Atrial FibrillationPhase 3NCT02164864
Evaluation of Dual Therapy With Dabigatran vs. Triple Therapy With Warfarin in Patients With AF That Undergo a PCI With Stenting (REDUAL-PCI)
A Phase 3 study testing Dabigatran Etexilate 110mg, Warfarin 3mg and Aspirin in people with Atrial Fibrillation and Percutaneous Coronary Intervention, run by Boehringer Ingelheim at 421 sites in 41 countries.
Trial summary
The main objective of this study is to compare a Dual Antithrombotic Therapy (DAT) regimen of 110mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor (110mg dabigatran etexilate (DE) DAT) and 150mg dabigatran etexilate b.i.d. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Atrial Fibrillation, Percutaneous Coronary Intervention
- What is being tested?
- Dabigatran Etexilate 110mg, Warfarin 3mg and Aspirin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,725 participants
- Where
- 421 sitesin 41 countries
- Study dates
- 22 Jul 2014to 5 Jun 2017
- 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
- Male or female patients aged >=18 years
- Patients with Non Valvular Atrial Fibrillation
- Patient presenting with:
- An Acute Coronary Syndrome (ACS) (ST elevation myocardial infarction (STEMI), NonSTEMI [NSTEMI] or unstable angina [UA]) that was successfully treated by PCI and stenting (either Bare Metal Stent (BMS) or Drug Eluting Stent) Or Stable Coronary Artery Disease with at least one lesion eligible for PCI that was successfully treated by elective PCI and stenting (either BMS or DES)
- The patient must be able to give informed consent in accordance with International Conference on Harmonisation Good Clinical Practice guidelines and local legislation and/or regulations.
Who cannot join
- Patients with a mechanical or biological heart valve prosthesis
- Cardiogenic shock during current hospitalisation
- Stroke within 1 month prior to screening visit
- Patients who have had major surgery within the month prior to screening
- Gastrointestinal haemorrhage within one month prior to screening, unless, in the opinion of the Investigator, the cause has been permanently eliminated
- Major bleeding episode including life-threatening bleeding episode in one month prior to screening visit
Show all 9Show fewer
- Anaemia (haemoglobin <10g/dL) or thrombocytopenia including heparin-induced thrombocytopenia (platelet count <100 x 109/L) at screening
- Severe renal impairment (estimated Creatinine Clearance (CrCl) calculated by Cockcroft-Gault equation) <30mL/min at screening
- Active liver disease
Trial locations and contacts
421 sites in 41 countries.
421 sites in 41 countries
Germany50 sites
SLK-Kliniken Heilbronn GmbH
Bad Friedrichshall, 74177
Kerckhoff-Klinik, Bad Nauheim
Bad Nauheim, 61231
Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen
Bad Oeynhausen, 32545
CIMS Studienzentrum Bamberg GmbH
Bamberg, 96049
Vivantes Netzwerk für Gesundheit GmbH
Berlin, 10967
Charité - Universitätsmedizin Berlin
Berlin, 12200
Vivantes Netzwerk für Gesundheit GmbH
Berlin, 12351
Charité - Universitätsmedizin Berlin
Berlin, 13353
Klinikum Bielefeld gGmbH
Bielefeld, 33604
St. Josef- und St. Elisabeth-Hospital gGmbH
Bochum, 44791
Universitätsklinikum Bonn AöR
Bonn, 53127
Allgemeines Krankenhaus, Celle
Celle, 29223
Klinikum Coburg gGmbH
Coburg, 96450
Helios Amper-Klinikum Dachau
Dachau, 85221
St. Johannes Hospital Dortmund
Dortmund, 44137
Städtisches Klinikum Dresden
Dresden, 01067
Praxisklinik Herz und Gefäße
Dresden, 01324
Evangelisches Krankenhaus Düsseldorf
Düsseldorf, 40217
Agaplesion Markus Krankenhaus
Frankfurt, 60431
Universitätsklinikum Frankfurt
Frankfurt, 60590
Städtisches Klinikum, Fulda
Fulda, 36043
Herz- und Gefäßzentrum (HGZ-Göttingen) am Krankenhaus Neu Bethlehem
Göttingen, 37073
Universitätsmedizin Göttingen, Georg-August-Universität
Göttingen, 37075
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Cardiologicum Hamburg
Hamburg, 22041
Westküstenkliniken Brunsbüttel und Heide gGmbH
Heide, 25746
HPK-Heidelberger Praxisklinik
Heidelberg, 69115
Universitätsklinikum des Saarlandes
Homburg/Saar, 66421
Universitätsklinikum Jena
Jena, 07740
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105
Asklepios Klinik Langen-Seligenstadt GmbH
Langen, 63225
Herzzentrum Leipzig GmbH
Leipzig, 04289
Märkische Gesundheitsholding GmbH & Co. KG, Klinikum Lüdenscheid
Lüdenscheid, 58515
Klinikum der Stadt Ludwigshafen am Rhein gGmbH
Ludwigshafen, 67063
Universitätsklinikum Magdeburg AöR
Magdeburg, 39120
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, 55131
Universitätsklinikum Mannheim GmbH
Mannheim, 68167
Carl-von-Basedow Klinikum Saalekreis gGmgH
Merseburg, 06217
Klinikum der Universität München - Campus Großhadern
München, 81377
Städtisches Klinikum München GmbH
München, 81737
Städtisches Klinikum München GmbH
München, 81925
Universitätsklinikum Münster
Münster, 48149
St. Vincenz-Krankenhaus GmbH
Paderborn, 33098
Sana-Klinikum Remscheid GmbH
Remscheid, 42859
Universitätsmedizin Rostock
Rostock, 18057
Robert-Bosch-Krankenhaus GmbH
Stuttgart, 70376
Universitätsklinikum Tübingen
Tübingen, 72076
Universitätsklinikum Ulm
Ulm, 89081
Marien-Hospital-Wesel gGmbH
Wesel, 46483
Helios Universitätsklinikum Wuppertal
Wuppertal, 42117
United States45 sites
Community Clinical Research Center
Anderson, Indiana, 46011
Aurora Denver Cardiology Associates, PC
Aurora, Colorado, 80012
Cardiology P.C.
Birmingham, Alabama, 35211
Massachusetts General Hospital
Boston, Massachusetts, 02114
Brigham and Women's Hospital
Boston, Massachusetts, 02115
VA Western New York Healthcare System
Buffalo, New York, 14215
Chambersburg Hospital
Chambersburg, Pennsylvania, 17201
Novant Health Heart and Vascular Institute
Charlotte, North Carolina, 28204
Chattanooga Heart Institute
Chattanooga, Tennessee, 37404
Verde Valley Medical Center
Cottonwood, Arizona, 86326
Dallas VA Medical Center
Dallas, Texas, 75216
Saint Mary's Medical Center dba Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Midwest Cardiovascular Research and Education Foundation
Elkhart, Indiana, 46514
Mission Cardiovascular Research Institute
Fremont, California, 94538
Altru Health System
Grand Forks, North Dakota, 58201
Pinnacle Health Harrisburg Hospital
Harrisburg, Pennsylvania, 17101
Cardiovascular Institute of the South
Houma, Louisiana, 70360
Cape Cod Research Institute
Hyannis, Massachusetts, 02601
The Jackson Clinic, PA
Jackson, Tennessee, 38301
University of Florida College of Medicine
Jacksonville, Florida, 32209
Kansas City Veterans Administration Medical Center
Kansas City, Missouri, 64128
Watson Clinic, LLP
Lakeland, Florida, 33805
Arkansas Cardiology, PA
Little Rock, Arkansas, 72205
Holy Family Memorial, Inc
Manitowoc, Wisconsin, 54220
North Dallas Research Associates
McKinney, Texas, 75069
Cardiovascular Associates of Mesa
Mesa, Arizona, 85206
Mid Michigan Medical Center
Midland, Michigan, 48670
Ball Memorial Hospital
Muncie, Indiana, 47303
Vanderbilt University Medical Center
Nashville, Tennessee, 37232-8802
St. Michaels Medical Center
Newark, New Jersey, 07102
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Maine Medical Center
Portland, Maine, 04102
Richmond Cardiology Associates Research, LLC
Richmond, Indiana, 47374
Scott and White Healthcare
Round Rock, Texas, 78665
Covenant Medical Center, Inc.
Saginaw, Michigan, 48602
CentraCare Heart and Vascular Center
Saint Cloud, Minnesota, 56303
University of Utah Health Sciences Center
Salt Lake City, Utah, 84132
South Texas Cardiovascular Consultants
San Antonio, Texas, 78201
HonorHealth Research Institute
Scottsdale, Arizona, 85258
Saint Anthony's Medical Center
St Louis, Missouri, 63128
Cardiovascular Research Center
Toledo, Ohio, 43608
Bayview Physicians Services PC dba Cardiovascular Associates
Virginia Beach, Virginia, 23454
Lourdes Cardiology Services
Voorhees Township, New Jersey, 08043
Wichita Falls Heart Clinic
Wichita Falls, Texas, 76301
Japan38 sites
Japanese Red Cross Nagoya Daini Hospital
Aichi, Nagoya, 466-8650
Hirosaki University Hospital
Aomori, Hirosaki, 036-8563
Chiba University Hospital
Chiba, Chiba, 260-8677
Kokura Memorial Hospital
Fukuoka, Kitakyushu, 802-8555
Fukuoka-Higashi Med. Ctr. Fukuoka, CV
Fukuoka, Koga, 811-3195
Shin Koga Hospital
Fukuoka, Kurume, 830-8577
Gumma Prefectural Cardiovascular Center
Gunma, Maebashi, 371-0004
National Hospital Organization Takasaki General Medical Center
Gunma, Takasaki, 370-0829
Fukuyama Cardiovascular Hospital
Hiroshima, Fukuyama, 720-0804
Tokeidai Memorial Hospital
Hokkaido, Sapporo, 060-0031
National Hospital Organization Hokkaido Medical Center
Hokkaido, Sapporo, 063-0005
Hyogo Brain and Heart Center
Hyogo, Himeji, 670-0981
The Veritas Hospital
Hyogo, Kawanishi, 666-0125
Kobe University Hospital
Hyogo, Kobe, 650-0017
Takahashi Hospital
Hyogo, Kobe, 654-0026
National Hospital Organization Kanazawa Medical Center
Ishikawa, Kanazawa, 920-8650
Iwate Medical University Hospital
Iwate, Morioka, 020-8505
Kagawa Prefectural Central Hospital
Kagawa, Takamatsu, 760-8557
Shonan Fujisawa Tokushukai Hospital
Kanagawa, Fujisawa, 251-0041
Kitasato University Hospital
Kanagawa, Sagamihara, 252-0375
Yokohama City Minato Red Cross Hospital
Kanagawa, Yokohama, 231-8682
Kyoto University Hospital
Kyoto, Kyoto, 606-8507
Miyazaki Medical Association Hospital
Miyazaki, Miyazaki, 880-0834
Sakurabashi Watanabe Hospital
Osaka, Osaka, 530-0001
Osaka City Hospital Organization Osaka City General Hospital
Osaka, Osaka, 534-0021
Sayama General Clinic
Saitama, Sayama, 350-1305
National Hospital Organization Saitama National Hospital
Saitama, Wako, 351-0102
Kusatsu General Hospital
Shiga, Kusatsu, 525-8585
Omihachiman Community Medical Center
Shiga, Omihachiman, 523-0082
Tokushima Red Cross Hospital
Tokushima, Komatsushima, 773-8502
Nishiarai Heart Center Hospital
Tokyo, Adachi-ku, 123-0845
Nippon Medical School Hospital
Tokyo, Bunkyo-ku, 113-8603
Minamino Heart Clinic
Tokyo, Hachioji, 192-0918
Teikyo University Hospital
Tokyo, Itabashi-Ku, 173-8606
Nihon University Itabashi Hospital
Tokyo, Itabashi-Ku, 173-8610
Itabashi Chuo Medical Center
Tokyo, Itabashi-Ku, 174-0051
Global Health and Medicine Ctr
Tokyo, Shinjuku-ku, 162-8655
Tokyo Women's Medical University Hospital
Tokyo, Shinjuku-ku, 162-8666
Turkey (Türkiye)16 sites
Cukurova Universitesi Tip Fakultesi Kardiyoloji AnabilimDali
Adana, 01330
Türkiye Yüksek Ihtisas Egitim ve Arastirma Hastanesi
Ankara, 06100
Diskapi Yildirim Beyazit EAH
Ankara, 06110
Bursa Yuksek Ihtisas EAH
Bursa, 16330
Bezmialem Vakif Universitesi Tip Fakultesi Hastanesi
Istanbul, 34093
Istanbul Universitesi Kardiyoloji Enstitusu
Istanbul, 34096
Istanbul Universitesi Cerrahpasa Tip Fakultesi
Istanbul, 34098
Bagcilar Egitim ve Arastirma Hastanesi
Istanbul, 34200
Medipol Mega Üniversitesi Hastanesi
Istanbul, 34214
Istanbul Mehmet Akif Ersoy Egitim ve Arastirma Hastanesi
Istanbul, 34303
Siyami Ersek Gogus Kalp ve Damar Cerrahisi Hastanesi
Istanbul, 34668
Kartal Kosuyolu Yuksek Ihtisas EAH
Istanbul, 34846
Dokuz Eylul Unv. Tip Fakultesi
Izmir, 35340
Izmir Katip Celebi Univ. EAH
Izmir, 35360
Erciyes Universitesi Tip Fakultesi Kardiyoloji Anabilim Dali
Kayseri, 38039
Ondokuz Mayis Universitesi Tip Fakultesi
Samsun, 55139
Italy15 sites
Ospedale San Donato di Arezzo
Arezzo, 52100
ASST Papa Giovanni XXIII - A.O. Papa Giovanni XXIII
Bergamo, 24127
Fond. Poliambulanza Istituto
Brescia, 25100
A.O.U. Policlinico Vittorio Emanuele
Catania, 95124
Osp. Clin. SS. Anunziata
Chieti, 66100
Ospedale "Fabrizio Spaziani"
Frosinone, 03100
Ospedale della Misericordia
Grosseto, 58100
Azienda Ospedaliera Vito Fazzi
Lecce, 73100
Osp. Pediatrico Aprano Pasquinucci
Massa, 54100
Ospedale Cardarelli
Naples, 80131
Pol. Universitario Tor Vergata
Roma, 00133
Policlinico Gemelli
Roma, 00195
Presidio Ospedaliero di Saronno
Saronno (VA), 21047
Ospedale Bolognini
Seriate, 24068
Ospedale Molinette, AO Città della Salute e della
Torino, 10126
Russia14 sites
Altaiskyi Reg.Cardiologic Dispensary,Cardiology Dept,Barnaul
Barnaul, 656055
Regional Clinical Hospital No.3, Cardiology Dept,Chelyabinsk
Chelyabinsk, 454021
State Instit.Kazan Fed.Univ.
Kazan', 420043
State Autonomous Healthc Insti City Clin Hosp#7,Cardio,Kazan
Kazan', 420103
Res.Inst.-Compl.Iss.Cardi.Dis.
Kemerovo, 650002
Clin.Hosp.#1na S.V.Ochapovskiy
Krasnodar, 350086
City Clin.Hosp.#15 n.a.O.M.Filatov,Cardiology Dept.#2,Moscow
Moscow, 111 539
City Clin.Hosp#51,Moscow Healthcare Dep.X-ray surgery method
Moscow, 121309
Cntr of CV Surgery na Bakulev,Surg.Treatm of Inter.Path.dept
Moscow, 121552
North-Western Fed.Med.Resear.Centr na V.I.Almazov,Cardio.dep
Saint Petersburg, 197341
City Pokrovskiy Hospital, Cardiology Dept., Saint Petersburg
Saint Petersburg, 199 106
State Budg.Healthc.Instit.Samara Reg.Clin.Cardiology Dispens
Samara, 443070
State Budg.Healthc.Instit Volgograd RegClin.Cardiology Centr
Volgograd, 400008
Cent.f.Spec.Med.C.U.Cardi.Inst
Yekaterinburg, 620144
Spain14 sites
Hospital del Mar
Barcelona, 08003
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Clínic de Barcelona
Barcelona, 08036
Hospital de Bellvitge
L'Hospitalet Llobregat (bcn), 08907
Hospital Ramón y Cajal
Madrid, 28034
Hospital Clínico San Carlos
Madrid, 28040
Hospital La Paz
Madrid, 28046
Hospital Virgen de la Victoria
Málaga, 29010
Hospital de Manises
Manises, 46940
CS Parc Taulí
Sabadell (Barcelona), 08208
Hospital Clínico de Santiago
Santiago de Compostela, 15706
Hospital Virgen del Rocío
Seville, 41013
Hospital de Galdakao
Vizcaya, 48960
Hospital Miguel Servet
Zaragoza, 50009
South Korea13 sites
Inje University Haeundae Paik Hospital
Busan, 612-896
Kyungpook National Univ. Hosp
Daegu, 700-721
Yeungnam University Medical Center
Daegu, 705-703
Chonnam National University Hospital
Gwangju, 501-757
Pusan National Univ. Hosp
Pusan, 602-739
Kyung Hee University Hospital
Seoul, 02447
The Catholic University of Korea, Seoul St.Mary's Hospital
Seoul, 06591
Korea University Guro Hospital
Seoul, 08308
Severance Hospital
Seoul, 120-752
Korea University Anam Hospital
Seoul, 136-705
St.Carollo Hospital
Suncheon, 540-719
Ajou University Hospital
Suwon, 16499
Wonju Severance Christian Hosp
Wŏnju, 220-701
Czechia12 sites
Amkardia, s.r.o. Brno
Brno, 63900
Hospital Jihlava
Jihlava, 586 33
Karlovarska Reg.Hosp, Cardiology Dept, Karlovy Vary
Karlovy Vary, 36001
University Hospital Olomouc
Olomouc, 775 20
Municipal Hospital Ostrava
Ostrava, 728 80
General Faculty Hospital, Prague
Prague, 128 08
Institute for Clinical and Experimental Medicine
Prague, 140 21
University Hospital Motol
Prague, 150 06
Hospital Slany, Internal Department
Slaný, 274 01
Hospitals of Pardubice Region, Internal Department, Svitavy
Svitavy, 568 25
Masaryk Hospital, Usti nad Labem
Ústí nad Labem, 401 13
Hosp.of Pardubice Reg,Orlickoustecka,Internal Dept, Ustinad
Ústí nad Orlicí, 562 18
France12 sites
HOP Ambroise Paré
Boulogne-Billancourt, 92104
HOP de la Cavale Blanche
Brest, 29609
HOP Gabriel-Montpied
Clermont-Ferrand, 63003
HOP CHU de Grenoble
Grenoble, 38043
HOP St Joseph
Marseille, 13285
CLI du Pont de Chaume
Montauban, 82000
HOP Arnaud de Villeneuve
Montpellier, 34295
HOP Pasteur
Nice, 06002
HOP Lariboisière
Paris, 75010
HOP Salpêtrière, Cardio, Paris
Paris, 75651
CLI Saint-Hilaire
Rouen, 76000
HOP Rangueil
Toulouse, 31403
United Kingdom12 sites
Birmingham City Hospital
Birmingham, B18 7QH
Royal Bournemouth and Christchurch Hospital
Bournemouth, BH7 7DW
Royal Derby Hospital
Derby, DE22 3NE
Dorset County Hospital
Dorchester, DT1 2JY
Grantham District Hospital
Grantham, NG31 8DG
Wycombe General Hospital
High Wycombe, HP11 2TT
Glenfield Hospital
Leicester, LE3 9QP
Lincoln County Hospital
Lincoln, LN2 5QY
St Bartholomew's Hospital
London, EC1A 7BE
Altnagelvin Area Hospital
Londonderry, BT47 6SB
James Cook University Hospital
Middlesbrough, TS4 3BW
Royal Stoke University Hospital
Stoke-on-Trent, ST4 6QG
Canada11 sites
Calgary Heart Centre
Calgary, Alberta, T2N 4Z6
Dr. R. Labonte Prof. Med. Corp
Greater Sudbury, Ontario, P3E 3B8
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2
Royal Victoria Hospital
Montreal, Quebec, H3A 1A1
Kawartha Cardiology Clinical Trials
Peterborough, Ontario, K9J 0B2
CHUS Fleurimont
Sherbrooke, Quebec, J1H 5N4
IUCPQ (Laval University)
Ste-Foy, Quebec, GLV 4G5
Thunder Bay Regional Health Science Centre
Thunder Bay, Ontario, P7B 6V4
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
St. Michael's Hospital
Toronto, Ontario, M5B 1W8
St. Boniface General Hospital
Winnipeg, Manitoba, R2H 2A6
Belgium10 sites
Aalst - HOSP Onze-Lieve-Vrouw
Aalst, 9300
Bonheiden - HOSP Imelda
Bonheiden, 2820
Brussels-UNIV Brugmann -Horta
Brussels, 1020
Brussels - UNIV UZ Brussel
Brussels, 1090
AZ Sint-Lucas - Campus Sint Lucas
Ghent, 9000
Charleroi - HOSP St-Joseph
Gilly, 6060
Ziekenhuis Netwerk Antwerpen (ZNA) - Campus Middelheim
Middelheim, 2020
Sint-Niklaas - HOSP AZ Nikolaas (Campus St-Niklaas)
Sint-Niklaas, 9100
Tienen - PRAC De Wolf, Axel
Tienen, 3300
Brussels - HOSP Europe (Ste-Elisabeth)
Uccle, 1180
Greece10 sites
University Hospital of Alexandroupolis
Alexandroupoli, 68100
Hippokration Hospital, Univ Clinic of Cardiology
Athens, 11527
General Hospital of Athens "Alexandra"
Athens, 11528
General Hospital of Athens Konstantopoulio-Agia Olga
Athens, 14233
General Hospital of Attica "Sismanoglio - Amalia Fleming"
Athens, 15126
General Hospital of Chios, Department of Cardiology
Chios, 82100
University General Hospital of Heraklion
Heraklion, Crete, 71110
Univ. Gen. Hosp. of Ioannina
Ioannina, 45500
University Hospital of Patras
Pátrai, 26504
University Hospital of Thessaloniki AHEPA
Thessaloniki, 54636
Poland10 sites
Univ. Clinic Hosp, Bialystok
Bialystok, 15276
10.Military Clin.Hospital&Polyclinic
Bydgoszcz, 85681
Swissmed Vascular Sp. Z.o.o Hosp., Cardiology Dept., Gdansk
Gdansk, 80215
University Clinical Center, Gdansk
Gdansk, 80952
Reg.Hosp Kielce,Swietokrzyskie,1.Clinic of Cardiology,Kielce
Kielce, 25736
Independent Public Clin.Hosp.#4, Cardiology Clinic,Lubilin
Lublin, 20954
Independent Public Healthcare, Dept. of Cardiology, Pulawy
Puławy, 24100
Central Hospital of Medical Academy, Warsaw
Warsaw, 02-097
Lower Silesian Spec.Hosp.T.Marciniaka,Cardiology Dep,Wroclaw
Wroclaw, 54049
John Paul II Regional Hospital, Zamosc
Zamość, 22400
Argentina9 sites
Fundación Favaloro
CABA, C1093AAS
Hospital Italiano de Buenos Aires
CABA, C1199ABB
Instituto Cardiovascular de Buenos Aires
CABA, C1428DCO
Consultorios Asociados de Endocrinología e Invest Clínica
Capital Federal, C1425AGC
Sanatorio Allende
Córdoba, X5000BFB
Instituto de Cardiología de Corrientes
Corrientes, W3400AMZ
Instituto CER
Quilmes, B1878DVB
Inst.Cardiovascular San Luis
San Luis, D5702JRS
Investigaciones Clinicas Tucumán
San Miguel de Tucumán, T4000ICL
India9 sites
Care Institute Of Medical Sciences
Ahmedabad, 380060
Medanta- The Medicity
Gūrgaon, 122001
Nizam's Institute of Medical Sciences
Hyderabad, 500034
B and M Patel Cardiac Centre, Shree Krishna Hospital,
Karamsad, 388325
Shri Krishna Hrudayalaya and Critical Care
Nagpur, 440012
Vijan Cardiac and Critical Care Centre
Nashik, 422005
Fortis Escorts Heart Institute
New Delhi, 110025
Byramjee Jeejeebhoy Medical College
Pune, 411001
King George's Hospital,
Seemandhra, 530002
Australia8 sites
Pendlebury Research
Adamstown, New South Wales, 2289
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Heartcare Victoria
Bundoora, Victoria, 3083
The Prince Charles Hospital
Chermside, Queensland, 4032
The Geelong Hospital
Geelong, Victoria, 3220
Gosford Hospital
Gosford, New South Wales, 2250
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Wollongong Hospital
Wollongong, New South Wales, 2500
Brazil8 sites
Hospital Santa Isabel
Blumenau, 89010-500
Irmandade da Santa Casa de Misericordia de Curitiba
Campina Grande do Sul, 83430-000
Instituto de Cardiologia Rio Grande do Sul
Porto Alegre, 90620-001
Hospital de Base - Fac Med de Sao Jose do Rio Preto
São José do Rio Preto, 15090-000
Instituto Dante Pazzanese de Cardiologia
São Paulo, 04012-909
Hospital Sao Paulo - UNIFESP
São Paulo, 04024-002
INCOR e Hospital das Clínicas da Universidade de São Paulo
São Paulo, 05403-000
Eurolatino pesquisas Médicas Ltda
Uberlândia, 38411-186
Netherlands8 sites
Noordwest Ziekenhuisgroep
Alkmaar, 1815 JD
Catharina Ziekenhuis
Eindhoven, 5623 EJ
Scheper Ziekenhuis
Emmen, 7824 AA
Admiraal de Ruyter Ziekenhuis
Goes, 4462 GA
UMCG
Groningen, 9713 GZ
St. Antonius ziekenhuis, locatie Nieuwegein
Nieuwegein, 3435 CM
Canisius-Wilhelmina ziekenhuis
Nijmegen, 6532 SZ
Ziekenhuis Bernhoven Uden
Uden, 5406 PT
Sweden8 sites
Länssjukhuset, Gävle
Gävle, 801 87
Sahlgrenska Universitetssjukhuset, Östra
Gothenburg, 416 85
Länssjukhuset, Halmstad
Halmstad, 301 85
Lasarettet, Helsingborg
Helsingborg, 251 87
Universitetssjukhuset, Linköping
Linköping, 581 85
Skånes universitetssjukhus, Lund
Lund, 221 85
Skånes universitetssjukhus, Malmö
Malmö, 205 02
Danderyds Sjukhus
Stockholm, 182 88
Taiwan8 sites
Chang-Hua Christian Hospital
Changhua, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756
E-Da Hospital
Kaohsiung City, 824
China Medical University Hospital
Taichung, 40447
NCKUH
Tainan, 704
National Taiwan University Hospital
Taipei, 10002
Taipe Veterans General Hospital
Taipei, 11217
Chang Gung Memorial Hospital(TaoYuan)
Taoyuan, 330
Hungary7 sites
Gottsegen Gyorgy Hungarian Instit.of Cardiology,Budapest
Budapest, 1096
Semmelweis University
Budapest, 1122
Milit.Hosp.-State Health Cent.
Budapest, 1134
University Debrecen Hospital
Debrecen, 4032
Bacs-Kiskun Megyei Onkormanyzat Hospital
Kecskemét, 6000
University of Pecs, Invasive Cardiology
Pécs, 7624
Univ. of Szeged, 2nd Dept. of Internal Med., Haematology
Szeged, 6725
Portugal7 sites
Hospital Garcia de Orta, EPE
Almada, 2805-267
CHUC - Centro Hospitalar e Universitário de Coimbra, EPE
Coimbra, 3000-075
Centro Hosp. de Leiria-Pombal
Leiria, 2410-197
CHLC, EPE - Hospital de Santa Marta
Lisbon, 1169-024
CHLO, EPE - Hospital de Santa Cruz
Lisbon, 1495-005
CHLN, EPE - Hospital de Santa Maria
Lisbon, 1649-035
CHUC,EPE - Hospital Geral dos Covões
S. Martinho Do Bispo,Coimbra, 3041-801
Bulgaria6 sites
MHAT "Deva Maria", Dept. of Cardiology, Burgas
Burgas, 8127
SHAT in Cardiology EAD, Pleven
Pleven, 5800
MHAT"Sv.Georgi",Cardi.Clin.
Plovdiv, 4001
MHAT "Sv. Vrach" EOOD, Cardiology Dept., Sandanski
Sandanski, 2800
City Clin.Univ.MPHAT EOOD,Clin.of Cardiology, Sofia
Sofia, 1407
Specialized Hosp.f.Active Treatment, Cardiology Dept, Yambol
Yambol, 8600
Colombia6 sites
Fundación Clínica Abood Shaio
Bogotá
Fundación Santa Fe de Bogotá
Bogotá
Centro Médico Imbanaco de Cali S.A.
Cali, 760042
Fundación Valle de Lili
Cali
Fundación Cardiovascular de Colombia
Floridablanca, 680004
Hospital Pablo Tobón Uribe
Medellín, 050034
Israel6 sites
Hillel Yaffe Medical Center, Hadera
Hadera, 38100
Rambam Medical Center
Haifa, 31096
Wolfson Medical Center
Holon, 58100
Shaare Zedek Medical Center, Jerusalem 91031
Jerusalem, 91031
West.Galilee Med.Cent.Naharia
Nahariya, 22100
Rabin Medical Center Beilinson
Petah Tikva, 49100
Croatia5 sites
Clincal Hospital Centre Rijeka
Rijeka, 51000
Clinical Hosp.Merkur,Clin.Internal Med,Cardiology Dep,Zagreb
Zagreb, 10 000
Clinical Hospital Sstre Milosrdnice, Cardiology Dept, Zagreb
Zagreb, 10000
University hospital center Zagreb
Zagreb, 10000
University Hospital Dubrava
Zagreb, 10000
Norway5 sites
Sørlandet sykehus HF, Avd. Arendal
Arendal, N-4838
Oslo Universitetssykehus HF, Ullevål sykehus
Oslo, N-0407
Oslo Universitetssykehus HF, Rikshospitalet
Oslo, N-0424
Stavanger Helseforskning
Stavanger, N-4068
Universitetssykehuset Nord-Norge, Tromsø
Tromsø, N-9038
Chile4 sites
Hospital San Juan de Dios
Santiago, 8350488
Centro de Estudios Clinicos Barros Luco
Santiago, 8910131
Hospital Las Higueras
Talcahuano, 4270918
CECMI Ltda
Temuco, 4813299
Finland4 sites
HYKS, Kardiologian klinikka, Sydän- ja keuhkokeskus
Helsinki, 00290
StudyCor Oy
Jyväskylä, 42620
Keski-Pohjanmaan keskussairaala, Kardiologian pkl, Kokkola
Kokkola, 67200
TYKS
Turku, 20520
Hong Kong4 sites
Prince of Wales Hosp, Dept of Med & Therapeutics
Hong Kong
Princess Margaret Hospital
Hong Kong
Queen Elizabeth Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Ireland4 sites
Mater Misericordiae University Hospital
Dublin, DUBLIN 7
St James's Hospital
Dublin, DUBLIN 8
Beaumont Hospital
Dublin, DUBLIN 9
University Hospital Galway
Galway, GALWAY
Mexico4 sites
Hospital Cardiologica Aguascalientes
Aguascalientes, 20230
Instituto Nacional de Cardiologia Ignacio Chavez
Mexico City, 14080
H. Central Dr Ignacio M. P.
San Luis Potosí City, 78240
Centro Especializado en Terapia Endovascular (CETEN)
Zapopan, Jalisco, 45040
Slovakia4 sites
Slov.Ins.Crdi.Dise.,Cor.C.U.
Banská Bystrica, 97401
Nat.Instit.Cardiov.Diseas,Arryhythmias&Cardiac Pacing,Bratis
Bratislava, 83348
East Slovak Inst.Cardi.Disea.
Košice, 04011
Kardiocentrum Nitra,Internal Medicine Dept, Nitra
Nitra, 94901
Slovenia4 sites
General Hospital Celje
Celje, 3000
General Hospital Izola, Cardiology Department
Izola, 6310
University Medical Center Ljubljana
Ljubljana, 1000
Univ. Medical Center Maribor
Maribor, 2000
Thailand4 sites
Siriraj Hospital
Bangkok, 10170
Ramathibodi Hospital
Bangkok, 10400
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Srinagarind Hospital
Khon Kaen, 40002
Austria3 sites
Order Hospital Elisabethinen Linz
Linz, 4020
LKH Salzburg, Univ. Clinic
Salzburg, 5020
Wilhelminenspital
Vienna, 1160
Singapore2 sites
National University Hospital
Singapore, 119228
National Heart Center
Singapore, 169609
About this study
Official title: A Prospective Randomised, Open Label, Blinded Endpoint (PROBE) Study to Evaluate DUAL Antithrombotic Therapy With Dabigatran Etexilate (110mg and 150mg b.i.d.) Plus Clopidogrel or Ticagrelor vs. Triple Therapy Strategy With Warfarin (INR 2.0 - 3.0) Plus Clopidogrel or Ticagrelor and Aspirin in Patients With Non Valvular Atrial Fibrillation (NVAF) That Have Undergone a Percutaneous Coronary Intervention (PCI) With Stenting
The main objective of this study is to compare a Dual Antithrombotic Therapy (DAT) regimen of 110mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor (110mg dabigatran etexilate (DE) DAT) and 150mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor (150mg DE-DAT) with a Triple Antithrombotic Therapy (TAT) combination of warfarin plus clopidogrel or ticagrelor plus Aspirin (ASA) <= 100mg once daily (warfarin-TAT) in patients with Atrial Fibrillation that undergo a PCI with stenting (elective or due to an Acute Coronary Syndrome).
The study aims to show non-inferiority of each dose of DE-DAT when compared to Warfarin-TAT in terms of safety. Safety will be determined by comparing the rates of bleeding events, assessed using the modified International Society of Thrombosis and Haemostasis classification of Major Bleeding and Clinically Relevant Non Major Bleeding Events.
- Being tested
- Dabigatran Etexilate 110mg, Warfarin 3mg, Aspirin, Dabigatran Etexilate 150mg, Clopidogrel or Ticagrelor
- 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 Etexilate 110mgDrug
Active treatment
Warfarin 3mgDrug
Active comparator
AspirinDrug
Active comparator
Dabigatran Etexilate 150mgDrug
Active treatment
Clopidogrel or TicagrelorDrug
Active comparator
Clopidogrel or TicagrelorDrug
Active comparator
Warfarin 5mgDrug
Active comparator
Clopidogrel or TicagrelorDrug
Active comparator
Warfarin 1mgDrug
Active comparator
| Study group | Role | What they receive |
|---|---|---|
| Dabigatran Etexilate 110mg | Experimental | Patient to receive Dabigatran Etexilate 110mg twice a day (BID) Receives: Drug: Dabigatran Etexilate 110mg; Drug: Clopidogrel or Ticagrelor |
| Dabigatran Etexilate 150mg | Experimental | Patient to receive Dabigatran Etexilate 150mg twice a day (BID) Receives: Drug: Dabigatran Etexilate 150mg; Drug: Clopidogrel or Ticagrelor |
| Warfarin | Active comparator | Warfarin doses to maintain INR Receives: Drug: Warfarin 3mg; Drug: Aspirin; Drug: Clopidogrel or Ticagrelor; Drug: Warfarin 5mg; Drug: Warfarin 1mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Adjudicated ISTH MBE or CRNMBE
Time to event analysis of patients with first adjudicated International Society of Thrombosis and Haemostasis (ISTH) Major Bleeding Event (MBE) or Clinically Relevant Non Major Bleeding Event (CRNMBE). The number of observed patients with adjudicated ISTH MBE or CRNMBE was reported.
Full analysis set (FAS): All consenting patients randomised were analysed in the treatment group to which they were randomised regardless of whether they took trial medication. The start date of the observation period for this analysis set was the date of randomisation. Patients who discontinued trial medication were followed until the end of the trial.
Patients who were lost to follow-up for vital status were censored for the primary endpoint at the time of their last known vital status.
Intention to treat period: The observation period for these analysis was the so called 'intention to treat period'.
Measured: up to 30 months
Secondary outcomes (12)
Time to Adjudicated Undetermined Cause of Death
Time to event analysis of patients with adjudicated Undetermined cause of death. The number of observed patients with adjudicated Undetermined cause of death was reported.
This is referred to a death not attributable to cardiovascular (CV) death or to a non-cardiovascular (non-CV) cause. Inability to classify the cause of death may have been due to lack of information (e.g. the only available information was "patient died") or when there was insufficient supporting information or detail to assign the cause of death.
Measured: up to 30 months
Time to Adjudicated Non-CV
Time to event analysis of patients with adjudicated Non-cardiovascular (Non-CV). The number of observed patients with adjudicated Non-CV was reported.
Non-CV death was defined as any death with a specific cause that was not thought to be CV. These were possible examples of non-CV causes of death: Pulmonary, Renal, Gastrointestinal, Hepatobiliary, Pancreatic Infection(included sepsis), Inflammatory (e.g. systemic inflammatory response syndrome) or immune (including autoimmune), Haemorrhage that was neither CV bleeding nor a stroke, Non-CV procedure or surgery, Trauma, Suicide, Non-prescription drug reaction or overdose, Prescription drug reaction or overdose, Neurological (non-CV), Malignancy, Other non-CV
Measured: up to 30 months
Time to Adjudicated CV
Time to event analysis of patients with adjudicated Cardiovascular (CV) death. The number of observed patients with adjudicated Cardiovascular (CV) death was reported.
CV death included death resulting from an acute myocardial infarction, sudden cardiac death, death due to heart failure, death due to stroke, death due to CV procedures, death due to CV haemorrhage, and death due to other CV causes.
Measured: up to 30 months
Time to Adjudicated All Cause Death
Time to event analysis of patients with adjudicated all cause death. The number of observed patients with adjudicated all cause death was reported. All cause death is defined as the death from any cause included CV death, non-CV death, and undetermined cause of death.
Measured: up to 30 months
Time to First Adjudicated MI
Time to event analysis of patients with first adjudicated Myocardial Infarction (MI). The number of observed patients with adjudicated MI was reported
Measured: up to 30 months
Time to First Adjudicated Stroke
Time to event analysis of patients with first adjudicated Stroke. The number of observed patients with adjudicated Stroke was reported.
Stroke was defined as an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of haemorrhage or infarction
Measured: up to 30 months
Time to First Adjudicated SE
Time to event analysis of patients with first adjudicated Systemic embolism (SE). The number of observed patients with adjudicated SE was reported.
SE is an acute vascular occlusion of the extremities or any organ (kidneys, mesenteric arteries, spleen, retina or grafts) and had to be documented by angiography, surgery, scintigraphy, or autopsy.
Measured: up to 30 months
Time to First Adjudicated ST
Time to event analysis of patients with first adjudicated Stent Thrombosis (ST). The number of observed patients with adjudicated ST was reported.
Measured: up to 30 months
Time to Composite Endpoint of Death + MI + Stroke
Time to event analysis of patients with the composite endpoint of death + myocardial infarction (MI) + stroke. The number of observed patients with the composite endpoint of death + myocardial infarction (MI) + stroke was reported.
Measured: up to 30 months
Time to Composite Endpoint of Death or First Thrombotic Event
Time to event analysis of patients with composite endpoint of death or first thrombotic event (all death, myocardial infarction (MI), stroke/systemic embolism (SE)). The number of observed patients with composite endpoint of death or thrombotic event (all death, MI, stroke/SE).
Measured: up to 30 months
Time to First Adjudicated Unplanned Revascularisation by PCI/CABG
Time to event analysis of patients with adjudicated unplanned revascularisation by Percutaneous Coronary Intervention (PCI)/Coronary Artery Bypass Graft (CABG). The number of observed patients with adjudicated unplanned revascularisation by PCI/CABG was reported.
Measured: up to 30 months
Time to Death or First Thrombotic Event or Unplanned Revascularisation by PCI/CABG
Time to event analysis of patients with death or thrombotic event (all death, myocardial infarction, stroke/systemic embolism) or unplanned revascularisation by Percutaneous Coronary Intervention/Coronary Artery Bypass Graft. The number of observed patients with death or first thrombotic event or unplanned revascularisation by PCI/CABG was reported.
Measured: up to 30 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jun 2014 (estimated)
- Study start22 Jul 2014
- Primary completion5 Jun 2017
- Study completion5 Jun 2017
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 (6)Papers the sponsor has linked to this study.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,725 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02164864
- Sponsor's protocol ID
- 1160.186
- Other IDs
- 2013-003201-26
- Status last verified
- Jul 2018
- First submitted
- 13 Jun 2014
- Last updated
- 31 Jul 2018
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Nicolau JC, Bhatt DL, Hohnloser SH, Kimura T, Lip GYH, Miede C, Nordaby M, Oldgren J, Steg PG, Ten Berg JM, Godoy LC, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Dabigatran Dual Therapy vs Warfarin Triple Therapy Post-Percutaneous Coronary Intervention in Patients with Atrial Fibrillation With/Without a Proton Pump Inhibitor: A Pre-Specified Analysis of the RE-DUAL PCI Trial. Drugs. 2020 Jul;80(10):995-1005. doi: 10.1007/s40265-020-01323-x.
PubMed 32562206De Caterina R, Procopio A, Lopez Sendon JL, Raev D, Mehta SR, Opolski G, Oldgren J, Steg PG, Hohnloser SH, Lip GYH, Kimura T, Kleine E, Ten Berg JM, Bhatt DL, Miede C, Nordaby M, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Comparison of Dabigatran Plus a P2Y12 Inhibitor With Warfarin-Based Triple Therapy Across Body Mass Index in RE-DUAL PCI. Am J Med. 2020 Nov;133(11):1302-1312. doi: 10.1016/j.amjmed.2020.03.045. Epub 2020 May 7.
PubMed 32389658Berry NC, Mauri L, Steg PG, Bhatt DL, Hohnloser SH, Nordaby M, Miede C, Kimura T, Lip GYH, Oldgren J, Ten Berg JM, Cannon CP. Effect of Lesion Complexity and Clinical Risk Factors on the Efficacy and Safety of Dabigatran Dual Therapy Versus Warfarin Triple Therapy in Atrial Fibrillation After Percutaneous Coronary Intervention: A Subgroup Analysis From the REDUAL PCI Trial. Circ Cardiovasc Interv. 2020 Apr;13(4):e008349. doi: 10.1161/CIRCINTERVENTIONS.119.008349. Epub 2020 Apr 7.
PubMed 32252548Hohnloser SH, Steg PG, Oldgren J, Nickenig G, Kiss RG, Ongen Z, Navarro Estrada JL, Oude Ophuis T, Lip GYH, Nordaby M, Kleine E, Ten Berg JM, Bhatt DL, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Renal Function and Outcomes With Dabigatran Dual Antithrombotic Therapy in Atrial Fibrillation Patients After PCI. JACC Cardiovasc Interv. 2019 Aug 26;12(16):1553-1561. doi: 10.1016/j.jcin.2019.05.050.
PubMed 31439336Chi G, Kerneis M, Kalayci A, Liu Y, Mehran R, Bode C, Halperin JL, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Peterson ED, Fox KAA, Gibson CM. Safety and efficacy of non-vitamin K oral anticoagulant for atrial fibrillation patients after percutaneous coronary intervention: A bivariate analysis of the PIONEER AF-PCI and RE-DUAL PCI trial. Am Heart J. 2018 Sep;203:17-24. doi: 10.1016/j.ahj.2018.06.003. Epub 2018 Jun 13.
PubMed 30015064Cannon CP, Bhatt DL, Oldgren J, Lip GYH, Ellis SG, Kimura T, Maeng M, Merkely B, Zeymer U, Gropper S, Nordaby M, Kleine E, Harper R, Manassie J, Januzzi JL, Ten Berg JM, Steg PG, Hohnloser SH; RE-DUAL PCI Steering Committee and Investigators. Dual Antithrombotic Therapy with Dabigatran after PCI in Atrial Fibrillation. N Engl J Med. 2017 Oct 19;377(16):1513-1524. doi: 10.1056/NEJMoa1708454. Epub 2017 Aug 27.
PubMed 28844193
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Randomised, Open Label, Blinded Endpoint (PROBE) Study to Evaluate DUAL Antithrombotic Therapy With Dabigatran Etexilate (110mg and 150mg b.i.d.) Plus Clopidogrel or Ticagrelor vs. Triple Therapy Strategy With Warfarin (INR 2.0 - 3.0) Plus Clopidogrel or Ticagrelor and Aspirin in Patients With Non Valvular Atrial Fibrillation (NVAF) That Have Undergone a Percutaneous Coronary Intervention (PCI) With Stenting
- ClinicalTrials.gov ID
- NCT02164864
- Acronym / sponsor ID
- 1160.186
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,725 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 22 Jul 2014 (actual)
- Primary completion
- 5 Jun 2017 (actual)
- Study completion
- 5 Jun 2017 (actual)
- First posted
- 17 Jun 2014 (estimated)
- Results
- Posted 31 Jul 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this study is to compare a Dual Antithrombotic Therapy (DAT) regimen of 110mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor (110mg dabigatran etexilate (DE) DAT) and 150mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor (150mg DE-DAT) with a Triple Antithrombotic Therapy (TAT) combination of warfarin plus clopidogrel or ticagrelor plus Aspirin (ASA) <= 100mg once daily (warfarin-TAT) in patients with Atrial Fibrillation that undergo a PCI with stenting (elective or due to an Acute Coronary Syndrome).
The study aims to show non-inferiority of each dose of DE-DAT when compared to Warfarin-TAT in terms of safety. Safety will be determined by comparing the rates of bleeding events, assessed using the modified International Society of Thrombosis and Haemostasis classification of Major Bleeding and Clinically Relevant Non Major Bleeding Events.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dabigatran Etexilate 110mg | Experimental | Drug: Dabigatran Etexilate 110mg, Drug: Clopidogrel or TicagrelorPatient to receive Dabigatran Etexilate 110mg twice a day (BID) |
| Dabigatran Etexilate 150mg | Experimental | Drug: Dabigatran Etexilate 150mg, Drug: Clopidogrel or TicagrelorPatient to receive Dabigatran Etexilate 150mg twice a day (BID) |
| Warfarin | Active comparator | Drug: Warfarin 3mg, Drug: Aspirin, Drug: Clopidogrel or Ticagrelor, Drug: Warfarin 5mg, Drug: Warfarin 1mgWarfarin doses to maintain INR |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female patients aged >=18 years
- Patients with Non Valvular Atrial Fibrillation
- Patient presenting with:
- An Acute Coronary Syndrome (ACS) (ST elevation myocardial infarction (STEMI), NonSTEMI [NSTEMI] or unstable angina [UA]) that was successfully treated by PCI and stenting (either Bare Metal Stent (BMS) or Drug Eluting Stent) Or Stable Coronary Artery Disease with at least one lesion eligible for PCI that was successfully treated by elective PCI and stenting (either BMS or DES)
- The patient must be able to give informed consent in accordance with International Conference on Harmonisation Good Clinical Practice guidelines and local legislation and/or regulations.
Key exclusion criteria (9 listed)
- Patients with a mechanical or biological heart valve prosthesis
- Cardiogenic shock during current hospitalisation
- Stroke within 1 month prior to screening visit
- Patients who have had major surgery within the month prior to screening
- Gastrointestinal haemorrhage within one month prior to screening, unless, in the opinion of the Investigator, the cause has been permanently eliminated
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 110mgActive treatment | Drug | Dabigatran Etexilate 110mg |
| Warfarin 3mgActive comparator | Drug | Warfarin |
| AspirinActive comparator | Drug | Warfarin |
| Dabigatran Etexilate 150mgActive treatment | Drug | Dabigatran Etexilate 150mg |
| Clopidogrel or TicagrelorActive comparator | Drug | Warfarin |
| Clopidogrel or TicagrelorActive comparator | Drug | Dabigatran Etexilate 110mg |
| Warfarin 5mgActive comparator | Drug | Warfarin |
| Clopidogrel or TicagrelorActive comparator | Drug | Dabigatran Etexilate 150mg |
| Warfarin 1mgActive comparator | Drug | Warfarin |
Primary outcome
Time to First Adjudicated ISTH MBE or CRNMBE
Time frame: up to 30 months
Time to event analysis of patients with first adjudicated International Society of Thrombosis and Haemostasis (ISTH) Major Bleeding Event (MBE) or Clinically Relevant Non Major Bleeding Event (CRNMBE). The number of observed patients with adjudicated ISTH MBE or CRNMBE was reported. Full analysis set (FAS): All consenting patients randomised were analysed in the treatment group to which they were randomised regardless of whether they took trial medication. The start date of the observation period for this analysis set was the date of randomisation. Patients who discontinued trial medication were followed until the end of the trial. Patients who were lost to follow-up for vital status were censored for the primary endpoint at the time of their last known vital status. Intention to treat period: The observation period for these analysis was the so called 'intention to treat period'.
12 secondary outcomes
Time to Adjudicated Undetermined Cause of Death
Time frame: up to 30 months
Time to Adjudicated Non-CV
Time frame: up to 30 months
Time to Adjudicated CV
Time frame: up to 30 months
Time to Adjudicated All Cause Death
Time frame: up to 30 months
Time to First Adjudicated MI
Time frame: up to 30 months
Time to First Adjudicated Stroke
Time frame: up to 30 months
Time to First Adjudicated SE
Time frame: up to 30 months
Time to First Adjudicated ST
Time frame: up to 30 months
Time to Composite Endpoint of Death + MI + Stroke
Time frame: up to 30 months
Time to Composite Endpoint of Death or First Thrombotic Event
Time frame: up to 30 months
Time to First Adjudicated Unplanned Revascularisation by PCI/CABG
Time frame: up to 30 months
Time to Death or First Thrombotic Event or Unplanned Revascularisation by PCI/CABG
Time frame: up to 30 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32562206Nicolau JC, Bhatt DL, Hohnloser SH, Kimura T, Lip GYH, Miede C, Nordaby M, Oldgren J, Steg PG, Ten Berg JM, Godoy LC, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Dabigatran Dual Therapy vs Warfarin Triple Therapy Post-Percutaneous Coronary Intervention in Patients with Atrial Fibrillation With/Without a Proton Pump Inhibitor: A Pre-Specified Analysis of the RE-DUAL PCI Trial. Drugs. 2020 Jul;80(10):995-1005. doi: 10.1007/s40265-020-01323-x.
- Derived from this study: PubMed 32389658De Caterina R, Procopio A, Lopez Sendon JL, Raev D, Mehta SR, Opolski G, Oldgren J, Steg PG, Hohnloser SH, Lip GYH, Kimura T, Kleine E, Ten Berg JM, Bhatt DL, Miede C, Nordaby M, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Comparison of Dabigatran Plus a P2Y12 Inhibitor With Warfarin-Based Triple Therapy Across Body Mass Index in RE-DUAL PCI. Am J Med. 2020 Nov;133(11):1302-1312. doi: 10.1016/j.amjmed.2020.03.045. Epub 2020 May 7.
- Derived from this study: PubMed 32252548Berry NC, Mauri L, Steg PG, Bhatt DL, Hohnloser SH, Nordaby M, Miede C, Kimura T, Lip GYH, Oldgren J, Ten Berg JM, Cannon CP. Effect of Lesion Complexity and Clinical Risk Factors on the Efficacy and Safety of Dabigatran Dual Therapy Versus Warfarin Triple Therapy in Atrial Fibrillation After Percutaneous Coronary Intervention: A Subgroup Analysis From the REDUAL PCI Trial. Circ Cardiovasc Interv. 2020 Apr;13(4):e008349. doi: 10.1161/CIRCINTERVENTIONS.119.008349. Epub 2020 Apr 7.
- Derived from this study: PubMed 31439336Hohnloser SH, Steg PG, Oldgren J, Nickenig G, Kiss RG, Ongen Z, Navarro Estrada JL, Oude Ophuis T, Lip GYH, Nordaby M, Kleine E, Ten Berg JM, Bhatt DL, Cannon CP; RE-DUAL PCI Steering Committee and Investigators. Renal Function and Outcomes With Dabigatran Dual Antithrombotic Therapy in Atrial Fibrillation Patients After PCI. JACC Cardiovasc Interv. 2019 Aug 26;12(16):1553-1561. doi: 10.1016/j.jcin.2019.05.050.
- Derived from this study: PubMed 30015064Chi G, Kerneis M, Kalayci A, Liu Y, Mehran R, Bode C, Halperin JL, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Peterson ED, Fox KAA, Gibson CM. Safety and efficacy of non-vitamin K oral anticoagulant for atrial fibrillation patients after percutaneous coronary intervention: A bivariate analysis of the PIONEER AF-PCI and RE-DUAL PCI trial. Am Heart J. 2018 Sep;203:17-24. doi: 10.1016/j.ahj.2018.06.003. Epub 2018 Jun 13.
- Derived from this study: PubMed 28844193Cannon CP, Bhatt DL, Oldgren J, Lip GYH, Ellis SG, Kimura T, Maeng M, Merkely B, Zeymer U, Gropper S, Nordaby M, Kleine E, Harper R, Manassie J, Januzzi JL, Ten Berg JM, Steg PG, Hohnloser SH; RE-DUAL PCI Steering Committee and Investigators. Dual Antithrombotic Therapy with Dabigatran after PCI in Atrial Fibrillation. N Engl J Med. 2017 Oct 19;377(16):1513-1524. doi: 10.1056/NEJMoa1708454. Epub 2017 Aug 27.
Related trials for Atrial Fibrillation
Active, not recruiting
Horizon 360 Protocol for the Treatment of Paroxysmal Atrial Fibrillation With the Sphere-360™ Catheter and Affera™ Mapping and Ablation System (Horizon 360)
Paroxysmal AF
Active, not recruitingObservational study
Concomitant Left Atrial Appendage Closure and Pulsed Field Ablation-Asia
Concomitant Procedures, Atrial Fibrillation
Active, not recruiting
CONVERGE Post-Approval Study (PAS)
Chronic Atrial Fibrillation
Recruiting
Early Closure of Left Atrial Appendage for Patients With Atrial Fibrillation and Ischemic Stroke Despite Anticoagulation Therapy
Ischemic Stroke, Atrial Fibrillation
RecruitingPhase 2
Safety in Adult Participants With Atrial Fibrillation Who Are Treated With Anticoagulation
Atrial Fibrillation (AF)
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
421 sites in 41 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dabigatran Etexilate 110mg, Warfarin 3mg and Aspirin in people with Atrial Fibrillation and Percutaneous Coronary Intervention, run by Boehringer Ingelheim at 421 sites in 41 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 5 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 31 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 421 sites in Germany, United States, Japan, Turkey (Türkiye), Italy and 36 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 31 Jul 2018). 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?
Time to First Adjudicated ISTH MBE or CRNMBE (time frame: up to 30 months). 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 NCT02164864, which also lists 6 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 31 Jul 2018.