Dabigatran Etexilate vs Enoxaparin in Prevention of Venous Thromboembolism (VTE) Post Total Knee Replacement

NCT ID: NCT00152971

Last Updated: 2014-05-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2615 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Brief Summary

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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

Detailed Description

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Conditions

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Arthroplasty, Replacement, Knee Thromboembolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Study Groups

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Dabigatran Dose 1

low dose regimen taken once daily

Group Type EXPERIMENTAL

Dabigatran Dose 1 - day 2 to completion

Intervention Type DRUG

low dose regimen taken once daily

Dabigatran Dose 1 - day 1

Intervention Type DRUG

low dose regimen taken once daily

Dabigatran Dose 2

high dose regimen taken once daily

Group Type EXPERIMENTAL

Dabigatran Dose 2 - day 2 to completion

Intervention Type DRUG

high dose regimen taken once daily

Dabigatran Dose 2 - day 1

Intervention Type DRUG

high dose regimen taken once daily

Enoxaparin

30 mg subcutaneously twice daily

Group Type ACTIVE_COMPARATOR

Enoxaparin

Intervention Type DRUG

30 mg subcutaneously twice daily

Interventions

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Dabigatran Dose 1 - day 2 to completion

low dose regimen taken once daily

Intervention Type DRUG

Dabigatran Dose 1 - day 1

low dose regimen taken once daily

Intervention Type DRUG

Dabigatran Dose 2 - day 2 to completion

high dose regimen taken once daily

Intervention Type DRUG

Dabigatran Dose 2 - day 1

high dose regimen taken once daily

Intervention Type DRUG

Enoxaparin

30 mg subcutaneously twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients scheduled to undergo a primary, unilateral elective total knee repla cement.
2. Male or female 18 years of age or older.
3. Patients weighing at least 40 kg.
4. Written informed consent prior to the start of study participation.

Exclusion Criteria

1. History of bleeding diathesis.
2. Constitutional or acquired coagulation disorders that in the investigator's judgment puts the patient at excessive risk for bleeding.
3. Major surgery or trauma (e.g. hip fracture) within the last 3 months.
4. Recent unstable cardiovascular disease, such as uncontrolled hypertension at the time of enrollment (investigator's judgment) or history of myocardial infarction within the last 3 months.
5. 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.
6. Any history of hemorrhagic stroke or any of the following intracranial pathologies: bleeding, neoplasm, arteriovenous (AV) malformation or aneurysm.
7. History of VTE or pre-existing condition requiring anticoagulant therapy.
8. Clinically relevant bleeding (e.g. gastrointestinal, pulmonary, intraocular or urogenital bleeding) within the last 6 months.
9. Gastric or duodenal ulcer within the last 6 months.
10. Liver disease expected to have any potential impact on survival (e.g. hepatitis B or C, cirrhosis, but not Gilbert's syndrome or hepatitis A with complete recovery).
11. Elevated AST or ALT \>2x upper limit of normal, based on central lab results or local lab results within 1 month before enrollment.
12. Known severe renal insufficiency (CrCl \< 30 mL/min). In order to determine patient inclusion/exclusion, creatinine clearance (CrCl) needs to be calculated only if serum creatinine is elevated or renal insufficiency is suspected.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Boehringer Ingelheim

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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1160.24.01074 Capstone Clinical Trials, Inc.

Birmingham, Alabama, United States

Site Status

1160.24.01079 West AL Research, Inc

Northport, Alabama, United States

Site Status

1160.24.01047 Tucson Orhtopaedic Institute

Tucson, Arizona, United States

Site Status

1160.24.01025 Martin, Bowen, Hefley Knee and Sports

Little Rock, Arkansas, United States

Site Status

1160.24.01053 OrthoArkansas, PA

Little Rock, Arkansas, United States

Site Status

1160.24.01085 Martin, Bowen, Hefley Knee and Sports

Little Rock, Arkansas, United States

Site Status

1160.24.01041 Core Orthopedic Medical Center

Encinitas, California, United States

Site Status

1160.24.01034 Glendale Adventist Medical Center

Glendale, California, United States

Site Status

1160.24.01005 Scripps Clinical Ctr for Orthopedic Rsrch & Educ

La Jolla, California, United States

Site Status

1160.24.01077 Long Beach VA Healthcare system

Long Beach, California, United States

Site Status

1160.24.01064 Orthopedic Specialty Institute

Orange, California, United States

Site Status

1160.24.01031 Colorodo Orthopedic Consultants, PC

Aurora, Colorado, United States

Site Status

1160.24.01027 Advanced Orthopedic and Sports Medicine Specialists, PC

Denver, Colorado, United States

Site Status

1160.24.01023 Orthopedic Physicians of Colorado, PC

Engelwood, Colorado, United States

Site Status

1160.24.01020 Bay Pines VA Medical Center

Bay Pines, Florida, United States

Site Status

1160.24.01024 Pulmonary Associates of Brandon Clinical Research

Brandon, Florida, United States

Site Status

1160.24.01030 Alliance Research, Inc.

Clearwater, Florida, United States

Site Status

1160.24.01039 Florida Orthopedic Associates

DeLand, Florida, United States

Site Status

1160.24.01036 Orthopaedic Associates of South Broward, PA

Hollywood, Florida, United States

Site Status

1160.24.01010 MIMA Century Research Associates

Melbourne, Florida, United States

Site Status

1160.24.01062 Miami Institute for Joint Reconstruction

Miami, Florida, United States

Site Status

1160.24.01040 Southern Clinical Research Consultants

Orlando, Florida, United States

Site Status

1160.24.01067 Baptist Clinical Research

Pensacola, Florida, United States

Site Status

1160.24.01001 Boehringer Ingelheim Investigational Site

Pinellas Park, Florida, United States

Site Status

1160.24.01017 Boehringer Ingelheim Investigational Site

Pinellas Park, Florida, United States

Site Status

1160.24.01019 Boehringer Ingelheim Investigational Site

Pinellas Park, Florida, United States

Site Status

1160.24.01029 Coastal Medical Research

Port Orange, Florida, United States

Site Status

1160.24.01038 James A. Haley VA Hospital

Tampa, Florida, United States

Site Status

1160.24.01063 Resurgens Orthopaedics

Atlanta, Georgia, United States

Site Status

1160.24.01072 Resurgeons Orthopedics

Atlanta, Georgia, United States

Site Status

1160.24.01056 Southern Orthopaedic Specialists

Lawrencville, Georgia, United States

Site Status

1160.24.01028 Intermountain Research Center

Boise, Idaho, United States

Site Status

1160.24.01022 Iowa Orthopedic Clinic

Des Moines, Iowa, United States

Site Status

1160.24.01008 Bluegrass Orthopedic/Musculoskeletal Research, LLC

Lexington, Kentucky, United States

Site Status

1160.24.01070 Sinai Hospital of Baltimore

Baltimore, Maryland, United States

Site Status

1160.24.01007 Ortho Associates

Towson, Maryland, United States

Site Status

1160.24.01059 Rockhill Orthopaedics

Kansas City, Missouri, United States

Site Status

1160.24.01042 Center for Joint Care

Missoula, Montana, United States

Site Status

1160.24.01014 Charlotte Orthopedic Specialists

Charlotte, North Carolina, United States

Site Status

1160.24.01035 Wellington Orthopedics and Sports Medicine

Cincinnati, Ohio, United States

Site Status

1160.24.01006 VA Medical Center

Oklahoma City, Oklahoma, United States

Site Status

1160.24.01044 Tulsa Bone and Joint Associates

Tulsa, Oklahoma, United States

Site Status

1160.24.01002 The Orthopedic and Neurological Center of the Cascades

Bend, Oregon, United States

Site Status

1160.24.01046 Boehringer Ingelheim Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

1160.24.01016

Charleston, South Carolina, United States

Site Status

1160.24.01073 Coastal Orthopedic Associates, PA

Conway, South Carolina, United States

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1160.24.01032 Seton Medical Center

Austin, Texas, United States

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1160.24.01003 Texas Orthopedic Associates

Dallas, Texas, United States

Site Status

1160.24.01090 VA Medical Center

Dallas, Texas, United States

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1160.24.01026 James Muntz, MD

Houston, Texas, United States

Site Status

1160.24.01033 Bone and Joint Clinic of Houston

Houston, Texas, United States

Site Status

1160.24.01076 Discovery Alliance

Houston, Texas, United States

Site Status

1160.24.01018 Gill Research Center

Lubbock, Texas, United States

Site Status

1160.24.01069 Correspondence and Pateint vists

Plano, Texas, United States

Site Status

1160.24.01015 Unlimited Research, LP

San Antonio, Texas, United States

Site Status

1160.24.01012 Anderson Orthopedic Clinic

Alexandria, Virginia, United States

Site Status

1160.24.01052 Swedish Medical Center

Seattle, Washington, United States

Site Status

1160.24.01057 Orthopedic Specialty Clinic of Spokane, PLLC

Spokane, Washington, United States

Site Status

1160.24.01082 MultiCare Health System

Tacoma, Washington, United States

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1160.24.02031 University of Alberta Hospital

Edmonton, Alberta, Canada

Site Status

1160.24.02036 2B2.37 Walter Mackenizie Centre

Edmonton, Alberta, Canada

Site Status

1160.24.02024 Red Deer Regional Hospital

Red Deer, Alberta, Canada

Site Status

1160.24.02032 Kelowna General Hospital

Kelowna, British Columbia, Canada

Site Status

1160.24.02034 Hematology/Oncology Research

Vancouver, British Columbia, Canada

Site Status

1160.24.02025 Grace General Hospital

Winnipeg, Manitoba, Canada

Site Status

1160.24.02007 Orthopaedics 4NE

Fredericton, New Brunswick, Canada

Site Status

1160.24.02027 Atlantic Health Sciences Corporation

Saint John, New Brunswick, Canada

Site Status

1160.24.02021 Rouge Valley Health System

Ajax, Ontario, Canada

Site Status

1160.24.02008 Orthopaedic Surgery

Barrie, Ontario, Canada

Site Status

1160.24.02016 Orthopaedic Surgery

Brantford, Ontario, Canada

Site Status

1160.24.02010 Joseph Brant Memorial Hospital

Burlington, Ontario, Canada

Site Status

1160.24.02001 73 Delhi Street

Guelph, Ontario, Canada

Site Status

1160.24.02014 565 Sanatorium Road

Hamilton, Ontario, Canada

Site Status

1160.24.02004 Grand River Hospital

Kitchener, Ontario, Canada

Site Status

1160.24.02028 NHS- Greater Niagara General Site

Niagara Falls, Ontario, Canada

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1160.24.02022 Lakeridge Health Oshawa

Oshawa, Ontario, Canada

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1160.24.02017 1053 Carling Avenue

Ottawa, Ontario, Canada

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1160.24.02026 Ottawa Hospital - General Campus

Ottawa, Ontario, Canada

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1160.24.02015 York Central Hospital Research

Richmond Hill, Ontario, Canada

Site Status

1160.24.02029 Niagara Health System St. Catharine's General Site

Saint Catherine's, Ontario, Canada

Site Status

1160.24.02009 2863 Ellesmere Road

Scarborough Village, Ontario, Canada

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1160.24.02003 46 General Hospital Drive

Stratford, Ontario, Canada

Site Status

1160.24.02033 Thunder Bay Regional Hospital

Thunder Bay, Ontario, Canada

Site Status

1160.24.02002 Toronto East General Hospital Fracture Clinic

Toronto, Ontario, Canada

Site Status

1160.24.02023 North York General Hospital

Toronto, Ontario, Canada

Site Status

1160.24.02030 St. Joseph's Health Centre

Toronto, Ontario, Canada

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1160.24.02006 206-477 King Street

Welland, Ontario, Canada

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1160.24.02035 Humber River Regional Hospital

Weston, Ontario, Canada

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1160.24.02011 Windsor Regional Hospital

Windsor, Ontario, Canada

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1160.24.02012 Hotel Dieu Grace Hospital

Windsor, Ontario, Canada

Site Status

1160.24.02013 Queen Elizabeth Hospital

Charlottetown, Prince Edward Island, Canada

Site Status

1160.24.05009 Traumatologia, Planta Baja

Guadalajara, Jalisco, , Mexico

Site Status

1160.24.05004

México, , Mexico

Site Status

1160.24.44001 Ravenscourt Park Hospital

London, , United Kingdom

Site Status

Countries

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United States Canada Mexico United Kingdom

References

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Rosencher N, Noack H, Feuring M, Clemens A, Friedman RJ, Eriksson BI. Type of anaesthesia and the safety and efficacy of thromboprophylaxis with enoxaparin or dabigatran etexilate in major orthopaedic surgery: pooled analysis of three randomized controlled trials. Thromb J. 2012 Jun 18;10(1):9. doi: 10.1186/1477-9560-10-9.

Reference Type DERIVED
PMID: 22709460 (View on PubMed)

Other Identifiers

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1160.24

Identifier Type: -

Identifier Source: org_study_id

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