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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Japan

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.

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 groups in NCT01136408
Study groupRoleWhat they receive
Dabigatran etexilate 220 mg dailyExperimentalDabigatran etexilate 110 mg capsule, twice a day, oral administration
Receives: Drug: Dabigatran etexilate
Dabigatran etexilate 300 mg dailyExperimentalDabigatran etexilate 150 mg capsule, twice a day, oral administration
Receives: Drug: Dabigatran etexilate
WarfarinActive comparatorDose-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.

  1. 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

  2. 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

  3. 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

  4. Incidence and Severity of Adverse Events

    Intensity of event is categorised as mild, moderate and severe.

    Measured: Upto 15 weeks

  5. Discontinuation of the Study Drug Due to Adverse Events

    Discontinuation of the study drug due to adverse events.

    Measured: Upto 15 weeks

  6. 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)
  1. 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

  2. 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

  3. Frequency (Occurrence Rates) of Transient Ischemic Attack

    The percentage of patients with transient ischemic attack

    Measured: Upto 15 weeks

  4. Frequency (Occurrence Rates) of Systemic Embolism

    The percentage of patients with systemic embolism

    Measured: Upto 15 weeks

  5. 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

  6. Frequency (Occurrence Rates) of Other Major Adverse Cardiac Events

    The percentage of patients with other major adverse cardiac events

    Measured: Upto 15 weeks

  7. Frequency (Occurrence Rates) of Death

    The percentage of patients with death

    Measured: Upto 15 weeks

  8. 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

  9. 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

  10. 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

  11. 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

  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.

  1. First posted3 Jun 2010 (estimated)
  2. Study startNov 2005
  3. Primary completionSep 2006

Resources

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)
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

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.

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