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Venous ThromboembolismPhase 3NCT02197416

Safety of Dabigatran Etexilate in Blood Clot Prevention in Children

A Phase 3 study testing dabigatran etexilate in people with Venous Thromboembolism and Secondary Prevention, run by Boehringer Ingelheim at 62 sites in 22 countries.

Completed

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

Official record
Search all trials

Trial summary

This open-label, single arm prospective cohort study will assess the safety of dabigatran etexilate in secondary prevention of venous thromboembolism in paediatric patients. Children from 0 to less than 18 years of age will be eligible to participate. Read more about this study

Who is it for?
Ages Up to 18 years
Conditions the study is for
Venous Thromboembolism, Secondary Prevention
What is being tested?
dabigatran etexilate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
214 participants
Where
62 sitesin 22 countries
Study dates
29 Sep 2014to 19 Nov 2019
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 Up to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Male or female subjects 0 to less than 18 years of age at the time of informed consent / assent
  • Previously documented objective diagnosis of VTE, followed by completed course of initial VTE treatment for at least 3 months (in case of VKA - intended INR between 2 and 3) or completed study treatment (i.e. reached Visit 8) in the 1160.106 trial. Patients, who during the treatment phase of 1160.106 trial were switched from dabigatran etexilate to SOC arm for any reason, are not eligible for this study.
  • Presence of an unresolved clinical risk factor requiring further anticoagulation for secondary VTE prevention (e.g. central venous line, underlying disease, thrombophilia, etc.)
  • Written informed consent form (ICF) provided by the patient's parent or legal guardian and assent provided by the patient (if applicable) at the time of ICF signature according to local regulations.
  • Further inclusion criteria apply

Who cannot join

  • Conditions associated with an increased risk of bleeding
  • Renal dysfunction (eGFR < 50 mL/min/1.73m^2 using the Schwartz formula) or requirement for dialysis. eGFR retesting during the screening period is allowed (once).
  • Active infective endocarditis
  • Subjects with a heart valve prosthesis requiring anticoagulation.
  • Hepatic disease: Active liver disease, including known active hepatitis A, B or C or Persistent alanine aminotransferase (ALT) or aspartate transaminase (AST) or alkaline phosphatase (AP) > 3 × upper limit of normal (ULN) within 3 months of screening
  • Pregnant or breast feeding females. Females who have reached menarche and are not using an acceptable method of birth control, or do not plan to continue using this method throughout the study and / or do not agree to adhere to pregnancy testing required by this protocol
Show all 13Show fewer
  • Patients in age group 0 to < 2 years with gestational age at birth < 37 weeks or with body weight lower than the 3rd percentile
  • Anemia (hemoglobin < 80g/L) or thrombocytopenia (platelet count < 80 x 109/L) at screening. Transfusions during the screening period are allowed, provided that a satisfactory hemoglobin or platelet level is attained prior to visit 2
  • Patients who have taken restricted medication prior to first dose of study medication
  • Patients who have received an investigational drug in the past 30 days prior to screening, except patients who have completed the treatment period (up to Visit 8) in 1160.106 trial
  • Patients who are allergic/sensitive to any component of the study medication including solvent
  • Patients or parents/legal guardians considered unreliable to participate in the trial per investigator judgment or any condition which would present a safety hazard to the patient based on investigator judgment
  • Further exclusion criteria apply

Trial locations and contacts

62 sites in 22 countries.

62 sites in 22 countries

United States9 sites
  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • University of Virginia Health System

    Charlottesville, Virginia, 22908

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242-1083

  • Alliance for Childhood Diseases

    Las Vegas, Nevada, 89135

  • University of Miami

    Miami, Florida, 33136

  • University of California Davis

    Sacramento, California, 95817

  • Providence Sacred Heart Medical Center and Children's Hospital

    Spokane, Washington, 99204

  • St. Joseph's Children's Hospital

    Tampa, Florida, 33607

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

Other trials in United States

Russia8 sites
  • Children Rep.Clin.Hosp of MoH,Cardio Vas.surgery Dept, Kazan

    Kazan', 420138

  • Science Res.Instit.CV Diseases,Scientific Res.Dept,Kemerovo

    Kemerovo, 650002

  • Morozovskaya Children Clin.Hosp.,Haematological Dept, Moscow

    Moscow, 119049

  • Child.CityClin.Hos.na.ZA Bashlyaeva MoscowHealth Dep,Cardiol

    Moscow, 125373

  • St.Petersburg State Pediatric Univ.Ministry of Healthcare RF

    Saint Petersburg, 194100

  • Reg Clin.Hosp.#1,Healthcare Tyumen Region,Cardiovas.Surgery

    Tyument, 625023

  • State Budget Healthcare Institution "Republican children's clinical hospital"

    Ufa, 450106

  • Childr.CityClin.Hos#9,pediatric&Neonatal Neurol.Ekaterinburg

    Yekaterinburg, 620134

Other trials in Russia

Turkey (Türkiye)7 sites
  • Cukurova Universitesi Tip Fakultesi Cocuk Sagligi

    Adana, 1330

  • Hacettepe Universitesi Tip Fakultesi

    Ankara, 06100

  • Akdeniz Universitesi Tip Fakultesi

    Antalya, 7058

  • Istanbul Universitesi Cerrahpasa Tip Fakultesi

    Istanbul, 34098

  • Istanbul Saglik Bilimleri Uni. Kanuni Sultan Suleyman EAH

    Istanbul, 34303

  • Ege Universitesi Tip Fakultesi Cocuk Hematolojisi Bilim Dali

    Izmir, 35040

  • Necmettin Erbakan Universitesi Meram Tip Fakultesi

    Konya, 42080

Other trials in Turkey (Türkiye)

Czechia5 sites
  • University Hospital Brno

    Brno, 61300

  • University Hospital Olomouc

    Olomouc, 77900

  • University Hospital Ostrava

    Ostrava, 70852

  • University Hospital Plzen, Plzen-Lochotin

    Plzen - Lochotin, 304 60

  • University Hospital Motol

    Prague, 15006

Other trials in Czechia

Canada4 sites
  • Kingston General Hospital

    Kingston, Ontario, K7L 2V7

  • CHU Sainte-Justine

    Montreal, Ontario, H3T 1C5

  • Children's Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Italy4 sites
  • A.O. Univ. Policlinico "Paolo Giaccone"

    Palermo, 90127

  • Università degli Studi "La Sapienza"

    Roma, 00161

  • Osp. Pediatrico Bambin Gesù

    Roma, 00165

  • Ospedale Infantile Regina Margherita

    Torino, 10126

Other trials in Italy

Belgium3 sites
  • Brussels - UNIV UZ Brussel

    Brussels, 1090

  • UNIV UZ Gent

    Ghent, 9000

  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Brazil3 sites
  • HMCP - Hospital e Maternidade Celso Pierro - PUC-Campinas

    Campinas, 13059-740

  • Faculdade de Ciencias Medicas da UNICAMP

    Campinas, 13083970

  • Instituto de Oncologia Pediatrica - IOP / GRAAC - UNIFESP

    São Paulo, 04039-001

Other trials in Brazil

Germany3 sites
  • Universitätsklinikum Essen AöR

    Essen, 45147

  • Universitätsmedizin Göttingen, Georg-August-Universität

    Göttingen, 37075

  • Universitätsklinikum Münster

    Münster, 48149

Other trials in Germany

Ukraine3 sites
  • Reg.Children Hosp.Dnipropetrovsk

    Dnipropetrovsk, 49100

  • Western Ukrainian Spec.Children Med.Center,Lviv

    Lviv, 79035

  • Reg.Children Hosp,Vinnytsia

    Vinnytsia, 21029

Other trials in Ukraine

Norway2 sites
  • Haukeland Universitetssykehus

    Bergen, N-5021

  • Oslo Universitetssykehus HF, Rikshospitalet

    Oslo, N-0372

Other trials in Norway

Austria1 site
  • AKH - Medical University of Vienna

    Vienna, 1090

Other trials in Austria

Denmark1 site
  • Rigshospitalet, København, Børneonkologisk Afsnit 5002

    Copenhagen, 2100

Other trials in Denmark

France1 site
  • HOP Timone

    Marseille, 13005

Other trials in France

Hungary1 site
  • University Debrecen Hospital

    Debrecen, 4032

Other trials in Hungary

Israel1 site
  • Shaare Zedek Medical Center, Jerusalem 91031

    Jerusalem, 9103102

Other trials in Israel

Lithuania1 site
  • Children Intensive Care Hosp,Anaesthesiology Dept,Vilnius

    Vilnius, 08406

Other trials in Lithuania

Mexico1 site
  • Instituto Nacional de Pediatría

    Mexico City, 04530

Other trials in Mexico

Sweden1 site
  • Karolinska Univ. sjukhuset

    Solna, 171 65

Other trials in Sweden

Switzerland1 site
  • Universitäts-Kinderspital

    Zurich, 8032

Other trials in Switzerland

Taiwan1 site
  • Taichung Veterans General Hospital

    Taichung, 407

Other trials in Taiwan

Thailand1 site
  • King Chulalongkorn Memorial Hospital

    Bangkok, 10330

Other trials in Thailand

About this study

Official title: Open Label, Single Arm Safety Prospective Cohort Study of Dabigatran Etexilate for Secondary Prevention of Venous Thromboembolism in Children From 0 to Less Than 18 Years

This open-label, single arm prospective cohort study will assess the safety of dabigatran etexilate in secondary prevention of venous thromboembolism in paediatric patients. Children from 0 to less than 18 years of age will be eligible to participate.

Being tested
dabigatran etexilate
Medical subject headings
Venous Thromboembolism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • dabigatran etexilateDrug

    Age and weight appropriate capsule dose (combination of 50 mg, 75 mg and 110 mg capsules) or pellets or oral liquid formulation

Study groups in NCT02197416
Study groupRoleWhat they receive
dabigatran etexilateExperimentalNot described
Receives: Drug: dabigatran etexilate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event-free Probability of Recurrence of Venous Thromboembolism (VTE) at 6 and 12 Months

    The event-free probability of first recurrence of VTE were provided by Kaplan-Meier estimation with its 95% confidence intervals (CIs) at 6 and 12 months.

    Patients who did not experience recurrent VTE at the time of analysis, dropped out from the trial early, were lost to follow-up, or had died from non-VTE related cause were considered as non-events and censored. On treatment period was from first DE administration to 3 days of residual effect period after last DE administration.

    Measured: At month 6 (Week 26) and 12 (Week 52) of on treatment period

  2. Event-free Probability of Major or Minor (Including Clinically Relevant Non-major (CRNM)) Bleeding Events at 6 and 12 Months

    The event-free probability of major or minor (including CRNM) bleeding event were provided by Kaplan-Meier estimation with its 95% confidence intervals (CIs) at 6 and 12 months.

    Patients who did not experience major or minor (including CRNM) bleeding event at the time of analysis, dropped out from the trial early, were lost to follow-up, or had died from non-bleeding related cause were considered as non-events and censored. On treatment period was from first DE administration to 3 days of residual effect period after last DE administration.

    Measured: At month 6 (Week 26) and month 12 (Week 52) of on treatment period

  3. Event-free Probability of Mortality Overall and Related to Thrombotic or Thromboembolic Events at 6 and 12 Months

    The event-free probability of mortality overall and related to thrombotic or thromboembolic events were provided by Kaplan-Meier estimation with its 95% confidence intervals (CIs) at 6 and 12 months.

    Patients who did not experience mortality overall and related to thrombotic or thromboembolic events at the time of analysis, dropped out from the trial early, were lost to follow-up, were considered as non-events and censored. On treatment period was from first DE administration to 3 days of residual effect period after last DE administration.

    Measured: At month 6 (Week 26) and 12 (Week 52) of on treatment period

Secondary outcomes (8)
  1. Event-free Probability of Occurrence of Post-thrombotic Syndrome (PTS) at 6 and 12 Months

    The event-free probability of PTS were provided by Kaplan-Meier estimation with its 95% confidence intervals (CIs) at 6 and 12 months. Patients who did not experience PTS at the time of analysis, dropped out from the trial early, were lost to follow-up, or had died from non-PTS related cause were considered as non-events and censored. On treatment period was from first DE administration to 3 days of residual effect period after last DE administration.

    Measured: At month 6 (Week 26) and 12 (Week 52) of on treatment period

  2. Percentage of Participants With Dabigatran Etexilate (DE) Dose Adjustments During on Treatment Period

    Percentage of participants with dabigatran etexilate dose adjustments during on treatment period. On treatment period was from first DE administration to 3 days of residual effect period after last DE administration.

    Measured: From first DE administration to 3 days of residual effect period after last DE administration, up to 52 weeks+ 3 days

  3. Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Visit 3 (After at Least Six Consecutive Dabigatran Etexilate (DE) Doses)

    Measured: At Visit 3 (day 4 after first dose of trial medication)

  4. Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Post-titration (After at Least 3 Days Following Any Dabigatran Etexilate (DE) Dose Adjustment)

    Measured: Pharmacodynamics (PD) samples were collected from first dose of trial medication at day 1 and day 4, 22, 43, 85, 127, 183, 239 and 295 until last dose at day 365 and at post-titration (at least 3 days after dose adjustment) if needed, up to 365 days.

  5. Central Measurement of Ecarin Clotting Time (ECT) at Visit 3 (After at Least Six Consecutive Dabigatran Etexilate (DE) Doses)

    Measured: At Visit 3 (day 4 after first dose of trial medication)

  6. Central Measurement of Ecarin Clotting Time (ECT) at Post-titration (After at Least 3 Days Following Any Dabigatran Etexilate (DE) Dose Adjustment)

    Measured: Pharmacodynamics (PD) samples were collected from first dose of trial medication at day 1 and day 4, 22, 43, 85, 127, 183, 239 and 295 until last dose at day 365 and at post-titration (at least 3 days after dose adjustment) if needed, up to 365 days.

  7. Central Measurement of Diluted Thrombin Time (dTT) at Visit 3 (After at Least Six Consecutive Dabigatran Etexilate (DE) Doses)

    Measured: At Visit 3 (day 4 after first dose of trial medication)

  8. Central Measurement of Diluted Thrombin Time (dTT) at Post-titration (After at Least 3 Days Following Any Dabigatran Etexilate (DE) Dose Adjustment)

    Measured: dTT values were collected at day 4, 22, 43, 85, 127, 183, 239, and 295 until last dose at day 365 and at post-titration (at least 3 days after dose adjustment) if needed, up to 365 days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2014 (estimated)
  2. Study start29 Sep 2014
  3. Primary completion16 Oct 2019
  4. Study completion19 Nov 2019

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 3
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
214 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02197416
Sponsor's protocol ID
1160.108
Other IDs
2014-000583-18, 2014
Status last verified
May 2020
First submitted
21 Jul 2014
Last updated
4 Jun 2020

Publications

  • Albisetti M, Tartakovsky I, Halton J, Bomgaars L, Chalmers E, Mitchell LG, Luciani M, Nurmeev I, Gorbatikov K, Miede C, Brueckmann M, Brandao LR; Study Investigators. Dabigatran for Treatment and Secondary Prevention of Venous Thromboembolism in Pediatric Congenital Heart Disease. J Am Heart Assoc. 2024 Feb 20;13(4):e028957. doi: 10.1161/JAHA.122.028957. Epub 2024 Feb 13.

    PubMed 38348778
  • Brandao LR, Tartakovsky I, Albisetti M, Halton J, Bomgaars L, Chalmers E, Luciani M, Saracco P, Felgenhauer J, Lvova O, Simetzberger M, Sun Z, Mitchell LG. Dabigatran in the treatment and secondary prophylaxis of venous thromboembolism in children with thrombophilia. Blood Adv. 2022 Nov 22;6(22):5908-5923. doi: 10.1182/bloodadvances.2021005681.

    PubMed 36150047
  • Brandao LR, Albisetti M, Halton J, Bomgaars L, Chalmers E, Mitchell LG, Nurmeev I, Svirin P, Kuhn T, Zapletal O, Tartakovsky I, Simetzberger M, Huang F, Sun Z, Kreuzer J, Gropper S, Brueckmann M, Luciani M; DIVERSITY Study Investigators. Safety of dabigatran etexilate for the secondary prevention of venous thromboembolism in children. Blood. 2020 Feb 13;135(7):491-504. doi: 10.1182/blood.2019000998.

    PubMed 31805182

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing dabigatran etexilate in people with Venous Thromboembolism and Secondary Prevention, run by Boehringer Ingelheim at 62 sites in 22 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 13 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 4 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in United States, Russia, Turkey (Türkiye), Czechia, Canada and 17 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 4 Jun 2020). 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?

Event-free Probability of Recurrence of Venous Thromboembolism (VTE) at 6 and 12 Months (time frame: At month 6 (Week 26) and 12 (Week 52) of on treatment period). The study lists 3 primary outcomes in all. 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 NCT02197416, which also lists 3 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 4 Jun 2020.

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