Atrial FibrillationPhase 2NCT01136408
A Dose Response Study of Dabigatran Etexilate(BIBR 1048) in Pharmacodynamics and Safety in Patients With Non-valvular Atrial Fibrillation in Comparison to Warfarin
A Phase 2 study testing Dabigatran etexilate and Warfarin in people with Atrial Fibrillation, run by Boehringer Ingelheim at 28 sites in Japan.
Trial summary
The primary objective was to evaluate the safety of dabigatran etexilate(BIBR 1048) administered orally at doses of 110 and 150 mg, twice daily, for 12 weeks in patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent) in comparison with warfarin. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Atrial Fibrillation
- What is being tested?
- Dabigatran etexilate and Warfarin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 174 participants
- Where
- 28 sitesJapan
- Study dates
- Nov 2005to Sep 2006
- Phase
- Phase 2
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent)
- Patients who had additional risk factor for thromboembolism; one or more of the following conditions/events:
- Hypertension
- Diabetes mellitus
- Left-side heart failure
- A previous ischemic stroke or transient ischemic attack
- Age 75 years or older
- A history of coronary artery diseases
Who cannot join
- Patients diagnosed as having a valvular heart disease by echocardiography, or patients who had a history of prosthetic valve replacement or valve surgery
- Patients who were to receive electric defibrillation or pharmacological defibrillation during the study period
- Patients who developed stroke or transient ischemic attack within 30 days before the date of informed consent
- Patients who developed myocardial infarction or were admitted to hospital due to acute coronary syndrome or for percutaneous transluminal coronary angioplasty within 3 months before the date of informed consent or patients underwent coronary stenting within 6 months before the date of informed consent
- Patients with atrial myxoma or left ventricular thrombosis
- Patients with contraindication to anticoagulant therapies
Show all 9Show fewer
- Patients scheduled for major surgery or invasive procedure
- Patients having major bleeding from non-gastrointestinal organs within 6 months before the date of informed consent
- Patients with uncontrolled hypertension
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
Japan28 sites
1160.49.024 Boehringer Ingelheim Investigational Site
Aki-gun, Hiroshima
1160.49.025 Boehringer Ingelheim Investigational Site
Fukuoka, Fukuoka
1160.49.026 Boehringer Ingelheim Investigational Site
Fukuoka, Fukuoka
1160.49.021 Boehringer Ingelheim Investigational Site
Himeji, Hyogo
1160.49.027 Boehringer Ingelheim Investigational Site
Iizuka,Fukuoka
1160.49.013 Boehringer Ingelheim Investigational Site
Kyoto, Kyoto
1160.49.011 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1160.49.012 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1160.49.004 Boehringer Ingelheim Investigational Site
Naka-gun, Ibaragi
1160.49.022 Boehringer Ingelheim Investigational Site
Okayama, Okayama
1160.49.023 Boehringer Ingelheim Investigational Site
Okayama, Okayama
1160.49.006 Boehringer Ingelheim Investigational Site
Oota, Tokyo
1160.49.016 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1160.49.017 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1160.49.018 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1160.49.019 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1160.49.020 Boehringer Ingelheim Investigational Site
Sakai, Osaka
1160.49.001 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1160.49.028 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1160.49.002 Boehringer Ingelheim Investigational Site
Sendai, Miyagi
1160.49.005 Boehringer Ingelheim Investigational Site
Shinjuku, Tokyo
1160.49.014 Boehringer Ingelheim Investigational Site
Suita, Osaka
1160.49.015 Boehringer Ingelheim Investigational Site
Suita, Osaka
1160.49.007 Boehringer Ingelheim Investigational Site
Tokorozawa, Saitama
1160.49.009 Boehringer Ingelheim Investigational Site
Toyama, Toyama
1160.49.003 Boehringer Ingelheim Investigational Site
Tsuchiura, Ibaragi
1160.49.029 Nagano National Hospital
Ueda, Nagano
1160.49.008 Boehringer Ingelheim Investigational Site
Yokohama, Kanagawa
About this study
Official title: Open Label, Randomised Exploratory Dose Response Study in Pharmacodynamics and Safety of BIBR 1048 (110 mg Twice Daily (b.i.d.) and 150 mg b.i.d.) for 12 Weeks in Patients With Non-valvular Atrial Fibrillation in Comparison to Warfarin
The primary objective was to evaluate the safety of dabigatran etexilate(BIBR 1048) administered orally at doses of 110 and 150 mg, twice daily, for 12 weeks in patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent) in comparison with warfarin.
- Conditions
- Atrial Fibrillation
- Being tested
- Dabigatran etexilate, Warfarin
- Medical subject headings
- Atrial Fibrillation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dabigatran etexilateDrug
Dabigatran etexilate 110 mg capsule, twice a day, oral administration
Dabigatran etexilateDrug
Dabigatran etexilate 150 mg capsule, twice a day, oral administration
WarfarinDrug
Dose-adjusted warfarin based on target INR values
| Study group | Role | What they receive |
|---|---|---|
| Dabigatran etexilate 220 mg daily | Experimental | Dabigatran etexilate 110 mg capsule, twice a day, oral administration Receives: Drug: Dabigatran etexilate |
| Dabigatran etexilate 300 mg daily | Experimental | Dabigatran etexilate 150 mg capsule, twice a day, oral administration Receives: Drug: Dabigatran etexilate |
| Warfarin | Active comparator | Dose-adjusted warfarin based on target INR values Receives: Drug: Warfarin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency (Occurrence Rates) of Major Bleeding Event
The percentage of patients with major bleeding event.
Major bleeding was defined as any bleed fulfilling one of the following conditions:
- Fatal or life-threatening
- Retroperitoneal, intracranial, intraocular, or intraspinal bleeding (verified by objective testing)
- Bleeding requiring surgical treatment
- Clinically overt bleeding leading to a transfusion (erythrocyte component transfusion or whole blood transfusion) of 4.5 units (equal to 2 units in EU/US) or more
- Clinically overt bleeding leading to a fall in haemoglobin of at least 2 g/dL
Measured: upto 15 weeks
Frequency (Occurrence Rates) of Clinically Relevant Bleeding Event
The percentage of patients with clinically relevant bleeding event.
Any bleed that did not qualify as a major bleed was defined as a minor bleed; minor bleed which fulfilled one of the criteria below was defined as a clinically relevant bleeding event:
- A skin haematoma of at least 25 sqcm
- Spontaneous nose bleed lasting for more than 5 minutes
- Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours)
- Spontaneous rectal bleeding (more than spotting on toilet paper)
- Gingival bleeding lasting for more than 5 minutes
- Bleeding leading to hospitalisation
- Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US)
- Any other bleeding considered clinically relevant by the investigator
Measured: upto 15 weeks
Frequency (Occurrence Rates) of Nuisance Bleeding Event
The percentage of patients with nuisance bleeding event
Any bleed that did not qualify as a major bleed was defined as a minor bleed; all minor bleeding events not fulfilling one of the criteria below was defined as a nuisance bleeding event:
- A skin haematoma of at least 25 sqcm
- Spontaneous nose bleed lasting for more than 5 minutes
- Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours)
- Spontaneous rectal bleeding (more than spotting on toilet paper)
- Gingival bleeding lasting for more than 5 minutes
- Bleeding leading to hospitalisation
- Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US)
- Any other bleeding considered clinically relevant by the investigator
Measured: Upto 15 weeks
Incidence and Severity of Adverse Events
Intensity of event is categorised as mild, moderate and severe.
Measured: Upto 15 weeks
Discontinuation of the Study Drug Due to Adverse Events
Discontinuation of the study drug due to adverse events.
Measured: Upto 15 weeks
Changes in Laboratory Test Values
The number of patients with ALT, AST, alkaline phosphatase, or bilirubin exceeded the upper limit of normal (ULN) range
Measured: 12 weeks
Secondary outcomes (12)
Frequency (Occurrence Rates) of a Composite Clinical Endpoint.
Percentage of patients with the composite clinical endpoint (ischemic or haemorrhagic stroke (fatal or non-fatal), transient ischemic attacks, systemic embolism, myocardial infarction (fatal or non-fatal), other major adverse cardiac events, and death)
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Ischemic or Haemorrhagic Stroke (Fatal or Non-fatal)
The percentage of patients with ischemic or haemorrhagic stroke (fatal or non-fatal)
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Transient Ischemic Attack
The percentage of patients with transient ischemic attack
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Systemic Embolism
The percentage of patients with systemic embolism
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Myocardial Infarction (Fatal or Non-fatal)
The percentage of patients with myocardial infarction (fatal or non-fatal)
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Other Major Adverse Cardiac Events
The percentage of patients with other major adverse cardiac events
Measured: Upto 15 weeks
Frequency (Occurrence Rates) of Death
The percentage of patients with death
Measured: Upto 15 weeks
Anticoagulation Effects Trough aPTT (Activated Partial Thromboplastin Time)
The blood coagulation parameter aPTT was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Measured: Week 0,1,4 and 12
Anticoagulation Effects Trough ECT (Ecarin Clotting Time)
The blood coagulation parameter ECT was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Measured: Week 0,1,4 and 12
Anticoagulation Effects Trough INR (International Normalised Ratio)
The blood coagulation parameter INR was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Measured: Week 0,1,4 and 12
Anticoagulation Effects Trough 11-dehydrothromboxane B2
Analysis based on concomitant use of aspirin compared to no aspirin users. 11-dehydrothromboxane B2 is measured in urine of patients.
Measured: Week 0 and 12
Steady-state Pharmacokinetics of Total Dabigatran Trough Plasma Concentration
Measured: Week 1,4 and 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jun 2010 (estimated)
- Study startNov 2005
- Primary completionSep 2006
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.
- Other trials for Atrial FibrillationStudies 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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 174 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
- NCT01136408
- Sponsor's protocol ID
- 1160.49
- Status last verified
- Feb 2014
- First submitted
- 19 May 2010
- Last updated
- 19 Mar 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open Label, Randomised Exploratory Dose Response Study in Pharmacodynamics and Safety of BIBR 1048 (110 mg Twice Daily (b.i.d.) and 150 mg b.i.d.) for 12 Weeks in Patients With Non-valvular Atrial Fibrillation in Comparison to Warfarin
- ClinicalTrials.gov ID
- NCT01136408
- Acronym / sponsor ID
- 1160.49
- Conditions
- Atrial Fibrillation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 174 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Nov 2005
- Primary completion
- Sep 2006 (actual)
- First posted
- 3 Jun 2010 (estimated)
- Results
- Posted 17 Dec 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective was to evaluate the safety of dabigatran etexilate(BIBR 1048) administered orally at doses of 110 and 150 mg, twice daily, for 12 weeks in patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent) in comparison with warfarin.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dabigatran etexilate 220 mg daily | Experimental | Drug: Dabigatran etexilateDabigatran etexilate 110 mg capsule, twice a day, oral administration |
| Dabigatran etexilate 300 mg daily | Experimental | Drug: Dabigatran etexilateDabigatran etexilate 150 mg capsule, twice a day, oral administration |
| Warfarin | Active comparator | Drug: WarfarinDose-adjusted warfarin based on target INR values |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent)
- Patients who had additional risk factor for thromboembolism; one or more of the following conditions/events:
Key exclusion criteria (9 listed)
- Patients diagnosed as having a valvular heart disease by echocardiography, or patients who had a history of prosthetic valve replacement or valve surgery
- Patients who were to receive electric defibrillation or pharmacological defibrillation during the study period
- Patients who developed stroke or transient ischemic attack within 30 days before the date of informed consent
- Patients who developed myocardial infarction or were admitted to hospital due to acute coronary syndrome or for percutaneous transluminal coronary angioplasty within 3 months before the date of informed consent or patients underwent coronary stenting within 6 months before the date of informed consent
- Patients with atrial myxoma or left ventricular thrombosis
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 etexilateDabigatran etexilate 110 mg capsule, twice a day, oral administration | Drug | Dabigatran etexilate 220 mg daily |
| Dabigatran etexilateDabigatran etexilate 150 mg capsule, twice a day, oral administration | Drug | Dabigatran etexilate 300 mg daily |
| WarfarinDose-adjusted warfarin based on target INR values | Drug | Warfarin |
Primary outcome
Frequency (Occurrence Rates) of Major Bleeding Event
Time frame: upto 15 weeks
The percentage of patients with major bleeding event. Major bleeding was defined as any bleed fulfilling one of the following conditions: * Fatal or life-threatening * Retroperitoneal, intracranial, intraocular, or intraspinal bleeding (verified by objective testing) * Bleeding requiring surgical treatment * Clinically overt bleeding leading to a transfusion (erythrocyte component transfusion or whole blood transfusion) of 4.5 units (equal to 2 units in EU/US) or more * Clinically overt bleeding leading to a fall in haemoglobin of at least 2 g/dL
Frequency (Occurrence Rates) of Clinically Relevant Bleeding Event
Time frame: upto 15 weeks
The percentage of patients with clinically relevant bleeding event. Any bleed that did not qualify as a major bleed was defined as a minor bleed; minor bleed which fulfilled one of the criteria below was defined as a clinically relevant bleeding event: * A skin haematoma of at least 25 sqcm * Spontaneous nose bleed lasting for more than 5 minutes * Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours) * Spontaneous rectal bleeding (more than spotting on toilet paper) * Gingival bleeding lasting for more than 5 minutes * Bleeding leading to hospitalisation * Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US) * Any other bleeding considered clinically relevant by the investigator
Frequency (Occurrence Rates) of Nuisance Bleeding Event
Time frame: Upto 15 weeks
The percentage of patients with nuisance bleeding event Any bleed that did not qualify as a major bleed was defined as a minor bleed; all minor bleeding events not fulfilling one of the criteria below was defined as a nuisance bleeding event: * A skin haematoma of at least 25 sqcm * Spontaneous nose bleed lasting for more than 5 minutes * Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours) * Spontaneous rectal bleeding (more than spotting on toilet paper) * Gingival bleeding lasting for more than 5 minutes * Bleeding leading to hospitalisation * Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US) * Any other bleeding considered clinically relevant by the investigator
Incidence and Severity of Adverse Events
Time frame: Upto 15 weeks
Intensity of event is categorised as mild, moderate and severe.
Discontinuation of the Study Drug Due to Adverse Events
Time frame: Upto 15 weeks
Discontinuation of the study drug due to adverse events.
Changes in Laboratory Test Values
Time frame: 12 weeks
The number of patients with ALT, AST, alkaline phosphatase, or bilirubin exceeded the upper limit of normal (ULN) range
12 secondary outcomes
Frequency (Occurrence Rates) of a Composite Clinical Endpoint.
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Ischemic or Haemorrhagic Stroke (Fatal or Non-fatal)
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Transient Ischemic Attack
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Systemic Embolism
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Myocardial Infarction (Fatal or Non-fatal)
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Other Major Adverse Cardiac Events
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Death
Time frame: Upto 15 weeks
Anticoagulation Effects Trough aPTT (Activated Partial Thromboplastin Time)
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough ECT (Ecarin Clotting Time)
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough INR (International Normalised Ratio)
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough 11-dehydrothromboxane B2
Time frame: Week 0 and 12
Steady-state Pharmacokinetics of Total Dabigatran Trough Plasma Concentration
Time frame: Week 1,4 and 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Mar 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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
28 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Dabigatran etexilate and Warfarin in people with Atrial Fibrillation, run by Boehringer Ingelheim at 28 sites in Japan.
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 8 inclusion and 9 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 19 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 17 Dec 2010). 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?
Frequency (Occurrence Rates) of Major Bleeding Event (time frame: upto 15 weeks). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Mar 2014.