Registration of Idarucizumab for Patients with IntraCranial Hemorrhage

NCT ID: NCT04062097

Last Updated: 2024-12-09

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

104 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-19

Study Completion Date

2021-12-31

Brief Summary

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This multicenter, prospective, observational, non-interventional study investigates patients with intracranial hemorrhage under effective anticoagulation with dabigatran or vitamin-K antagonist (VKA). Routine data will be collected during hospitalization. Patients aged 18 years or older under effective therapy with dabigatran and symptomatic intracranial bleeding confirmed by cerebral imaging and treated with idarucizumab will be compared to patients under effective treatment with VKA at the time of onset of the intracranial bleeding. Ninety-five dabigatran patients who provided written informed consent for data transmission will be included. As control group retrospective and anonymized data of 285 VKA patients patients under VKA treatment and admitted to RIC-ICH study centers will be used. For each patient receiving idarucizumab, three patients with intracranial hemorrhage under effective treatment with VKA, will be included (retrospective) in the study. In addition, data of VKA patients will be transferred from the RASUNOA-PRIME and the "Erlanger Hirnblutungs-Register".

Detailed Description

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Conditions

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Intracranial Hemorrhage

Keywords

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intracranial/intracerebral bleeding stroke transient ischemic attack (TIA) myocardial infarction anticoagulation dabigatran idarucizumab vitamin-k antagonists

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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dabigatran-group

Patients with the anticoagulating therapy dabigatran and onset of clinically symptomatic intracranial hemorrhage, that is treated with idarucizumab.

Dabigatran Etexilate Oral Capsule [Pradaxa]

Intervention Type DRUG

Dabigatran is the most frequently used direct thrombin inhibitor in secondary stroke prevention in patients with atrial fibrillation.

Idarucizumab 2.5 GM/50 ML Intravenous Solution [PRAXBIND]

Intervention Type DRUG

Idarucizumab is the current standard therapy in patients with intracranial bleeding under anticoagulation with dabigatran.

VKA-group

Patients under effective treatment with VKA and with intracranial hemorrhage.

Vitamin K antagonist

Intervention Type DRUG

This drug group includes the active substances phenprocoumon and warfarin.

Interventions

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Dabigatran Etexilate Oral Capsule [Pradaxa]

Dabigatran is the most frequently used direct thrombin inhibitor in secondary stroke prevention in patients with atrial fibrillation.

Intervention Type DRUG

Idarucizumab 2.5 GM/50 ML Intravenous Solution [PRAXBIND]

Idarucizumab is the current standard therapy in patients with intracranial bleeding under anticoagulation with dabigatran.

Intervention Type DRUG

Vitamin K antagonist

This drug group includes the active substances phenprocoumon and warfarin.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years at enrollment
* Patients willing and able to provide written informed consent for data transmission (exceptions/special cases for patients who are not legally competent to sign informed consent for data transmission).
* Patients with primary intracranial hemorrhage as confirmed with CT.
* Patients under effective anticoagulation treatment with dabigatran at the time of admission (TT\>60 sec. or last intake of medication \<24hours).
* Patients treated with Idarucizumab (2x2.5 g recommended) may still be included the day after the administration of Praxbind, or on the following working day if treatment was carried out on the weekend.
* inclusion (signed informed consent) as soon as possible after start of symptoms of initial ICH event, but before discharge.


\- Patients with intracranial hemorrhage under effective anticoagulation treatment with VKA (INR ≥ 1,7) having been initially treated in the past in the study center.

Exclusion Criteria

* Additional therapy with PCC, aPCC or factor VII (in patients under dabigatran).


\- Start of symptoms of initial ICH event \> 24 h before admission to hospital.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Essen

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. Hans Diener

Senior Professor of Clinical Neurosciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hans Diener, Prof. Dr.

Role: STUDY_DIRECTOR

University Hospital, Essen

Locations

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Klinikum Schön Klinik Bad Aibling SE & Co. KG

Bad Aibling, , Germany

Site Status

Hochtaunuskliniken GmbH

Bad Homburg, , Germany

Site Status

Rhön Klinikum Campus Bad Neustadt

Bad Neustadt an der Saale, , Germany

Site Status

Vivantes Klinikum Auguste Viktoria

Berlin, , Germany

Site Status

Vivantes Klinikum Neukölln

Berlin, , Germany

Site Status

Vivantes Humboldt Klinikum

Berlin, , Germany

Site Status

Evangelisches Klinikum Bethel gGmbH

Bielefeld, , Germany

Site Status

Katholisches Klinikum Bochum gGmbH, St. Josef Hospital

Bochum, , Germany

Site Status

Universitätsklinkum Bonn

Bonn, , Germany

Site Status

Klinikum Allgemeines Krankenhaus Celle

Celle, , Germany

Site Status

Carl-Thiem-Klinikum Cottbus gGmbH

Cottbus, , Germany

Site Status

Krankenhaus St. Elisabeth gGmbH

Damme, , Germany

Site Status

Albert-Ludwigs-Universität Freiburg

Freiburg im Breisgau, , Germany

Site Status

SHR Wald-Klinikum Gera GmbH

Gera, , Germany

Site Status

Georg-August-Universität Göttingen, Universitätsmedizin

Göttingen, , Germany

Site Status

Klinikum Martha Maria

Halle, , Germany

Site Status

Asklepios Klinik Wandsbek

Hamburg, , Germany

Site Status

Asklepios Klinik Barmbek

Hamburg, , Germany

Site Status

Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status

Klinikum Agatharied GmbH

Hausham, , Germany

Site Status

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status

BDH-Klinik Hessisch Oldendorf

Hessisch Oldendorf, , Germany

Site Status

Universitätsklinikum Schleswig-Holstein, Campus Kiel

Kiel, , Germany

Site Status

Universität Leipzig

Leipzig, , Germany

Site Status

Klinikum Main-Spessart Lohr

Lohr, , Germany

Site Status

Universitätsklinikum Schleswig-Holstein, Campus Lübeck

Lübeck, , Germany

Site Status

Universitätsmedizin der Johannes-Guttenberg-Universität Mainz

Mainz, , Germany

Site Status

Klinikum Osnabrück

Osnabrück, , Germany

Site Status

Klinikum Vest Knappschaftskrankenhaus

Recklinghausen, , Germany

Site Status

Klinikum Nordwest Krankenhaus Sande

Sanderbusch, , Germany

Site Status

Klinikum der Landeshauptstadt Stuttgart gKAöR

Stuttgart, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Sana HANSE-Klinikum Wismar GmbH

Wismar, , Germany

Site Status

Countries

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Germany

Other Identifiers

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RIC-ICH

Identifier Type: -

Identifier Source: org_study_id