BIBR 1048 Dose Range Finding Study in Prevention of Venou... | NCT01225822 | Trialant
NCT01225822
Sponsor
Boehringer Ingelheim
Status
Completed
Last Update Posted
May 19, 2014Estimated
Enrollment
1,973Actual
Phase
Phase 2
Conditions
Venous Thromboembolism
Interventions
Enoxaparin
BIBR 1048
BIBR 1048
BIBR 1048
BIBR 1048
Countries
Austria
Belgium
Czechia
Denmark
Finland
France
Hungary
Italy
Netherlands
Norway
South Africa
Sweden
Protocol Section
Identification Module
NCT ID
NCT01225822
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
1160.19
Secondary IDs
Not provided
Brief Title
BIBR 1048 Dose Range Finding Study in Prevention of Venous Thromboembolism in Patients With Primary Elective Total Hip or Knee Replacement Surgery
Official Title
BIBR 1048 Dose Range Finding Study in Prevention of Venous Thromboembolism in Patients With Primary Elective Total Hip or Knee Replacement Surgery
Acronym
Not provided
Organization
Boehringer IngelheimINDUSTRY
Status Module
Record Verification Date
Feb 2014
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Nov 2002
Primary Completion Date
Aug 2003Actual
Completion Date
Not provided
First Submitted Date
Oct 20, 2010
First Submission Date that Met QC Criteria
Oct 20, 2010
First Posted Date
Oct 21, 2010Estimated
Results Waived
Not provided
Results First Submitted Date
Nov 18, 2010
Results First Submitted that Met QC Criteria
Nov 18, 2010
Results First Posted Date
Dec 16, 2010Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
May 8, 2014
Last Update Posted Date
May 19, 2014Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Not provided
Lead Sponsor
Boehringer IngelheimINDUSTRY
Collaborators
Not provided
Oversight Module
No data available
No data is available for this block.
Description Module
Brief Summary
The primary objective of this study is to establish the dose-response relationship with regard to efficacy and safety of BIBR 1048 (50 mg bis in die(b.i.d), 150 mg b.i.d, 225 mg b.i.d. and 300 mg quaque die(q.d) ) in preventing venous thromboembolism(VTE) in patients undergoing primary elective total hip and knee replacement.
Detailed Description
Not provided
Conditions Module
Conditions
Venous Thromboembolism
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
1,973Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
BIBR 1048 50 mg bis in die(b.i.d)
Experimental
BIBR 1048 50 mg b.i.d twice a day plus two capsules of placebo matching BIBR 1048 0 mg twice a day plus one placebo matching enoxaparin 0 mg once a day for the treatment period
Drug: BIBR 1048
BIBR 1048 150 mg b.i.d
Experimental
BIBR 1048 150 mg b.i.d twice a day plus two capsules of placebo matching BIBR 1048 0 mg twice a day plus placebo matching enoxaparin 0 mg once a day for the treatment period
Drug: BIBR 1048
BIBR 1048 225 mg b.i.d
Experimental
BIBR 1048 225 mg b.i.d twice a day plus two capsules of placebo matching BIBR 1048 0 mg twice a day plus placebo matching enoxaparin 0 mg once a day for the treatment period
Drug: BIBR 1048
BIBR 1048 300 mg quaque die(q.d)
Experimental
BIBR 1048 150 mg q.d once a day plus placebo matching BIBR 1048 0 mg twice a day plus placebo matching enoxaparin 0 mg once a day for the treatment period
Drug: BIBR 1048
Enoxaparin 40 mg subcutaneous(s.c)
Active Comparator
placebo matching BIBR 1048 0 mg twice a day plus enoxaparin 40 mg s.c once a day for the treatment period
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Enoxaparin
Drug
Enoxaparin 40 mg s.c once a day for 5-10 days of treatment period
Enoxaparin 40 mg subcutaneous(s.c)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Number of Participants With Venous Thromboembolic (VTE) Events
Deep vein thrombosis (DVT) (proximal and distal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic DVT confirmed by venography during the treatment period or PE confirmed by objective testing
Treatment period (up to day 8+/-2 days visit)
Number of Participants With Major Bleeding Events (MBE)
From approximately 14 days prior to surgery to 4-6 weeks post surgery
Secondary Outcomes
Measure
Description
Time Frame
Number of Participants With VTE Events and All Cause Mortality
Deep venous thrombosis (DVT) (proximal and distal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic DVT confirmed by venography during the treatment period or Pulmonary Embolism (PE) confirmed by objective testing and all deaths.
Treatment period (up to day 8+/-2 days visit)
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion criteria
Patients scheduled to undergo a primary elective total hip or knee replacement.
Male of female being 18 years or older.
Patients weighing at least 40 kg.
Written informed consent for study participation.
Exclusion criteria
Bleeding diathesis, constitutional or acquired coagulation disorders.
Major surgery or trauma(e.g., hip fracture) within the last 3 months.
Cardiovascular disease
Any history of haemorrhagic stroke, intracranial or intraocular bleeding or cerebral ischaemic attacks lasting more than 24 hours and / or with cardiovascular pathological findings.
Deep vein thrombosis(DVT), gastrointestinal or pulmonary bleeding, gastric or duodenal ulcer within the last year.
History of or acute intracranial disease
Liver disease
Renal disease
Use of long-term anticoagulants or antiplatelet drugs within 7 days prior to hip/knee replacement operation.
Pre-menopausal women who are not surgically steriles, are nursing and are of child-bearing potential and are not practising acceptable methods of birth control
Known allergy to contrast media
Thrombocytopenia
Allergy against heparin.
Active malignant disease or current cytostatic treatment.
Treatment with an investigational drug in the past month.
Leg amputee
Known alcohol or drug abuse
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Boehringer Ingelheim
Boehringer Ingelheim
Study Chair
Locations
Facility
Status
City
State
ZIP
Country
Contacts
1160.19.43004 Krankenhaus der Barmherzigen Schwestern Linz
Linz
Austria
1160.19.43002 Orthopädisches Spital Speising
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Not provided
Recruitment Details
There were 1973 patients enrolled/randomised in this trial but only 1949 started treatment
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid(twice daily) oral
FG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid(twice daily) oral
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Prevention
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Not provided
Who Masked
Not provided
Drug: Enoxaparin
BIBR 1048
Drug
50 mg b.i.d BIBR 1048 capsule twice a day for 5-10 days of treatment period
BIBR 1048 50 mg bis in die(b.i.d)
BIBR 1048
Drug
150 mg b.i.d BIBR 1048 capsule twice a day for 5-10 treatment period
BIBR 1048 150 mg b.i.d
BIBR 1048
Drug
225 mg b.i.d BIBR 1048 capsule twice a day for 5-10 treatment period
BIBR 1048 225 mg b.i.d
BIBR 1048
Drug
300 mg q.d BIBR 1048 capsule for 5-10 treatment period
BIBR 1048 300 mg quaque die(q.d)
Number of Participants With Proximal DVT, PE (Pulmonary Embolism) and VTE Related Mortality
Deep venous thrombosis (DVT) (proximal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic proximal DVT confirmed by venography during the treatment period or PE confirmed by objective testing plus VTE related mortality
Treatment period (up to day 10)
Number of Participants With Proximal DVT
Deep venous thrombosis (DVT) (proximal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic proximal DVT confirmed by venography during the treatment period
Treatment period (up to day 8+/-2 days visit)
Volume of Blood Loss
Volume of blood loss was to be analysed using an analysis of variance (ANOVA), which included treatment and centre.
Day 1 (Day of surgery)
Rate of Transfusions Due to Bleedings
Percentage of patients requiring transfusions due to bleeding .Rate of need of transfusion were to be analysed using a logistic regression with treatment and centre.
Day 1 (Day of surgery)
Number of Participants With Clinically Significant, Minor or Any Bleeding Events
Number of participants with Clinically Significant, minor or any bleeding events. Clinically significant bleeding events are defined as
Spontaneous skin haematoma larger than >25 cm²
Wound haematoma >100 cm²
Spontaneous nose bleed >5 minutes
Macroscopic haematurea, either spontaneous or lasting more than 24 hours if associated with an intervention
Spontaneous rectal bleeding (more than spot on toilet paper)
Gingival bleeding >5 minutes
Any other bleeding event considered as clinically significant by the investigator All other bleeding events that did not fulfil the criteria of MBE or clinically significant bleeding event were classified as minor bleeding events.
Treatment period (up to day 8+/-2 days visit)
Laboratory Analyses
Number of patients with possible clinically significant abnormalities, i.e. with values out of normal range.
Normal ranges are defined as:
Haematocrit [%]: (0.35-0.45) for women and (0.39-0.51) for men Haemoglobin [g/dL]: (11.6-15.4) for women and (13.2-17.3) for men White Blood Cell count [10^9/L]: (4-10.3) for women and (3.9-10.3) for men Platelets [10^9/L]: (145-420) for women and men Sodium [mmol/L]: (135-146) for women and men Potassium [mmol/L]: (3.5-5) for women and men Aspartate aminotransferase (AST) [U/L]: (11-37) for women and (11-39) for men Alanine aminotransferase (ALT) [U/L]: (8-43) for women and (8-45) for men Alkaline Phosphatase [U/L]: (36-118) for women and (35-123) for men Creatinine [mg/dL]: (0.57-1.06)for women and (0.72-1.3) for men Bilirubin, total [mg/dL]: (0.22-1.28) for women and men Uric acid [mg/dL]: (2.4-6.47) for women and men
Screening to end of treatment
Plasma Concentration (Cmax) of Dabigatran
Maximum plasma concentration of Dabigatran (at steady-state) and Pre-dose plasma concentrations at steady state.
Cmax represents the maximum concentration of Dabigatran in plasma. Cmax,ss represents the maximum concentration of Dabigatran in plasma at steady state.
Cpre,ss represents pre-dose concentration of Dabigatran in plasma at steady state
Day 1 to end of treatment
Area Under the Plasma Concentration-time Curve During a Dosing Interval
Area under the plasma concentration-time curve during a dosing interval (at steady-state). The AUC0-12h (for b.i.d. treatment regimens) and AUC0-24h (300 mg q.d.) after the first dose on day of surgery calculated by extrapolation using the elimination rate constant, reported only if the extrapolated fraction of AUC was less than 30 % of the total AUC.
up to day 8+/-2 days visit
Vienna
Austria
1160.19.43001 A.ö. Krankenhaus d. Statutarstadt Wiener Neustadt
Wiener Neustadt
Austria
1160.19.32002 V.U.B. Jette
Brussels
Belgium
1160.19.32004 UZ Gent
Ghent
Belgium
1160.19.32005 Virga Jesseziekenhuis
Ghent
Belgium
1160.19.32006 Boehringer Ingelheim Investigational Site
Huy
Belgium
1160.19.32007 C.H.U. de Tivoli
La Louvière
Belgium
1160.19.42004 University Hospital Brno
Brno-Bohunice
Czechia
1160.19.42001 Hospital Kladno
Kladno
Czechia
1160.19.42006 Hospital Mlada Boleslav
Mladá Boleslav
Czechia
1160.19.42003 University Hospital Ostrava
Ostrava
Czechia
1160.19.42005 University Hospital Plzen
Pilsen
Czechia
1160.19.42009 University Hospital Na Bulovce
Prague
Czechia
1160.19.45042 Orthopedic Surgical Clinic
Frederiksberg
Denmark
1160.19.45045 Gentofte Hospital
Hellerup
Denmark
1160.19.45043 Herlev Hospital
Herlev
Denmark
1160.19.45041 Hørsholm Sygehus
Hørsholm
Denmark
1160.19.45044 Orthopedic Surgical Dept.
Silkeborg
Denmark
1160.19.35802 Keski-Suomen keskussairaala
Jyväskylä
Finland
1160.19.35801 Oulun yliopistollinen sairaala, Leikkaus- ja tehohoidon yks.
Oulu
Finland
1160.19.33004 Div
Illkirch-Graffenstaden
France
1160.19.33007 Clinique du Mail
La Rochelle
France
1160.19.33009 Hôpital Edouard Herriot
Lyon
France
1160.19.33006 Clinique Mutualiste
Saint-Etienne
France
1160.19.33008 Clinique de l'Atlantique
Saint-Herblain
France
1160.19.36003 Sándor Péterfy Hospital
Budapest
Hungary
1160.19.36001 Kálmán Pándy County Hospital
Gyula
Hungary
1160.19.36004 Bács-Kiskun County Hospital
Kecskemét
Hungary
1160.19.36002 Albert Szent-Györgyi Medical and Pharmacological Center
Szeged
Hungary
1160.19.36005 Szent György Hospital
Székesfehérvár
Hungary
1160.19.39003 U. O. Ortopedia e Traumatologia
Bergamo
Italy
1160.19.39005 Modulo Coordinazione Dipartimentale di Ricerca e Anestesia
Bologna
Italy
1160.19.39002 Fondazione Centro S. Raffaele
Milan
Italy
1160.19.39001 IRCCS Policlinico San Matteo
Pavia
Italy
1160.19.39004 Ospedale di Circolo di Varese
Varese
Italy
1160.19.31001 Boehringer Ingelheim Investigational Site
Amsterdam
Netherlands
1160.19.31003 Boehringer Ingelheim Investigational Site
Hilversum
Netherlands
1160.19.31005 Hengstdal 3
Nijmegen
Netherlands
1160.19.31006 Boehringer Ingelheim Investigational Site
Sittard
Netherlands
1160.19.31004 Boehringer Ingelheim Investigational Site
Number of Participants With Venous Thromboembolic (VTE) Events
Deep vein thrombosis (DVT) (proximal and distal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic DVT confirmed by venography during the treatment period or PE confirmed by objective testing
Full Analysis Set (FAS) population. This included all randomised patients who had at least one subcutaneous injection and one oral dose of study medication and with confirmed VTE data post surgery
BIBR 1048 225 mg bid vs. BIBR 1048 50 mg bid comparison. The primary objective of the trial was to establish a dose relationship among BIBR 1048 doses studied in the prevention of VTE. The statistical model was a logistic regression which included treatment and centre..
Regression, Logistic
<0.0001
Dose relationship tested using a hierarchical testing procedure to preserve type I error rate at 5%. 225 mg bid was compared to 50 mg bid. If a difference significant at 5% level was found, then 150 mg bid was compared to 50 mg bid
Odds Ratio (OR)
0.375
95
0.244
0.577
No
Superiority or Other
Secondary
Number of Participants With VTE Events and All Cause Mortality
Deep venous thrombosis (DVT) (proximal and distal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic DVT confirmed by venography during the treatment period or Pulmonary Embolism (PE) confirmed by objective testing and all deaths.
Full Analysis Set (FAS) population. This included all randomised patients who had at least one subcutaneous injection and one oral dose of study medication and with confirmed VTE data post surgery
Posted
Number
participants
Treatment period (up to day 8+/-2 days visit)
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
Secondary
Number of Participants With Proximal DVT, PE (Pulmonary Embolism) and VTE Related Mortality
Deep venous thrombosis (DVT) (proximal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic proximal DVT confirmed by venography during the treatment period or PE confirmed by objective testing plus VTE related mortality
Full Analysis Set (FAS) population. This included all randomised patients who had at least one subcutaneous injection and one oral dose of study medication and with confirmed VTE data post surgery
Posted
Number
participants
Treatment period (up to day 10)
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
Secondary
Number of Participants With Proximal DVT
Deep venous thrombosis (DVT) (proximal) as detected by routine bilateral venography on day 8 +/- 2, plus symptomatic proximal DVT confirmed by venography during the treatment period
Full Analysis Set (FAS) population. This included all randomised patients who had at least one subcutaneous injection and one oral dose of study medication and with confirmed VTE data post surgery
Posted
Number
participants
Treatment period (up to day 8+/-2 days visit)
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
OG004
Primary
Number of Participants With Major Bleeding Events (MBE)
Safety Set (SAFE) population. This included all randomised patients who were treated and who had any available data
Posted
Number
participants
From approximately 14 days prior to surgery to 4-6 weeks post surgery
Percentage of patients requiring transfusions due to bleeding .Rate of need of transfusion were to be analysed using a logistic regression with treatment and centre.
Safety Set (SAFE) population. This included all randomised patients who were treated and who had any available data
Posted
Number
Percentage of patients
Day 1 (Day of surgery)
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
OG004
Enoxaparin 40 mg qd
Secondary
Number of Participants With Clinically Significant, Minor or Any Bleeding Events
Number of participants with Clinically Significant, minor or any bleeding events. Clinically significant bleeding events are defined as
Spontaneous skin haematoma larger than >25 cm²
Wound haematoma >100 cm²
Spontaneous nose bleed >5 minutes
Macroscopic haematurea, either spontaneous or lasting more than 24 hours if associated with an intervention
Spontaneous rectal bleeding (more than spot on toilet paper)
Gingival bleeding >5 minutes
Any other bleeding event considered as clinically significant by the investigator All other bleeding events that did not fulfil the criteria of MBE or clinically significant bleeding event were classified as minor bleeding events.
Safety Set (SAFE) population. This included all randomised patients who were treated and who had any available data
Posted
Number
participants
Treatment period (up to day 8+/-2 days visit)
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
Secondary
Laboratory Analyses
Number of patients with possible clinically significant abnormalities, i.e. with values out of normal range.
Normal ranges are defined as:
Haematocrit [%]: (0.35-0.45) for women and (0.39-0.51) for men Haemoglobin [g/dL]: (11.6-15.4) for women and (13.2-17.3) for men White Blood Cell count [10^9/L]: (4-10.3) for women and (3.9-10.3) for men Platelets [10^9/L]: (145-420) for women and men Sodium [mmol/L]: (135-146) for women and men Potassium [mmol/L]: (3.5-5) for women and men Aspartate aminotransferase (AST) [U/L]: (11-37) for women and (11-39) for men Alanine aminotransferase (ALT) [U/L]: (8-43) for women and (8-45) for men Alkaline Phosphatase [U/L]: (36-118) for women and (35-123) for men Creatinine [mg/dL]: (0.57-1.06)for women and (0.72-1.3) for men Bilirubin, total [mg/dL]: (0.22-1.28) for women and men Uric acid [mg/dL]: (2.4-6.47) for women and men
Safety Set (SAFE) population. This included all randomised patients who were treated and who had any available data
Posted
Number
participants
Screening to end of treatment
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Secondary
Plasma Concentration (Cmax) of Dabigatran
Maximum plasma concentration of Dabigatran (at steady-state) and Pre-dose plasma concentrations at steady state.
Cmax represents the maximum concentration of Dabigatran in plasma. Cmax,ss represents the maximum concentration of Dabigatran in plasma at steady state.
Cpre,ss represents pre-dose concentration of Dabigatran in plasma at steady state
Posted
Geometric Mean
Geometric Coefficient of Variation
ng/mL
Day 1 to end of treatment
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
OG004
Enoxaparin 40 mg qd
Secondary
Area Under the Plasma Concentration-time Curve During a Dosing Interval
Area under the plasma concentration-time curve during a dosing interval (at steady-state). The AUC0-12h (for b.i.d. treatment regimens) and AUC0-24h (300 mg q.d.) after the first dose on day of surgery calculated by extrapolation using the elimination rate constant, reported only if the extrapolated fraction of AUC was less than 30 % of the total AUC.
Posted
Geometric Mean
Geometric Coefficient of Variation
ng*h/mL
up to day 8+/-2 days visit
ID
Title
Description
OG000
BIBR 1048 50 mg Bid
Dabigatran 50 mg bid (twice daily) oral
OG001
BIBR 1048 150 mg Bid
Dabigatran 150 mg bid (twice daily) oral
OG002
BIBR 1048 225 mg Bid
Dabigatran 225 mg bid (twice daily) oral
OG003
BIBR 1048 300 mg qd
Dabigatran 300 mg qd (once daily) oral
OG004
Enoxaparin 40 mg qd
Time Frame
14 days +/- 2 days
Description
Time frame is from first dose of randomised treatment up to the end of treatment including 6 days after last intake.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Colon neoplasm NOS
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Lung neoplasm NOS
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Prostatic adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Epilepsy NOS
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Ischaemic stroke NOS
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Paraesthesia
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Peripheral neuropathy NOS
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Radiculitis NOS
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Confusion
Psychiatric disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0011 affected390 at risk
EG0020 affected393 at risk
EG003
Anuria
Renal and urinary disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Renal failure aggravated
Renal and urinary disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Urinary incontinence
Renal and urinary disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0011 affected390 at risk
EG0020 affected393 at risk
EG003
Urinary retention
Renal and urinary disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0011 affected390 at risk
EG0020 affected393 at risk
EG003
Diaphragmatic paralysis
Respiratory, thoracic and mediastinal disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Dyspnoea NOS
Respiratory, thoracic and mediastinal disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Face oedema
Skin and subcutaneous tissue disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Arterial haemorrhage NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0011 affected390 at risk
EG0020 affected393 at risk
EG003
Deep venous thrombosis NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Haematoma NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Haemorrhage NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Hypotension NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0020 affected393 at risk
EG003
Hypovolaemic shock
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Pulmonary embolism
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0001 affected389 at risk
EG0013 affected390 at risk
EG0020 affected393 at risk
EG003
Venous thrombosis deep limb
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0005 affected389 at risk
EG0011 affected390 at risk
EG0021 affected393 at risk
EG003
Wound haemorrhage
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG0000 affected389 at risk
EG0010 affected390 at risk
EG0021 affected393 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia NOS
Blood and lymphatic system disorders
MedDRA(4.0)
Systematic Assessment
EG00023 affected389 at risk
EG00126 affected390 at risk
EG00227 affected393 at risk
EG00322 affected385 at risk
EG00418 affected392 at risk
Constipation
Gastrointestinal disorders
MedDRA(4.0)
Systematic Assessment
EG00033 affected389 at risk
EG00138 affected390 at risk
EG00234 affected393 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA(4.0)
Systematic Assessment
EG00084 affected389 at risk
EG001105 affected390 at risk
EG00292 affected393 at risk
EG003
Vomiting NOS
Gastrointestinal disorders
MedDRA(4.0)
Systematic Assessment
EG00076 affected389 at risk
EG00177 affected390 at risk
EG00275 affected393 at risk
EG003
Pyrexia
General disorders
MedDRA(4.0)
Systematic Assessment
EG00033 affected389 at risk
EG00130 affected390 at risk
EG00236 affected393 at risk
EG003
Post procedural drainage
Injury, poisoning and procedural complications
MedDRA(4.0)
Systematic Assessment
EG00012 affected389 at risk
EG00116 affected390 at risk
EG00223 affected393 at risk
EG003
Post procedural haemorrhage
Injury, poisoning and procedural complications
MedDRA(4.0)
Systematic Assessment
EG0006 affected389 at risk
EG00114 affected390 at risk
EG0026 affected393 at risk
EG003
Wound secretion
Injury, poisoning and procedural complications
MedDRA(4.0)
Systematic Assessment
EG00015 affected389 at risk
EG00121 affected390 at risk
EG00216 affected393 at risk
EG003
Haemoglobin decreased
Investigations
MedDRA(4.0)
Systematic Assessment
EG00013 affected389 at risk
EG00118 affected390 at risk
EG00221 affected393 at risk
EG003
Headache NOS
Nervous system disorders
MedDRA(4.0)
Systematic Assessment
EG00019 affected389 at risk
EG00115 affected390 at risk
EG00216 affected393 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA(4.0)
Systematic Assessment
EG00059 affected389 at risk
EG00145 affected390 at risk
EG00252 affected393 at risk
EG003
Haematoma NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG00010 affected389 at risk
EG00117 affected390 at risk
EG00221 affected393 at risk
EG003
Hypotension NOS
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG00019 affected389 at risk
EG00125 affected390 at risk
EG00221 affected393 at risk
EG003
Venous thrombosis deep limb
Vascular disorders
MedDRA(4.0)
Systematic Assessment
EG00033 affected389 at risk
EG00112 affected390 at risk
EG00213 affected393 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
Point of Contact
Title
Organization
Phone
Extension
Email
Boehringer Ingelheim Call Center
Boehringer Ingelheim Pharmaceuticals
1-800-243-0127
clintriage.rdg@boehringer-ingelheim.com
ID
Term
D054556
Venous Thromboembolism
Ancestor Terms
ID
Term
D013923
Thromboembolism
D016769
Embolism and Thrombosis
D014652
Vascular Diseases
D002318
Cardiovascular Diseases
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D017984
Enoxaparin
D000069604
Dabigatran
Ancestor Terms
ID
Term
D006495
Heparin, Low-Molecular-Weight
D006493
Heparin
D006025
Glycosaminoglycans
D011134
Polysaccharides
D002241
Carbohydrates
D011725
Pyridines
D006573
Heterocyclic Compounds, 1-Ring
D006571
Heterocyclic Compounds
D001562
Benzimidazoles
D006574
Heterocyclic Compounds, 2-Ring
D000072471
Heterocyclic Compounds, Fused-Ring
Browse Leaves
Not provided
Browse Branches
Not provided
4 subjects
0 subjects
6 subjects
7 subjects
66.47
± 10.37
BG00465.03± 11.03
BG00565.86± 10.61
229
BG003246
BG004241
BG0051191
Male
BG000166
BG001138
BG002164
BG003139
BG004151
BG005758
371
OG004382
47
OG00472
OG000
OG001
BIBR 1048 150 mg bid vs. BIBR 1048 50 mg bid comparison. The primary objective of the trial was to establish a dose relationship among BIBR 1048 doses studied in the prevention of VTE. The statistical model was a logistic regression which included treatment and centre..
Regression, Logistic
0.0015
Dose relationship tested using a hierarchical testing procedure to preserve type I error rate at 5%. 225 mg bid was compared to 50 mg bid. If a difference significant at 5% level was found, then 150 mg bid was compared to 50 mg bid
Odds Ratio (OR)
0.518
95
0.344
0.778
No
Superiority or Other
OG001
OG003
BIBR 1048 300 mg qd vs. BIBR 1048 150 mg bid comparison. Secondary analysis to compare once daily dosing vs. twice daily dosing. . The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.7856
Odds Ratio (OR)
0.94
95
0.599
1.473
No
Superiority or Other
OG002
OG004
BIBR 1048 225 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.0007
Odds Ratio (OR)
0.469
95
0.302
0.727
No
Superiority or Other
OG001
OG004
BIBR 1048 150 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.0401
Odds Ratio (OR)
0.647
95
0.427
0.98
No
Superiority or Other
OG000
OG004
BIBR 1048 50 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.
BIBR 1048 225 mg bid vs. BIBR 1048 50 mg bid comparison. The primary objective of the trial was to establish a dose relationship among BIBR 1048 doses studied in the prevention of VTE. The statistical model was a logistic regression which included treatment and centre..
Regression, Logistic
<0.0001
Dose relationship tested using a hierarchical testing procedure to preserve type I error rate at 5%. 225 mg bid was compared to 50 mg bid. If a difference significant at 5% level was found, then 150 mg bid was compared to 50 mg bid
Odds Ratio (OR)
0.375
95
0.244
0.577
No
Superiority or Other
OG000
OG001
BIBR 1048 150 mg bid vs. BIBR 1048 50 mg bid comparison. The primary objective of the trial was to establish a dose relationship among BIBR 1048 doses studied in the prevention of VTE. The statistical model was a logistic regression which included treatment and centre..
Regression, Logistic
0.0015
Dose relationship tested using a hierarchical testing procedure to preserve type I error rate at 5%. 225 mg bid was compared to 50 mg bid. If a difference significant at 5% level was found, then 150 mg bid was compared to 50 mg bid
Odds Ratio (OR)
0.518
95
0.344
0.778
No
Superiority or Other
OG001
OG003
BIBR 1048 300 mg qd vs. BIBR 1048 150 mg bid comparison. Secondary analysis to compare once daily dosing vs. twice daily dosing. . The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.7856
Odds Ratio (OR)
0.94
95
0.599
1.473
No
Superiority or Other
OG002
OG004
BIBR 1048 225 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.0007
Odds Ratio (OR)
0.469
95
0.302
0.727
No
Superiority or Other
OG001
OG004
BIBR 1048 150 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.
Regression, Logistic
0.0401
Odds Ratio (OR)
0.647
95
0.427
0.98
No
Superiority or Other
OG000
OG004
BIBR 1048 50 mg bid vs. Enoxaparin 40 mg qd comparison. Secondary analysis, active control used as reference. The statistical model was a logistic regression which included treatment and centre.