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HemorrhagePhase 3NCT03343704

This Study Looks at the Effects of Idarucizumab in Patients Who Take Dabigatran and Need Emergency Surgery or Are Bleeding

A Phase 3 study testing Idarucizumab in people with Hemorrhage, run by Boehringer Ingelheim at 13 sites in China.

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 is to demonstrate reversal of the anticoagulant effect of dabigatran in patients treated with dabigatran etexilate who have uncontrolled or life-threatening bleeding requiring urgent intervention, and in patients treated with dabigatran etexilate who require emergency surgery or other invasive… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hemorrhage
What is being tested?
Idarucizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
13 sitesChina
Study dates
26 Mar 2018to 2 Jul 2020
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

  • ≥ 18 years at screening.
  • Male or female patients. Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information.
  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial
  • Currently taking dabigatran etexilate
  • They meet the following criteria:
  • Group A: Overt bleeding judged by the physician to require a reversal agent. OR
  • Group B: A condition requiring emergency surgery or invasive procedure where adequate hemostasis is required. Emergency is defined as within the following 8 hours.

Who cannot join

  • Group A:
  • Patients with minor bleeding (e.g. epistaxis, hematuria) who can be managed with standard supportive care.
  • Patients with no clinical signs of bleeding.
  • Contraindications to study medication including known hypersensitivity to the drug or its excipients (subjects with hereditary fructose intolerance may react to sorbitol).
  • Group B:
  • A surgery or procedure which is elective or where the risk of uncontrolled or unmanageable bleeding is low.
  • Contraindications to study medication including known hypersensitivity to the drug or its excipients (subjects with hereditary fructose intolerance may react to sorbitol).

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

China13 sites
  • Beijing AnZhen Hospital

    Beijing, 100029

  • Peking University First Hospital

    Beijing, 100034

  • Cardiovascular Institute and Fu Wai Hospital

    Beijing, 100037

  • First Affiliated Hospital of Dalian Medical University

    Dalian, 116011

  • Guangdong Provincial People's Hospital

    Guangzhou, 510080

  • Sun yet-sen Memorial Hospital, Sun yet-sen Univesity

    Guangzhou, 510288

  • 2nd Affiliated Hosp Zhejiang University College of Medical

    Hangzhou, 310009

  • Zhejiang Province People's Hospital

    Hangzhou, 310014

  • The Second Affiliated Hospital to Nanchang University

    Nanchang, 330006

  • Jiangsu Province Hospital

    Nanjing, Jiangsu Province, 210029

  • Shanghai First People's Hospital

    Shanghai, 200080

  • The First Affiliated Hospital of Xinjiang Medical University

    Ürümqi, 830054

  • The First Affiliated Hospital of Wenzhou Med College

    Wenzhou, 325000

Other trials in China

About this study

Official title: A Phase III, Case Series Clinical Study of the Reversal of the Anticoagulant Effects of Dabigatran by Intravenous Administration of Idarucizumab (BI 655075) in Patients Treated With Dabigatran Etexilate Who Have Uncontrolled Bleeding or Require Emergency Surgery or Procedures.

The primary objective is to demonstrate reversal of the anticoagulant effect of dabigatran in patients treated with dabigatran etexilate who have uncontrolled or life-threatening bleeding requiring urgent intervention, and in patients treated with dabigatran etexilate who require emergency surgery or other invasive procedure.

The secondary objectives are to assess the reduction or cessation of bleeding, evaluate the clinical outcomes, safety and the pharmacokinetics of dabigatran in the presence of idarucizumab.

Conditions
Hemorrhage
Being tested
Idarucizumab
Medical subject headings
Hemorrhage

What participants receive

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

  • IdarucizumabDrug

    Also called PRAXBIND, Praxbind, Prizbind

    Intravenous

Study groups in NCT03343704
Study groupRoleWhat they receive
Group A - patients with uncontrolled or life-threatening bleedingExperimentalNot described
Receives: Drug: Idarucizumab
Group B - patients not bleeding but requiring emergency surgery or invasive procedureExperimentalNot described
Receives: Drug: Idarucizumab

What is being measured

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

  1. Maximum Reversal of Anticoagulant Effect of Dabigatran Based on Central Laboratory Determination of Ecarin Clotting Time

    Maximum reversal of anticoagulant effect of dabigatran based on central laboratory determination of ecarin clotting time is reported.

    The maximum reversal of anticoagulant effect of dabigatran is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% Upper limit of normal (ULN). Maximum reversal is calculated as 100% x (pre-dose value - post-dose value)/(pre-dose value - 100% ULN). If the calculated reversal is > 100, it was set to 100. 100% ULN is 41.26 seconds.

    Measured: From the end of first infusion up to 4 hours after the completion of the second infusion on Day 1 of the treatment period.

  2. Maximum Reversal of Anticoagulant Effect of Dabigatran Based on Central Laboratory Determination of Diluted Thrombin Time

    Maximum reversal of anticoagulant effect of dabigatran based on central laboratory determination of diluted thrombin time is reported.

    The maximum reversal of anticoagulant effect of dabigatran is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% Upper limit of normal (ULN). Maximum reversal is calculated as 100% x (pre-dose value - post-dose value)/(pre-dose value - 100% ULN). If the calculated reversal is > 100, it was set to 100. 100% ULN is 35.54 seconds.

    Measured: From the end of first infusion up to 4 hours after the completion of the second infusion on Day 1 of the treatment period.

Secondary outcomes (15)
  1. Percentage of Participants Achieving Cessation of Bleeding Within 24 Hours After Completion of Second Infusion (for Group A Only)

    Percentage of participants achieving cessation of bleeding within 24 hours after completion of second infusion for Group A is reported.

    Measured: Up to 24 hours after the completion of the second infusion on Day 1 of the treatment period.

  2. Number of Participants With Major Bleeding (for Group B Only) Intra-operatively and up to 24 Hours Post-surgery

    Number of participants with major bleeding (for Group B only) intra-operatively and up to 24 hours post-surgery per International Society for Thrombosis and Hemostasis (ISTH) classification is reported.

    Measured: Up to 24 hours post-surgery.

  3. Minimum Unbound Sum Dabigatran Concentrations Since the End of First Infusion up to 4 Hours After the Completion of the Last Infusion (Cmin,1)

    Minimum unbound sum dabigatran concentrations since the end of first infusion up to 4 hours after the completion of the last infusion (Cmin,1) is reported.

    Measured: Just prior to the second infusion (last infusion) and 10 minutes (min), 30 min, 1 hour (h), 2 h, and 4 h after the end of the second infusion.

  4. Maximum Reversal of Anticoagulation as Measured by Activated Partial Thromboplastin Time (aPTT)

    Maximum reversal of anticoagulation as measured by activated partial thromboplastin time (aPTT) is reported.

    The reversal of anticoagulant effect of dabigatran is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% Upper limit of normal (ULN). Maximum reversal is calculated as 100% x (pre-dose value - post-dose value)/(pre-dose value - 100% ULN). If the calculated reversal is > 100, it was set to 100. 100% ULN is 39.80 seconds.

    Measured: From the end of first infusion up to 4 hours after the completion of the second infusion on Day 1 of the treatment period.

  5. Maximum Reversal of Anticoagulation as Measured by Thrombin Time (TT)

    Maximum reversal of anticoagulation as measured by thrombin time (TT) is reported.

    The reversal of anticoagulant effect of dabigatran is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% Upper limit of normal (ULN). Maximum reversal is calculated as 100% x (pre-dose value - post-dose value)/(pre-dose value - 100% ULN). If calculated reversal is > 100, it was set to 100. 100% ULN is 14.22 seconds.

    Measured: From the end of first infusion up to 4 hours after the completion of the second infusion on Day 1 of the treatment period.

  6. Numbers of Participants With Any Adverse Events - on Treatment

    Numbers of participants with any adverse events during on treatment period is reported.

    Measured: Since the first infusion up until 5 days after the completion of the second infusion.

  7. Numbers of Participants With Any Adverse Events - Including Post Treatment Period

    Numbers of participants with any adverse events until end of study is reported.

    Measured: Since informed consent up to 30 days (± 7 days) after the completion of the second infusion, up to 37 days.

  8. Number of Participants With Serious Adverse Events - on Treatment

    Number of participants with Serious adverse events during on treatment period is reported.

    Measured: Since the first infusion up until 5 days after the completion of the second infusion.

  9. Number of Participants With Serious Adverse Events - Including Post Treatment Period

    Number of participants with Serious adverse events until the end of study is reported.

    Measured: Since informed consent up to 30 days (± 7 days) after the completion of the second infusion, up to 37 days.

  10. Number of Participants With Drug-related Adverse Events - on Treatment

    Numbers of patients with drug-related adverse events during on treatment period is reported.

    Measured: Since the first infusion up until 5 days after the completion of the second infusion.

  11. Number of Participants With Drug-related Adverse Events - Including Post Treatment Period

    Numbers of patients with drug-related adverse events until end of study is reported.

    Measured: Since informed consent up to 30 days (± 7 days) after the completion of the second infusion, up to 37 days.

  12. Number of Participants With Immune Reaction Adverse Event - on Treatment

    Number of participants with immune reaction adverse event during on treatment period is reported.

    Measured: Since the first infusion up until 5 days after the completion of the second infusion.

  13. Number of Participants With Immune Reaction Adverse Event - Including Post Treatment Period

    Number of participants with immune reaction adverse event until end of study is reported.

    Measured: Since informed consent up to 30 days (± 7 days) after the completion of the second infusion, up to 37 days.

  14. Number of Participants With Thrombotic Events - on Treatment

    Number of participants with thrombotic events (ischemic stroke, myocardial infarction, pulmonary embolism, deep vein thrombosis, systemic embolism) during on treatment period is reported.

    Measured: Since the first infusion up until 5 days after the completion of the second infusion.

  15. Number of Participants With Thrombotic Events - Including Post Treatment Period

    Number of participants with thrombotic events (ischemic stroke, myocardial infarction, pulmonary embolism, deep vein thrombosis, systemic embolism) until end of study is reported.

    Measured: Since informed consent up to 30 days (± 7 days) after the completion of the second infusion, up to 37 days.

Timeline

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

  1. First posted17 Nov 2017
  2. Study start26 Mar 2018
  3. Primary completion2 Jul 2020
  4. Study completion2 Jul 2020

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03343704
Sponsor's protocol ID
1321-0019
Status last verified
Feb 2025
First submitted
13 Nov 2017
Last updated
25 Feb 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datatransparency

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Idarucizumab in people with Hemorrhage, run by Boehringer Ingelheim at 13 sites in China.

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 7 inclusion and 7 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 25 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in China. 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 20 Aug 2021). 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?

Maximum Reversal of Anticoagulant Effect of Dabigatran Based on Central Laboratory Determination of Ecarin Clotting Time (time frame: From the end of first infusion up to 4 hours after the completion of the second infusion on Day 1 of the treatment period.). The study lists 2 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 25 Feb 2025; AzTrials last refreshed its copy on 7 Nov 2026.

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