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Reversal of dabigatran anticoagulant effect with idarucizumab

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. REVERSE-AD (A study of the RE-VERSal Effects of Idarucizumab on Active Dabigatran) trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-004813-41-DE
Enrollment
500
Registered
2014-02-03
Start date
2014-05-26
Completion date
Unknown
Last updated
2016-11-14

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

Conditions

Hemorrhage MedDRA version: 18.1 Level: LLT Classification code 10019524 Term: Hemorrhage System Organ Class: 100000004866

Interventions

Sponsors

Boehringer Ingelheim Pharma GmbH & Co. KG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - 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 -- Condition requiring emergency surgery or procedure where adequate hemostasis is required. Emergency is defined as within the next 8 hours. -- Current treatment with dabigatran -- At least 18 years of age -- Writen Informed consent. 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 25 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 475

Exclusion criteria

Exclusion criteria: - 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. -- Women who are nursing or pregnant -- Patients who are legally institutionalised - 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 hypersensitiity to the drug or its excipients. -- Women who are nursing or pregnant -- Patients who are legally institutionalised

Design outcomes

Primary

MeasureTime frame
Main Objective: Evaluate the reversal of the anticoagulant effect of dabigatran in patients after administration of idarucizumab;Secondary Objective: Evaluate safety and the pharmacokinetcs of the idarucizumab-dabigatran complex.;Primary end point(s): 1: Reversal of anticoagulant effect of dabigatran ;Timepoint(s) of evaluation of this end point: 1: up to 4 hours

Secondary

MeasureTime frame
Secondary end point(s): 1: Minimum unbound sum (free) dabigatran 2: Reversal of dTT or ECT after the first infusion and before the start of the second 3: Reversal of aPTT 4: Reversal of TT 5: Duration of reversal 6: Occurrence of major bleeding post-surgery (for Group B only) 7: Time to cessation of bleeding (for Group A only) ;Timepoint(s) of evaluation of this end point: 1: up to 4 hours 2: up to 15 minutes 3: up to 4 hours 4: up to 4 hours 5: up to 24 hours 6: up to 24 hours 7: up to 24 hours

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Hong Kong, India, Ireland, Israel, Italy, Japan, Korea, Republic of, Latvia, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Russian Federation, Singapore, Slovakia, South Africa, Spain, Sweden, Taiwan, United Kingdom, United States

Contacts

Public ContactQRPE PSC CT information Disclosure

Boehringer Ingelheim GmbH & Co. KG

clintriage.rdg@boehringer-ingelheim.com+1 8002430127

Outcome results

None listed

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