Dabigatran Etexilate in Extended Venous Thromboembolism (VTE) Prevention After Hip Replacement Surgery

NCT ID: NCT00168818

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

3494 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Brief Summary

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The objective of this study is to determine the comparative efficacy and safety of two oral regimens of dabigatran etexilate, compared to a standard subcutaneous regimen of enoxaparin, in prevention of venous thromboembolism in patients with primary elective total hip replacement surgery.

Detailed Description

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Conditions

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Thromboembolism Arthroplasty, Replacement, Hip

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 75 mg

daily dose 150 mg once daily, half a dose on the day of surgery

Group Type EXPERIMENTAL

dabigatran etexilate

Intervention Type DRUG

daily dose 150 mg once daily, half a dose on the day of surgery

dabigatran etexilate 110 mg

daily dose 220 mg once daily, half a dose on the day of surgery

Group Type EXPERIMENTAL

dabigatran etexilate

Intervention Type DRUG

daily dose 150 mg once daily, half a dose on the day of surgery

enoxaparin

40 mg once daily

Group Type ACTIVE_COMPARATOR

enoxaparin

Intervention Type DRUG

40 mg once daily

Interventions

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dabigatran etexilate

daily dose 150 mg once daily, half a dose on the day of surgery

Intervention Type DRUG

dabigatran etexilate

daily dose 150 mg once daily, half a dose on the day of surgery

Intervention Type DRUG

enoxaparin

40 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, elective total hip 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, 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 AST or 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 potential and are not practising or do not plan to continue practising acceptable methods of birth control
* Allergy to radio opaque contrast media or iodine, heparins (incl. heparin induced 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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1160.48.06108 Canberra Hospital

Garren, Australian Capital Territory, Australia

Site Status

1160.48.06106 St George Public Hospital

Kogarah, New South Wales, Australia

Site Status

1160.48.06110 Suite 13 level 4

Lismore, New South Wales, Australia

Site Status

1160.48.06105 Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

1160.48.06104 Ecru

Box Hill, Victoria, Australia

Site Status

1160.48.06102 Monash Medical Centre

Clayton, Victoria, Australia

Site Status

1160.48.06101 Emeritus Research

Malvern, Victoria, Australia

Site Status

1160.48.06103 Maroondah Hospital

Ringwood East, Victoria, Australia

Site Status

1160.48.06113

Windsor, Victoria, Australia

Site Status

1160.48.06111 Haemophillia & Thrombosis Service

Perth, Western Australia, Australia

Site Status

1160.48.04304 Boehringer Ingelheim Investigational Site

Linz, , Austria

Site Status

1160.48.04302 Boehringer Ingelheim Investigational Site

Vienna, , Austria

Site Status

1160.48.04303 Boehringer Ingelheim Investigational Site

Wels, , Austria

Site Status

1160.48.04301 Boehringer Ingelheim Investigational Site

Wiener Neustadt, , Austria

Site Status

1160.48.03207 UVC Brugmann

Brussels, , Belgium

Site Status

1160.48.03206 Campus Sint-Lucas

Ghent, , Belgium

Site Status

1160.48.03208 UZ Gent

Ghent, , Belgium

Site Status

1160.48.03202 Boehringer Ingelheim Investigational Site

Hasselt, , Belgium

Site Status

1160.48.03203 AZ Sint Elisabeth

Herentals, , Belgium

Site Status

1160.48.03205 Ziekenhuis Oost-Limburg

Lanaken, , Belgium

Site Status

1160.48.03201 UZ Gasthuisberg

Leuven, , Belgium

Site Status

1160.48.42004 Boehringer Ingelheim Investigational Site

Brno-Bohunice, , Czechia

Site Status

1160.48.42010 Boehringer Ingelheim Investigational Site

Chomutov, , Czechia

Site Status

1160.48.42009 Boehringer Ingelheim Investigational Site

Havlíčkův Brod, , Czechia

Site Status

1160.48.42008 Boehringer Ingelheim Investigational Site

Jihlava, , Czechia

Site Status

1160.48.42002 Boehringer Ingelheim Investigational Site

Kladno, , Czechia

Site Status

1160.48.42006 Boehringer Ingelheim Investigational Site

Kolín, , Czechia

Site Status

1160.48.42003 Boehringer Ingelheim Investigational Site

Ostrava, , Czechia

Site Status

1160.48.42001 Boehringer Ingelheim Investigational Site

Pilsen, , Czechia

Site Status

1160.48.42007 Boehringer Ingelheim Investigational Site

Pradubice, , Czechia

Site Status

1160.48.42005 Boehringer Ingelheim Investigational Site

Prague, , Czechia

Site Status

1160.48.04571 Boehringer Ingelheim Investigational Site

Hellerup, , Denmark

Site Status

1160.48.04570 Boehringer Ingelheim Investigational Site

Hørsholm, , Denmark

Site Status

1160.48.04573 Boehringer Ingelheim Investigational Site

København NV, , Denmark

Site Status

1160.48.04574 Boehringer Ingelheim Investigational Site

København S, , Denmark

Site Status

1160.48.04575 Boehringer Ingelheim Investigational Site

Silkeborg, , Denmark

Site Status

1160.48.35803 Boehringer Ingelheim Investigational Site

Helsinki, , Finland

Site Status

1160.48.35802 Boehringer Ingelheim Investigational Site

Jyväskylä, , Finland

Site Status

1160.48.35801 Boehringer Ingelheim Investigational Site

Oulu, , Finland

Site Status

1160.48.35804 Boehringer Ingelheim Investigational Site

Seinäjoki, , Finland

Site Status

1160.48.35805 Boehringer Ingelheim Investigational Site

Tampere, , Finland

Site Status

1160.48.03304 Boehringer Ingelheim Investigational Site

Amiens, , France

Site Status

1160.48.03303 Boehringer Ingelheim Investigational Site

Roubaix, , France

Site Status

1160.48.03302 Boehringer Ingelheim Investigational Site

Soyaux, , France

Site Status

1160.48.03308 Boehringer Ingelheim Investigational Site

Strasbourg, , France

Site Status

1160.48.04906 Caritaskrankenhaus

Bad Mergentheim, , Germany

Site Status

1160.48.04910 F.-A.-Universität Erlangen-Nürnberg

Erlangen, , Germany

Site Status

1160.48.04904 Orthopädische Universitätsklinik

Frankfurt, , Germany

Site Status

1160.48.04902 Klinikum Garmisch-Partenkirchen

Garmisch-Partenkirchen, , Germany

Site Status

1160.48.04914 St. Bernhard-Hospital

Kamp-Lintfort, , Germany

Site Status

1160.48.04907 Johannes Gutenberg-Universität Mainz

Mainz, , Germany

Site Status

1160.48.04912 Orthopädische Klinik Markgröningen gGmbH

Markgröningen, , Germany

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1160.48.04901 Kreiskrankenhaus

Rheinfelden, , Germany

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1160.48.04915 Orthopädische Klinik Lindenlohe

Schwandorf in Bayern, , Germany

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1160.48.04903 Hellmuth-Ulrici-Kliniken

Sommerfeld, , Germany

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1160.48.04905 Aukammklinik

Wiesbaden, , Germany

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1160.48.03607 Boehringer Ingelheim Investigational Site

Békéscsaba, , Hungary

Site Status

1160.48.03603 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

Site Status

1160.48.03606 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

Site Status

1160.48.03601 Boehringer Ingelheim Investigational Site

Gyula, , Hungary

Site Status

1160.48.03604 Boehringer Ingelheim Investigational Site

Kecskemét, , Hungary

Site Status

1160.48.03602 Boehringer Ingelheim Investigational Site

Szeged, , Hungary

Site Status

1160.48.03605 Boehringer Ingelheim Investigational Site

Székesfehérvár, , Hungary

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1160.48.03903 Boehringer Ingelheim Investigational Site

Bergamo, , Italy

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1160.48.03904 Boehringer Ingelheim Investigational Site

Bologna, , Italy

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1160.48.03902 Boehringer Ingelheim Investigational Site

Milan, , Italy

Site Status

1160.48.03901 Boehringer Ingelheim Investigational Site

Pavia, , Italy

Site Status

1160.48.03102 Boehringer Ingelheim Investigational Site

Amsterdam, , Netherlands

Site Status

1160.48.03101 Boehringer Ingelheim Investigational Site

Heemstede, , Netherlands

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1160.48.03107 Boehringer Ingelheim Investigational Site

Helmond, , Netherlands

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1160.48.03103 Boehringer Ingelheim Investigational Site

Hilversum, , Netherlands

Site Status

1160.48.03104 Boehringer Ingelheim Investigational Site

Nijmegen, , Netherlands

Site Status

1160.48.03105 Boehringer Ingelheim Investigational Site

Sittard, , Netherlands

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1160.48.04703 Boehringer Ingelheim Investigational Site

Ålesund, , Norway

Site Status

1160.48.04701 Boehringer Ingelheim Investigational Site

Bodø, , Norway

Site Status

1160.48.04704 Boehringer Ingelheim Investigational Site

Bærum Postterminal, , Norway

Site Status

1160.48.04707 Boehringer Ingelheim Investigational Site

Bærum Postterminal, , Norway

Site Status

1160.48.04706 Boehringer Ingelheim Investigational Site

Elverum, , Norway

Site Status

1160.48.04702 Boehringer Ingelheim Investigational Site

Skien, , Norway

Site Status

1160.48.04810 Boehringer Ingelheim Investigational Site

Bialystok, , Poland

Site Status

1160.48.04804 Boehringer Ingelheim Investigational Site

Kielce, , Poland

Site Status

1160.48.04806 Boehringer Ingelheim Investigational Site

Krakow, , Poland

Site Status

1160.48.04807 Boehringer Ingelheim Investigational Site

Krakow, , Poland

Site Status

1160.48.04812 Boehringer Ingelheim Investigational Site

Krakow, , Poland

Site Status

1160.48.04820 Boehringer Ingelheim Investigational Site

Lodz, , Poland

Site Status

1160.48.04814 Boehringer Ingelheim Investigational Site

Mielec, , Poland

Site Status

1160.48.04808 Boehringer Ingelheim Investigational Site

Piekary Śląskie, , Poland

Site Status

1160.48.04817 Boehringer Ingelheim Investigational Site

Rzeszów, , Poland

Site Status

1160.48.04801 Boehringer Ingelheim Investigational Site

Warsaw, , Poland

Site Status

1160.48.04802 Boehringer Ingelheim Investigational Site

Warsaw, , Poland

Site Status

1160.48.04803 Boehringer Ingelheim Investigational Site

Warsaw, , Poland

Site Status

1160.48.02701 Boehringer Ingelheim Investigational Site

Bryanston, , South Africa

Site Status

1160.48.02704 Boehringer Ingelheim Investigational Site

Johannesburg, , South Africa

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1160.48.02703 Boehringer Ingelheim Investigational Site

Randburg, , South Africa

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1160.48.02702 Boehringer Ingelheim Investigational Site

Sandton, , South Africa

Site Status

1160.48.03405 Boehringer Ingelheim Investigational Site

Alcorcón (Madrid), , Spain

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1160.48.03403 Boehringer Ingelheim Investigational Site

Barcelona, , Spain

Site Status

1160.48.03411 Boehringer Ingelheim Investigational Site

Barcelona, , Spain

Site Status

1160.48.03407 Boehringer Ingelheim Investigational Site

Hospitalet (Barcelona), , Spain

Site Status

1160.48.03409 Boehringer Ingelheim Investigational Site

Jaén, , Spain

Site Status

1160.48.03401 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1160.48.03402 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1160.48.03404 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1160.48.03406 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1160.48.03408 Boehringer Ingelheim Investigational Site

Móstoles (Madrid), , Spain

Site Status

1160.48.03410 Boehringer Ingelheim Investigational Site

Valencia, , Spain

Site Status

1160.48.04602 Boehringer Ingelheim Investigational Site

Falköping, , Sweden

Site Status

1160.48.04601 Boehringer Ingelheim Investigational Site

Gothenburg, , Sweden

Site Status

1160.48.04607 Boehringer Ingelheim Investigational Site

Halmstad, , Sweden

Site Status

1160.48.04606 Boehringer Ingelheim Investigational Site

Kalmar, , Sweden

Site Status

1160.48.04603 Boehringer Ingelheim Investigational Site

Kungälv, , Sweden

Site Status

1160.48.04608 Boehringer Ingelheim Investigational Site

Lidköping, , Sweden

Site Status

1160.48.04605 Boehringer Ingelheim Investigational Site

Linköping, , Sweden

Site Status

1160.48.04604 Boehringer Ingelheim Investigational Site

Mölndal, , Sweden

Site Status

1160.48.04610 Boehringer Ingelheim Investigational Site

Stockholm, , Sweden

Site Status

1160.48.04609 Boehringer Ingelheim Investigational Site

Varberg, , Sweden

Site Status

Countries

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

References

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Eriksson BI, Dahl OE, Rosencher N, Clemens A, Hantel S, Feuring M, Kreuzer J, Huo M, Friedman RJ. Oral dabigatran etexilate versus enoxaparin for venous thromboembolism prevention after total hip arthroplasty: pooled analysis of two phase 3 randomized trials. Thromb J. 2015 Nov 17;13:36. doi: 10.1186/s12959-015-0067-8. eCollection 2015.

Reference Type DERIVED
PMID: 26578849 (View on PubMed)

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)

Eriksson BI, Dahl OE, Rosencher N, Kurth AA, van Dijk CN, Frostick SP, Prins MH, Hettiarachchi R, Hantel S, Schnee J, Buller HR; RE-NOVATE Study Group. Dabigatran etexilate versus enoxaparin for prevention of venous thromboembolism after total hip replacement: a randomised, double-blind, non-inferiority trial. Lancet. 2007 Sep 15;370(9591):949-56. doi: 10.1016/S0140-6736(07)61445-7.

Reference Type DERIVED
PMID: 17869635 (View on PubMed)

Other Identifiers

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2004-001988-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1160.48

Identifier Type: -

Identifier Source: org_study_id

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