HemorrhagePhase 3NCT02104947
Reversal of Dabigatran Anticoagulant Effect With Idarucizumab
A Phase 3 study testing idarucizumab in people with Hemorrhage, run by Boehringer Ingelheim at 176 sites in 33 countries.
Trial summary
Evaluate the reversal of the anticoagulant effects of dabigatran by IV administration of 5.0g idarucizumab in patients treated with dabigatran etexilate who have uncontrolled bleeding or require emergency surgery or procedures. 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
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 503 participants
- Where
- 176 sitesin 33 countries
- Study dates
- 6 May 2014to 20 Oct 2016
- 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
- Group A (Bleeding patients)
- Overt bleeding judged by the physician to require a reversal agent
- Currently taking dabigatran etexilate
- At least 18 years of age
- Written informed consent
- Group B (Patients who are taking dabigatran who may not be bleeding, but do require an emergency surgery or procedure for a condition other than bleeding
Show all 10Show fewer
- Condition requiring emergency surgery or invasive procedure where adequate hemostasis is required. Emergency is defined as within the following 8 hours.
- Current treatment with dabigatran
- At least 18 years of age
- Written Informed consent.
Who cannot join
- Group A (Bleeding Patients)
- Patients with minor bleeds (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.
- Group B (Patients who require emergency surgery or procedure)
- 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
176 sites in 33 countries.
176 sites in 33 countries
United States30 sites
Our Lady of the Lake Regional Medical Center
Baton Rouge, Louisiana, 70808
Medical University of South Carolina
Charleston, South Carolina, 29425
Northwestern University
Chicago, Illinois, 60611
University of Cincinnati
Cincinnati, Ohio, 45219
Miami Valley Hospital
Dayton, Ohio, 45409
Duke University Medical Center
Durham, North Carolina, 27710
Texas Health Research and Education Institute
Fort Worth, Texas, 76104
University of Florida College of Medicine
Gainesville, Florida, 32610
Genesys Regional Medical Center
Grand Blanc, Michigan, 48439
Sentara RMH Medical Center
Harrisonburg, Virginia, 22801
Memorial Hermann Hospital - Texas Medical Center
Houston, Texas, 77030
IU Health Methodist Hospital
Indianapolis, Indiana, 46202
Henry Ford Allegiance Health
Jackson, Michigan, 49201
Baptist Medical Center
Jacksonville, Florida, 32207
Mayo Clinic Cancer Center
Jacksonville, Florida, 32224
St. Mary Medical Center
Langhorne, Pennsylvania, 19047
Baptist Health Center for Clinical Research
Little Rock, Arkansas, 72205
Loma Linda University Medical Center
Loma Linda, California, 92354
Community Hospital
Munster, Indiana, 46321
Newton-Wellesley Hospital
Newton, Massachusetts, 02462
University of Nebraska Medical Center
Omaha, Nebraska, 68198
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Virginia Commonwealth University
Richmond, Virginia, 23298-0401
Mercy Hospital St. Louis
St Louis, Missouri, 63141
Tampa General Hospital
Tampa, Florida, 33606
St. Joseph's Hospital
Tampa, Florida, 33607
St. John Health System Inc
Tulsa, Oklahoma, 74104
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010-2975
Lankenau Medical Center
Wynnewood, Pennsylvania, 19096
St. Elizabeth Youngstown Hospital
Youngstown, Ohio, 44501
Spain14 sites
Hospital General Universitario de Alicante
Alicante, 03010
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Clínic de Barcelona
Barcelona, 08036
Hospital de Bellvitge
Barcelona, 08907
Hospital General Universitario Gregorio Marañón
Madrid, 28007
Hospital Ramón y Cajal
Madrid, 28034
Hospital Clínico San Carlos
Madrid, 28040
Hospital La Paz
Madrid, 28046
Hospital Regional Universitario de Málaga
Málaga, 29010
Hospital Universitario Marqués de Valdecilla
Santander, 39008
Hospital Politècnic La Fe
Valencia, 46009
Hospital Clínico de Valencia
Valencia, 46010
Hospital Álvaro Cunqueiro
Vigo (Pontevedra), 36312
Hospital Clínico Universitario Lozano Blesa
Zaragoza, 50009
Japan12 sites
Japanese Red Cross Nagoya Daini Hospital
Aichi, Nagoya, 466-8650
Ehime Prefectural Central Hospital
Ehime, Matsuyama, 790-0024
Fukuoka Tokushukai Medical Center
Fukuoka, Kasuga, 816-0864
Ogaki Municipal Hospital
Gifu, Ogaki, 503-8502
National Hospital Organization Takasaki General Medical Center
Gunma, Takasaki, 370-0829
Hyogo College of Medicine Hospital
Hyogo, Nishinomiya, 663-8501
National Hospital Organization Kagoshima Medical Center
Kagoshima, Kagoshima, 892-0853
Shonan Kamakura General Hospital
Kanagawa, Kamakura, 247-8533
National Cerebral and Cardiovascular Center
Osaka, Suita, 565-8565
Nippon Medical School Hospital
Tokyo, Bunkyo-Ku, 113-8603
National Hospital Organization Disaster Medical Center
Tokyo, Tachikawa, 190-0014
Yamagata City Hospital SAISEIKAN
Yamagata, Yamagata, 990-8533
France11 sites
HOP Trousseau
Chambray-lès-Tours, 37170
HOP Bocage
Dijon, 21079
HOP André Mignot
Le Chesnay, 78150
HOP Lille, SAMU 59, Lille
Lille, 59037
HOP Dupuytren
Limoges, 87042
HOP Herriot
Lyon, 69003
HOP Lapeyronie
Montpellier, 34295
HOP Haut-Lévêque
Pessac, 33604
HOP Lyon Sud
Pierre-Bénite, 69495
HOP Nord
Saint-Priest-en-Jarez, 42270
HOP Sainte Anne, Urgence, Toulon
Toulon, 83041
Poland8 sites
Univ. Clinic Hosp, Bialystok
Bialystok, 15276
University Clinical Center, Gdansk
Gdansk, 80952
Saint Wincenty a Paulo Hosp., Cardiology Dept., Gdynia
Gdynia, 81348
Reg.Hosp Kielce,Swietokrzyskie,1.Clinic of Cardiology,Kielce
Kielce, 25736
The John Paul II Hosp.,Dept.of Coronary Heart Disease,Krakow
Krakow, 31202
Stefan Kardynal Wyszynski Reg.Hosp,Cardiol&IntensUnit,Lublin
Lublin, 20718
Independent Public Healthcare, Dept. of Cardiology, Pulawy
Puławy, 24100
Central Hosp.Minis.Interior,Dep.Noninvasive Cardiol,Warszawa
Warsaw, 02507
United Kingdom7 sites
North Hampshire Hospital
Basingstoke, RG24 9NA
Royal Liverpool University Hospital
Liverpool, L7 8XP
Royal London Hospital
London, E1 1ES
St George's Hospital
London, SW17 0QT
Emergency Department, John Radcliffe Hospital, Oxford
Oxford, OX3 9DU
Southampton General Hospital
Southampton, SO16 6YD
Musgrove Park Hospital
Taunton, TA1 5DA
Australia6 sites
Flinders Medical Centre
Bedford Park, South Australia, 5042
Concord Repatriation General Hospital
Concord, New South Wales, 2139
St. Vincents Hospital (MEL)
Fitzroy, Victoria, 3065
St George Hospital
Kogarah, New South Wales, 2217
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Westmead Hospital-Clinical Haematology Dept
Westmead, New South Wales, 2145
Belgium6 sites
Aalst - HOSP Onze-Lieve-Vrouw
Aalst, 9300
Brussels - UNIV St-Pierre
Brussels, 1000
Brussels - UNIV UZ Brussel
Brussels, 1090
Brussels - UNIV St-Luc
Brussels, 1200
Genk - HOSP ZOL (St-Jan)
Genk, 3600
UZ Leuven
Leuven, 3000
Czechia6 sites
University Hospital Brno
Brno, 625 00
Hospital,Neurology Dept,Ceske Budejovice
České Budějovice, 370 01
Hospital Hradec Kralove
Hradec Králové, 500 05
Regional Hospital Liberec
Liberec, 460 63
Univ. Hospital Kralovske Vinohrady
Prague, 100 34
University Hospital Motol
Prague, 150 06
Netherlands6 sites
OLVG, locatie Oosterpark
Amsterdam, 1091 AC
Academisch Medisch Centrum (AMC)
Amsterdam, 1105 AZ
Martini Ziekenhuis
Groningen, 9728 NT
Maastricht Universitair Medisch Centrum
Maastricht, 6229 ER
Radboud Universitair Medisch Centrum
Nijmegen, 6525 GA
Erasmus Medisch Centrum
Rotterdam, 3015 CE
Finland5 sites
HUS, Kirurginen päivystysosasto P1P, Meilahti, Helsinki
Helsinki, 00290
Keski-Suomen keskussairaala
Jyväskylä, 40620
Oulun yliopistollinen keskussairaala
Oulu, 90220
TAYS, Acuta, Tampere
Tampere, 33521
TYKS, Akuutti sisätautihoito ASIS, Turku
Turku, 20521
Italy5 sites
Azienda Ospedaliera Careggi
Florence, 50134
Ospedale S.Maria della Misericordia, AO di Perugia
Perugia, 06132
Azienda Unità Sanitaria Locale di Reggio Emilia
Reggio Emilia, 42123
Policlinico Gemelli
Roma, 00168
Az. Osp. S.Giovanni-Addolorata
Roma, 00184
New Zealand5 sites
Christchurch Hospital
Christchurch, 8011
Auckland City Hospital
Grafton / Auckland, 1023
Waikato Hospital
Hamilton, 3240
Middlemore Hospital
Otahuhu South Auckland, 2025
North Shore Hospital, Takapuna
Takapuna Auckland, 0620
Norway5 sites
Haukeland Universitetssykehus
Bergen, N-5021
Vestre Viken HF, Drammen Sykehus
Drammen, N-3004
Sykehuset Østfold Kalnes
Grålum, N-1714
Oslo Universitetssykehus HF, Ullevål sykehus
Oslo, N-0424
Universitetssykehuset Nord-Norge, Tromsø
Tromsø, N-9038
Austria4 sites
KH der Barmherzigen Schwestern Linz
Linz, 4010
Kepler Univ. Klinikum Linz
Linz, 4020
AKH - Medical University of Vienna
Vienna, 1090
Wilhelminenspital
Vienna, 1160
Canada4 sites
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2
Juravinski Hospital
Hamilton, Ontario, L8V 5C2
Jewish General Hospital
Montreal, Migration Data, H3T 1E2
St. Paul's Hospital
Vancouver, British Columbia, V1Y 1S1
Colombia4 sites
Fundación Valle del Lili
Cali, 760032
Centro Médico Imbanaco de Cali S.A.
Cali, 760042
Fundación Cardiovascular de Colombia
Floridablanca
Hospital Pablo Tobón Uribe
Medellín, 50034
Israel4 sites
Rambam Medical Center
Haifa, 3109601
Meir Medical Center
Kfar Saba, 44281
The Chaim Sheba Medical Center Tel Hashomer
Ramat Gan, 52621
Sourasky Medical Center
Tel Aviv, 64239
Portugal4 sites
Centro Hospitalar da Cova da Beira Hospital Pêro da Covilhã
Covilha, 6200-251
CHLO, EPE - Hospital S. Francisco Xavier
Lisbon, 1495-005
Centro Hospitalar do Porto, EPE
Porto, 4099-001
Centro Hospitalar São João,EPE
Porto, 4202-451
Taiwan4 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Far Eastern Memorial Hospital
New Taipei City, 220
National Taiwan University Hospital
Taipei, 100
Taipe Veterans General Hospital
Taipei, 11217
Germany3 sites
Vivantes Netzwerk für Gesundheit GmbH
Berlin, 12351
Universitätsmedizin Greifswald
Greifswald, 17475
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, 55131
Hong Kong3 sites
Pamela Youde Nethersole Eastern Hospital
Hong Kong, 0
Prince of Wales Hospital
Hong Kong, 0
Prince of Wales Hosp, Dept of Med & Therapeutics
Hong Kong
Singapore3 sites
National University Hospital
Singapore, 119074
Singapore General Hospital
Singapore, 169608
Changi General Hospital
Singapore, 529889
Sweden3 sites
Sahlgrenska US, Göteborg
Gothenburg, 413 45
Skånes universitetssjukhus
Lund, 221 85
Akademiska sjukhuset
Uppsala, 751 85
India2 sites
B.M. Birla Heart research Centre
Kolkata, 700027
Fortis Escorts Heart Institute
New Delhi, 110025
Ireland2 sites
St James's Hospital
Dublin, DUBLIN 8
Cork University Hospital
Wilton
Russia2 sites
Military Medical Academy n.a. S. M. Kirov, St. Petersburg
Saint Petersburg, 194175
City Pokrovskiy Hospital, Cardiology Dept., Saint Petersburg
Saint Petersburg, 199 106
South Africa2 sites
Dr. D. Adler
Sandton, 2021
Dr. Engelbrecht
Somerset West, 7130
South Korea2 sites
Seoul National University Bundang Hospital
Seongnam, 463-707
The Catholic University of Korea, Seoul St.Mary's Hospital
Seoul, 137-701
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 5.0g Idarucizumab (BI 655075) in Patients Treated Wtih Dabigatran Etexilate Who Have Uncontrolled Bleeding or Require Emergency Surgery or Procedures.RE-VERSE AD (A Study of the RE-VERSal Effects of Idarucizumab on Active Dabigatran) Trial
Evaluate the reversal of the anticoagulant effects of dabigatran by IV administration of 5.0g idarucizumab in patients treated with dabigatran etexilate who have uncontrolled bleeding or require emergency surgery or procedures.
- 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
idarucizumab
| Study group | Role | What they receive |
|---|---|---|
| idarucizumab | Experimental | idarucizumab Only 1 treatment, no placebo or comparator Receives: Drug: idarucizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Reversal of Anticoagulant Effect of Dabigatran Based on Central Laboratory Determination of dTT or ECT
Maximum reversal of anticoagulant effect of dabigatran based on central laboratory determination of diluted thrombin time (dTT) or ecarin clotting time (ECT), at any time point from the end of the first infusion up to 4 hours after the last infusion.
Reversal is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% ULN (evaluable patients).
Reversal is calculated as 100* (pre-dose value minus post dose value)/(pre-dose value minus 100% x ULN); if calculated reversal is > 100, it was set to 100.
Measured: from the end of the first infusion up to 4 hours after the last infusion on Day 1
Secondary outcomes (6)
Reversal of aPTT and TT From Central Laboratory
Reversal of anticoagulation as measured by Activated Partial Thromboplastin Time (aPTT) and Thrombin time (TT), at any time point since the end of first infusion up to 4 hours after the completion of the last infusion. Reversal is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% ULN (evaluable patients).
Reversal is calculated as 100* (pre-dose value minus post dose value)/(pre-dose value minus 100% x ULN); if calculated reversal is > 100, it was set to 100.
Measured: from the end of the first infusion up to 4 hours after the last infusion on Day 1
Duration of Reversal
Duration of reversal, defined as the time period a patient remained completely reversed based on dTT or ECT, up to 24 hours or re-starting the treatment of dabigatran.
Measured: from the first infusion up to 24 hours after the last infusion on Day 1
Occurrence of Major/Life-threatening/Fatal Bleeding (for Group B Only) Intraoperatively
Occurrence of major/life-threatening/fatal bleeding (for group B only) intraoperatively and up to 24 hours post-surgery were classified according to major or life-threatening bleeding (ISTH [International Society for Thrombosis and Hemostasis] definition). 95% Confidence Interval (CI) is from Clopper-Pearson method.
Measured: within 24 hours of surgery
Time to Cessation of Bleeding (for Group A Only)
Time to cessation of bleeding (for Group A only) since first infusion up to 24 hours after the completion of second infusion; bleeding status was to be categorized before and at several time points after treatment.
Measured: from the first infusion up to 24 hours after the last infusion on Day 1
Cmin,1 of Unbound Sum (Free) Dabigatran
Cmin,1 (Minimum concentrations at any time point since the end of first vial of idarucizumab up to 4 hours after the completion of second vial) of unbound sum (free) dabigatran, provided that two vials given not more than 15 min apart in group A and B.
Measured: Since the end of first vial of idarucizumab up to 4 hours after the completion of second vial
Reversal of Anticoagulation as Measured by Diluted Thrombin Time (dTT) or Ecarin Clotting Time (ECT) After the First Vial of Idarucizumab and Before the Start of Second Vial
Reversal of anticoagulation as measured by diluted Thrombin Time (dTT) or Ecarin Clotting Time (ECT) after the first vial of idarucizumab and before the start of second vial.
Reversal is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% ULN (evaluable patients). Reversal is calculated as 100*(pre-dose value minus post dose value)/(pre-dose value minus 100% x ULN); if calculated reversal is > 100, it was set to 100.
Measured: after the first vial of idarucizumab and before the start of second vial on Day1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2014 (estimated)
- Study start6 May 2014
- Primary completion25 Jul 2016
- Study completion20 Oct 2016
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 HemorrhageStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 503 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
- NCT02104947
- Sponsor's protocol ID
- 1321.3
- Other IDs
- 2013-004813-41
- Status last verified
- Jan 2018
- First submitted
- 2 Apr 2014
- Last updated
- 5 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Eikelboom JW, van Ryn J, Reilly P, Hylek EM, Elsaesser A, Glund S, Pollack CV, Weitz JI. Dabigatran Reversal With Idarucizumab in Patients With Renal Impairment. J Am Coll Cardiol. 2019 Oct 8;74(14):1760-1768. doi: 10.1016/j.jacc.2019.07.070.
PubMed 31582135Glund S, Coble K, Gansser D, Stangier J, Hoermann K, Pollack CV, Reilly P. Pharmacokinetics of idarucizumab and its target dabigatran in patients requiring urgent reversal of the anticoagulant effect of dabigatran. J Thromb Haemost. 2019 Aug;17(8):1319-1328. doi: 10.1111/jth.14476. Epub 2019 Jun 18.
PubMed 31050868Van der Wall SJ, Lopes RD, Aisenberg J, Reilly P, van Ryn J, Glund S, Elsaesser A, Klok FA, Pollack CV Jr, Huisman MV. Idarucizumab for Dabigatran Reversal in the Management of Patients With Gastrointestinal Bleeding. Circulation. 2019 Feb 5;139(6):748-756. doi: 10.1161/CIRCULATIONAHA.118.036710.
PubMed 30586692Pollack CV Jr, Reilly PA, van Ryn J, Eikelboom JW, Glund S, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kam CW, Kamphuisen PW, Kreuzer J, Levy JH, Royle G, Sellke FW, Stangier J, Steiner T, Verhamme P, Wang B, Young L, Weitz JI. Idarucizumab for Dabigatran Reversal - Full Cohort Analysis. N Engl J Med. 2017 Aug 3;377(5):431-441. doi: 10.1056/NEJMoa1707278. Epub 2017 Jul 11.
PubMed 28693366Pollack CV Jr, Reilly PA, Eikelboom J, Glund S, Verhamme P, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kamphuisen PW, Kreuzer J, Levy JH, Sellke FW, Stangier J, Steiner T, Wang B, Kam CW, Weitz JI. Idarucizumab for Dabigatran Reversal. N Engl J Med. 2015 Aug 6;373(6):511-20. doi: 10.1056/NEJMoa1502000. Epub 2015 Jun 22.
PubMed 26095746Pollack CV Jr, Reilly PA, Bernstein R, Dubiel R, Eikelboom J, Glund S, Huisman MV, Hylek E, Kam CW, Kamphuisen PW, Kreuzer J, Levy JH, Sellke F, Stangier J, Steiner T, Wang B, Weitz JI. Design and rationale for RE-VERSE AD: A phase 3 study of idarucizumab, a specific reversal agent for dabigatran. Thromb Haemost. 2015 Jul;114(1):198-205. doi: 10.1160/TH15-03-0192. Epub 2015 May 28.
PubMed 26020620
Study at a glance
From the registry record, last updated by the sponsor on 5 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Case Series Clinical Study of the Reversal of the Anticoagulant Effects of Dabigatran by Intravenous Administration of 5.0g Idarucizumab (BI 655075) in Patients Treated Wtih Dabigatran Etexilate Who Have Uncontrolled Bleeding or Require Emergency Surgery or Procedures.RE-VERSE AD (A Study of the RE-VERSal Effects of Idarucizumab on Active Dabigatran) Trial
- ClinicalTrials.gov ID
- NCT02104947
- Acronym / sponsor ID
- 1321.3
- Conditions
- Hemorrhage
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 503 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 6 May 2014 (actual)
- Primary completion
- 25 Jul 2016 (actual)
- Study completion
- 20 Oct 2016 (actual)
- First posted
- 7 Apr 2014 (estimated)
- Results
- Posted 18 Aug 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluate the reversal of the anticoagulant effects of dabigatran by IV administration of 5.0g idarucizumab in patients treated with dabigatran etexilate who have uncontrolled bleeding or require emergency surgery or procedures.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| idarucizumab | Experimental | Drug: idarucizumabidarucizumab Only 1 treatment, no placebo or comparator |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Group A (Bleeding patients)
- Group B (Patients who are taking dabigatran who may not be bleeding, but do require an emergency surgery or procedure for a condition other than bleeding
Key exclusion criteria (7 listed)
- Group A (Bleeding Patients)
- Group B (Patients who require emergency surgery or procedure)
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 |
|---|---|---|
| idarucizumabidarucizumab | Drug | idarucizumab |
Primary outcome
Maximum Reversal of Anticoagulant Effect of Dabigatran Based on Central Laboratory Determination of dTT or ECT
Time frame: from the end of the first infusion up to 4 hours after the last infusion on Day 1
Maximum reversal of anticoagulant effect of dabigatran based on central laboratory determination of diluted thrombin time (dTT) or ecarin clotting time (ECT), at any time point from the end of the first infusion up to 4 hours after the last infusion. Reversal is defined for patients with at least one post-dose coagulation test results and pre-dose result higher than 100% ULN (evaluable patients). Reversal is calculated as 100* (pre-dose value minus post dose value)/(pre-dose value minus 100% x ULN); if calculated reversal is > 100, it was set to 100.
6 secondary outcomes
Reversal of aPTT and TT From Central Laboratory
Time frame: from the end of the first infusion up to 4 hours after the last infusion on Day 1
Duration of Reversal
Time frame: from the first infusion up to 24 hours after the last infusion on Day 1
Occurrence of Major/Life-threatening/Fatal Bleeding (for Group B Only) Intraoperatively
Time frame: within 24 hours of surgery
Time to Cessation of Bleeding (for Group A Only)
Time frame: from the first infusion up to 24 hours after the last infusion on Day 1
Cmin,1 of Unbound Sum (Free) Dabigatran
Time frame: Since the end of first vial of idarucizumab up to 4 hours after the completion of second vial
Reversal of Anticoagulation as Measured by Diluted Thrombin Time (dTT) or Ecarin Clotting Time (ECT) After the First Vial of Idarucizumab and Before the Start of Second Vial
Time frame: after the first vial of idarucizumab and before the start of second vial on Day1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31582135Eikelboom JW, van Ryn J, Reilly P, Hylek EM, Elsaesser A, Glund S, Pollack CV, Weitz JI. Dabigatran Reversal With Idarucizumab in Patients With Renal Impairment. J Am Coll Cardiol. 2019 Oct 8;74(14):1760-1768. doi: 10.1016/j.jacc.2019.07.070.
- Derived from this study: PubMed 31050868Glund S, Coble K, Gansser D, Stangier J, Hoermann K, Pollack CV, Reilly P. Pharmacokinetics of idarucizumab and its target dabigatran in patients requiring urgent reversal of the anticoagulant effect of dabigatran. J Thromb Haemost. 2019 Aug;17(8):1319-1328. doi: 10.1111/jth.14476. Epub 2019 Jun 18.
- Derived from this study: PubMed 30586692Van der Wall SJ, Lopes RD, Aisenberg J, Reilly P, van Ryn J, Glund S, Elsaesser A, Klok FA, Pollack CV Jr, Huisman MV. Idarucizumab for Dabigatran Reversal in the Management of Patients With Gastrointestinal Bleeding. Circulation. 2019 Feb 5;139(6):748-756. doi: 10.1161/CIRCULATIONAHA.118.036710.
- Derived from this study: PubMed 28693366Pollack CV Jr, Reilly PA, van Ryn J, Eikelboom JW, Glund S, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kam CW, Kamphuisen PW, Kreuzer J, Levy JH, Royle G, Sellke FW, Stangier J, Steiner T, Verhamme P, Wang B, Young L, Weitz JI. Idarucizumab for Dabigatran Reversal - Full Cohort Analysis. N Engl J Med. 2017 Aug 3;377(5):431-441. doi: 10.1056/NEJMoa1707278. Epub 2017 Jul 11.
- Derived from this study: PubMed 26095746Pollack CV Jr, Reilly PA, Eikelboom J, Glund S, Verhamme P, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kamphuisen PW, Kreuzer J, Levy JH, Sellke FW, Stangier J, Steiner T, Wang B, Kam CW, Weitz JI. Idarucizumab for Dabigatran Reversal. N Engl J Med. 2015 Aug 6;373(6):511-20. doi: 10.1056/NEJMoa1502000. Epub 2015 Jun 22.
- Derived from this study: PubMed 26020620Pollack CV Jr, Reilly PA, Bernstein R, Dubiel R, Eikelboom J, Glund S, Huisman MV, Hylek E, Kam CW, Kamphuisen PW, Kreuzer J, Levy JH, Sellke F, Stangier J, Steiner T, Wang B, Weitz JI. Design and rationale for RE-VERSE AD: A phase 3 study of idarucizumab, a specific reversal agent for dabigatran. Thromb Haemost. 2015 Jul;114(1):198-205. doi: 10.1160/TH15-03-0192. Epub 2015 May 28.
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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
176 sites in 33 countries: see every site and its status.
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 176 sites in 33 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 10 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 5 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in United States, Spain, Japan, France, Poland and 28 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 18 Aug 2017). 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 dTT or ECT (time frame: from the end of the first infusion up to 4 hours after the last infusion on Day 1). 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 NCT02104947, 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 5 Jan 2018.