A Clinical Trial Comparing Efficacy and Safety of Dabigatran Etexilate With Warfarin in Patients With Cerebral Venous and Dural Sinus Thrombosis (RE-SPECT CVT)

NCT ID: NCT02913326

Last Updated: 2019-08-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-13

Study Completion Date

2018-06-22

Brief Summary

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This is a multi-center, prospective, international, randomized (1:1), open-label study with two parallel groups. This phase III study is planned to investigate the efficacy and safety of dabigatran etexilate versus dose-adjusted warfarin on a net clinical benefit endpoint of major bleeding (ISTH criteria) and new venous thrombotic event (VTE) (primary endpoint) with blinded endpoint adjudication.

Detailed Description

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Conditions

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Thromboembolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dabigatran etexilate

Group Type EXPERIMENTAL

Dabigatran etexilate

Intervention Type DRUG

Warfarin

Group Type ACTIVE_COMPARATOR

Warfarin

Intervention Type DRUG

Interventions

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Dabigatran etexilate

Intervention Type DRUG

Warfarin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent in accordance with International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines and local legislation and/or regulations
* Confirmed diagnosis of Cerebral Venous or dural sinus thrombosis (CVT), with or without intracranial haemorrhage
* Completion of anticoagulation therapy for 5-15 days which has been administered until randomisation; anticoagulation must include full-dose low molecular weight heparin or unfractionated heparin
* Eligibility for treatment with an oral anticoagulant

Exclusion Criteria

* Cerebral Venous or dural sinus thrombosis (CVT) associated with central nervous system infection or due to head trauma
* Planned surgical treatment for CVT
* Conditions associated with increased risk of bleeding
* History of symptomatic non-traumatic intracranial haemorrhage with risk of recurrence according to Investigator judgment
* Treatment with an antithrombotic regimen for an indication other than CVT and requiring continuation of that treatment for the original diagnosis without change in the regimen
* Severe renal impairment
* Active liver disease
* Pregnancy, nursing or planning to become pregnant while in the trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

78 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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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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HOP Pellegrin

Bordeaux, , France

Site Status

HOP Lariboisière

Paris, , France

Site Status

Vivantes Netzwerk für Gesundheit GmbH

Berlin, , Germany

Site Status

Universitätsklinikum Essen AöR

Essen, , Germany

Site Status

Asklepios Klinik Wandsbek

Hamburg, , Germany

Site Status

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Mazumdar Shaw Medical centre

Bangalore, , India

Site Status

Nizam's Institute of Medical Sciences

Hyderabad, , India

Site Status

Caritas Hospital

Kottayam, , India

Site Status

Magnum Heart Institute

Nashik, , India

Site Status

All India Institute of Medical Sciences

New Delhi, , India

Site Status

Sahyadri Speciality Hospital

Pune, , India

Site Status

ASST di Cremona

Cremona, , Italy

Site Status

Fondazione Centro San Raffaele del Monte Tabor

Milan, , Italy

Site Status

Nuovo Ospedale Civile S. Agostino-Estense

Modena, , Italy

Site Status

A.O. San Camillo Forlanini

Roma, , Italy

Site Status

Umberto I Pol. di Roma-Università di Roma La Sapienza

Roma, , Italy

Site Status

A. O. Ospedale Circolo Fond. Macchi

Varese, , Italy

Site Status

Academisch Medisch Centrum (AMC)

Amsterdam, , Netherlands

Site Status

Universitair Medisch Centrum Utrecht

Utrecht, , Netherlands

Site Status

University Clinical Center, Gdansk

Gdansk, , Poland

Site Status

Copernicus Med.Company.Ltd,Hosp.Nicolaus, Gdansk

Gdansk, , Poland

Site Status

Independent Public Clin.Hospital No.4,Neurol.Dept,Lublin

Lublin, , Poland

Site Status

Psychiatry&Neurol.Instit.Interv.Stroke&Cerebrov.Treatm.Cntr

Warsaw, , Poland

Site Status

Hospital Fernando Fonseca, EPE

Amadora, , Portugal

Site Status

CHLO, EPE - Hospital Egas Moniz

Lisbon, , Portugal

Site Status

CHULN, EPE - Hospital de Santa Maria

Lisbon, , Portugal

Site Status

Centro Hospitalar São João,EPE

Porto, , Portugal

Site Status

Centro Hospitalar de Entre o Douro e Vouga, E.P.E. - Hospital de São Sebastião

Santa Maria da Feira, , Portugal

Site Status

Reg.State Budget Hlthcare,City Hosp#5,Neurology Dept,Barnaul

Barnaul, , Russia

Site Status

Interreg. Clinical & Diagnostic Center, Neurol. Dept., Kazan

Kazan', , Russia

Site Status

St.Petersb,State Hlthcare Instit. Elisabeth Hosp,Neurol.dept

Saint Petersburg, , Russia

Site Status

Sverdlovsk Reg.Clin.Hosp.No.1

Yekaterinburg, , Russia

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital La Paz

Madrid, , Spain

Site Status

Countries

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France Germany India Italy Netherlands Poland Portugal Russia Spain

References

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Ferro JM, Bendszus M, Jansen O, Coutinho JM, Dentali F, Kobayashi A, Aguiar de Sousa D, Neto LL, Miede C, Caria J, Huisman H, Diener HC; RE-SPECT CVT Study Group. Recanalization after cerebral venous thrombosis. A randomized controlled trial of the safety and efficacy of dabigatran etexilate versus dose-adjusted warfarin in patients with cerebral venous and dural sinus thrombosis. Int J Stroke. 2022 Feb;17(2):189-197. doi: 10.1177/17474930211006303. Epub 2021 Apr 4.

Reference Type DERIVED
PMID: 33724104 (View on PubMed)

Ferro JM, Coutinho JM, Jansen O, Bendszus M, Dentali F, Kobayashi A, van der Veen B, Miede C, Caria J, Huisman H, Diener HC; RE-SPECT CVT Study Group. Dural Arteriovenous Fistulae After Cerebral Venous Thrombosis. Stroke. 2020 Nov;51(11):3344-3347. doi: 10.1161/STROKEAHA.120.031235. Epub 2020 Sep 25.

Reference Type DERIVED
PMID: 32972315 (View on PubMed)

Ferro JM, Coutinho JM, Dentali F, Kobayashi A, Alasheev A, Canhao P, Karpov D, Nagel S, Posthuma L, Roriz JM, Caria J, Frassdorf M, Huisman H, Reilly P, Diener HC; RE-SPECT CVT Study Group. Safety and Efficacy of Dabigatran Etexilate vs Dose-Adjusted Warfarin in Patients With Cerebral Venous Thrombosis: A Randomized Clinical Trial. JAMA Neurol. 2019 Dec 1;76(12):1457-1465. doi: 10.1001/jamaneurol.2019.2764.

Reference Type DERIVED
PMID: 31479105 (View on PubMed)

Ferro JM, Dentali F, Coutinho JM, Kobayashi A, Caria J, Desch M, Fraessdorf M, Huisman H, Diener HC. Rationale, design, and protocol of a randomized controlled trial of the safety and efficacy of dabigatran etexilate versus dose-adjusted warfarin in patients with cerebral venous thrombosis. Int J Stroke. 2018 Oct;13(7):766-770. doi: 10.1177/1747493018778125. Epub 2018 May 18.

Reference Type DERIVED
PMID: 29775170 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-004412-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1160.248

Identifier Type: -

Identifier Source: org_study_id

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