ThromboembolismPhase 3RE-COVER INCT00291330
Efficacy and Safety of Dabigatran Compared to Warfarin for 6 Month Treatment of Acute Symptomatic Venous Thromboembolism
A Phase 3 study testing dabigatran etexilate 150 mg and warfarin (INR 2-3) in people with Thromboembolism, run by Boehringer Ingelheim at 250 sites in 29 countries.
Trial summary
The purpose of this trial is to determine the comparative safety and efficacy of dabigatran etexilate 150 mg bid administered orally and warfarin as needed (pro re nata - prn) to maintain an International Normalised Ratio (INR) of 2.0-3.0 for 6 month treatment of acute symptomatic venous thromboembolism (VTE)… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Thromboembolism
- What is being tested?
- dabigatran etexilate 150 mg and warfarin (INR 2-3)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,564 participants
- Where
- 250 sitesin 29 countries
- Study dates
- Feb 2006to May 2009
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Acute deep vein thrombosis (DVT) of the leg involving proximal veins, and/or pulmonary embolism (PE) iin patients for whom at least 6 months of anticoagulant therapy is considered appropriate
- Male or female, being 18 years of age or older
- Written informed consent for study participation
Who cannot join
- Overt symptoms of VTE for longer than 2 weeks prior to enrolment
- PE satisfying at least one of the following criteria: Haemodynamic instability, embolectomy is indicated or performed, thrombolytic therapy is indicated or performed, or suspected source of PE is other than the legs
- Actual or anticipated use of vena cava filter
- Contraindications to anticoagulant therapy
- Patients who in the investigators opinion should not be treated with warfarin
- Allergy to heparins or other alternate approved therapy used for initial treatment, warfarin or dabigatran, or to one of the excipients included in these medications
Show all 17Show fewer
- Patients who in the investigators judgement are perceived as having an excessive risk of bleeding
- Known anaemia
- Need of anticoagulant treatment for disorders other than VTE
- Recent unstable cardiovascular disease
- Elevated AST or ALT > 2x ULN
- Liver disease expected to have any potential impact on survival
- Patients who have developed transaminase elevations upon exposure to ximelagatran
- Severe renal impairment
- Women who are pregnant, nursing, or of childbearing potential who refuse to use a medically acceptable form of contraception
- Participation in another clinical trial with an investigational drug during the last 30 days or previous participation in this study
- Patients considered unsuitable for inclusion by the investigator
Trial locations and contacts
250 sites in 29 countries.
250 sites in 29 countries
France24 sites
1160.53.3301A Boehringer Ingelheim Investigational Site
Brest
1160.53.3301B Boehringer Ingelheim Investigational Site
Brest
1160.53.3301C Boehringer Ingelheim Investigational Site
Brest
1160.53.3301D Boehringer Ingelheim Investigational Site
Brest
1160.53.3301E Boehringer Ingelheim Investigational Site
Brest
1160.53.3301F Boehringer Ingelheim Investigational Site
Brest
1160.53.3301H Boehringer Ingelheim Investigational Site
Brest
1160.53.3301I Boehringer Ingelheim Investigational Site
Brest
1160.53.3302A Boehringer Ingelheim Investigational Site
Lorient
1160.53.3310A Boehringer Ingelheim Investigational Site
Montpellier
1160.53.3310B Boehringer Ingelheim Investigational Site
Montpellier
1160.53.3310C Boehringer Ingelheim Investigational Site
Montpellier
1160.53.3308B Boehringer Ingelheim Investigational Site
Nancy
1160.53.3303B Boehringer Ingelheim Investigational Site
Saint-Etienne
1160.53.3303C Boehringer Ingelheim Investigational Site
Saint-Etienne
1160.53.3303D Boehringer Ingelheim Investigational Site
Saint-Etienne
1160.53.3303E Boehringer Ingelheim Investigational Site
Saint-Etienne
1160.53.3303A Boehringer Ingelheim Investigational Site
Saint-Priest-en-Jarez
1160.53.3311A Boehringer Ingelheim Investigational Site
Toulon Naval
1160.53.3311B Boehringer Ingelheim Investigational Site
Toulon Naval
1160.53.3311C Boehringer Ingelheim Investigational Site
Toulon Naval
1160.53.3311D Boehringer Ingelheim Investigational Site
Toulon Naval
1160.53.3311E Boehringer Ingelheim Investigational Site
Toulon Naval
1160.53.3308A Boehringer Ingelheim Investigational Site
Vandœuvre-lès-Nancy
United States23 sites
1160.53.01036 Boehringer Ingelheim Investigational Site
Albuquerque, New Mexico
1160.53.01052 Boehringer Ingelheim Investigational Site
Altoona, Pennsylvania
1160.53.01019 Boehringer Ingelheim Investigational Site
Augusta, Georgia
1160.53.01014 Boehringer Ingelheim Investigational Site
Baltimore, Maryland
1160.53.01027 Boehringer Ingelheim Investigational Site
Chapel Hill, North Carolina
1160.53.01044 Boehringer Ingelheim Investigational Site
Clearwater, Florida
1160.53.01008 Boehringer Ingelheim Investigational Site
Decatur, Georgia
1160.53.01023 Boehringer Ingelheim Investigational Site
Detroit, Michigan
1160.53.01030 Boehringer Ingelheim Investigational Site
Grand Forks, North Dakota
1160.53.01056 Boehringer Ingelheim Investigational Site
Hartford, Connecticut
1160.53.01031 Boehringer Ingelheim Investigational Site
Lebanon, New Hampshire
1160.53.01010 Boehringer Ingelheim Investigational Site
Marietta, Georgia
1160.53.01035 Boehringer Ingelheim Investigational Site
Mobile, Alabama
1160.53.01029 Boehringer Ingelheim Investigational Site
Pontiac, Michigan
1160.53.01028 Boehringer Ingelheim Investigational Site
Portland, Oregon
1160.53.01017 Boehringer Ingelheim Investigational Site
Richmond, Virginia
1160.53.01009 Boehringer Ingelheim Investigational Site
Saint Louis Park, Minnesota
1160.53.01033 Boehringer Ingelheim Investigational Site
Sarasota, Florida
1160.53.01046 Boehringer Ingelheim Investigational Site
Sarasota, Florida
1160.53.01055 Boehringer Ingelheim Investigational Site
Summerville, South Carolina
1160.53.01013 Boehringer Ingelheim Investigational Site
Toledo, Ohio
1160.53.01025 Boehringer Ingelheim Investigational Site
Valhalla, New York
1160.53.01039 Boehringer Ingelheim Investigational Site
Winston-Salem, North Carolina
Canada18 sites
1160.53.02006 Boehringer Ingelheim Investigational Site
Edmonton, Alberta
1160.53.02013 Boehringer Ingelheim Investigational Site
Edmonton, Alberta
1160.53.02001 Boehringer Ingelheim Investigational Site
Halifax, Nova Scotia
1160.53.02002 Boehringer Ingelheim Investigational Site
Hamilton, Ontario
1160.53.02005 Boehringer Ingelheim Investigational Site
Hamilton, Ontario
1160.53.02010 Boehringer Ingelheim Investigational Site
Hamilton, Ontario
1160.53.02022 Boehringer Ingelheim Investigational Site
Hamilton, Ontario
1160.53.02011 Boehringer Ingelheim Investigational Site
London, Ontario
1160.53.02008 Boehringer Ingelheim Investigational Site
Montreal, Quebec
1160.53.02009 Boehringer Ingelheim Investigational Site
Montreal, Quebec
1160.53.02014 Boehringer Ingelheim Investigational Site
Montreal, Quebec
1160.53.02017 Boehringer Ingelheim Investigational Site
Montreal, Quebec
1160.53.02015 Boehringer Ingelheim Investigational Site
Ottawa, Ontario
1160.53.02020 Boehringer Ingelheim Investigational Site
Québec, Quebec
1160.53.02004 Boehringer Ingelheim Investigational Site
Saint Johns, New Brunswick
1160.53.02003 Boehringer Ingelheim Investigational Site
Sainte-Foy, Quebec
1160.53.02019 Boehringer Ingelheim Investigational Site
Toronto, Ontario
1160.53.02021 Boehringer Ingelheim Investigational Site
Victoria, British Columbia
Russia17 sites
1160.53.07011 Boehringer Ingelheim Investigational Site
Chelyabinsk
1160.53.07021 Boehringer Ingelheim Investigational Site
Chelyabinsk
1160.53.07016 Boehringer Ingelheim Investigational Site
Krasnodar
1160.53.07004 Boehringer Ingelheim Investigational Site
Kursk
1160.53.07003 Boehringer Ingelheim Investigational Site
Moscow
1160.53.07010 Boehringer Ingelheim Investigational Site
Novosibirsk
1160.53.07020 Boehringer Ingelheim Investigational Site
Omsk
1160.53.07018 Boehringer Ingelheim Investigational Site
Pskov
1160.53.07009 Boehringer Ingelheim Investigational Site
Rostov-on-Don
1160.53.07023 Boehringer Ingelheim Investigational Site
Rostov-on-Don
1160.53.07024 Boehringer Ingelheim Investigational Site
Rostov-on-Don
1160.53.07025 Boehringer Ingelheim Investigational Site
Rostov-on-Don
1160.53.07001 Boehringer Ingelheim Investigational Site
Saint Petersburg
1160.53.07014 Boehringer Ingelheim Investigational Site
Ufa
1160.53.07005 Boehringer Ingelheim Investigational Site
Yaroslavl
1160.53.07006 Boehringer Ingelheim Investigational Site
Yaroslavl
1160.53.07007 Boehringer Ingelheim Investigational Site
Yekaterinburg
India13 sites
1160.53.91011 Boehringer Ingelheim Investigational Site
Bangalore
1160.53.91012 Boehringer Ingelheim Investigational Site
Chennai
1160.53.91019 Boehringer Ingelheim Investigational Site
Chennai
1160.53.91013 Boehringer Ingelheim Investigational Site
Indore
1160.53.91021 Boehringer Ingelheim Investigational Site
Karna
1160.53.91022 Boehringer Ingelheim Investigational Site
Kerala
1160.53.91020 Boehringer Ingelheim Investigational Site
Ludhiana
1160.53.91007 Boehringer Ingelheim Investigational Site
Mysore
1160.53.91015 Boehringer Ingelheim Investigational Site
Nagpur
1160.53.91010 Boehringer Ingelheim Investigational Site
New Delhi
1160.53.91005 Boehringer Ingelheim Investigational Site
Pune
1160.53.91008 Boehringer Ingelheim Investigational Site
Pune
1160.53.91004 Boehringer Ingelheim Investigational Site
Vadodara
Czechia12 sites
1160.53.42001 Boehringer Ingelheim Investigational Site
Brno
1160.53.42002 Boehringer Ingelheim Investigational Site
Hradec Králové
1160.53.42011 Boehringer Ingelheim Investigational Site
Hranice
1160.53.42009 Boehringer Ingelheim Investigational Site
Jihlava
1160.53.42012 Boehringer Ingelheim Investigational Site
Liberec
1160.53.42015 Boehringer Ingelheim Investigational Site
Nový Jičín
1160.53.42005 Boehringer Ingelheim Investigational Site
Ostrava-Vitkovice
1160.53.42004 Boehringer Ingelheim Investigational Site
Prague
1160.53.42014 Boehringer Ingelheim Investigational Site
Tábor
1160.53.42016 Boehringer Ingelheim Investigational Site
Teplice
1160.53.42010 Boehringer Ingelheim Investigational Site
Ústí nad Labem
1160.53.42007 Boehringer Ingelheim Investigational Site
Zlín
Brazil11 sites
1160.53.55010 Boehringer Ingelheim Investigational Site
Brasília
1160.53.55007 Boehringer Ingelheim Investigational Site
Campinas
1160.53.55001 Boehringer Ingelheim Investigational Site
Cerqueira César - Sao Paulo
1160.53.55002 Boehringer Ingelheim Investigational Site
Cerqueira César - São Paulo
1160.53.55014 Boehringer Ingelheim Investigational Site
Cristo Rei - Curitiba
1160.53.55011 Boehringer Ingelheim Investigational Site
Goiânia
1160.53.55017 Boehringer Ingelheim Investigational Site
Paraná
1160.53.55012 Boehringer Ingelheim Investigational Site
Porto Alegre
1160.53.55016 Boehringer Ingelheim Investigational Site
Rio de Janeiro - RJ
1160.53.55004 Boehringer Ingelheim Investigational Site
Santo André
1160.53.55005 Boehringer Ingelheim Investigational Site
São José do Rio Preto
Spain10 sites
1160.53.34012 Boehringer Ingelheim Investigational Site
Badalona (Barcelona)
1160.53.34001 Boehringer Ingelheim Investigational Site
Barcelona
1160.53.34002 Boehringer Ingelheim Investigational Site
Barcelona
1160.53.34007 Boehringer Ingelheim Investigational Site
Cartagena. Murcia
1160.53.34003 Boehringer Ingelheim Investigational Site
Cuenca
1160.53.34009 Boehringer Ingelheim Investigational Site
Madrid
1160.53.34010 Boehringer Ingelheim Investigational Site
Madrid
1160.53.34004 Boehringer Ingelheim Investigational Site
Santander
1160.53.34005 Boehringer Ingelheim Investigational Site
Torrelavega.Santander
1160.53.34011 Boehringer Ingelheim Investigational Site
Valencia
Hungary9 sites
1160.53.36001 Boehringer Ingelheim Investigational Site
Budapest
1160.53.36006 Boehringer Ingelheim Investigational Site
Budapest
1160.53.36002 Boehringer Ingelheim Investigational Site
Debrecen
1160.53.36013 Boehringer Ingelheim Investigational Site
Eger
1160.53.36012 Boehringer Ingelheim Investigational Site
Gyula
1160.53.36004 Boehringer Ingelheim Investigational Site
Miskolc
1160.53.36003 Boehringer Ingelheim Investigational Site
Pécs
1160.53.36010 Boehringer Ingelheim Investigational Site
Székesfehérvár
1160.53.36011 Boehringer Ingelheim Investigational Site
Szombathely
Israel9 sites
1160.53.97202 Boehringer Ingelheim Investigational Site
Afula
1160.53.97207 Boehringer Ingelheim Investigational Site
Ashkelon
1160.53.97211 Boehringer Ingelheim Investigational Site
Haifa
1160.53.97203 Boehringer Ingelheim Investigational Site
Holon
1160.53.97205 Boehringer Ingelheim Investigational Site
KfarSaba
1160.53.97206 Boehringer Ingelheim Investigational Site
Petah Tikva
1160.53.97210 Boehringer Ingelheim Investigational Site
Tel Aviv
1160.53.97204 Boehringer Ingelheim Investigational Site
Tel HaShomer
1160.53.97201 Boehringer Ingelheim Investigational Site
Tsrifin
South Africa9 sites
1160.53.27007 Boehringer Ingelheim Investigational Site
Centurion
1160.53.27001 Boehringer Ingelheim Investigational Site
Johannesburg
1160.53.27002 Boehringer Ingelheim Investigational Site
Johannesburg
1160.53.27004 Boehringer Ingelheim Investigational Site
Johannesburg
1160.53.27006 Boehringer Ingelheim Investigational Site
Johannesburg
1160.53.27009 Suite 404, Medical Centre
Pretoria
1160.53.27003 Boehringer Ingelheim Investigational Site
Randburg
1160.53.27008 Suite M5, Second Floor
Richards Bay
1160.53.27005 Boehringer Ingelheim Investigational Site
Roodepoort
Netherlands8 sites
1160.53.31010 Boehringer Ingelheim Investigational Site
's-Hertogenbosch
1160.53.31001 Boehringer Ingelheim Investigational Site
Amersfoort
1160.53.31006 Boehringer Ingelheim Investigational Site
Amsterdam
1160.53.31013 Boehringer Ingelheim Investigational Site
Eindhoven
1160.53.31005 Boehringer Ingelheim Investigational Site
Maastricht
1160.53.31002 Boehringer Ingelheim Investigational Site
Nieuwegein
1160.53.31004 Boehringer Ingelheim Investigational Site
Rotterdam
1160.53.31009 Boehringer Ingelheim Investigational Site
Rotterdam
Sweden7 sites
1160.53.46002 Boehringer Ingelheim Investigational Site
Gothenburg
1160.53.46006 Boehringer Ingelheim Investigational Site
Jönköping
1160.53.46001 Boehringer Ingelheim Investigational Site
Stockholm
1160.53.46007 Boehringer Ingelheim Investigational Site
Stockholm
1160.53.46008 Boehringer Ingelheim Investigational Site
Stockholm
1160.53.46005 Boehringer Ingelheim Investigational Site
Sundsvall
1160.53.46003 Boehringer Ingelheim Investigational Site
Uppsala
Turkey (Türkiye)7 sites
1160.53.90003 Boehringer Ingelheim Investigational Site
Ankara
1160.53.90004 Boehringer Ingelheim Investigational Site
Ankara
1160.53.90005 Boehringer Ingelheim Investigational Site
Ankara
1160.53.90001 Boehringer Ingelheim Investigational Site
Istanbul
1160.53.90002 Boehringer Ingelheim Investigational Site
Istanbul
1160.53.90007 Boehringer Ingelheim Investigational Site
Istanbul
1160.53.90006 Boehringer Ingelheim Investigational Site
Izmir
United Kingdom7 sites
1160.53.44008 Boehringer Ingelheim Investigational Site
Aberdeen
1160.53.44005 Boehringer Ingelheim Investigational Site
Headington, Oxford
1160.53.44004 Boehringer Ingelheim Investigational Site
London
1160.53.44009 Boehringer Ingelheim Investigational Site
London
1160.53.44011 Boehringer Ingelheim Investigational Site
London
1160.53.44006 Boehringer Ingelheim Investigational Site
Newcastle upon Tyne
1160.53.44012 Boehringer Ingelheim Investigational Site
Sheffield
Argentina6 sites
1160.53.54017 Boehringer Ingelheim Investigational Site
Adrogué
1160.53.54003 Boehringer Ingelheim Investigational Site
Capital Federal
1160.53.54005 Boehringer Ingelheim Investigational Site
Capital Federal
1160.53.54006 Boehringer Ingelheim Investigational Site
Capital Federal
1160.53.54007 Boehringer Ingelheim Investigational Site
Capital Federal
1160.53.54010 Boehringer Ingelheim Investigational Site
Capital Federal
Australia6 sites
1160.53.61004 Boehringer Ingelheim Investigational Site
Bedford Park, South Australia
1160.53.61003 Boehringer Ingelheim Investigational Site
Box Hill, Victoria
1160.53.61001 Boehringer Ingelheim Investigational Site
Clayton, Victoria
1160.53.61005 Boehringer Ingelheim Investigational Site
Perth, Western Australia
1160.53.61006 The Avenue Cardiovascular Centre
Windsor, Victoria
1160.53.61002 Boehringer Ingelheim Investigational Site
Woolloongabba, Queensland
Belgium6 sites
1160.53.32001 Boehringer Ingelheim Investigational Site
Brussels
1160.53.32002 Boehringer Ingelheim Investigational Site
Brussels
1160.53.32003 Boehringer Ingelheim Investigational Site
Brussels
1160.53.32007 Boehringer Ingelheim Investigational Site
Edegem
1160.53.32005 Boehringer Ingelheim Investigational Site
Leuven
1160.53.32004 Boehringer Ingelheim Investigational Site
Liège
Denmark6 sites
1160.53.45008 Boehringer Ingelheim Investigational Site
Esbjerg
1160.53.45009 Boehringer Ingelheim Investigational Site
Holbæk
1160.53.45004 Boehringer Ingelheim Investigational Site
København NV
1160.53.45007 Boehringer Ingelheim Investigational Site
København S
1160.53.45002 Boehringer Ingelheim Investigational Site
Kolding
1160.53.45006 Boehringer Ingelheim Investigational Site
Slagelse
Germany6 sites
1160.53.49003 Boehringer Ingelheim Investigational Site
Cologne
1160.53.49017 Boehringer Ingelheim Investigational Site
Dresden
1160.53.49018 Boehringer Ingelheim Investigational Site
Dresden
1160.53.49005 Boehringer Ingelheim Investigational Site
Mannheim
1160.53.49007 Boehringer Ingelheim Investigational Site
München
1160.53.49009 Boehringer Ingelheim Investigational Site
Püttlingen
Italy6 sites
1160.53.39003 Boehringer Ingelheim Investigational Site
Bologna
1160.53.39002 Boehringer Ingelheim Investigational Site
Padova
1160.53.39001 Boehringer Ingelheim Investigational Site
Perugia
1160.53.39004 Boehringer Ingelheim Investigational Site
Reggio Emilia
1160.53.39007 Boehringer Ingelheim Investigational Site
Vimercate
1160.53.39005 Boehringer Ingelheim Investigational Site
Vittorio Veneto (tv)
Portugal5 sites
1160.53.35104 Boehringer Ingelheim Investigational Site
Almada
1160.53.35109 Boehringer Ingelheim Investigational Site
Coimbra
1160.53.35101 Boehringer Ingelheim Investigational Site
Lisbon
1160.53.35102 Boehringer Ingelheim Investigational Site
Lisbon
1160.53.35105 Boehringer Ingelheim Investigational Site
Lisbon
Slovakia5 sites
1160.53.42107 Boehringer Ingelheim Investigational Site
Banská Bystrica
1160.53.42106 Boehringer Ingelheim Investigational Site
Lučenec
1160.53.42102 Boehringer Ingelheim Investigational Site
Nitra
1160.53.42103 Boehringer Ingelheim Investigational Site
Nové Zámky
1160.53.42104 Boehringer Ingelheim Investigational Site
Žilina
New Zealand4 sites
1160.53.64003 Boehringer Ingelheim Investigational Site
Auckland
1160.53.64004 Boehringer Ingelheim Investigational Site
Christchurch
1160.53.64002 Boehringer Ingelheim Investigational Site
Otahuhu Auckland
1160.53.64001 Boehringer Ingelheim Investigational Site
Takapuna Auckland
Norway4 sites
1160.53.47001 Boehringer Ingelheim Investigational Site
Oslo
1160.53.47004 Boehringer Ingelheim Investigational Site
Oslo
1160.53.47003 Boehringer Ingelheim Investigational Site
Rud
1160.53.47005 Boehringer Ingelheim Investigational Site
Trondheim
Austria3 sites
1160.53.43001 Boehringer Ingelheim Investigational Site
Graz
1160.53.43003 Boehringer Ingelheim Investigational Site
Innsbruck
1160.53.43002 Boehringer Ingelheim Investigational Site
Vienna
Greece3 sites
1160.53.30001 Boehringer Ingelheim Investigational Site
Athens
1160.53.30005 Boehringer Ingelheim Investigational Site
Athens
1160.53.30006 Boehringer Ingelheim Investigational Site
Athens
Mexico3 sites
1160.53.5264 Boehringer Ingelheim Investigational Site
Chihuahua City
1160.53.5270 Boehringer Ingelheim Investigational Site
Culiacán
1160.53.5262 Boehringer Ingelheim Investigational Site
San Luis Potosí City
Ukraine3 sites
1160.53.38006 Boehringer Ingelheim Investigational Site
Kiev
1160.53.38005 Boehringer Ingelheim Investigational Site
Vinnitsa
1160.53.38003 Boehringer Ingelheim Investigational Site
Zaporizhzhya
About this study
Official title: A Phase III, Randomised, Double Blind, Parallel-group Study of the Efficacy and Safety of Oral Dabigatran Etexilate 150 mg Twice Daily Compared to Warfarin (INR 2.0-3.0) for 6 Month Treatment of Acute Symptomatic Venous Thromboembolism (VTE), Following Initial Treatment (5-10 Days) With a Parenteral Anticoagulant Approved for This Indication.
The purpose of this trial is to determine the comparative safety and efficacy of dabigatran etexilate 150 mg bid administered orally and warfarin as needed (pro re nata - prn) to maintain an International Normalised Ratio (INR) of 2.0-3.0 for 6 month treatment of acute symptomatic venous thromboembolism (VTE), following initial treatment (5-10 days) with a parenteral anticoagulant approved for this indication. This trial aims to demonstrate non-inferiority of dabigatran compared with warfarin in patients with acute symptomatic VTE. After achieving non-inferiority, this trial also aims to establish superiority (by means of hierarchical tests) of dabigatran over warfarin.
- Conditions
- Thromboembolism
- Being tested
- dabigatran etexilate 150 mg, warfarin (INR 2-3)
- Medical subject headings
- Thromboembolism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dabigatran etexilate 150 mgDrug
twice daily
warfarin (INR 2-3)Drug
prn to maintain INR (2-3)
| Study group | Role | What they receive |
|---|---|---|
| dabigatran etexilate 150 mg | Experimental | twice daily Receives: Drug: dabigatran etexilate 150 mg |
| warfarin (INR 2-3) | Active comparator | prn to maintain INR (2-3) Receives: Drug: warfarin (INR 2-3) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Recurrent Symptomatic Venous Thromboembolism (VTE) and Deaths Related to VTE
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to end of post treatment period (ptp), planned to be up to day 224. For statistical analysis 2: from randomisation to 6 months (up to day 180)
Secondary outcomes (8)
Number of Participants With Recurrent Symptomatic VTE and All Deaths
VTE or any death which occured from randomisation to end of post treatment period.
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Recurrent Symptomatic DVT
Symptomatic DVT which occured from randomisation to end of post treatment period.
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Recurrent Symptomatic Non-fatal PE
Symptomatic non-fatal PE which occured from randomisation to end of post treatment period.
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants Who Died Due to VTE
VTE - related deaths which occured from randomisation to end of post treatment period.
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants Who Died (Any Cause)
Any deaths which occured from randomisation to end of post treatment period. All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Bleeding Events
Major bleeding events (MBE) were defined as
- Fatal bleeding
- Symptomatic bleeding in a critical area or organ
- Bleeding causing a fall in haemoglobin level of 20 g/L (1.24 mmol/L) or more, or leading to transfusion of 2 or more units of whole blood or red cells
Clinically-relevant bleeding events (CRBE) was defined as
- spontaneous skin hematoma >=25 cm²
- spontaneous nose bleed >5 min
- macroscopic hematuria spontaneous or >24 hours if associated with an intervention
- spontaneous rectal bleeding (more than spotting on toilet paper)
- gingival bleeding >5 min
- leading to hospitalisation and / or requiring surgical treatment
- leading to a transfusion of <2 units of whole blood or red cells
- any other bleeding event considered clinically relevant by the investigator
Any bleeding events were defined as major, clinically-relevant and nuisance bleeding events. Nuisance bleeding events were defined as all other bleeding events that did not fulfil the criteria from above.
Measured: From first intake of study drug to last intake of study drug + 6 days washout (washout time can be reduced until 0 day if the patient takes an other anti-coagulant therapy on and after last intake of active study drug)
Number of Participants With Acute Coronary Syndrome (ACS)
Any ACS occurring during the conduct of the study (centrally adjudicated as definite).
Counts of patients having a centrally adjudicated definite ACS during intake of active study drug, after stopping active study drug and before or without intake of active study drug, according to treatment group.
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
Measured: From first intake of study drug to end of study conduct
Laboratory Analyses
Frequency of patients with possible clinically significant abnormalities.
Measured: From first intake of study drug to last intake of study drug + 6 days washout (washout time can be reduced until 0 day if the patient takes an other anti-coagulant therapy on and after last intake of active study drug)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2006 (estimated)
- Study startFeb 2006
- Primary completionMay 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for ThromboembolismStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 2,564 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00291330
- Sponsor's protocol ID
- 1160.53
- Other IDs
- 2005-001999-12, 2005
- Acronym
- RE-COVER I
- Status last verified
- Apr 2014
- First submitted
- 13 Feb 2006
- Last updated
- 6 Jun 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Goldhaber SZ, Eriksson H, Kakkar A, Schellong S, Feuring M, Fraessdorf M, Kreuzer J, Schueler E, Schulman S. Efficacy of dabigatran versus warfarin in patients with acute venous thromboembolism in the presence of thrombophilia: Findings from RE-COVER(R), RE-COVER II, and RE-MEDY. Vasc Med. 2016 Dec;21(6):506-514. doi: 10.1177/1358863X16668588. Epub 2016 Nov 1.
PubMed 27807306Schulman S, Kakkar AK, Goldhaber SZ, Schellong S, Eriksson H, Mismetti P, Christiansen AV, Friedman J, Le Maulf F, Peter N, Kearon C; RE-COVER II Trial Investigators. Treatment of acute venous thromboembolism with dabigatran or warfarin and pooled analysis. Circulation. 2014 Feb 18;129(7):764-72. doi: 10.1161/CIRCULATIONAHA.113.004450. Epub 2013 Dec 16.
PubMed 24344086Majeed A, Hwang HG, Connolly SJ, Eikelboom JW, Ezekowitz MD, Wallentin L, Brueckmann M, Fraessdorf M, Yusuf S, Schulman S. Management and outcomes of major bleeding during treatment with dabigatran or warfarin. Circulation. 2013 Nov 19;128(21):2325-32. doi: 10.1161/CIRCULATIONAHA.113.002332. Epub 2013 Sep 30.
PubMed 24081972Schulman S, Kearon C, Kakkar AK, Mismetti P, Schellong S, Eriksson H, Baanstra D, Schnee J, Goldhaber SZ; RE-COVER Study Group. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. N Engl J Med. 2009 Dec 10;361(24):2342-52. doi: 10.1056/NEJMoa0906598.
PubMed 19966341
Study at a glance
From the registry record, last updated by the sponsor on 6 Jun 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomised, Double Blind, Parallel-group Study of the Efficacy and Safety of Oral Dabigatran Etexilate 150 mg Twice Daily Compared to Warfarin (INR 2.0-3.0) for 6 Month Treatment of Acute Symptomatic Venous Thromboembolism (VTE), Following Initial Treatment (5-10 Days) With a Parenteral Anticoagulant Approved for This Indication.
- ClinicalTrials.gov ID
- NCT00291330
- Acronym / sponsor ID
- RE-COVER I / 1160.53
- Conditions
- Thromboembolism
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,564 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Feb 2006
- Primary completion
- May 2009 (actual)
- First posted
- 14 Feb 2006 (estimated)
- Results
- Posted 11 Feb 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this trial is to determine the comparative safety and efficacy of dabigatran etexilate 150 mg bid administered orally and warfarin as needed (pro re nata - prn) to maintain an International Normalised Ratio (INR) of 2.0-3.0 for 6 month treatment of acute symptomatic venous thromboembolism (VTE), following initial treatment (5-10 days) with a parenteral anticoagulant approved for this indication. This trial aims to demonstrate non-inferiority of dabigatran compared with warfarin in patients with acute symptomatic VTE. After achieving non-inferiority, this trial also aims to establish superiority (by means of hierarchical tests) of dabigatran over warfarin.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| dabigatran etexilate 150 mg | Experimental | Drug: dabigatran etexilate 150 mgtwice daily |
| warfarin (INR 2-3) | Active comparator | Drug: warfarin (INR 2-3)prn to maintain INR (2-3) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Acute deep vein thrombosis (DVT) of the leg involving proximal veins, and/or pulmonary embolism (PE) iin patients for whom at least 6 months of anticoagulant therapy is considered appropriate
- Male or female, being 18 years of age or older
- Written informed consent for study participation
Key exclusion criteria (17 listed)
- Overt symptoms of VTE for longer than 2 weeks prior to enrolment
- PE satisfying at least one of the following criteria: Haemodynamic instability, embolectomy is indicated or performed, thrombolytic therapy is indicated or performed, or suspected source of PE is other than the legs
- Actual or anticipated use of vena cava filter
- Contraindications to anticoagulant therapy
- Patients who in the investigators opinion should not be treated with warfarin
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| dabigatran etexilate 150 mgtwice daily | Drug | dabigatran etexilate 150 mg |
| warfarin (INR 2-3)prn to maintain INR (2-3) | Drug | warfarin (INR 2-3) |
Primary outcome
Number of Participants With Recurrent Symptomatic Venous Thromboembolism (VTE) and Deaths Related to VTE
Time frame: For statistical analysis 1: from randomisation to end of post treatment period (ptp), planned to be up to day 224. For statistical analysis 2: from randomisation to 6 months (up to day 180)
All suspected recurrent VTEs and all deaths and bleeding events were evaluated by an independent central adjudication committee, and all analyses are based on the events that were centrally confirmed by this committee.
8 secondary outcomes
Number of Participants With Recurrent Symptomatic VTE and All Deaths
Time frame: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Recurrent Symptomatic DVT
Time frame: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Recurrent Symptomatic Non-fatal PE
Time frame: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants Who Died Due to VTE
Time frame: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants Who Died (Any Cause)
Time frame: For statistical analysis 1: from randomisation to 6 months (up to day 180) For statistical analysis 2: from randomisation to end of ptp, planned to be up to day 224.
Number of Participants With Bleeding Events
Time frame: From first intake of study drug to last intake of study drug + 6 days washout (washout time can be reduced until 0 day if the patient takes an other anti-coagulant therapy on and after last intake of active study drug)
Number of Participants With Acute Coronary Syndrome (ACS)
Time frame: From first intake of study drug to end of study conduct
Laboratory Analyses
Time frame: From first intake of study drug to last intake of study drug + 6 days washout (washout time can be reduced until 0 day if the patient takes an other anti-coagulant therapy on and after last intake of active study drug)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27807306Goldhaber SZ, Eriksson H, Kakkar A, Schellong S, Feuring M, Fraessdorf M, Kreuzer J, Schueler E, Schulman S. Efficacy of dabigatran versus warfarin in patients with acute venous thromboembolism in the presence of thrombophilia: Findings from RE-COVER(R), RE-COVER II, and RE-MEDY. Vasc Med. 2016 Dec;21(6):506-514. doi: 10.1177/1358863X16668588. Epub 2016 Nov 1.
- Derived from this study: PubMed 24344086Schulman S, Kakkar AK, Goldhaber SZ, Schellong S, Eriksson H, Mismetti P, Christiansen AV, Friedman J, Le Maulf F, Peter N, Kearon C; RE-COVER II Trial Investigators. Treatment of acute venous thromboembolism with dabigatran or warfarin and pooled analysis. Circulation. 2014 Feb 18;129(7):764-72. doi: 10.1161/CIRCULATIONAHA.113.004450. Epub 2013 Dec 16.
- Derived from this study: PubMed 24081972Majeed A, Hwang HG, Connolly SJ, Eikelboom JW, Ezekowitz MD, Wallentin L, Brueckmann M, Fraessdorf M, Yusuf S, Schulman S. Management and outcomes of major bleeding during treatment with dabigatran or warfarin. Circulation. 2013 Nov 19;128(21):2325-32. doi: 10.1161/CIRCULATIONAHA.113.002332. Epub 2013 Sep 30.
- Derived from this study: PubMed 19966341Schulman S, Kearon C, Kakkar AK, Mismetti P, Schellong S, Eriksson H, Baanstra D, Schnee J, Goldhaber SZ; RE-COVER Study Group. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. N Engl J Med. 2009 Dec 10;361(24):2342-52. doi: 10.1056/NEJMoa0906598.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim study chair
Boehringer Ingelheim
250 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing dabigatran etexilate 150 mg and warfarin (INR 2-3) in people with Thromboembolism, run by Boehringer Ingelheim at 250 sites in 29 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 250 sites in France, United States, Canada, Russia, India and 24 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Feb 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Recurrent Symptomatic Venous Thromboembolism (VTE) and Deaths Related to VTE (time frame: For statistical analysis 1: from randomisation to end of post treatment period (ptp), planned to be up to day 224. For statistical analysis 2: from randomisation to 6 months (up to day 180)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00291330, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2014.