Dabigatran Etexilate vs Enoxaparin in Prevention of Venous Thromboembolism (VTE) Post Total Knee Replacement
Arthroplasty, Replacement, Knee, Thromboembolism
About this trial
This is an interventional prevention trial for Arthroplasty, Replacement, Knee
Eligibility Criteria
Inclusion criteria INCLUSION CRITERIA Patients scheduled to undergo a primary, unilateral elective total knee repla cement. Male or female 18 years of age or older. Patients weighing at least 40 kg. Written informed consent prior to the start of study participation. Exclusion criteria EXCLUSION CRITERIA History of bleeding diathesis. Constitutional or acquired coagulation disorders that in the investigator's judgment puts the patient at excessive risk for bleeding. Major surgery or trauma (e.g. hip fracture) within the last 3 months. Recent unstable cardiovascular disease, such as uncontrolled hypertension at the time of enrollment (investigator's judgment) or history of myocardial infarction within the last 3 months. Spinal or epidural anesthesia, for which more than 3 attempts (sticks) at placement were made, or the placement was traumatic. Please note that patients, who are not excluded under this criterion, are to have the catheter pulled at the completion of surgery. Any history of hemorrhagic stroke or any of the following intracranial pathologies: bleeding, neoplasm, arteriovenous (AV) malformation or aneurysm. History of VTE or pre-existing condition requiring anticoagulant therapy. Clinically relevant bleeding (e.g. gastrointestinal, pulmonary, intraocular or urogenital bleeding) within the last 6 months. Gastric or duodenal ulcer within the last 6 months. Liver disease expected to have any potential impact on survival (e.g. hepatitis B or C, cirrhosis, but not Gilbert's syndrome or hepatitis A with complete recovery). Elevated AST or ALT >2x upper limit of normal, based on central lab results or local lab results within 1 month before enrollment. Known severe renal insufficiency (CrCl < 30 mL/min). In order to determine patient inclusion/exclusion, creatinine clearance (CrCl) needs to be calculated only if serum creatinine is elevated or renal insufficiency is suspected.
Sites / Locations
- 1160.24.01074 Capstone Clinical Trials, Inc.
- 1160.24.01079 West AL Research, Inc
- 1160.24.01047 Tucson Orhtopaedic Institute
- 1160.24.01025 Martin, Bowen, Hefley Knee and Sports
- 1160.24.01053 OrthoArkansas, PA
- 1160.24.01085 Martin, Bowen, Hefley Knee and Sports
- 1160.24.01041 Core Orthopedic Medical Center
- 1160.24.01034 Glendale Adventist Medical Center
- 1160.24.01005 Scripps Clinical Ctr for Orthopedic Rsrch & Educ
- 1160.24.01077 Long Beach VA Healthcare system
- 1160.24.01064 Orthopedic Specialty Institute
- 1160.24.01031 Colorodo Orthopedic Consultants, PC
- 1160.24.01027 Advanced Orthopedic and Sports Medicine Specialists, PC
- 1160.24.01023 Orthopedic Physicians of Colorado, PC
- 1160.24.01020 Bay Pines VA Medical Center
- 1160.24.01024 Pulmonary Associates of Brandon Clinical Research
- 1160.24.01030 Alliance Research, Inc.
- 1160.24.01039 Florida Orthopedic Associates
- 1160.24.01036 Orthopaedic Associates of South Broward, PA
- 1160.24.01010 MIMA Century Research Associates
- 1160.24.01062 Miami Institute for Joint Reconstruction
- 1160.24.01040 Southern Clinical Research Consultants
- 1160.24.01067 Baptist Clinical Research
- 1160.24.01001 Boehringer Ingelheim Investigational Site
- 1160.24.01017 Boehringer Ingelheim Investigational Site
- 1160.24.01019 Boehringer Ingelheim Investigational Site
- 1160.24.01029 Coastal Medical Research
- 1160.24.01038 James A. Haley VA Hospital
- 1160.24.01063 Resurgens Orthopaedics
- 1160.24.01072 Resurgeons Orthopedics
- 1160.24.01056 Southern Orthopaedic Specialists
- 1160.24.01028 Intermountain Research Center
- 1160.24.01022 Iowa Orthopedic Clinic
- 1160.24.01008 Bluegrass Orthopedic/Musculoskeletal Research, LLC
- 1160.24.01070 Sinai Hospital of Baltimore
- 1160.24.01007 Ortho Associates
- 1160.24.01059 Rockhill Orthopaedics
- 1160.24.01042 Center for Joint Care
- 1160.24.01014 Charlotte Orthopedic Specialists
- 1160.24.01035 Wellington Orthopedics and Sports Medicine
- 1160.24.01006 VA Medical Center
- 1160.24.01044 Tulsa Bone and Joint Associates
- 1160.24.01002 The Orthopedic and Neurological Center of the Cascades
- 1160.24.01046 Boehringer Ingelheim Investigational Site
- 1160.24.01016
- 1160.24.01073 Coastal Orthopedic Associates, PA
- 1160.24.01032 Seton Medical Center
- 1160.24.01003 Texas Orthopedic Associates
- 1160.24.01090 VA Medical Center
- 1160.24.01026 James Muntz, MD
- 1160.24.01033 Bone and Joint Clinic of Houston
- 1160.24.01076 Discovery Alliance
- 1160.24.01018 Gill Research Center
- 1160.24.01069 Correspondence and Pateint vists
- 1160.24.01015 Unlimited Research, LP
- 1160.24.01012 Anderson Orthopedic Clinic
- 1160.24.01052 Swedish Medical Center
- 1160.24.01057 Orthopedic Specialty Clinic of Spokane, PLLC
- 1160.24.01082 MultiCare Health System
- 1160.24.02031 University of Alberta Hospital
- 1160.24.02036 2B2.37 Walter Mackenizie Centre
- 1160.24.02024 Red Deer Regional Hospital
- 1160.24.02032 Kelowna General Hospital
- 1160.24.02034 Hematology/Oncology Research
- 1160.24.02025 Grace General Hospital
- 1160.24.02007 Orthopaedics 4NE
- 1160.24.02027 Atlantic Health Sciences Corporation
- 1160.24.02021 Rouge Valley Health System
- 1160.24.02008 Orthopaedic Surgery
- 1160.24.02016 Orthopaedic Surgery
- 1160.24.02010 Joseph Brant Memorial Hospital
- 1160.24.02001 73 Delhi Street
- 1160.24.02014 565 Sanatorium Road
- 1160.24.02004 Grand River Hospital
- 1160.24.02028 NHS- Greater Niagara General Site
- 1160.24.02022 Lakeridge Health Oshawa
- 1160.24.02017 1053 Carling Avenue
- 1160.24.02026 Ottawa Hospital - General Campus
- 1160.24.02015 York Central Hospital Research
- 1160.24.02009 2863 Ellesmere Road
- 1160.24.02029 Niagara Health System St. Catharine's General Site
- 1160.24.02003 46 General Hospital Drive
- 1160.24.02033 Thunder Bay Regional Hospital
- 1160.24.02002 Toronto East General Hospital Fracture Clinic
- 1160.24.02023 North York General Hospital
- 1160.24.02030 St. Joseph's Health Centre
- 1160.24.02006 206-477 King Street
- 1160.24.02035 Humber River Regional Hospital
- 1160.24.02011 Windsor Regional Hospital
- 1160.24.02012 Hotel Dieu Grace Hospital
- 1160.24.02013 Queen Elizabeth Hospital
- 1160.24.05009 Traumatologia, Planta Baja
- 1160.24.05004
- 1160.24.44001 Ravenscourt Park Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Dabigatran Dose 1
Dabigatran Dose 2
Enoxaparin
low dose regimen taken once daily
high dose regimen taken once daily
30 mg subcutaneously twice daily