Venous Thromboembolism
Conditions
Brief summary
To investigate the safety and tolerability of dabigatran etexilate solution in children and to obtain preliminary pharmacokinetic/pharmacodynamic data
Detailed description
Purpose:
Interventions
Experimental dose chosen based on age and weight
Sponsors
Study design
Eligibility
Inclusion criteria
1. males or females 1 to less than 12 years of age 2. objective diagnosis of primary VTE 3. completion of planned treatment course with LMWH or OAC for primary VTE 4. written informed consent by parent (legal guardian) and patient assent (if applicable)
Exclusion criteria
1. weight less than 9 kg 2. conditions associated with increased risk of bleeding 3. patients who have any condition that would not allow safe participation in study Note: Further
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Patients With Incidence of Any Bleeding Events (Major, Clinically Relevant Non-major (CRNM) and Minor) During the Treatment Period. | Up to 6 days | Major: Fatal bleeding, Clinically overt bleeding associated with decrease in haemoglobin of at least 2 g/dL in 24-h-period,bleeding that was retroperitoneal,pulmonary,intracranial,or otherwise involved the central nervous system,bleeding that required surgical intervention in an operating suite. CRNM: Overt bleeding for which a blood product was administered & which was not directly attributable to the patient's underlying medical condition,bleeding that required medical or surgical intervention to restore haemostasis,other than in an operating suite. Minor: Any overt or macroscopic evidence of bleeding that did not fulfil the criteria for either major bleeding or CRNM bleeding. For multiple dosing,all events with an onset date after the date of first dose until the end of trial treatment including 3 days after the last treatment and for single dosing,all events with an onset during the 48-h-period after study medication intake were assigned to the on-treatment period. |
| AUC0-tz (Area Under the Concentration Time Curve of the Total Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | AUC0-tz (area under the concentration time curve of the total dabigatran in plasma over the time interval 0 up to the last quantifiable data point). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of AUC0-tz (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
| Cmax (Maximum Measured Concentration of Free Dabigatran in Plasma) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | Cmax (maximum measured concentration of free dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of Cmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
| Tmax (Time From Dosing to Maximum Measured Concentration of Free Dabigatran in Plasma) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | tmax (time from dosing to maximum measured concentration of free dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of tmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
| AUC0-tz (Area Under the Concentration Time Curve of the Free Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | AUC0-tz (area under the concentration time curve of the free dabigatran in plasma over the time interval 0 up to the last quantifiable data point). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of AUC0-tz (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
| Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate | Plasma concentration of total dabigatran (SUM BIBR 953 ZW) |
| Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate | Plasma concentration of free dabigatran (BIBR 953 ZW) |
| Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate | Plasma concentration of unchanged dabigatran etexilate (BIBR 1048 BS). Some values are NA because Values were below the limit of quantification. Not calculated as reliable estimation can only be performed when at least 2/3 of the data are available and thus the Geometric Mean (gMean) and Geometric Coefficient of Variation (gCV) is not calculated according to internal rules. |
| Plasma Concentration of Metabolite BIBR 951 BS | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate | Plasma concentration of metabolite BIBR 951 BS |
| Plasma Concentration of Metabolite BIBR 1087 SE | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate | Plasma concentration of metabolite BIBR 1087 SE |
| Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | at predose and 2 and 10 h after intake of study medication. | Central measurement of aPTT (activated partial thromboplastin time) at predose and 2 and 10 h after intake of study medication. For multiple dose patients only local measurements were planned. The Standard Deviation presented below is actually the % coefficient of variation. |
| Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | at predose and 2 and 10 h after intake of study medication. | Central measurement of ECT (ecarin clotting time) at predose and 2 and 10 h after intake of study medication. ECT was not planned to be measured in the multiple dose group. The Standard Deviation presented below are actually the % coefficient of variation |
| Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | at predose and 2 and 10 h after intake of study medication. | Central measurement of dTT (diluted thrombin time) at predose and 2 and 10 h after intake of study medication. The Standard Deviation presented below are actually the % coefficient of variation |
| Cmax (Maximum Measured Concentration of Total Dabigatran in Plasma) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | Cmax (maximum measured concentration of total dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of Cmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
| Tmax (Time From Dosing to Maximum Measured Concentration of Total Dabigatran in Plasma) | At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate | tmax (time from dosing to maximum measured concentration of total dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of tmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Global Assessment of Tolerability of Study Medication- Taste Assessment | Day 1 (immediately after dosing) | The investigator was to provide a global clinical assessment of tolerability including patient taste assessment.This assessment was based on 6-point scale (Very good, good, satisfactory, bad, very bad, missing). The taste assessment was only provided when the patient was old enough to evaluate the taste. |
| Percentage of Patients With Changes in Laboratory and Clinical Parameters Such as Liver Enzymes and Physical Examination | During the treatment period, Up to 6 days | Percentage of patients with changes in laboratory and clinical parameters such as liver enzymes and physical examination. Clinically Relevant Abnormalities for Laboratory Parameters were reported. |
| Global Assessment of Tolerability of Study Medication | Day 1 (immediately after dosing) | The investigator was to provide a global clinical assessment of tolerability of study medication by the patient.This assessment was based on 5-point scale (good, satisfactory, not satisfactory, bad, not assessable). |
| Percentage of Patients With Any Adverse Events During the Treatment Period | Up to 6 days | Percentage of patients with any adverse events during the treatment period. For patients with multiple dosing, all AEs with an onset date after the date of first dose until the end of trial treatment including 3 days after the last treatment were assigned to the on-treatment period. For patients with single dosing, all AEs with an onset during the 48-h-period after study medication intake were assigned to the on-treatment period. |
Countries
Canada, Italy, Lithuania, Russia, Switzerland, Thailand
Participant flow
Recruitment details
20 patients were enrolled, 18 patients were entered and treated, 2 patients were screening failures.
Pre-assignment details
Open-label, multicentre, non-randomised, uncontrolled, single arm study.
Participants by arm
| Arm | Count |
|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) The patients aged 1 to \<2 years were orally administered a single dose of dabigatran etexilate (Dabigatran etexilate oral liquid formulation (6.25 mg/mL) after reconstitution from dabigatran etexilate granules (167.5 mg) and solvent for oral liquid formulation) | 6 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) The patients aged 2 to \<12 years were orally administered a single dose of dabigatran etexilate (Dabigatran etexilate oral liquid formulation (6.25 mg/mL) after reconstitution from dabigatran etexilate granules (167.5 mg) and solvent for oral liquid formulation) | 9 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) The patients aged 2 to \<12 years were orally administered a multiple dose (3 days, twice daily) of dabigatran etexilate (Dabigatran etexilate oral liquid formulation (6.25 mg/mL) after reconstitution from dabigatran etexilate granules (167.5 mg) and solvent for oral liquid formulation) | 3 |
| Total | 18 |
Baseline characteristics
| Characteristic | Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Total |
|---|---|---|---|---|
| Age, Continuous | 1.0 years STANDARD_DEVIATION 0 | 5.2 years STANDARD_DEVIATION 2.6 | 8.3 years STANDARD_DEVIATION 2.5 | 4.3 years STANDARD_DEVIATION 3.3 |
| Gender Female | 2 Participants | 3 Participants | 2 Participants | 7 Participants |
| Gender Male | 4 Participants | 6 Participants | 1 Participants | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 6 | 0 / 9 | 1 / 3 |
| serious Total, serious adverse events | 0 / 6 | 0 / 9 | 0 / 3 |
Outcome results
AUC0-tz (Area Under the Concentration Time Curve of the Free Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point)
AUC0-tz (area under the concentration time curve of the free dabigatran in plasma over the time interval 0 up to the last quantifiable data point). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of AUC0-tz (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | AUC0-tz (Area Under the Concentration Time Curve of the Free Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | 581 ng*h/mL | Geometric Coefficient of Variation 27.7 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | AUC0-tz (Area Under the Concentration Time Curve of the Free Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | 566 ng*h/mL | Geometric Coefficient of Variation 32.2 |
AUC0-tz (Area Under the Concentration Time Curve of the Total Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point)
AUC0-tz (area under the concentration time curve of the total dabigatran in plasma over the time interval 0 up to the last quantifiable data point). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of AUC0-tz (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | AUC0-tz (Area Under the Concentration Time Curve of the Total Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | 715 ng*h/mL | Geometric Coefficient of Variation 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | AUC0-tz (Area Under the Concentration Time Curve of the Total Dabigatran in Plasma Over the Time Interval 0 up to the Last Quantifiable Data Point) | 658 ng*h/mL | Geometric Coefficient of Variation 32.5 |
Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication.
Central measurement of aPTT (activated partial thromboplastin time) at predose and 2 and 10 h after intake of study medication. For multiple dose patients only local measurements were planned. The Standard Deviation presented below is actually the % coefficient of variation.
Time frame: at predose and 2 and 10 h after intake of study medication.
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 7) | 32.3 seconds | Standard Deviation 24.6 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 9) | 47.5 seconds | Standard Deviation 24.7 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=5, 8) | 40.3 seconds | Standard Deviation 19.6 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 7) | 34.9 seconds | Standard Deviation 24.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 9) | 77.0 seconds | Standard Deviation 54.6 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Activated Partial Thromboplastin Time (aPTT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=5, 8) | 58.4 seconds | Standard Deviation 40.6 |
Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication.
Central measurement of dTT (diluted thrombin time) at predose and 2 and 10 h after intake of study medication. The Standard Deviation presented below are actually the % coefficient of variation
Time frame: at predose and 2 and 10 h after intake of study medication.
Population: PKS (evaluable cases)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 9, 2) | 46.6 seconds | Standard Deviation 6.02 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 9, 2) | 31.9 seconds | Standard Deviation 4.67 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=6, 9, NA) | 35.5 seconds | Standard Deviation 6.02 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 9, 2) | 53.6 seconds | Standard Deviation 18.4 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 9, 2) | 35.6 seconds | Standard Deviation 10.1 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=6, 9, NA) | 39.7 seconds | Standard Deviation 9.76 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 9, 2) | 32.9 seconds | Standard Deviation 4.73 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=6, 9, NA) | NA seconds | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Central Measurement of Diluted Thrombin Time (dTT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 9, 2) | 34.3 seconds | Standard Deviation 1.24 |
Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication.
Central measurement of ECT (ecarin clotting time) at predose and 2 and 10 h after intake of study medication. ECT was not planned to be measured in the multiple dose group. The Standard Deviation presented below are actually the % coefficient of variation
Time frame: at predose and 2 and 10 h after intake of study medication.
Population: PKS (evaluable cases)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 6) | 36.9 seconds | Standard Deviation 7.49 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 7) | 79.8 seconds | Standard Deviation 5.15 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=5, 7) | 49.7 seconds | Standard Deviation 5.36 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | Ebase (N=6, 6) | 36.8 seconds | Standard Deviation 10.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | E2 (N=6, 7) | 73.6 seconds | Standard Deviation 22.1 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Central Measurement of Ecarin Clotting Time (ECT) at Predose and 2 and 10 h After Intake of Study Medication. | E10 (N=5, 7) | 52.2 seconds | Standard Deviation 10.3 |
Cmax (Maximum Measured Concentration of Free Dabigatran in Plasma)
Cmax (maximum measured concentration of free dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of Cmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Cmax (Maximum Measured Concentration of Free Dabigatran in Plasma) | 101 ng/mL | Geometric Coefficient of Variation 12.8 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Cmax (Maximum Measured Concentration of Free Dabigatran in Plasma) | 102 ng/mL | Geometric Coefficient of Variation 36.9 |
Cmax (Maximum Measured Concentration of Total Dabigatran in Plasma)
Cmax (maximum measured concentration of total dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of Cmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Cmax (Maximum Measured Concentration of Total Dabigatran in Plasma) | 129 ng/mL | Geometric Coefficient of Variation 9.84 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Cmax (Maximum Measured Concentration of Total Dabigatran in Plasma) | 116 ng/mL | Geometric Coefficient of Variation 38.6 |
Percentage of Patients With Incidence of Any Bleeding Events (Major, Clinically Relevant Non-major (CRNM) and Minor) During the Treatment Period.
Major: Fatal bleeding, Clinically overt bleeding associated with decrease in haemoglobin of at least 2 g/dL in 24-h-period,bleeding that was retroperitoneal,pulmonary,intracranial,or otherwise involved the central nervous system,bleeding that required surgical intervention in an operating suite. CRNM: Overt bleeding for which a blood product was administered & which was not directly attributable to the patient's underlying medical condition,bleeding that required medical or surgical intervention to restore haemostasis,other than in an operating suite. Minor: Any overt or macroscopic evidence of bleeding that did not fulfil the criteria for either major bleeding or CRNM bleeding. For multiple dosing,all events with an onset date after the date of first dose until the end of trial treatment including 3 days after the last treatment and for single dosing,all events with an onset during the 48-h-period after study medication intake were assigned to the on-treatment period.
Time frame: Up to 6 days
Population: Treated set
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Percentage of Patients With Incidence of Any Bleeding Events (Major, Clinically Relevant Non-major (CRNM) and Minor) During the Treatment Period. | 0.0 Percentage of participants | 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Percentage of Patients With Incidence of Any Bleeding Events (Major, Clinically Relevant Non-major (CRNM) and Minor) During the Treatment Period. | 0.0 Percentage of participants | 32.5 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Percentage of Patients With Incidence of Any Bleeding Events (Major, Clinically Relevant Non-major (CRNM) and Minor) During the Treatment Period. | 0.0 Percentage of participants | — |
Plasma Concentration of Free Dabigatran (BIBR 953 ZW).
Plasma concentration of free dabigatran (BIBR 953 ZW)
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate
Population: PKS (evaluable cases)
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 1h (N= 4, 9, NA) | 68.5 ng/mL | Geometric Coefficient of Variation 43.8 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 10h (N=6, 9, NA) | 28.1 ng/mL | Geometric Coefficient of Variation 49.8 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 6h (N=6, 9, NA) | 51.6 ng/mL | Geometric Coefficient of Variation 40 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 2h (N=6, 9, 2) | 101.0 ng/mL | Geometric Coefficient of Variation 12.8 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 72h (N=NA, NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 50h (N=NA, NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 4h (N=6, 9, NA) | 75.3 ng/mL | Geometric Coefficient of Variation 30.2 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 1h (N= 4, 9, NA) | 80.0 ng/mL | Geometric Coefficient of Variation 43.9 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 2h (N=6, 9, 2) | 98.5 ng/mL | Geometric Coefficient of Variation 35.3 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 4h (N=6, 9, NA) | 74.5 ng/mL | Geometric Coefficient of Variation 31.7 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 6h (N=6, 9, NA) | 48.4 ng/mL | Geometric Coefficient of Variation 37.9 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 10h (N=6, 9, NA) | 23.7 ng/mL | Geometric Coefficient of Variation 40.3 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 50h (N=NA, NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 72h (N=NA, NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 10h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 2h (N=6, 9, 2) | 23.4 ng/mL | Geometric Coefficient of Variation 72.2 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 72h (N=NA, NA, 3) | 8.43 ng/mL | Geometric Coefficient of Variation 44 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 50h (N=NA, NA, 2) | 37.3 ng/mL | Geometric Coefficient of Variation 60.7 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 6h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 4h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Free Dabigatran (BIBR 953 ZW). | 1h (N= 4, 9, NA) | NA ng/mL | — |
Plasma Concentration of Metabolite BIBR 1087 SE
Plasma concentration of metabolite BIBR 1087 SE
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 6h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 1h (N=12, NA) | 2.31 ng/mL | Geometric Coefficient of Variation 54 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 10h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 50h (N=NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 4h (N=1, NA) | 1.18 ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 2h (N=8, 2) | 1.51 ng/mL | Geometric Coefficient of Variation 38.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 1h (N=12, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 2h (N=8, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 4h (N=1, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 6h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 50h (N=NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 1087 SE | 10h (N=15, NA) | NA ng/mL | — |
Plasma Concentration of Metabolite BIBR 951 BS
Plasma concentration of metabolite BIBR 951 BS
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate
Population: PKS (evaluable cases)
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 4h (N=4, NA) | 1.71 ng/mL | Geometric Coefficient of Variation 52.8 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 10h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 2h (N=15, 2) | 3.55 ng/mL | Geometric Coefficient of Variation 83 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 50h (N=NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 6h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 1h (N=13, NA) | 4.88 ng/mL | Geometric Coefficient of Variation 82.2 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 1h (N=13, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 2h (N=15, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 4h (N=4, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 6h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 10h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Metabolite BIBR 951 BS | 50h (N=NA, 2) | NA ng/mL | — |
Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW)
Plasma concentration of total dabigatran (SUM BIBR 953 ZW)
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.~PKS (evaluable cases)
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 2h (N=6, 9, 2) | 129.0 ng/mL | Geometric Coefficient of Variation 9.84 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 10h (N=6, 9, NA) | 34.8 ng/mL | Geometric Coefficient of Variation 41.4 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 6h (N=6, 9, NA) | 62.9 ng/mL | Geometric Coefficient of Variation 32.6 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 1h (N= 4, 9, NA) | 79.4 ng/mL | Geometric Coefficient of Variation 45.6 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 72h (N=NA, NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 50h (N=NA, NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 4h (N=6, 9, NA) | 91.0 ng/mL | Geometric Coefficient of Variation 23 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 6h (N=6, 9, NA) | 56.2 ng/mL | Geometric Coefficient of Variation 34.2 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 1h (N= 4, 9, NA) | 90.6 ng/mL | Geometric Coefficient of Variation 48.8 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 2h (N=6, 9, 2) | 114.0 ng/mL | Geometric Coefficient of Variation 37.9 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 4h (N=6, 9, NA) | 87.7 ng/mL | Geometric Coefficient of Variation 31.6 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 10h (N=6, 9, NA) | 28.2 ng/mL | Geometric Coefficient of Variation 37 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 50h (N=NA, NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 72h (N=NA, NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 10h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 2h (N=6, 9, 2) | 26.0 ng/mL | Geometric Coefficient of Variation 62.6 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 72h (N=NA, NA, 3) | 11.9 ng/mL | Geometric Coefficient of Variation 47.8 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 50h (N=NA, NA, 2) | 46.0 ng/mL | Geometric Coefficient of Variation 64.7 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 6h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 4h (N=6, 9, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Plasma Concentration of Total Dabigatran (SUM BIBR 953 ZW) | 1h (N= 4, 9, NA) | NA ng/mL | — |
Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS)
Plasma concentration of unchanged dabigatran etexilate (BIBR 1048 BS). Some values are NA because Values were below the limit of quantification. Not calculated as reliable estimation can only be performed when at least 2/3 of the data are available and thus the Geometric Mean (gMean) and Geometric Coefficient of Variation (gCV) is not calculated according to internal rules.
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate and at 2 h, 50 h, and 72 h after multiple dose administration of dabigatran etexilate
Population: PKS (evaluable cases)
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 4h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 10h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 2h (N=5, 2) | 3.23 ng/mL | Geometric Coefficient of Variation 74.4 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 50h (N=NA, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 6h (N=1, NA) | 1.05 ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 1h (N= 13, NA) | 3.82 ng/mL | Geometric Coefficient of Variation 107 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 72h (N=NA, 3) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 1h (N= 13, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 2h (N=5, 2) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 4h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 6h (N=1, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 10h (N=15, NA) | NA ng/mL | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Plasma Concentration of Unchanged Dabigatran Etexilate (BIBR 1048 BS) | 50h (N=NA, 2) | NA ng/mL | — |
Tmax (Time From Dosing to Maximum Measured Concentration of Free Dabigatran in Plasma)
tmax (time from dosing to maximum measured concentration of free dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of tmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Tmax (Time From Dosing to Maximum Measured Concentration of Free Dabigatran in Plasma) | 1.99 hours | Full Range 9.84 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Tmax (Time From Dosing to Maximum Measured Concentration of Free Dabigatran in Plasma) | 2.00 hours | Full Range 38.6 |
Tmax (Time From Dosing to Maximum Measured Concentration of Total Dabigatran in Plasma)
tmax (time from dosing to maximum measured concentration of total dabigatran in plasma). Endpoint can only be calculated for single dose patients. For multiple dose patients the time points do not allow calculation of tmax (no profile, only one measurement after selected doses, refer to primary outcome no. 1 and 2).
Time frame: At 1 hour (h), 2 h, 4 h, 6 h, and 10 h after single administration of dabigatran etexilate
Population: Pharmacokinetic set (PKS): This patient set included all treated patients who provided at least one pharmacokinetic/ pharmacodynamic (PK/PD) observation and had no important protocol violations (PVs) with respect to the statistical analysis of PK or PD endpoints.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Tmax (Time From Dosing to Maximum Measured Concentration of Total Dabigatran in Plasma) | 1.99 hours | Full Range 9.84 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Tmax (Time From Dosing to Maximum Measured Concentration of Total Dabigatran in Plasma) | 2.00 hours | Full Range 38.6 |
Global Assessment of Tolerability of Study Medication
The investigator was to provide a global clinical assessment of tolerability of study medication by the patient.This assessment was based on 5-point scale (good, satisfactory, not satisfactory, bad, not assessable).
Time frame: Day 1 (immediately after dosing)
Population: Treated set
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication | Bad | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication | Not satisfactory | 33.33 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication | Good | 33.33 Percentage of participants | 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication | Satisfactory | 16.67 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication | Not assessable | 16.67 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Not satisfactory | 44.44 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Good | 11.11 Percentage of participants | 32.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Satisfactory | 22.22 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Bad | 22.22 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Not assessable | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Not assessable | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Bad | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Good | 100.00 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Not satisfactory | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication | Satisfactory | 0 Percentage of participants | — |
Global Assessment of Tolerability of Study Medication- Taste Assessment
The investigator was to provide a global clinical assessment of tolerability including patient taste assessment.This assessment was based on 6-point scale (Very good, good, satisfactory, bad, very bad, missing). The taste assessment was only provided when the patient was old enough to evaluate the taste.
Time frame: Day 1 (immediately after dosing)
Population: Treated set
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Good | 0 Percentage of participants | 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Good | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Satisfactory | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Bad | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Bad | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Missing | 100.00 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Missing | 22.22 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Good | 0 Percentage of participants | 32.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Bad | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Bad | 33.33 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Good | 0 Percentage of participants | — |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Satisfactory | 44.44 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Good | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Satisfactory | 33.33 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Missing | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Bad | 66.67 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Good | 0 Percentage of participants | — |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Global Assessment of Tolerability of Study Medication- Taste Assessment | Very Bad | 0 Percentage of participants | — |
Percentage of Patients With Any Adverse Events During the Treatment Period
Percentage of patients with any adverse events during the treatment period. For patients with multiple dosing, all AEs with an onset date after the date of first dose until the end of trial treatment including 3 days after the last treatment were assigned to the on-treatment period. For patients with single dosing, all AEs with an onset during the 48-h-period after study medication intake were assigned to the on-treatment period.
Time frame: Up to 6 days
Population: Treated set
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Percentage of Patients With Any Adverse Events During the Treatment Period | 0.0 Percentage of participants | 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Percentage of Patients With Any Adverse Events During the Treatment Period | 0.0 Percentage of participants | 32.5 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Percentage of Patients With Any Adverse Events During the Treatment Period | 33.3 Percentage of participants | — |
Percentage of Patients With Changes in Laboratory and Clinical Parameters Such as Liver Enzymes and Physical Examination
Percentage of patients with changes in laboratory and clinical parameters such as liver enzymes and physical examination. Clinically Relevant Abnormalities for Laboratory Parameters were reported.
Time frame: During the treatment period, Up to 6 days
Population: Treated set
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Dabigatran Etexilate (Single Dose, Age Group 1 to <2 Years) | Percentage of Patients With Changes in Laboratory and Clinical Parameters Such as Liver Enzymes and Physical Examination | 0.0 Percentage of participants | 22.5 |
| Dabigatran Etexilate (Single Dose, Age Group 2 to <12 Years) | Percentage of Patients With Changes in Laboratory and Clinical Parameters Such as Liver Enzymes and Physical Examination | 0.0 Percentage of participants | 32.5 |
| Dabigatran Etexilate (Multiple Dose, Age Group 2 to <12 Years) | Percentage of Patients With Changes in Laboratory and Clinical Parameters Such as Liver Enzymes and Physical Examination | 0.0 Percentage of participants | — |