The primary objective was to evaluate the safety of dabigatran etexilate(BIBR 1048) administered orally at doses of 110 and 150 mg, twice daily, for 12 weeks in patients with non-valvular atrial fibrillation (paroxysmal, persistent or permanent) in comparison with warfarin.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
174
Dabigatran etexilate 110 mg capsule, twice a day, oral administration
Dabigatran etexilate 150 mg capsule, twice a day, oral administration
Dose-adjusted warfarin based on target INR values
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
Time frame: upto 15 weeks
Frequency (Occurrence Rates) of Clinically Relevant Bleeding Event
The percentage of patients with clinically relevant bleeding event. Any bleed that did not qualify as a major bleed was defined as a minor bleed; minor bleed which fulfilled one of the criteria below was defined as a clinically relevant bleeding event: * A skin haematoma of at least 25 sqcm * Spontaneous nose bleed lasting for more than 5 minutes * Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours) * Spontaneous rectal bleeding (more than spotting on toilet paper) * Gingival bleeding lasting for more than 5 minutes * Bleeding leading to hospitalisation * Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US) * Any other bleeding considered clinically relevant by the investigator
Time frame: upto 15 weeks
Frequency (Occurrence Rates) of Nuisance Bleeding Event
The percentage of patients with nuisance bleeding event Any bleed that did not qualify as a major bleed was defined as a minor bleed; all minor bleeding events not fulfilling one of the criteria below was defined as a nuisance bleeding event: * A skin haematoma of at least 25 sqcm * Spontaneous nose bleed lasting for more than 5 minutes * Macroscopic haematuria (either spontaneous or, if associated with an intervention, lasting more than 24 hours) * Spontaneous rectal bleeding (more than spotting on toilet paper) * Gingival bleeding lasting for more than 5 minutes * Bleeding leading to hospitalisation * Bleeding leading to blood transfusion (erythrocyte component transfusion or whole blood transfusion) of less than 4.5 units (equal to 2 units in EU/US) * Any other bleeding considered clinically relevant by the investigator
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
1160.49.024 Boehringer Ingelheim Investigational Site
Aki-gun, Hiroshima, Japan
1160.49.025 Boehringer Ingelheim Investigational Site
Fukuoka, Fukuoka, Japan
1160.49.026 Boehringer Ingelheim Investigational Site
Fukuoka, Fukuoka, Japan
1160.49.021 Boehringer Ingelheim Investigational Site
Himeji, Hyogo, Japan
1160.49.027 Boehringer Ingelheim Investigational Site
Iizuka,Fukuoka, Japan
1160.49.013 Boehringer Ingelheim Investigational Site
Kyoto, Kyoto, Japan
1160.49.011 Boehringer Ingelheim Investigational Site
Nagoya, Aichi, Japan
1160.49.012 Boehringer Ingelheim Investigational Site
Nagoya, Aichi, Japan
1160.49.004 Boehringer Ingelheim Investigational Site
Naka-gun, Ibaragi, Japan
1160.49.022 Boehringer Ingelheim Investigational Site
Okayama, Okayama, Japan
...and 18 more locations
Time frame: Upto 15 weeks
Incidence and Severity of Adverse Events
Intensity of event is categorised as mild, moderate and severe.
Time frame: Upto 15 weeks
Discontinuation of the Study Drug Due to Adverse Events
Discontinuation of the study drug due to adverse events.
Time frame: Upto 15 weeks
Changes in Laboratory Test Values
The number of patients with ALT, AST, alkaline phosphatase, or bilirubin exceeded the upper limit of normal (ULN) range
Time frame: 12 weeks
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)
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Ischemic or Haemorrhagic Stroke (Fatal or Non-fatal)
The percentage of patients with ischemic or haemorrhagic stroke (fatal or non-fatal)
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Transient Ischemic Attack
The percentage of patients with transient ischemic attack
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Systemic Embolism
The percentage of patients with systemic embolism
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Myocardial Infarction (Fatal or Non-fatal)
The percentage of patients with myocardial infarction (fatal or non-fatal)
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Other Major Adverse Cardiac Events
The percentage of patients with other major adverse cardiac events
Time frame: Upto 15 weeks
Frequency (Occurrence Rates) of Death
The percentage of patients with death
Time frame: Upto 15 weeks
Anticoagulation Effects Trough aPTT (Activated Partial Thromboplastin Time)
The blood coagulation parameter aPTT was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough ECT (Ecarin Clotting Time)
The blood coagulation parameter ECT was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough INR (International Normalised Ratio)
The blood coagulation parameter INR was assessed in patients allocated to the dabigatran etexilate groups at week 0, prior to drug administration and at the trough at week 1, 4 and 12.
Time frame: Week 0,1,4 and 12
Anticoagulation Effects Trough 11-dehydrothromboxane B2
Analysis based on concomitant use of aspirin compared to no aspirin users. 11-dehydrothromboxane B2 is measured in urine of patients.
Time frame: Week 0 and 12
Steady-state Pharmacokinetics of Total Dabigatran Trough Plasma Concentration
Time frame: Week 1,4 and 12