Ex-vivo Effect of New Oral Anticoagulants on Point-of-care Devices

NCT ID: NCT01613443

Last Updated: 2024-03-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-08-31

Brief Summary

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Concentration determinations of anticoagulants require plasma instead of whole blood, and results are not immediately available to clinicians. Monitoring anticoagulants concentration along with bedside methods may provide an alternative guide for administration of the NOAC.

The purpose of this investigation is to compare bedside coagulation assays in whole blood with plasma concentrations of the new oral anticoagulants (NOAC) in patients treated with therapeutic dosis of NOAC.

Detailed Description

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This open-label study will be performed by ex vivo investigations. Patients receiving the NOAC as dabigatran or rivaroxaban in therapeutic doses are recruited and informed consent of two blood sampling times will be obtained in correlation to the time of drug intake (two and 24 hours after drug intake). The bedside measurements will be performed and compared directly with the concentrations determined by plasma concentration assays. These investigations will be performed at the department of Angiology at the university hospital Frankfurt.

Conditions

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Effect of NOAC on POCT

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Control

Healthy volunteers without medication

No interventions assigned to this group

Phenprocoumon

Patients receiving Marcumar having target INR 2-3

No interventions assigned to this group

Dabigatran

Patients receiving therapeutic dosis of Pradaxa

No interventions assigned to this group

Rivaroxaban

Patients receiving therapeutic dosis of Xarelto

No interventions assigned to this group

Eligibility Criteria

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Exclusion Criteria

Patients treated with dabigatran 2x150mg / d for the prevention of stroke and systemic embolism in non-valvular atrial fibrillation are included.

Moreover, patients treated with rivaroxaban 20 mg / d for DVT prophylaxis and treatment of recurrent DVT or PE are included.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardioangiologisches Centrum Bethanien

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. med. E. Lindhoff-Last

Prof. Dr. med. Lindhoff-Last

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Mani H, Herth N, Kasper A, Wendt T, Schuettfort G, Weil Y, Pfeilschifter W, Linnemann B, Herrmann E, Lindhoff-Last E. Point-of-care coagulation testing for assessment of the pharmacodynamic anticoagulant effect of direct oral anticoagulant. Ther Drug Monit. 2014 Oct;36(5):624-31. doi: 10.1097/FTD.0000000000000064.

Reference Type RESULT
PMID: 24577124 (View on PubMed)

Other Identifiers

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POCT-NOAC

Identifier Type: -

Identifier Source: org_study_id

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