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A Prospective, Open Label Study Evaluating Two Management Strategies on Gastrointestinal Symptoms in Patients Newly on Treatment With Pradaxa for the Prevention of Stroke and Systemic Embolism With Non-valvular Atrial Fibrillation

Primary Purpose

Atrial Fibrillation

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
pantoprazole
Pradaxa (dabigatran etexilate)
Pradaxa, within 30 minutes after a meal
Pradaxa (dabigatran etexilate)
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Atrial Fibrillation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  1. Documented non-valvular atrial fibrillation (NVAF) for whom Pradaxa® (dabigatran etexilate) is indicated per the current local label, but who have not received treatment with Pradaxa® (dabigatran etexilate), or who have not been started on Pradaxa® (dabigatran etexilate) more than 7 days prior to potential enrolment in the study. NVAF may be documented by 12-lead electrocardiogram, rhythm strip, pacemaker/ implantable cardioverter defibrillator (ICD) electrograms or Holter monitoring
  2. Male and female patients, age greater than or equal to 18 years at entry
  3. Written, informed consent

Exclusion criteria:

  1. History within 2 weeks of any of the following gastrointestinal (GI) disorders: heartburn, indigestion, gastritis, upper abdominal pain or discomfort, or gastroesophageal reflux requiring the use of proton pump inhibitors, histamine-2 receptor blockers or antacids. Patients with nausea and/or vomiting within the 2 weeks are not excluded if the symptoms were clearly associated with a self-limited acute or febrile illness. Short-term use of PPIs, as prophylaxis, in a hospital setting for the prevention of stress ulcers is acceptable. Calcium carbonate supplements for calcium replacement is not exclusionary (as long as these products are being used as calcium supplementation/replacement and are not being used to treat or relieve GIS.)
  2. GI bleeding within one year or any history of symptomatic or endoscopically documented gastroduodenal ulcer or diverticulitis, unless the cause has been permanently eliminated by medical therapy or by surgery(e.g., patients with peptic ulcer disease with endoscopically proven cure after therapy or lower GI bleeding due to diverticulosis cured by segmental colectomy are not excluded.)
  3. not applicable
  4. Contraindication to pantoprazole or other proton pump inhibitors, e.g. omeprazole, lansoprazole, rabeprazole, atnoprazole, esomeprazole
  5. Contraindication to Pradaxa® (dabigatran etexilate) or known hypersensitivity to Pradaxa® (dabigatran etexilate) or its excipients
  6. Hemorrhagic disorder, bleeding diathesis or active pathological bleeding
  7. Need for anticoagulant treatment for disorders other than atrial fibrillation
  8. Current treatment with rifampin
  9. Creatinine clearance <15ml/min (in Canada, <30ml/min), or patients on renal replacement therapy (dialysis)
  10. Pre-menopausal women (last menstruation less than or equal to 1 year prior to informed consent) who: are nursing or pregnant, or are of child bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study. Acceptable methods of birth control include abstinence, tubal ligation, transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral implantable or injectable contraceptives, double barrier method and vasectomized partner.
  11. Patients who have received an investigational drug in the past 30 days or are participating in another drug study
  12. Patients considered unreliable by the investigator concerning the requirements for follow-up during the study
  13. Any condition the investigator believes would not allow safe participation in the study
  14. Contraindication in patients with mechanical heart valves. The use of Pradaxa in the setting of other forms of valvular heart disease, including the presence of a bio-prosthetic valve, is not recommended.

Sites / Locations

  • 1160.128.1046 Boehringer Ingelheim Investigational Site
  • 1160.128.1045 Boehringer Ingelheim Investigational Site
  • 1160.128.1003 Boehringer Ingelheim Investigational Site
  • 1160.128.1093 Boehringer Ingelheim Investigational Site
  • 1160.128.1067 Boehringer Ingelheim Investigational Site
  • 1160.128.1103 Boehringer Ingelheim Investigational Site
  • 1160.128.1094 Boehringer Ingelheim Investigational Site
  • 1160.128.1042 Boehringer Ingelheim Investigational Site
  • 1160.128.1005 Boehringer Ingelheim Investigational Site
  • 1160.128.1023 Boehringer Ingelheim Investigational Site
  • 1160.128.1016 Boehringer Ingelheim Investigational Site
  • 1160.128.1066 Boehringer Ingelheim Investigational Site
  • 1160.128.1018 Boehringer Ingelheim Investigational Site
  • 1160.128.1050 Boehringer Ingelheim Investigational Site
  • 1160.128.1057 Boehringer Ingelheim Investigational Site
  • 1160.128.1085 Boehringer Ingelheim Investigational Site
  • 1160.128.1111 Boehringer Ingelheim Investigational Site
  • 1160.128.1032 Boehringer Ingelheim Investigational Site
  • 1160.128.1021 Boehringer Ingelheim Investigational Site
  • 1160.128.1027 Boehringer Ingelheim Investigational Site
  • 1160.128.1019 Boehringer Ingelheim Investigational Site
  • 1160.128.1062 Boehringer Ingelheim Investigational Site
  • 1160.128.1054 Boehringer Ingelheim Investigational Site
  • 1160.128.1097 Boehringer Ingelheim Investigational Site
  • 1160.128.1109 Boehringer Ingelheim Investigational Site
  • 1160.128.1087 Boehringer Ingelheim Investigational Site
  • 1160.128.1058 Boehringer Ingelheim Investigational Site
  • 1160.128.1007 Boehringer Ingelheim Investigational Site
  • 1160.128.1060 Boehringer Ingelheim Investigational Site
  • 1160.128.1096 Boehringer Ingelheim Investigational Site
  • 1160.128.1068 Boehringer Ingelheim Investigational Site
  • 1160.128.1076 Boehringer Ingelheim Investigational Site
  • 1160.128.1073 Boehringer Ingelheim Investigational Site
  • 1160.128.1048 Boehringer Ingelheim Investigational Site
  • 1160.128.1105 Boehringer Ingelheim Investigational Site
  • 1160.128.1029 Boehringer Ingelheim Investigational Site
  • 1160.128.1079 Boehringer Ingelheim Investigational Site
  • 1160.128.1008 Boehringer Ingelheim Investigational Site
  • 1160.128.1025 Boehringer Ingelheim Investigational Site
  • 1160.128.1100 Boehringer Ingelheim Investigational Site
  • 1160.128.1041 Boehringer Ingelheim Investigational Site
  • 1160.128.1012 Boehringer Ingelheim Investigational Site
  • 1160.128.1015 Boehringer Ingelheim Investigational Site
  • 1160.128.1004 Boehringer Ingelheim Investigational Site
  • 1160.128.1014 Boehringer Ingelheim Investigational Site
  • 1160.128.1047 Boehringer Ingelheim Investigational Site
  • 1160.128.1075 Boehringer Ingelheim Investigational Site
  • 1160.128.1069 Boehringer Ingelheim Investigational Site
  • 1160.128.1011 Boehringer Ingelheim Investigational Site
  • 1160.128.1092 Boehringer Ingelheim Investigational Site
  • 1160.128.1059 Boehringer Ingelheim Investigational Site
  • 1160.128.1039 Boehringer Ingelheim Investigational Site
  • 1160.128.1035 Boehringer Ingelheim Investigational Site
  • 1160.128.1036 Boehringer Ingelheim Investigational Site
  • 1160.128.1063 Boehringer Ingelheim Investigational Site
  • 1160.128.1078 Boehringer Ingelheim Investigational Site
  • 1160.128.1001 Boehringer Ingelheim Investigational Site
  • 1160.128.1022 Boehringer Ingelheim Investigational Site
  • 1160.128.1052 Boehringer Ingelheim Investigational Site
  • 1160.128.1071 Boehringer Ingelheim Investigational Site
  • 1160.128.1091 Boehringer Ingelheim Investigational Site
  • 1160.128.1107 Boehringer Ingelheim Investigational Site
  • 1160.128.1053 Boehringer Ingelheim Investigational Site
  • 1160.128.1033 Boehringer Ingelheim Investigational Site
  • 1160.128.1037 Boehringer Ingelheim Investigational Site
  • 1160.128.1034 Boehringer Ingelheim Investigational Site
  • 1160.128.1010 Boehringer Ingelheim Investigational Site
  • 1160.128.1056 Boehringer Ingelheim Investigational Site
  • 1160.128.1065 Boehringer Ingelheim Investigational Site
  • 1160.128.1043 Boehringer Ingelheim Investigational Site
  • 1160.128.1040 Boehringer Ingelheim Investigational Site
  • 1160.128.1006 Boehringer Ingelheim Investigational Site
  • 1160.128.1104 Boehringer Ingelheim Investigational Site
  • 1160.128.1061 Boehringer Ingelheim Investigational Site
  • 1160.128.1090 Boehringer Ingelheim Investigational Site
  • 1160.128.1082 Boehringer Ingelheim Investigational Site
  • 1160.128.1102 Boehringer Ingelheim Investigational Site
  • 1160.128.1077 Boehringer Ingelheim Investigational Site
  • 1160.128.1064 Boehringer Ingelheim Investigational Site
  • 1160.128.1110 Boehringer Ingelheim Investigational Site
  • 1160.128.1099 Boehringer Ingelheim Investigational Site
  • 1160.128.1160 Boehringer Ingelheim Investigational Site
  • 1160.128.1159 Boehringer Ingelheim Investigational Site
  • 1160.128.1152 Boehringer Ingelheim Investigational Site
  • 1160.128.1153 Boehringer Ingelheim Investigational Site
  • 1160.128.1167 Boehringer Ingelheim Investigational Site
  • 1160.128.1158 Boehringer Ingelheim Investigational Site
  • 1160.128.1154 Boehringer Ingelheim Investigational Site
  • 1160.128.1166 Boehringer Ingelheim Investigational Site
  • 1160.128.1151 Boehringer Ingelheim Investigational Site
  • 1160.128.1168 Boehringer Ingelheim Investigational Site
  • 1160.128.1164 Boehringer Ingelheim Investigational Site
  • 1160.128.1173 Boehringer Ingelheim Investigational Site
  • 1160.128.1156 Boehringer Ingelheim Investigational Site
  • 1160.128.1157 Boehringer Ingelheim Investigational Site
  • 1160.128.1155 Boehringer Ingelheim Investigational Site
  • 1160.128.1170 Boehringer Ingelheim Investigational Site
  • 1160.128.1165 Boehringer Ingelheim Investigational Site
  • 1160.128.1169 Boehringer Ingelheim Investigational Site
  • 1160.128.1161 Boehringer Ingelheim Investigational Site
  • 1160.128.1171 Boehringer Ingelheim Investigational Site
  • 1160.128.1162 Boehringer Ingelheim Investigational Site
  • 1160.128.1172 Boehringer Ingelheim Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Other

Active Comparator

Active Comparator

Arm Label

Pradaxa (dabigaran etexilate)

Pradaxa and pantoprazole

Pradaxa, 30 minutes after a meal

Arm Description

Patients with non valvular atrial fibrillation for whom Pradaxa is indicated in accordance with the current local label, not previously treated with Pradaxa, will be provided 3 months of treatment for the prevention of stroke and systemic embolism. Patients who report gastrointestinal symptoms (GIS) will be randomized to one of two management strategies, and data documenting the intensity and duration of the GIS will be collected.

Patients that develop gastrointestinal symptoms (GIS) will be randomized 1:1 to either pantoprazole 40 mg q.a.m., p.o., or taking Pradaxa (dabigatran etexilate) within 30 minutes after a meal

Patients that develop gastrointestinal symptoms (GIS) will be randomized 1:1 to either pantoprazole 40 mg q.a.m., p.o., or taking Pradaxa (dabigatran etexilate) within 30 minutes after a meal

Outcomes

Primary Outcome Measures

The Rate of Complete Effectiveness of Initial GIS Management Strategy
The percentage of patients experiencing complete relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved.

Secondary Outcome Measures

Rate of Partial Effectiveness of Initial GIS Management Strategies
The percentage of patients experiencing partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) and patients taking Pradaxa® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Combined Rate of Complete or Partial Effectiveness of Initial GIS Management Strategies
The percentage of patients experiencing complete or partial effectiveness of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Rate of Complete Effectiveness of Combined GIS Management Strategies
The percentage of patients experiencing complete relief of combined gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved.
Rate of Partial Effectiveness of Combined GIS Management Strategies
The percentage of patients experiencing partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Combined Rate of Complete or Partial Effectiveness of Combined GIS Management Strategies
The percentage of patients experiencing combined of complete or partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Rates of Complete Effectiveness of GIS at Each Visit.
The percentage of patients experiencing complete effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Rates of Partial Effectiveness of GIS at Each Visit.
The percentage of patients experiencing partial effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Rates of Complete or Partial Effectiveness of GIS at Each Visit.
The percentage of patients experiencing complete or partial effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Time Between Symptom Onset and First Observed Complete or Partial Effectiveness and Between Symptom Onset and Last Observed Symptom
Time between symptom onset and first observed complete or partial effectiveness and between symptom onset and last observed symptom by management strategy.

Full Information

First Posted
December 12, 2011
Last Updated
September 2, 2015
Sponsor
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT01493557
Brief Title
A Prospective, Open Label Study Evaluating Two Management Strategies on Gastrointestinal Symptoms in Patients Newly on Treatment With Pradaxa for the Prevention of Stroke and Systemic Embolism With Non-valvular Atrial Fibrillation
Official Title
A Prospective, Open Label Study Evaluating the Efficacy of Two Management Strategies (Pantoprazole 40 mg q.a.m. and Taking Pradaxa® With Food (Within 30 Minutes After a Meal) on Gastrointestinal Symptoms (GIS) in Patients Newly on Treatment With Pradaxa® 150 mg b.i.d., 110 mg b.i.d. or 75 mg b.i.d. for the Prevention of Stroke and Systemic Embolism in Patients With Non-valvular Atrial Fibrillation (NVAF)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
December 2011 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim

4. Oversight

5. Study Description

Brief Summary
This is a prospective and open label study that aims to enroll approximately 1200 patients with non-valvular atrial fibrillation (NVAF) not previously treated with Pradaxa® and free of gastrointestinal symptoms (GIS) for at least 2 weeks prior to enrolment. Approximately 125 sites in North America will be recruited. Patients who report GIS during the 3 month treatment period will be randomized to one of two management strategies, and data documenting the intensity and duration of the GIS will be collected.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Fibrillation

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1067 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pradaxa (dabigaran etexilate)
Arm Type
Other
Arm Description
Patients with non valvular atrial fibrillation for whom Pradaxa is indicated in accordance with the current local label, not previously treated with Pradaxa, will be provided 3 months of treatment for the prevention of stroke and systemic embolism. Patients who report gastrointestinal symptoms (GIS) will be randomized to one of two management strategies, and data documenting the intensity and duration of the GIS will be collected.
Arm Title
Pradaxa and pantoprazole
Arm Type
Active Comparator
Arm Description
Patients that develop gastrointestinal symptoms (GIS) will be randomized 1:1 to either pantoprazole 40 mg q.a.m., p.o., or taking Pradaxa (dabigatran etexilate) within 30 minutes after a meal
Arm Title
Pradaxa, 30 minutes after a meal
Arm Type
Active Comparator
Arm Description
Patients that develop gastrointestinal symptoms (GIS) will be randomized 1:1 to either pantoprazole 40 mg q.a.m., p.o., or taking Pradaxa (dabigatran etexilate) within 30 minutes after a meal
Intervention Type
Drug
Intervention Name(s)
pantoprazole
Intervention Description
40 mg q.a.m, p.o.
Intervention Type
Drug
Intervention Name(s)
Pradaxa (dabigatran etexilate)
Intervention Description
150 mg or 75 mg b.i.d. (150 mg or 110 mg b.i.d. in Canada)
Intervention Type
Drug
Intervention Name(s)
Pradaxa, within 30 minutes after a meal
Intervention Description
Patients randomized to this intervention would be instructed to take their dabigatran 30 minutes after a meal
Intervention Type
Drug
Intervention Name(s)
Pradaxa (dabigatran etexilate)
Intervention Description
150 mg or 75 mg b.i.d. (150 mg or 110 mg b.i.d. in Canada)
Primary Outcome Measure Information:
Title
The Rate of Complete Effectiveness of Initial GIS Management Strategy
Description
The percentage of patients experiencing complete relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved.
Time Frame
Week 4
Secondary Outcome Measure Information:
Title
Rate of Partial Effectiveness of Initial GIS Management Strategies
Description
The percentage of patients experiencing partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) and patients taking Pradaxa® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Time Frame
Week 4
Title
Combined Rate of Complete or Partial Effectiveness of Initial GIS Management Strategies
Description
The percentage of patients experiencing complete or partial effectiveness of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Time Frame
Week 4
Title
Rate of Complete Effectiveness of Combined GIS Management Strategies
Description
The percentage of patients experiencing complete relief of combined gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved.
Time Frame
Week 8
Title
Rate of Partial Effectiveness of Combined GIS Management Strategies
Description
The percentage of patients experiencing partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal at 4 weeks. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Time Frame
Week 8
Title
Combined Rate of Complete or Partial Effectiveness of Combined GIS Management Strategies
Description
The percentage of patients experiencing combined of complete or partial relief of gastrointestinal symptoms (GIS) when taking pantoprazole 40 mg once daily in the morning (q.a.m.) vs. administration of Pradaxa ® (dabigatran etexilate) within 30 minutes after a meal. Complete effectiveness is defined as at the time of evaluation, both primary GIS and secondary GIS are all resolved. Partial effectiveness is defined as at the time of evaluation, either primary GIS is improved; or primary GIS is resolved, but there were still un-resolved secondary GIS.
Time Frame
Week 8
Title
Rates of Complete Effectiveness of GIS at Each Visit.
Description
The percentage of patients experiencing complete effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Time Frame
Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 & Week 8
Title
Rates of Partial Effectiveness of GIS at Each Visit.
Description
The percentage of patients experiencing partial effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Time Frame
Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 & Week 8
Title
Rates of Complete or Partial Effectiveness of GIS at Each Visit.
Description
The percentage of patients experiencing complete or partial effectiveness of gastrointestinal symptoms (GIS) at each visit by management strategy. Evaluation of GIS was based on Last observation carried forward (LOCF) data up to the last observed time or up to adding the second management strategy.
Time Frame
Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 & Week 8
Title
Time Between Symptom Onset and First Observed Complete or Partial Effectiveness and Between Symptom Onset and Last Observed Symptom
Description
Time between symptom onset and first observed complete or partial effectiveness and between symptom onset and last observed symptom by management strategy.
Time Frame
Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Documented non-valvular atrial fibrillation (NVAF) for whom Pradaxa® (dabigatran etexilate) is indicated per the current local label, but who have not received treatment with Pradaxa® (dabigatran etexilate), or who have not been started on Pradaxa® (dabigatran etexilate) more than 7 days prior to potential enrolment in the study. NVAF may be documented by 12-lead electrocardiogram, rhythm strip, pacemaker/ implantable cardioverter defibrillator (ICD) electrograms or Holter monitoring Male and female patients, age greater than or equal to 18 years at entry Written, informed consent Exclusion criteria: History within 2 weeks of any of the following gastrointestinal (GI) disorders: heartburn, indigestion, gastritis, upper abdominal pain or discomfort, or gastroesophageal reflux requiring the use of proton pump inhibitors, histamine-2 receptor blockers or antacids. Patients with nausea and/or vomiting within the 2 weeks are not excluded if the symptoms were clearly associated with a self-limited acute or febrile illness. Short-term use of PPIs, as prophylaxis, in a hospital setting for the prevention of stress ulcers is acceptable. Calcium carbonate supplements for calcium replacement is not exclusionary (as long as these products are being used as calcium supplementation/replacement and are not being used to treat or relieve GIS.) GI bleeding within one year or any history of symptomatic or endoscopically documented gastroduodenal ulcer or diverticulitis, unless the cause has been permanently eliminated by medical therapy or by surgery(e.g., patients with peptic ulcer disease with endoscopically proven cure after therapy or lower GI bleeding due to diverticulosis cured by segmental colectomy are not excluded.) not applicable Contraindication to pantoprazole or other proton pump inhibitors, e.g. omeprazole, lansoprazole, rabeprazole, atnoprazole, esomeprazole Contraindication to Pradaxa® (dabigatran etexilate) or known hypersensitivity to Pradaxa® (dabigatran etexilate) or its excipients Hemorrhagic disorder, bleeding diathesis or active pathological bleeding Need for anticoagulant treatment for disorders other than atrial fibrillation Current treatment with rifampin Creatinine clearance <15ml/min (in Canada, <30ml/min), or patients on renal replacement therapy (dialysis) Pre-menopausal women (last menstruation less than or equal to 1 year prior to informed consent) who: are nursing or pregnant, or are of child bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study. Acceptable methods of birth control include abstinence, tubal ligation, transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral implantable or injectable contraceptives, double barrier method and vasectomized partner. Patients who have received an investigational drug in the past 30 days or are participating in another drug study Patients considered unreliable by the investigator concerning the requirements for follow-up during the study Any condition the investigator believes would not allow safe participation in the study Contraindication in patients with mechanical heart valves. The use of Pradaxa in the setting of other forms of valvular heart disease, including the presence of a bio-prosthetic valve, is not recommended.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim
Organizational Affiliation
Boehringer Ingelheim
Official's Role
Study Chair
Facility Information:
Facility Name
1160.128.1046 Boehringer Ingelheim Investigational Site
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
1160.128.1045 Boehringer Ingelheim Investigational Site
City
Huntsville
State/Province
Alabama
Country
United States
Facility Name
1160.128.1003 Boehringer Ingelheim Investigational Site
City
Mobile
State/Province
Alabama
Country
United States
Facility Name
1160.128.1093 Boehringer Ingelheim Investigational Site
City
Chandler
State/Province
Arizona
Country
United States
Facility Name
1160.128.1067 Boehringer Ingelheim Investigational Site
City
Hot Springs
State/Province
Arkansas
Country
United States
Facility Name
1160.128.1103 Boehringer Ingelheim Investigational Site
City
Mesa
State/Province
California
Country
United States
Facility Name
1160.128.1094 Boehringer Ingelheim Investigational Site
City
Newport Beach
State/Province
California
Country
United States
Facility Name
1160.128.1042 Boehringer Ingelheim Investigational Site
City
San Diego
State/Province
California
Country
United States
Facility Name
1160.128.1005 Boehringer Ingelheim Investigational Site
City
Colorado Spring
State/Province
Colorado
Country
United States
Facility Name
1160.128.1023 Boehringer Ingelheim Investigational Site
City
Denver
State/Province
Colorado
Country
United States
Facility Name
1160.128.1016 Boehringer Ingelheim Investigational Site
City
Bridgeport
State/Province
Connecticut
Country
United States
Facility Name
1160.128.1066 Boehringer Ingelheim Investigational Site
City
Bridgeport
State/Province
Connecticut
Country
United States
Facility Name
1160.128.1018 Boehringer Ingelheim Investigational Site
City
Guilford
State/Province
Connecticut
Country
United States
Facility Name
1160.128.1050 Boehringer Ingelheim Investigational Site
City
Norwalk
State/Province
Connecticut
Country
United States
Facility Name
1160.128.1057 Boehringer Ingelheim Investigational Site
City
Waterbury
State/Province
Connecticut
Country
United States
Facility Name
1160.128.1085 Boehringer Ingelheim Investigational Site
City
Washington
State/Province
District of Columbia
Country
United States
Facility Name
1160.128.1111 Boehringer Ingelheim Investigational Site
City
Atlantis
State/Province
Florida
Country
United States
Facility Name
1160.128.1032 Boehringer Ingelheim Investigational Site
City
Brandon
State/Province
Florida
Country
United States
Facility Name
1160.128.1021 Boehringer Ingelheim Investigational Site
City
Coral Springs
State/Province
Florida
Country
United States
Facility Name
1160.128.1027 Boehringer Ingelheim Investigational Site
City
Daytona Beach
State/Province
Florida
Country
United States
Facility Name
1160.128.1019 Boehringer Ingelheim Investigational Site
City
Jacksonville
State/Province
Florida
Country
United States
Facility Name
1160.128.1062 Boehringer Ingelheim Investigational Site
City
Jacksonville
State/Province
Florida
Country
United States
Facility Name
1160.128.1054 Boehringer Ingelheim Investigational Site
City
Largo
State/Province
Florida
Country
United States
Facility Name
1160.128.1097 Boehringer Ingelheim Investigational Site
City
Miami
State/Province
Florida
Country
United States
Facility Name
1160.128.1109 Boehringer Ingelheim Investigational Site
City
Miami
State/Province
Florida
Country
United States
Facility Name
1160.128.1087 Boehringer Ingelheim Investigational Site
City
Orlando
State/Province
Florida
Country
United States
Facility Name
1160.128.1058 Boehringer Ingelheim Investigational Site
City
Pensacola
State/Province
Florida
Country
United States
Facility Name
1160.128.1007 Boehringer Ingelheim Investigational Site
City
Port Charlotte
State/Province
Florida
Country
United States
Facility Name
1160.128.1060 Boehringer Ingelheim Investigational Site
City
Rockledge
State/Province
Florida
Country
United States
Facility Name
1160.128.1096 Boehringer Ingelheim Investigational Site
City
Columbus
State/Province
Georgia
Country
United States
Facility Name
1160.128.1068 Boehringer Ingelheim Investigational Site
City
Roswell
State/Province
Georgia
Country
United States
Facility Name
1160.128.1076 Boehringer Ingelheim Investigational Site
City
Coeur d' Alene
State/Province
Idaho
Country
United States
Facility Name
1160.128.1073 Boehringer Ingelheim Investigational Site
City
Melrose Park
State/Province
Illinois
Country
United States
Facility Name
1160.128.1048 Boehringer Ingelheim Investigational Site
City
Winfield
State/Province
Illinois
Country
United States
Facility Name
1160.128.1105 Boehringer Ingelheim Investigational Site
City
Hammond
State/Province
Indiana
Country
United States
Facility Name
1160.128.1029 Boehringer Ingelheim Investigational Site
City
Indianapolis
State/Province
Indiana
Country
United States
Facility Name
1160.128.1079 Boehringer Ingelheim Investigational Site
City
Overland Park
State/Province
Kansas
Country
United States
Facility Name
1160.128.1008 Boehringer Ingelheim Investigational Site
City
Baton Rouge
State/Province
Louisiana
Country
United States
Facility Name
1160.128.1025 Boehringer Ingelheim Investigational Site
City
Auburn
State/Province
Maine
Country
United States
Facility Name
1160.128.1100 Boehringer Ingelheim Investigational Site
City
Biddeford
State/Province
Maine
Country
United States
Facility Name
1160.128.1041 Boehringer Ingelheim Investigational Site
City
Columbia
State/Province
Maryland
Country
United States
Facility Name
1160.128.1012 Boehringer Ingelheim Investigational Site
City
Salisbury
State/Province
Maryland
Country
United States
Facility Name
1160.128.1015 Boehringer Ingelheim Investigational Site
City
Rochester Hills
State/Province
Michigan
Country
United States
Facility Name
1160.128.1004 Boehringer Ingelheim Investigational Site
City
Tupelo
State/Province
Mississippi
Country
United States
Facility Name
1160.128.1014 Boehringer Ingelheim Investigational Site
City
Columbia
State/Province
Missouri
Country
United States
Facility Name
1160.128.1047 Boehringer Ingelheim Investigational Site
City
Kansas City
State/Province
Missouri
Country
United States
Facility Name
1160.128.1075 Boehringer Ingelheim Investigational Site
City
St. Louis
State/Province
Missouri
Country
United States
Facility Name
1160.128.1069 Boehringer Ingelheim Investigational Site
City
Great Falls
State/Province
Montana
Country
United States
Facility Name
1160.128.1011 Boehringer Ingelheim Investigational Site
City
Kalispell
State/Province
Montana
Country
United States
Facility Name
1160.128.1092 Boehringer Ingelheim Investigational Site
City
Lincoln
State/Province
Nebraska
Country
United States
Facility Name
1160.128.1059 Boehringer Ingelheim Investigational Site
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
1160.128.1039 Boehringer Ingelheim Investigational Site
City
Elmer
State/Province
New Jersey
Country
United States
Facility Name
1160.128.1035 Boehringer Ingelheim Investigational Site
City
Flemington
State/Province
New Jersey
Country
United States
Facility Name
1160.128.1036 Boehringer Ingelheim Investigational Site
City
Albuquerque
State/Province
New Mexico
Country
United States
Facility Name
1160.128.1063 Boehringer Ingelheim Investigational Site
City
Hawthorne
State/Province
New York
Country
United States
Facility Name
1160.128.1078 Boehringer Ingelheim Investigational Site
City
Mineola
State/Province
New York
Country
United States
Facility Name
1160.128.1001 Boehringer Ingelheim Investigational Site
City
Poughkeepsie
State/Province
New York
Country
United States
Facility Name
1160.128.1022 Boehringer Ingelheim Investigational Site
City
Asheville
State/Province
North Carolina
Country
United States
Facility Name
1160.128.1052 Boehringer Ingelheim Investigational Site
City
Gastonia
State/Province
North Carolina
Country
United States
Facility Name
1160.128.1071 Boehringer Ingelheim Investigational Site
City
Statesville
State/Province
North Carolina
Country
United States
Facility Name
1160.128.1091 Boehringer Ingelheim Investigational Site
City
Gallipolis
State/Province
Ohio
Country
United States
Facility Name
1160.128.1107 Boehringer Ingelheim Investigational Site
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
1160.128.1053 Boehringer Ingelheim Investigational Site
City
Bend
State/Province
Oregon
Country
United States
Facility Name
1160.128.1033 Boehringer Ingelheim Investigational Site
City
Hillsboro
State/Province
Oregon
Country
United States
Facility Name
1160.128.1037 Boehringer Ingelheim Investigational Site
City
Altoona
State/Province
Pennsylvania
Country
United States
Facility Name
1160.128.1034 Boehringer Ingelheim Investigational Site
City
Camp Hill
State/Province
Pennsylvania
Country
United States
Facility Name
1160.128.1010 Boehringer Ingelheim Investigational Site
City
Langhorne
State/Province
Pennsylvania
Country
United States
Facility Name
1160.128.1056 Boehringer Ingelheim Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
1160.128.1065 Boehringer Ingelheim Investigational Site
City
Uniontown
State/Province
Pennsylvania
Country
United States
Facility Name
1160.128.1043 Boehringer Ingelheim Investigational Site
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
1160.128.1040 Boehringer Ingelheim Investigational Site
City
Rapid City
State/Province
South Dakota
Country
United States
Facility Name
1160.128.1006 Boehringer Ingelheim Investigational Site
City
Austin
State/Province
Texas
Country
United States
Facility Name
1160.128.1104 Boehringer Ingelheim Investigational Site
City
Houston
State/Province
Texas
Country
United States
Facility Name
1160.128.1061 Boehringer Ingelheim Investigational Site
City
McKinney
State/Province
Texas
Country
United States
Facility Name
1160.128.1090 Boehringer Ingelheim Investigational Site
City
New Braunfels
State/Province
Texas
Country
United States
Facility Name
1160.128.1082 Boehringer Ingelheim Investigational Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
1160.128.1102 Boehringer Ingelheim Investigational Site
City
Layton
State/Province
Utah
Country
United States
Facility Name
1160.128.1077 Boehringer Ingelheim Investigational Site
City
Danville
State/Province
Virginia
Country
United States
Facility Name
1160.128.1064 Boehringer Ingelheim Investigational Site
City
Falls Church
State/Province
Virginia
Country
United States
Facility Name
1160.128.1110 Boehringer Ingelheim Investigational Site
City
Manassas
State/Province
Virginia
Country
United States
Facility Name
1160.128.1099 Boehringer Ingelheim Investigational Site
City
Norfolk
State/Province
Virginia
Country
United States
Facility Name
1160.128.1160 Boehringer Ingelheim Investigational Site
City
Calgary
State/Province
Alberta
Country
Canada
Facility Name
1160.128.1159 Boehringer Ingelheim Investigational Site
City
Edmonton
State/Province
Alberta
Country
Canada
Facility Name
1160.128.1152 Boehringer Ingelheim Investigational Site
City
Red Deer
State/Province
Alberta
Country
Canada
Facility Name
1160.128.1153 Boehringer Ingelheim Investigational Site
City
Spruce Grove
State/Province
Alberta
Country
Canada
Facility Name
1160.128.1167 Boehringer Ingelheim Investigational Site
City
Coquitlam
State/Province
British Columbia
Country
Canada
Facility Name
1160.128.1158 Boehringer Ingelheim Investigational Site
City
Victoria
State/Province
British Columbia
Country
Canada
Facility Name
1160.128.1154 Boehringer Ingelheim Investigational Site
City
Saint John
State/Province
New Brunswick
Country
Canada
Facility Name
1160.128.1166 Boehringer Ingelheim Investigational Site
City
Bay Roberts
State/Province
Newfoundland and Labrador
Country
Canada
Facility Name
1160.128.1151 Boehringer Ingelheim Investigational Site
City
Brampton
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1168 Boehringer Ingelheim Investigational Site
City
Cambridge
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1164 Boehringer Ingelheim Investigational Site
City
Collingwood
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1173 Boehringer Ingelheim Investigational Site
City
Corunna
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1156 Boehringer Ingelheim Investigational Site
City
Hamilton
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1157 Boehringer Ingelheim Investigational Site
City
Kitchener
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1155 Boehringer Ingelheim Investigational Site
City
London
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1170 Boehringer Ingelheim Investigational Site
City
Peterborough
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1165 Boehringer Ingelheim Investigational Site
City
Sarnia
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1169 Boehringer Ingelheim Investigational Site
City
Sarnia
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1161 Boehringer Ingelheim Investigational Site
City
Stayner
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1171 Boehringer Ingelheim Investigational Site
City
Sudbury
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1162 Boehringer Ingelheim Investigational Site
City
Toronto
State/Province
Ontario
Country
Canada
Facility Name
1160.128.1172 Boehringer Ingelheim Investigational Site
City
Saskatoon
State/Province
Saskatchewan
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
27709460
Citation
O'Dea D, Whetteckey J, Ting N. A Prospective, Randomized, Open-Label Study to Evaluate Two Management Strategies for Gastrointestinal Symptoms in Patients Newly on Treatment with Dabigatran. Cardiol Ther. 2016 Dec;5(2):187-201. doi: 10.1007/s40119-016-0071-5. Epub 2016 Oct 5.
Results Reference
derived
Links:
URL
http://trials.boehringer-ingelheim.com
Description
Related Info

Learn more about this trial

A Prospective, Open Label Study Evaluating Two Management Strategies on Gastrointestinal Symptoms in Patients Newly on Treatment With Pradaxa for the Prevention of Stroke and Systemic Embolism With Non-valvular Atrial Fibrillation

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