pellets due to venous thromboembolic events (VTE), are usually treated in neonatology, pediatric general surgery, cardiac surgery or intensive care units. Pediatric patients with anticoagulation with Pradaxa Pellets for the prevention of recurrent VTE are usually evaluated by pediatric hematologists in pediatric hematology units. Any of these patients that are prescribed Pradaxa pellets may be considered for inclusion into this study.

Inclusion criteria

Pediatric patients aged 3 months to less than 12 years at the time of Pradaxa Pellets initiation

  • Written informed consent from parents/care givers and patient assent if age appropriate
  • Initiation of Pradaxa Pellets administration either as initial or subsequent therapy:

    • Treatment of VTE
    • Treatment to reduce the risk of recurrence of VTE

Exclusion criteria

Exclusion Criteria:

  • Participation in any randomized clinical trial or use of investigational product, participation in any other observational study is not an exclusion
  • Any contraindications to Pradaxa Pellets according to the US Prescribing Information.
  • Previous participation in this study.
05

Study design

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

Groups and cohorts

  • Pradaxa-treated patients

    Pediatric patients with acute venous thromboembolic events (VTE) and/or at risk of recurrent VTE due to the presence of unresolved clinical risk factors received Pradaxa Pellets orally, either according to the prescribing label or off-label.

06

What researchers measure

Primary outcomes

  1. Cumulative Incidence of Clinically Relevant Bleeding Events

    Cumulative incidence of clinically relevant bleeding events was reported as the number of participants with clinically relevant bleeding events, defined as the composite of major bleeding events (MBE) and clinically relevant non-major (CRNM) bleeding events, according to recommendations from international thrombosis and hemostasis committees. MBE were defined as: fatal bleeding; clinically overt bleeding associated with a decrease in hemoglobin of at least 2 grams/deciliter in a 24-hour period; critical site bleeding; bleeding that required an intervention via invasive procedure; and overt bleeding for which a reversal agent was administered. CRNM bleeding was defined as: overt bleeding for which a blood product was administered and did not meet the criteria for major bleeding; bleeding that resulted in a medical or procedural intervention not meeting major bleeding criteria, including a medication change; and bleeding that resulted in hospitalization or an increased level of care.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

Secondary outcomes

  1. Occurrence of Recurrent Venous Thromboembolic Event (VTE)

    The occurrence of VTE is reported as the number of participants with recurrent VTE including both symptomatic and asymptomatic events. Symptomatic recurrent VTE is defined as radiologically-confirmed new venous thrombotic or embolic burden at least 7 days post-diagnosis of the index VTE, accompanied by signs and/or symptoms attributable to the new thromboembolism. Asymptomatic VTE was defined by new thrombotic/embolic burden as disclosed by comparison of end-of-treatment imaging versus baseline imaging of the vascular region involved by the index VTE.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  2. Mortality Related to Thrombotic or Thromboembolic Events

    Number of participants who died with thrombotic or thromboembolic events.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  3. Occurrence of All Bleeding Events

    The occurrence of all-bleeding events is reported as the number of participants experiencing any of the bleeding event described. All bleeding events were defined as the composite of major bleeding events (MBE), clinically relevant non-major (CRNM) bleeding events and minor bleeding events but not leading to hospitalization, increased level of inpatient care, or an intervention by the medical team. Minor bleeding events were defined as any overt or macroscopic evidence of bleeding that does not fulfil the criteria for major bleeding, CRNM bleeding, or important bleeding without intervention according to recommendations from international thrombosis and hemostasis committees.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  4. Occurrence of Post-thrombotic Syndrome (PTS)

    Occurrence of post-thrombotic syndrome (PTS) is reported as the number of participants with PTS. The presence of PTS was evaluated by the Villalta Scale Modified for Children, the Manco-Johnson instrument, or other validated pediatric PTS instrument employed in routine clinical care, according to recommendations from international thrombosis and hemostasis committees.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  5. Incidence of Adverse Events (AEs)

    Incidence of adverse events is reported as number of participants with any adverse event (AEs).

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  6. Incidence of Serious Adverse Events (SAEs)

    Incidence of serious adverse events is reported as number of participants with serious adverse event (SAEs).

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  7. Thrombotic Burden at the End of Treatment

    Number of participants with thrombotic burden at the end of the treatment period compared to baseline was quantified by image-based resolution status of the thrombus at the discretion of the treating physician, based on the type and location of the initial diagnosis of the thromboembolism. When appropriate, the same approach used for the baseline evaluations was utilized.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  8. Recurrence of Venous Thromboembolic Event (VTE) While on Treatment

    Number of participants with new or recurrent VTE occurring at least 7 days after diagnosis of the VTE captured on the baseline VTE form (index VTE).

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

  9. Duration of Treatment With Dabigatran Etexilate

    The median duration of the dabigatran etexilate (Pradaxa Pellets) treatment is reported.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation. Up to 370 days.

  10. Compliance With Dabigatran Etexilate Treatment

    Number of participants complying with dabigatran etexilate (Pradaxa Pellets) treatment. Compliance was defined as not missing 0-1 treatment dose since the last visit, as evaluated at each time point. Unscheduled follow-up was defined as patient contact in between any scheduled study visit.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation. At 6-week, 3-months, 6-month, and 12-month follow-up, and at unscheduled follow-up (up to 370 days).

  11. Incidence of Adverse Events Leading to Drug Discontinuation

    Incidence of adverse events leading to discontinuation of Pradaxa Pellets is reported as the number of participants.

    Time frame: From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.

07

Results

Posted Jun 2, 2026
Limitations and caveats
The number of Pradaxa Pellets prescriptions was very low, making the enrollment of a sufficient number of patients over the course of the trial unlikely. The study was terminated after 1.5 years with 5 patients enrolled.

Participant flow

Non-interventional, multi-center study in the United States (US) based on newly collected data of pediatric patients receiving Pradaxa pellets as anticoagulation care: after being treated with parenteral anticoagulants for the treatment of acute venous thromboembolic events (VTE); to reduce the risk of VTE recurrence after treatment of VTE; for off-label use in the treatment of VTE or to reduce the risk of VTE recurrence.

Participant flow — Overall Study
MilestonePradaxa-treated Patients
Started5
Completed4
Not completed1
Withdrew: Early termination1

Outcome measures

PrimaryCumulative Incidence of Clinically Relevant Bleeding Events

Cumulative incidence of clinically relevant bleeding events was reported as the number of participants with clinically relevant bleeding events, defined as the composite of major bleeding events (MBE) and clinically relevant non-major (CRNM) bleeding events, according to recommendations from international thrombosis and hemostasis committees. MBE were defined as: fatal bleeding; clinically overt bleeding associated with a decrease in hemoglobin of at least 2 grams/deciliter in a 24-hour period; critical site bleeding; bleeding that required an intervention via invasive procedure; and overt bleeding for which a reversal agent was administered. CRNM bleeding was defined as: overt bleeding for which a blood product was administered and did not meet the criteria for major bleeding; bleeding that resulted in a medical or procedural intervention not meeting major bleeding criteria, including a medication change; and bleeding that resulted in hospitalization or an increased level of care.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Cumulative Incidence of Clinically Relevant Bleeding Events
ParticipantsPradaxa-treated Patients
Cumulative Incidence of Clinically Relevant Bleeding Events1
SecondaryOccurrence of Recurrent Venous Thromboembolic Event (VTE)

The occurrence of VTE is reported as the number of participants with recurrent VTE including both symptomatic and asymptomatic events. Symptomatic recurrent VTE is defined as radiologically-confirmed new venous thrombotic or embolic burden at least 7 days post-diagnosis of the index VTE, accompanied by signs and/or symptoms attributable to the new thromboembolism. Asymptomatic VTE was defined by new thrombotic/embolic burden as disclosed by comparison of end-of-treatment imaging versus baseline imaging of the vascular region involved by the index VTE.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Occurrence of Recurrent Venous Thromboembolic Event (VTE)
ParticipantsPradaxa-treated Patients
Occurrence of Recurrent Venous Thromboembolic Event (VTE)2
SecondaryMortality Related to Thrombotic or Thromboembolic Events

Number of participants who died with thrombotic or thromboembolic events.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Mortality Related to Thrombotic or Thromboembolic Events
ParticipantsPradaxa-treated Patients
Mortality Related to Thrombotic or Thromboembolic Events0
SecondaryOccurrence of All Bleeding Events

The occurrence of all-bleeding events is reported as the number of participants experiencing any of the bleeding event described. All bleeding events were defined as the composite of major bleeding events (MBE), clinically relevant non-major (CRNM) bleeding events and minor bleeding events but not leading to hospitalization, increased level of inpatient care, or an intervention by the medical team. Minor bleeding events were defined as any overt or macroscopic evidence of bleeding that does not fulfil the criteria for major bleeding, CRNM bleeding, or important bleeding without intervention according to recommendations from international thrombosis and hemostasis committees.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Occurrence of All Bleeding Events
ParticipantsPradaxa-treated Patients
Occurrence of All Bleeding Events1
SecondaryOccurrence of Post-thrombotic Syndrome (PTS)

Occurrence of post-thrombotic syndrome (PTS) is reported as the number of participants with PTS. The presence of PTS was evaluated by the Villalta Scale Modified for Children, the Manco-Johnson instrument, or other validated pediatric PTS instrument employed in routine clinical care, according to recommendations from international thrombosis and hemostasis committees.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Occurrence of Post-thrombotic Syndrome (PTS)
ParticipantsPradaxa-treated Patients
Occurrence of Post-thrombotic Syndrome (PTS)0
SecondaryIncidence of Adverse Events (AEs)

Incidence of adverse events is reported as number of participants with any adverse event (AEs).

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Incidence of Adverse Events (AEs)
ParticipantsPradaxa-treated Patients
Incidence of Adverse Events (AEs)4
SecondaryIncidence of Serious Adverse Events (SAEs)

Incidence of serious adverse events is reported as number of participants with serious adverse event (SAEs).

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Incidence of Serious Adverse Events (SAEs)
ParticipantsPradaxa-treated Patients
Incidence of Serious Adverse Events (SAEs)2
SecondaryThrombotic Burden at the End of Treatment

Number of participants with thrombotic burden at the end of the treatment period compared to baseline was quantified by image-based resolution status of the thrombus at the discretion of the treating physician, based on the type and location of the initial diagnosis of the thromboembolism. When appropriate, the same approach used for the baseline evaluations was utilized.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Thrombotic Burden at the End of Treatment
ParticipantsPradaxa-treated Patients
Thrombotic Burden at the End of Treatment0
SecondaryRecurrence of Venous Thromboembolic Event (VTE) While on Treatment

Number of participants with new or recurrent VTE occurring at least 7 days after diagnosis of the VTE captured on the baseline VTE form (index VTE).

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Recurrence of Venous Thromboembolic Event (VTE) While on Treatment
ParticipantsPradaxa-treated Patients
Recurrence of Venous Thromboembolic Event (VTE) While on Treatment2
SecondaryDuration of Treatment With Dabigatran Etexilate

The median duration of the dabigatran etexilate (Pradaxa Pellets) treatment is reported.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation. Up to 370 days.
Reported as:
Median · Days
Duration of Treatment With Dabigatran Etexilate
DaysPradaxa-treated Patients
Duration of Treatment With Dabigatran Etexilate118.0 (28 to 370)
SecondaryCompliance With Dabigatran Etexilate Treatment

Number of participants complying with dabigatran etexilate (Pradaxa Pellets) treatment. Compliance was defined as not missing 0-1 treatment dose since the last visit, as evaluated at each time point. Unscheduled follow-up was defined as patient contact in between any scheduled study visit.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation. At 6-week, 3-months, 6-month, and 12-month follow-up, and at unscheduled follow-up (up to 370 days).
Reported as:
Count of participants · Participants
Compliance With Dabigatran Etexilate Treatment
ParticipantsPradaxa-treated Patients
6 Week follow-up4
3 Months follow-up1
6 Months follow-up2
12 Months follow-up0
Unscheduled follow-up1
SecondaryIncidence of Adverse Events Leading to Drug Discontinuation

Incidence of adverse events leading to discontinuation of Pradaxa Pellets is reported as the number of participants.

Time frame:
From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.
Reported as:
Count of participants · Participants
Incidence of Adverse Events Leading to Drug Discontinuation
ParticipantsPradaxa-treated Patients
Incidence of Adverse Events Leading to Drug Discontinuation1

Adverse events

Collected over From first Pradaxa Pellets exposure until its discontinuation plus 3 days of residual effect period, switch to other anticoagulation therapy, or planned observation time, whichever occurred first. Up to 373 days.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pradaxa-treated Patients0/5 (0%)2/5 (40%)4/5 (80%)
Most frequent serious events
Most frequent serious events
EventPradaxa-treated Patients
Atrial thrombosisCardiac disorders1/5
Cardiac ventricular thrombosisCardiac disorders1/5
Chest painCardiac disorders1/5
Tricuspid valve incompetenceCardiac disorders1/5
PyrexiaGeneral disorders1/5
Rhinovirus infectionInfections and infestations1/5
Subacute endocarditisInfections and infestations1/5
Most frequent other events
Showing 10 of 31
Most frequent other events
EventPradaxa-treated Patients
PyrexiaGeneral disorders4/5
FatigueGeneral disorders2/5
AnaemiaBlood and lymphatic system disorders1/5
Increased tendency to bruiseBlood and lymphatic system disorders1/5
Iron deficiency anaemiaBlood and lymphatic system disorders1/5
TachycardiaCardiac disorders1/5
Tricuspid valve incompetenceCardiac disorders1/5
Adrenal insufficiencyEndocrine disorders1/5
Abdominal painGastrointestinal disorders1/5
ConstipationGastrointestinal disorders1/5

Baseline characteristics

All patients enrolled in the study according to the eligibility criteria and who received at least one dose of Pradaxa pellets.

Age, Continuous
Age, Continuous(Years)Pradaxa-treated Patients
Mean7.73 ± 3.13
Sex: Female, Male
Sex: Female, Male(Participants)Pradaxa-treated Patients
Female3
Male2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Pradaxa-treated Patients
Hispanic or Latino2
Not Hispanic or Latino2
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pradaxa-treated Patients
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American2
White2
More than one race0
Unknown or Not Reported1
08

Study locations

10 sites
  • University of California, San Diego
    La Jolla, California 92093, United States
  • Rady Children's Hospital
    San Diego, California 92123, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06519, United States
  • Johns Hopkins All Children's Hospital
    St. Petersburg, Florida 33701, United States
  • Indiana Hemophilia & Thrombrosis Center
    Indianapolis, Indiana 46260, United States
  • Cincinnati Children's Hospital
    Cincinnati, Ohio 45229, United States
  • Dayton Children's Hospital
    Dayton, Ohio 45404, United States
  • MUSC (Medical university of South Carolina)
    Charleston, South Carolina 29425, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
  • Dell Children's Ascension
    Austin, Texas 78723, United States
09

References and documents

Related links

Study documents

  • Study protocol · Apr 26, 2024
  • Statistical analysis plan · Jul 23, 2025
  • Statistical analysis plan · Jul 23, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Supporting information: Study protocol, Sap, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05966740
Lead sponsor
Boehringer Ingelheim
Collaborators
Children's Hospital Acquired Thrombosis consortium
Responsible party
Sponsor
First posted
Aug 1, 2023
Start date
Apr 19, 2024
Primary completion
Apr 28, 2025
Completion
Apr 28, 2025
Results posted
Jun 2, 2026
Last update
Jun 2, 2026

Oversight

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

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