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Long-term, Open-label Follow-up Treatment of Patients With A-fib Who Have Been Previously Treated With BIBR 1048

Long-term, Open-label Follow-up Treatment of Patients With Atrial Fibrillation Who Have Been Previously Treated With BIBR 1048 in the PETRO Trial (Trial 1160.20 - NCT01227629). (PETRO Extension Trial: PETRO-Ex)

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00157248
Enrollment
361
Registered
2005-09-12
Start date
2003-12-31
Completion date
Unknown
Last updated
2014-05-19

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

Conditions

Atrial Fibrillation, Stroke

Brief summary

To determine the long term safety and efficacy of BIBR 1048 in patients with chronic atrial fibrilla tion, with or without concomitant chronic treatment with acetylsalicylic acid (ASA).

Interventions

DRUGdabigatran etexilate

dosage used at study start

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Diagnosis and main criteria for inclusion: Paroxysmal, persistent, or permanent (chronic) non-rheumatic atrial fibrillation with a history of coronary artery disease (CAD) Inclusion Criteria: * previous treatment with BIBR 1048 in PETRO (trial 1160.20- NCT01227629) and no premature discontinuation of therapy * paroxysmal, persistent, or permanent (chronic) non-rheumatic atrial fibrillation, documented by electrocardiogram (ECG) at least twice prior to enrollment in PETRO * concomitant coronary artery disease -an additional risk factor for stroke (one or more of the following conditions/events): hypertension, diabetes mellitus (DM), congestive heart failure (CHF) or Left ventricular dysfunction (LVD), previous ischemic stroke or transient ischemic attack) TIA, or age greater than 75 years. -age \>= 18 years * written, informed consent

Design outcomes

Primary

MeasureTime frameDescription
Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.5 yearsTime to first occurrence of stroke, transient ischaemic attacks, system thromboembolism, myocardial infarction, other major adverse cardiac events and mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Major Bleeding5 yearsTime to first occurrence of fatal or life-threatening, retroperitoneal, intracranial, intraocular, or intraspinal bleeding, which required surgical treatment, led to a transfusion of a minimum of 2 units of packed cells or whole blood, or led to a fall in hemoglobin of 20g/L or less. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Major + Minor/Relevant Bleeding5 yearsTime to first occurrence of either major or minor/relevant bleeding. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Any Bleeding5 yearsTime to first occurrence of any bleeding event. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Minor Bleeding5 yearsTime to first occurrence of minor bleeding. A minor bleeding event is any bleed that does not qualify as a major bleed. All minor bleeding events not fulfilling one of the criteria for clinically relevant were classified as nuisance bleeds. Clinically-relevant was defined as spontaneous skin hematoma ≥25 cm², spontaneous nose bleed \>5 min, macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention, spontaneous rectal bleeding, gingival bleeding \>5 min, leading to hospitalization, leading to a transfusion of \<2 units of packed cells or whole blood and any other bleeding event considered clinically relevant by the investigator. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Secondary

MeasureTime frameDescription
Yearly Event Rate of Myocardial Infarction5 yearsTime to first occurrence of any myocardial infarction. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate of Other Major Adverse Cardiac Events5 yearsTime to first occurrence of any other major adverse cardiac events. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate of Death5 yearsTime to death of any cause. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Stroke5 yearsTime to first occurrence of any fatal or non-fatal stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Severe Adverse Event5 yearsFrequency of patients with severe adverse events.
Laboratory Analyses5 yearsFrequency of patients with possible clinically significant abnormalities, i.e. with values out of normal range. Normal ranges are defined as: * Alanine aminotransferase (ALT): 5-45 \[U/L\] * Aspartate aminotransferase (AST): 10-40 \[U/L\] * Bilirubin, total: 0.2-1.0 \[mg/dL\]
Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality5 yearsTime to first occurrence of ischaemic stroke, transient ischaemic attacks, non-central nervous system systemic thromboembolism, myocardial infarction, other major adverse cardiac events and all-cause mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate of Ischaemic Stroke5 yearsTime to first occurrence of any ischaemic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate of Haemorrhagic Stroke5 yearsTime to first occurrence of any haemorrhagic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Transient Ischaemic Attacks5 yearsTime to first occurrence of any transient ischaemic attacks. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Yearly Event Rate for Systemic Thromboembolism5 yearsTime to first occurrence of any non-central nervous system systemic thromboembolism. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Countries

Denmark, Netherlands, Sweden, United States

Participant flow

Recruitment details

This was a non-randomized open-label extension study of study 1160.20. Patients initially continued Dabigatran treatment of 1160.20; per protocol amendment, most patients moved to 150 mg bid. All events were assigned to the Dabigatran regimen that a patient received prior to the event and patients may be counted in multiple regimens

Pre-assignment details

In this non-randomized follow-up study, events are displayed cumulatively that occurred in the initial study (1160.20) or in the present study.

Participants by arm

ArmCount
Dabigatran Etexilate, 150 mg QD (Once Daily)
Dosage used at study start
98
Dabigatran Etexilate, 150 mg BID (Twice Daily)
Dosage used at study start
89
Dabigatran Etexilate, 300 mg QD (Once Daily)
Dosage used at study start
50
Dabigatran Etexilate, 300 mg BID (Twice Daily)
Dosage used at study start
124
Total361

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event36251333
Overall StudyLost to Follow-up0100
Overall StudyProtocol Violation4022
Overall Studysite closures, subject moving7739
Overall StudyWithdrawal by Subject1433

Baseline characteristics

CharacteristicDabigatran Etexilate, 150 mg QD (Once Daily)Dabigatran Etexilate, 150 mg BID (Twice Daily)Dabigatran Etexilate, 300 mg QD (Once Daily)Dabigatran Etexilate, 300 mg BID (Twice Daily)Total
Age, Continuous70.4 Years
STANDARD_DEVIATION 8.6
69.3 Years
STANDARD_DEVIATION 8.2
71.0 Years
STANDARD_DEVIATION 6.8
68.8 Years
STANDARD_DEVIATION 8.5
69.7 Years
STANDARD_DEVIATION 8.2
Atrial fibrillation
Paroxysmal
18 Participants23 Participants10 Participants31 Participants82 Participants
Atrial fibrillation
Permanent
40 Participants28 Participants25 Participants47 Participants140 Participants
Atrial fibrillation
Persistent
40 Participants
139
38 Participants
40
15 Participants
38
46 Participants
15
139 Participants
Sex: Female, Male
Female
19 Participants18 Participants10 Participants12 Participants59 Participants
Sex: Female, Male
Male
79 Participants71 Participants40 Participants112 Participants302 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
0 / 118 / 10517 / 102219 / 35665 / 9057 / 161
serious
Total, serious adverse events
0 / 18 / 10520 / 102153 / 35639 / 9021 / 161

Outcome results

Primary

Yearly Event Rate for Any Bleeding

Time to first occurrence of any bleeding event. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Any Bleeding0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Any Bleeding25.5 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Any Bleeding21.5 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Any Bleeding14.7 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Any Bleeding14.9 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Any Bleeding58.5 yearly event rate (percentage)
Primary

Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.

Time to first occurrence of stroke, transient ischaemic attacks, system thromboembolism, myocardial infarction, other major adverse cardiac events and mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.17.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.5.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.5.7 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.4.5 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.2.4 yearly event rate (percentage)
Primary

Yearly Event Rate for Major Bleeding

Time to first occurrence of fatal or life-threatening, retroperitoneal, intracranial, intraocular, or intraspinal bleeding, which required surgical treatment, led to a transfusion of a minimum of 2 units of packed cells or whole blood, or led to a fall in hemoglobin of 20g/L or less. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Major Bleeding0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Major Bleeding0.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Major Bleeding6.6 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Major Bleeding3.1 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Major Bleeding0.8 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Major Bleeding7.3 yearly event rate (percentage)
Primary

Yearly Event Rate for Major + Minor/Relevant Bleeding

Time to first occurrence of either major or minor/relevant bleeding. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Major + Minor/Relevant Bleeding0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Major + Minor/Relevant Bleeding8.5 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Major + Minor/Relevant Bleeding11.6 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Major + Minor/Relevant Bleeding7.6 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Major + Minor/Relevant Bleeding6.6 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Major + Minor/Relevant Bleeding26.8 yearly event rate (percentage)
Primary

Yearly Event Rate for Minor Bleeding

Time to first occurrence of minor bleeding. A minor bleeding event is any bleed that does not qualify as a major bleed. All minor bleeding events not fulfilling one of the criteria for clinically relevant were classified as nuisance bleeds. Clinically-relevant was defined as spontaneous skin hematoma ≥25 cm², spontaneous nose bleed \>5 min, macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention, spontaneous rectal bleeding, gingival bleeding \>5 min, leading to hospitalization, leading to a transfusion of \<2 units of packed cells or whole blood and any other bleeding event considered clinically relevant by the investigator. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureGroupValue (NUMBER)
50 mg Once DailyYearly Event Rate for Minor BleedingClinically relevant0.0 yearly event rate (percentage)
50 mg Once DailyYearly Event Rate for Minor BleedingNuisance only0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Minor BleedingClinically relevant8.5 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Minor BleedingNuisance only17.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Minor BleedingClinically relevant5.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Minor BleedingNuisance only9.9 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Minor BleedingClinically relevant4.5 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Minor BleedingNuisance only7.1 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Minor BleedingClinically relevant5.8 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Minor BleedingNuisance only8.3 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Minor BleedingClinically relevant19.5 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Minor BleedingNuisance only31.7 yearly event rate (percentage)
Secondary

Laboratory Analyses

Frequency of patients with possible clinically significant abnormalities, i.e. with values out of normal range. Normal ranges are defined as: * Alanine aminotransferase (ALT): 5-45 \[U/L\] * Aspartate aminotransferase (AST): 10-40 \[U/L\] * Bilirubin, total: 0.2-1.0 \[mg/dL\]

Time frame: 5 years

Population: All treated patients.

ArmMeasureGroupValue (NUMBER)
50 mg Once DailyLaboratory AnalysesALT > 3*ULN0 participants
50 mg Once DailyLaboratory AnalysesAST > 3*ULN0 participants
50 mg Once DailyLaboratory AnalysesBilirubin > 2*ULN0 participants
50 mg Twice DailyLaboratory AnalysesALT > 3*ULN0 participants
50 mg Twice DailyLaboratory AnalysesAST > 3*ULN0 participants
50 mg Twice DailyLaboratory AnalysesBilirubin > 2*ULN0 participants
150 mg Once DailyLaboratory AnalysesALT > 3*ULN0 participants
150 mg Once DailyLaboratory AnalysesAST > 3*ULN0 participants
150 mg Once DailyLaboratory AnalysesBilirubin > 2*ULN0 participants
150 mg Twice DailyLaboratory AnalysesALT > 3*ULN9 participants
150 mg Twice DailyLaboratory AnalysesAST > 3*ULN10 participants
150 mg Twice DailyLaboratory AnalysesBilirubin > 2*ULN5 participants
300 mg Once DailyLaboratory AnalysesALT > 3*ULN4 participants
300 mg Once DailyLaboratory AnalysesAST > 3*ULN3 participants
300 mg Once DailyLaboratory AnalysesBilirubin > 2*ULN2 participants
300 mg Twice DailyLaboratory AnalysesAST > 3*ULN1 participants
300 mg Twice DailyLaboratory AnalysesBilirubin > 2*ULN0 participants
300 mg Twice DailyLaboratory AnalysesALT > 3*ULN2 participants
Secondary

Severe Adverse Event

Frequency of patients with severe adverse events.

Time frame: 5 years

Population: All treated patients.

ArmMeasureValue (NUMBER)
50 mg Once DailySevere Adverse Event0 participants
50 mg Twice DailySevere Adverse Event5 participants
150 mg Once DailySevere Adverse Event13 participants
150 mg Twice DailySevere Adverse Event96 participants
300 mg Once DailySevere Adverse Event28 participants
300 mg Twice DailySevere Adverse Event16 participants
Secondary

Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality

Time to first occurrence of ischaemic stroke, transient ischaemic attacks, non-central nervous system systemic thromboembolism, myocardial infarction, other major adverse cardiac events and all-cause mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality17.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality5.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality5.5 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality4.5 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality2.4 yearly event rate (percentage)
Secondary

Yearly Event Rate for Stroke

Time to first occurrence of any fatal or non-fatal stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Stroke0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Stroke4.3 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Stroke5.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Stroke1.1 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Stroke1.7 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Stroke0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate for Systemic Thromboembolism

Time to first occurrence of any non-central nervous system systemic thromboembolism. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Systemic Thromboembolism0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Systemic Thromboembolism8.5 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Systemic Thromboembolism0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Systemic Thromboembolism0.2 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Systemic Thromboembolism0.4 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Systemic Thromboembolism1.2 yearly event rate (percentage)
Secondary

Yearly Event Rate for Transient Ischaemic Attacks

Time to first occurrence of any transient ischaemic attacks. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate for Transient Ischaemic Attacks0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate for Transient Ischaemic Attacks0.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate for Transient Ischaemic Attacks0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate for Transient Ischaemic Attacks0.2 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate for Transient Ischaemic Attacks0.4 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate for Transient Ischaemic Attacks0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate of Death

Time to death of any cause. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate of Death0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate of Death0.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate of Death0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate of Death2.7 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate of Death2.1 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate of Death0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate of Haemorrhagic Stroke

Time to first occurrence of any haemorrhagic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate of Haemorrhagic Stroke0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate of Haemorrhagic Stroke0.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate of Haemorrhagic Stroke0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate of Haemorrhagic Stroke0.6 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate of Haemorrhagic Stroke0.0 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate of Haemorrhagic Stroke0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate of Ischaemic Stroke

Time to first occurrence of any ischaemic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate of Ischaemic Stroke0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate of Ischaemic Stroke4.3 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate of Ischaemic Stroke5.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate of Ischaemic Stroke0.5 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate of Ischaemic Stroke1.7 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate of Ischaemic Stroke0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate of Myocardial Infarction

Time to first occurrence of any myocardial infarction. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate of Myocardial Infarction0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate of Myocardial Infarction0.0 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate of Myocardial Infarction0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate of Myocardial Infarction1.1 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate of Myocardial Infarction0.4 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate of Myocardial Infarction0.0 yearly event rate (percentage)
Secondary

Yearly Event Rate of Other Major Adverse Cardiac Events

Time to first occurrence of any other major adverse cardiac events. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25

Time frame: 5 years

Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.

ArmMeasureValue (NUMBER)
50 mg Once DailyYearly Event Rate of Other Major Adverse Cardiac Events0.0 yearly event rate (percentage)
50 mg Twice DailyYearly Event Rate of Other Major Adverse Cardiac Events8.5 yearly event rate (percentage)
150 mg Once DailyYearly Event Rate of Other Major Adverse Cardiac Events0.0 yearly event rate (percentage)
150 mg Twice DailyYearly Event Rate of Other Major Adverse Cardiac Events1.1 yearly event rate (percentage)
300 mg Once DailyYearly Event Rate of Other Major Adverse Cardiac Events0.8 yearly event rate (percentage)
300 mg Twice DailyYearly Event Rate of Other Major Adverse Cardiac Events1.2 yearly event rate (percentage)

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026