RE-MODEL Dabigatran Etexilate 150mg or 220mg Once Daily (o.d.) Versus (v.s.) Enoxaparin 40mg o.d. for Prevention of Thrombosis After Knee Surgery

NCT ID: NCT00168805

Last Updated: 2014-05-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Brief Summary

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A phase III, randomised, parallel-group, double-blind, active controlled study to investigate the ef ficacy and safety of two different dose regimens of orally administered dabigatran etexilate capsule s \[150 or 220 mg once daily starting with a half dose (i.e.75 or 110 mg) on the day of surgery\] comp ared to subcutaneous enoxaparin 40 mg once daily for 6 to 10 days, in prevention of venous thromboem bolism in patients with primary elective total knee replacement surgery. RE-MODEL (Thromboembolism prevention after knee 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 etexilate 220 mg

220 mg once daily

Group Type EXPERIMENTAL

dabigatran etexilate

Intervention Type DRUG

220 mg once daily

dabigatran etexilate 150 mg

150 mg once daily

Group Type EXPERIMENTAL

dabigatran etexilate

Intervention Type DRUG

150 mg once daily

enoxaparin

40 mg once daily

Group Type ACTIVE_COMPARATOR

enoxaparin

Intervention Type DRUG

40 mg once daily

Interventions

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enoxaparin

40 mg once daily

Intervention Type DRUG

dabigatran etexilate

150 mg once daily

Intervention Type DRUG

dabigatran etexilate

220 mg once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients (18 years or older) scheduled to undergo a primary, unilateral, elect ive total knee replacement
* Written Informed Consent

Exclusion Criteria

* Patients with an excessive risk of bleeding, for example because of history of bleeding diathesis major surgery or trauma within the last 3 months history of haemorrhagic stroke or any of the following intracranial pathologies: bleeding, neoplasm, arteriovenous (AV) malformation or aneurysm clinically relevant bleeding or gastric / duodenal ulcer within the last 6 months treatment with anticoagulants within 7 days prior to joint replacement surgery or anticipated need during the study treatment period thrombocytopenia.
* Active malignant disease or current cytostatic treatment
* Known severe renal insufficiency
* Liver disease expected to have any potential impact on survival, or elevated aspartate aminotransferase (AST) or alanine transaminase (ALT) \> 2x upper limit of normal
* Recent unstable cardiovascular disease or history of myocardial infarction within the last 3 months
* Pre-menopausal women who are pregnant or nursing, or are of child-bearing pote ntial and are not practising or do not plan to continue practising acceptable me thods of birth control
* Allergy to radio opaque contrast media or iodine, heparins (incl. heparin indu ced thrombocytopenia) or dabigatran
* Contraindications to enoxaparin
* Participation in a clinical trial during the last 30 days
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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1160.25.06108 Boehringer Ingelheim Investigational Site

Garren, Australian Capital Territory, Australia

Site Status

1160.25.06106 Boehringer Ingelheim Investigational Site

Kogarah, New South Wales, Australia

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1160.25.06110 Boehringer Ingelheim Investigational Site

Lismore, New South Wales, Australia

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1160.25.06105 Boehringer Ingelheim Investigational Site

Bedford Park, South Australia, Australia

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1160.25.06107 Boehringer Ingelheim Investigational Site

Toorak Gardens, South Australia, Australia

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1160.25.06109 Boehringer Ingelheim Investigational Site

Woodville, South Australia, Australia

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1160.25.06104 Boehringer Ingelheim Investigational Site

Box Hill, Victoria, Australia

Site Status

1160.25.06102 Boehringer Ingelheim Investigational Site

Clayton, Victoria, Australia

Site Status

1160.25.06101 Boehringer Ingelheim Investigational Site

Malvern, Victoria, Australia

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1160.25.06103 Boehringer Ingelheim Investigational Site

Ringwood East, Victoria, Australia

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1160.25.06113 Boehringer Ingelheim Investigational Site

Windsor, Victoria, Australia

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1160.25.06111 Boehringer Ingelheim Investigational Site

Perth, Western Australia, Australia

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1160.25.04304 Boehringer Ingelheim Investigational Site

Linz, , Austria

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1160.25.04302 Boehringer Ingelheim Investigational Site

Vienna, , Austria

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1160.25.04303 Boehringer Ingelheim Investigational Site

Wels, , Austria

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1160.25.04301 Boehringer Ingelheim Investigational Site

Wiener Neustadt, , Austria

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1160.25.03207 UVC Brugmann

Brussels, , Belgium

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1160.25.03209 ZOL St. Jan

Genk, , Belgium

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1160.25.03206 Campus Sint-Lucas

Ghent, , Belgium

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1160.25.03208 UZ Gent

Ghent, , Belgium

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1160.25.03202 Virga Jesseziekenhuis

Hasselt, , Belgium

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1160.25.03203 AZ Sint Elisabeth

Herentals, , Belgium

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1160.25.03205 Ziekenhuis Oost-Limburg

Lanaken, , Belgium

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1160.25.03201 UZ Gasthuisberg

Leuven, , Belgium

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1160.25.42004 Boehringer Ingelheim Investigational Site

Brno-Bohunice, , Czechia

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1160.25.42010 Boehringer Ingelheim Investigational Site

Chomutov, , Czechia

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1160.25.42009 Boehringer Ingelheim Investigational Site

Havlíčkův Brod, , Czechia

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1160.25.42002 Boehringer Ingelheim Investigational Site

Kladno, , Czechia

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1160.25.42006 Boehringer Ingelheim Investigational Site

Kolín, , Czechia

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1160.25.42003 Boehringer Ingelheim Investigational Site

Ostrava, , Czechia

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1160.25.42001 Boehringer Ingelheim Investigational Site

Pilsen, , Czechia

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1160.25.42007 Boehringer Ingelheim Investigational Site

Pradubice, , Czechia

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1160.25.42005 Boehringer Ingelheim Investigational Site

Prague, , Czechia

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1160.25.04571 Boehringer Ingelheim Investigational Site

Hellerup, , Denmark

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1160.25.04570 Boehringer Ingelheim Investigational Site

Hørsholm, , Denmark

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1160.25.04573 Boehringer Ingelheim Investigational Site

København NV, , Denmark

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1160.25.04574 Boehringer Ingelheim Investigational Site

København S, , Denmark

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1160.25.04575 Boehringer Ingelheim Investigational Site

Silkeborg, , Denmark

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1160.25.35803 Boehringer Ingelheim Investigational Site

Helsinki, , Finland

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1160.25.35802 Boehringer Ingelheim Investigational Site

Jyväskylä, , Finland

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1160.25.35801 Boehringer Ingelheim Investigational Site

Oulu, , Finland

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1160.25.35804 Boehringer Ingelheim Investigational Site

Seinäjoki, , Finland

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1160.25.03304 Boehringer Ingelheim Investigational Site

Amiens, , France

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1160.25.03307 Boehringer Ingelheim Investigational Site

Annecy, , France

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1160.25.03305 Boehringer Ingelheim Investigational Site

La Rochelle, , France

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1160.25.03301 Boehringer Ingelheim Investigational Site

Paris, , France

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1160.25.03306 Boehringer Ingelheim Investigational Site

Poitiers, , France

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1160.25.03303 Boehringer Ingelheim Investigational Site

Roubaix, , France

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1160.25.03309 Boehringer Ingelheim Investigational Site

Saint-Etienne, , France

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1160.25.03302 Boehringer Ingelheim Investigational Site

Soyaux, , France

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1160.25.03308 Boehringer Ingelheim Investigational Site

Strasbourg, , France

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1160.25.04906 Caritaskrankenhaus

Bad Mergentheim, , Germany

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1160.25.04910 F.-A.-Universität Erlangen-Nürnberg

Erlangen, , Germany

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1160.25.04904 Orthopädische Universitätsklinik

Frankfurt, , Germany

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1160.25.04902 Klinikum Garmisch-Partenkirchen

Garmisch-Partenkirchen, , Germany

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1160.25.04911 Martin-Luther-Universität Halle-Wittenberg

Halle, , Germany

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1160.25.04912 Orthopädische Klinik Markgröningen gGmbH

Markgröningen, , Germany

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1160.25.04901 Kreiskrankenhaus

Rheinfelden, , Germany

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1160.25.04903 Hellmuth-Ulrici-Kliniken

Sommerfeld, , Germany

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1160.25.04905 Aukammklinik

Wiesbaden, , Germany

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1160.25.03607 Boehringer Ingelheim Investigational Site

Békéscsaba, , Hungary

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1160.25.03603 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

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1160.25.03601 Boehringer Ingelheim Investigational Site

Gyula, , Hungary

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1160.25.03604 Boehringer Ingelheim Investigational Site

Kecskemét, , Hungary

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1160.25.03602 Boehringer Ingelheim Investigational Site

Szeged, , Hungary

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1160.25.03605 Boehringer Ingelheim Investigational Site

Székesfehérvár, , Hungary

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1160.25.03906 Boehringer Ingelheim Investigational Site

Bologna, , Italy

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1160.25.03905 Boehringer Ingelheim Investigational Site

Parma, , Italy

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1160.25.03901 Boehringer Ingelheim Investigational Site

Pavia, , Italy

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1160.25.03903 Boehringer Ingelheim Investigational Site

Piacenza, , Italy

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1160.25.03904 Boehringer Ingelheim Investigational Site

Reggio Emilia, , Italy

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1160.25.03902 Boehringer Ingelheim Investigational Site

Treviso, , Italy

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1160.25.03102 Boehringer Ingelheim Investigational Site

Amsterdam, , Netherlands

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1160.25.03103 Boehringer Ingelheim Investigational Site

Hilversum, , Netherlands

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1160.25.03101 Boehringer Ingelheim Investigational Site

Hoofddorp, , Netherlands

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1160.25.03104 Boehringer Ingelheim Investigational Site

Nijmegen, , Netherlands

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1160.25.03105 Boehringer Ingelheim Investigational Site

Sittard, , Netherlands

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1160.25.03106 Boehringer Ingelheim Investigational Site

Zwolle, , Netherlands

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1160.25.04804 Boehringer Ingelheim Investigational Site

Kielce, , Poland

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1160.25.04806 Boehringer Ingelheim Investigational Site

Krakow, , Poland

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1160.25.04807 Boehringer Ingelheim Investigational Site

Krakow, , Poland

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1160.25.04803 Boehringer Ingelheim Investigational Site

Warsaw, , Poland

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1160.25.02701 Boehringer Ingelheim Investigational Site

Bryanston, , South Africa

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1160.25.02703 Boehringer Ingelheim Investigational Site

Randburg, , South Africa

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1160.25.02702 Boehringer Ingelheim Investigational Site

Sandton, , South Africa

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1160.25.03405 Boehringer Ingelheim Investigational Site

Alcorcón (Madrid), , Spain

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1160.25.03403 Boehringer Ingelheim Investigational Site

Barcelona, , Spain

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1160.25.03411 Boehringer Ingelheim Investigational Site

Barcelona, , Spain

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1160.25.03407 Boehringer Ingelheim Investigational Site

Hospitalet (Barcelona), , Spain

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1160.25.03409 Boehringer Ingelheim Investigational Site

Jaén, , Spain

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1160.25.03401 Boehringer Ingelheim Investigational Site

Madrid, , Spain

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1160.25.03402 Boehringer Ingelheim Investigational Site

Madrid, , Spain

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1160.25.03404 Boehringer Ingelheim Investigational Site

Madrid, , Spain

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1160.25.03406 Boehringer Ingelheim Investigational Site

Madrid, , Spain

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1160.25.03408 Boehringer Ingelheim Investigational Site

Móstoles (Madrid), , Spain

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1160.25.03410 Boehringer Ingelheim Investigational Site

Valencia, , Spain

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1160.25.04602 Boehringer Ingelheim Investigational Site

Falköping, , Sweden

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1160.25.04601 Boehringer Ingelheim Investigational Site

Gothenburg, , Sweden

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1160.25.04607 Boehringer Ingelheim Investigational Site

Halmstad, , Sweden

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1160.25.04603 Boehringer Ingelheim Investigational Site

Kungälv, , Sweden

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1160.25.04608 Boehringer Ingelheim Investigational Site

Lidköping, , Sweden

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1160.25.04605 Boehringer Ingelheim Investigational Site

Linköping, , Sweden

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1160.25.04604 Boehringer Ingelheim Investigational Site

Mölndal, , Sweden

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1160.25.04610 Boehringer Ingelheim Investigational Site

Stockholm, , Sweden

Site Status

1160.25.04609 Boehringer Ingelheim Investigational Site

Varberg, , Sweden

Site Status

Countries

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Australia Austria Belgium Czechia Denmark Finland France Germany Hungary Italy Netherlands Poland South Africa Spain Sweden

References

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Eriksson BI, Dahl OE, Rosencher N, Clemens A, Hantel S, Kurth AA. Efficacy of delayed thromboprophylaxis with dabigatran: pooled analysis. Thromb Res. 2012 Dec;130(6):871-6. doi: 10.1016/j.thromres.2012.08.315. Epub 2012 Sep 17.

Reference Type DERIVED
PMID: 22995531 (View on PubMed)

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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2004-001317-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1160.25

Identifier Type: -

Identifier Source: org_study_id

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