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Evaluation of Dual Therapy with Dabigatran vs. Triple Therapy with Warfarin in Patients with AF that undergo a PCI with Stenting

A prospective Randomised, open label, blinded endpoint (PROBE) study to Evaluate DUAL antithrombotic therapy with dabigatran etexilate (110mg and 150mg b.i.d.) plus clopidogrel or ticagrelor vs. triple therapy strategy with warfarin (INR 2.0 - 3.0) plus clopidogrel or ticagrelor and aspirin in patients with non valvular atrial fibrillation (NVAF) that have undergone a percutaneous coronary intervention (PCI) with stenting - RE-DUAL PCI

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-003201-26-SE
Enrollment
2502
Registered
2014-05-23
Start date
2014-07-21
Completion date
Unknown
Last updated
2017-12-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with non valvular atrial fibrillation (NVAF) that have undergone a percutaneous coronary intervention (PCI) with stenting MedDRA version: 19.0 Level: PT Classification code 10003658 Term: Atrial fibrillation System Organ Class: 10007541 - Cardiac disorders MedDRA version: 19.0 Level: PT Classification code 10065608 Term: Percutaneous coronary intervention System Organ Class: 10042613 - Surgical and medical procedures

Interventions

Trade Name: Pradaxa Product Name: dabigatran etexilate, 110 mg Product Code: BIBR 1048 MS Pharmaceutical Form: Capsule, hard INN or Proposed INN: DABIGATRAN ETEXILATE MESILATE Other descriptive nam

Sponsors

Boehringer Ingelheim AB
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Male or female patients aged >=18 years - Patients with Non Valvular Atrial Fibrillation - Patient presenting with: An ACS (STEMI, NonSTEMI [NSTEMI] or unstable angina [UA]) that was successfully treated by PCI and stenting (either Bare Metal Stent or Drug Eluting Stent) Or Stable Coronary Artery Disease with at least one lesion eligible for PCI that was successfully treated by elective PCI and stenting (either BMS or DES) - The patient must be able to give informed consent in accordance with International Conference on Harmonisation Good Clinical Practice guidelines and local legislation and/or regulations. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 375 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 2127

Exclusion criteria

Exclusion criteria: - Patients with a mechanical or biological heart valve prosthesis - Cardiogenic shock during current hospitalisation - Stroke within 1 month prior to screening visit - Patients who have had major surgery within the month prior to screening - Gastrointestinal haemorrhage within one month prior to screening, unless, in the opinion of the Investigator, the cause has been permanently eliminated - Major bleeding episode including life-threatening bleeding episode in one month prior to screening visit - Anaemia (haemoglobin <10g/dL) or thrombocytopenia including heparin-induced thrombocytopenia (platelet count <100 x 109/L) at screening - Severe renal impairment (estimated CrCl calculated by Cockcroft-Gault equation) <30mL/min at screening - Active liver disease

Design outcomes

Primary

MeasureTime frame
Main Objective: To compare a dual antithrombotic treatment regimen of 110mg dabigatran etexilate twice a day (b.i.d.) plus clopidogrel or ticagrelor and 150mg dabigatran etexilate b.i.d. plus clopidogrel or ticagrelor with triple antithrombotic therapy combination of warfarin plus clopidogrel or ticagrelor plus Aspirin <= 100mg once a day (q.d.) in patients with Atrial Fibrillation (AF) that undergo a Percutaneous Coronary Intervention (PCI) with stenting.;Secondary Objective: Not applicable;Primary end point(s): 1: Time to first ISTH Major or Clinically Relevant Non-Major Bleeding Event ;Timepoint(s) of evaluation of this end point: 1: up to 30 months

Secondary

MeasureTime frame
Secondary end point(s): 1: Time to event for thrombotic events or death (DTE: all death + MI + stroke/SE) and unplanned revascularisation by PCI/CABG 2: Time to event for thrombotic events or death (DTE: all death + MI + stroke/SE) 3: Time to event for individual outcome events: - All death (Cardiovascular death, Non-cardiovascular death, Undetermined) 4: Time to event for individual outcome events: - MI 5: Time to event for individual outcome events: - Stroke 6: Time to event for individual outcome events: - SE 7: Time to event for individual outcome events: - Stent Thrombosis 8: Time to event for death + MI + stroke 9: Time to unplanned revascularisation by PCI/CABG ;Timepoint(s) of evaluation of this end point: 1: up to 30 months 2: up to 30 months 3: up to 30 months 4: up to 30 months 5: up to 30 months 6: up to 30 months 7: up to 30 months 8: up to 30 months 9: up to 30 months

Countries

Argentina, Australia, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, Colombia, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hong Kong, Hungary, India, Ireland, Israel, Italy, Japan, Korea, Republic of, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Russian Federation, Singapore, Slovakia, Slovenia, Spain, Sweden, Taiwan, Thailand, Turkey, United Kingdom, United States

Contacts

Public ContactQPRE pSC CT Information Disclosure

Boehringer Ingelheim Pharma GmbH & Co.KG

clintriage.rdg@boehringer-ingelheim.com+18002430127

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026