E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
This is a study of the long term safety of dabigatran (intended indication: stroke prevention in patients with atrial fibrillation).Eligible patients received dabigatran during the RE-LY trial 1160.26.At the time of entry into RE-LY, patients had at least one risk factor for stroke (1) congestive heart failure, 2) left ventricular dysfunction, 3) age >75, 4) age >65 years with hypertension, diabetes or coronary artery disease or 5) previous stroke, systemic embolism or transient ischemic attack) |
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E.1.1.1 | Medical condition in easily understood language |
Patients after cardiac fibrillation |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003658 |
E.1.2 | Term | Atrial fibrillation |
E.1.2 | System Organ Class | 10007541 - Cardiac disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
This trial has two main objectives:
1. To evaluate the long-term safety of two doses of dabigatran.
2. To evaluate the efficacy of patient customized audit and feedback compared to general information on best practice to reduce cardiovascular outcomes.
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Randomization to dabigatran in RE-LY and not permanently discontinued from dabigatran at the time of RE-LY termination visit
2. Patient must require long-term treatment with oral anticoagulation and investigator determines it is clinically appropriate for patient to continue receiving oral anticoagulation.
3. Written, informed consent
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E.4 | Principal exclusion criteria |
1. Need for anticoagulant treatment for disorders other than atrial fibrillation
2. Plan to cure of AF
3. Patients with prosthetic heart valves
4. gastroduodenal ulcer disease
5. Severe renal impairment
6. Anaemia or thrombocytopenia
7. Uncontrolled hypertension
8. Active liver disease
9. Active infective endocarditis
10. Women who are pregnant, lactating or of childbearing potential who refuse to use a medically acceptable form of contraception throughout the study
11. Patients who have received an investigational drug other than dabigatran in the past 30 days or are participating in another drug study.
12. Other reasons for which Investigator determines patient icannot safely participate
13. Current use of quinidine
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Since the objective of this trial is safety, there are no primary efficacy endpoints related to the evaluation of dabigatran. Safety will primarily be determined by the occurrence of major bleeding.
2. The primary endpoint for knowledge translation component is the composite endpoint of vascular death, stroke, myocardial infarction (MI), non-CNS systemic embolism, major bleeding and hospitalization for heart failure.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. end of trial; after 28 months
2. end of trial; after 28 months
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E.5.2 | Secondary end point(s) |
1. Safety: Stroke (including hemorrhagic), non-CNS systemic
embolism, pulmonary embolism, acute MI, DVT, and all
deaths (includes deaths from bleeding)
2. Knowledge translation:
1. Cardiovascular hospitalization
2. Major bleeding, minor bleeding
3. Change in control of the cardiovascular risk profile
4. Change in the quality of atrial fibrillation care |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. end of trial; after 28 months
2. end of trial; after 28 months
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 16 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 300 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Austria |
Belgium |
Brazil |
Bulgaria |
Canada |
China |
Croatia |
Czech Republic |
Denmark |
Finland |
France |
Germany |
Greenland |
Hungary |
India |
Italy |
Japan |
Mexico |
Netherlands |
Norway |
Poland |
Portugal |
Romania |
Russian Federation |
Slovakia |
Sweden |
Switzerland |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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If the use of dabigatran for stroke prevention in patients with atrial fibrillation receives local approval for marketing in the patient’s country prior to the scheduled end of the trial, the trial will conclude early in that country and no further follow-up of patients in that country will be conducted. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 5 |
E.8.9.2 | In all countries concerned by the trial days | 0 |