Japanese Pradaxa PMS, Long Term

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT03175198
Collaborator
(none)
5,660
1
42.3
133.9

Study Details

Study Description

Brief Summary

The study objective is to confirm appropriate use and safety profile of Prazaxa® Capsules in real-world setting after the availability of idarucizumab

Condition or Disease Intervention/Treatment Phase
  • Drug: Prazaxa® Capsules

Detailed Description

The study is Post-Marketing Surveillance on the Long-Term Use of Prazaxa® Capsules in Japanese patients with nonvalvular atrial fibrillation after the availability of idarucizumab. Even after the availability of idarucizumab in real clinical practice, appropriate use of Prazaxa® Capsules will continue. The patient population who receive Prazaxa® Capsules and the safety profile of Prazaxa® Capsules is not expected to change. This study investigates appropriate use with prospective investigation in the routine medical practice

Study Design

Study Type:
Observational
Actual Enrollment :
5660 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Post-Marketing Surveillance on the Use of Prazaxa® Capsules in Japanese Patients With Nonvalvular Atrial Fibrillation After the Availability of Idarucizumab
Actual Study Start Date :
Jul 5, 2017
Actual Primary Completion Date :
Dec 21, 2020
Actual Study Completion Date :
Jan 12, 2021

Arms and Interventions

Arm Intervention/Treatment
Patients with nonvalvular atrial fibrillation (NVAF)

Patients with nonvalvular atrial fibrillation (NVAF) taking daily oral dose of Prazaxa® Capsules (Dabigatran etexilate). Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.

Drug: Prazaxa® Capsules
Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.
Other Names:
  • Dabigatran etexilate
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Patients With Suspected Adverse Drug Reactions (ADRs) [From baseline till the last administration + 6 days. Up to 364 days.]

      Percentage of patients with suspected adverse drug reactions (ADRs). An adverse drug reaction is defined as a response to a medicinal product which is noxious and unintended. Response in this context means that a causal relationship between a medicinal product and an adverse event is at least a reasonable possibility. Percentages were pre-specified to be rounded to two decimal places.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    15 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male and female patients with nonvalvular atrial fibrillation who have never received Prazaxa® Capsules / dabigatran etexilate for preventing the occurrence of ischemic stroke and systemic embolism before enrolment in Japan
    Exclusion Criteria:
    • None

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Nippon Boehringer Ingelheim Co., Ltd Tokyo Japan

    Sponsors and Collaborators

    • Boehringer Ingelheim

    Investigators

    • Study Chair: Rie Ikeda, 81364172200, zzCDMJP_PV_PMS@boehringer-ingelheim.com

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Boehringer Ingelheim
    ClinicalTrials.gov Identifier:
    NCT03175198
    Other Study ID Numbers:
    • 1160-0284
    First Posted:
    Jun 5, 2017
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Feb 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Post-Marketing Surveillance on the Long-Term Use of Prazaxa® Capsules in patients with nonvalvular atrial fibrillation.
    Pre-assignment Detail All subjects were screened for eligibility prior to participation in the trial. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated. Out of the 5660 enrolled subjects case report forms (CRF) were collected for 5565 subjects. It was pre-specified to combine the dose groups into one arm as the objective is to confirm appropriate use and safety profile of Prazaxa® in a real-world setting and not to compare between different dose groups.
    Arm/Group Title Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Arm/Group Description Patients with nonvalvular atrial fibrillation (NVAF) taking daily oral dose of Prazaxa® Capsules (Dabigatran etexilate). Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.
    Period Title: Overall Study
    STARTED 5565
    Safety Set 1 5436
    COMPLETED 3238
    NOT COMPLETED 2327

    Baseline Characteristics

    Arm/Group Title Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Arm/Group Description Patients with nonvalvular atrial fibrillation (NVAF) taking daily oral dose of Prazaxa® Capsules (Dabigatran etexilate). Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.
    Overall Participants 5436
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    69.8
    (11.1)
    Sex: Female, Male (Count of Participants)
    Female
    1624
    29.9%
    Male
    3812
    70.1%
    Race and Ethnicity Not Collected (Count of Participants)

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Patients With Suspected Adverse Drug Reactions (ADRs)
    Description Percentage of patients with suspected adverse drug reactions (ADRs). An adverse drug reaction is defined as a response to a medicinal product which is noxious and unintended. Response in this context means that a causal relationship between a medicinal product and an adverse event is at least a reasonable possibility. Percentages were pre-specified to be rounded to two decimal places.
    Time Frame From baseline till the last administration + 6 days. Up to 364 days.

    Outcome Measure Data

    Analysis Population Description
    Safety Set 1: This patient set included all patients who were documented to take at least one dose of Prazasa® except patients who experienced with Prazaxa® treatment for the prevention of ischemic stroke and Systemic Embolism, who did not followed registration rules, who registered outside the site contract period and/or who made no visit after the entry.
    Arm/Group Title Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Arm/Group Description Patients with nonvalvular atrial fibrillation (NVAF) taking daily oral dose of Prazaxa® Capsules (Dabigatran etexilate). Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.
    Measure Participants 5436
    Number [Percentage of participants]
    10.69
    0.2%

    Adverse Events

    Time Frame From baseline till the last administration + 6 days. Up to 364 days.
    Adverse Event Reporting Description Safety Set 1: all patients who took at least one dose of Prazasa® except patients who were treated with Prazaxa® for the prevention of ischemic stroke and Systemic Embolism, who did not followed registration rules, who registered outside the site contract period and/or who made no visit after entry. It was pre-specified to combine the dose groups into one arm as the objective is to confirm appropriate use and safety of Prazaxa® in a real-world setting and not comparing different dose groups.
    Arm/Group Title Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Arm/Group Description Patients with nonvalvular atrial fibrillation (NVAF) taking daily oral dose of Prazaxa® Capsules (Dabigatran etexilate). Dosage of Dabigatran etexilate approved in Japan: 300 milligram (mg) daily (150 mg [as 2 capsules of 75 mg] twice a day (b.i.d)) or 220 mg (110 mg [as 1 capsule of 110 mg] b.i.d) for a treatment duration of 52 weeks.
    All Cause Mortality
    Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Affected / at Risk (%) # Events
    Total 51/5436 (0.9%)
    Serious Adverse Events
    Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Affected / at Risk (%) # Events
    Total 416/5436 (7.7%)
    Blood and lymphatic system disorders
    Anaemia 4/5436 (0.1%)
    Disseminated intravascular coagulation 1/5436 (0%)
    Cardiac disorders
    Cardiac failure 64/5436 (1.2%)
    Atrial fibrillation 28/5436 (0.5%)
    Cardiac failure congestive 13/5436 (0.2%)
    Angina pectoris 10/5436 (0.2%)
    Sinus node dysfunction 8/5436 (0.1%)
    Acute myocardial infarction 5/5436 (0.1%)
    Cardiac tamponade 5/5436 (0.1%)
    Cardiac failure acute 4/5436 (0.1%)
    Atrial thrombosis 4/5436 (0.1%)
    Atrioventricular block complete 3/5436 (0.1%)
    Cardiac failure chronic 3/5436 (0.1%)
    Pericardial effusion 3/5436 (0.1%)
    Aortic valve stenosis 2/5436 (0%)
    Atrial flutter 2/5436 (0%)
    Myocardial infarction 2/5436 (0%)
    Pericardial haemorrhage 2/5436 (0%)
    Ventricular tachycardia 2/5436 (0%)
    Aortic valve incompetence 1/5436 (0%)
    Arteriosclerosis coronary artery 1/5436 (0%)
    Bundle branch block left 1/5436 (0%)
    Cardiomegaly 1/5436 (0%)
    Coronary artery stenosis 1/5436 (0%)
    Mitral valve incompetence 1/5436 (0%)
    Sinus arrest 1/5436 (0%)
    Supraventricular tachycardia 1/5436 (0%)
    Tachycardia paroxysmal 1/5436 (0%)
    Ventricular fibrillation 1/5436 (0%)
    Stress cardiomyopathy 1/5436 (0%)
    Ear and labyrinth disorders
    Vertigo 1/5436 (0%)
    Endocrine disorders
    Basedow's disease 1/5436 (0%)
    Eye disorders
    Glaucoma 2/5436 (0%)
    Cataract 1/5436 (0%)
    Gastrointestinal disorders
    Gastrointestinal haemorrhage 6/5436 (0.1%)
    Melaena 4/5436 (0.1%)
    Diverticulum intestinal haemorrhagic 3/5436 (0.1%)
    Mechanical ileus 3/5436 (0.1%)
    Abdominal pain 2/5436 (0%)
    Pancreatitis acute 2/5436 (0%)
    Rectal ulcer 2/5436 (0%)
    Upper gastrointestinal haemorrhage 2/5436 (0%)
    Large intestine polyp 2/5436 (0%)
    Abdominal distension 1/5436 (0%)
    Abdominal pain upper 1/5436 (0%)
    Diarrhoea 1/5436 (0%)
    Dyspepsia 1/5436 (0%)
    Dysphagia 1/5436 (0%)
    Gastric dilatation 1/5436 (0%)
    Gastric ulcer haemorrhage 1/5436 (0%)
    Haemorrhoids 1/5436 (0%)
    Ileus 1/5436 (0%)
    Incarcerated inguinal hernia 1/5436 (0%)
    Inguinal hernia 1/5436 (0%)
    Oesophageal ulcer 1/5436 (0%)
    Lower gastrointestinal haemorrhage 1/5436 (0%)
    Gastric hypomotility 1/5436 (0%)
    Large intestinal haemorrhage 1/5436 (0%)
    Haemorrhoidal haemorrhage 1/5436 (0%)
    Large intestinal stenosis 1/5436 (0%)
    General disorders
    Death 6/5436 (0.1%)
    Chest discomfort 2/5436 (0%)
    Sudden death 2/5436 (0%)
    Chest pain 1/5436 (0%)
    Generalised oedema 1/5436 (0%)
    Malaise 1/5436 (0%)
    Oedema peripheral 1/5436 (0%)
    Pyrexia 1/5436 (0%)
    Oedema due to cardiac disease 1/5436 (0%)
    Multiple organ dysfunction syndrome 1/5436 (0%)
    Hepatobiliary disorders
    Cholelithiasis 3/5436 (0.1%)
    Acute hepatic failure 2/5436 (0%)
    Cholangitis 2/5436 (0%)
    Cholangitis acute 2/5436 (0%)
    Drug-induced liver injury 2/5436 (0%)
    Bile duct stone 1/5436 (0%)
    Cholecystitis 1/5436 (0%)
    Hepatic cirrhosis 1/5436 (0%)
    Hepatic failure 1/5436 (0%)
    Hepatitis fulminant 1/5436 (0%)
    Jaundice cholestatic 1/5436 (0%)
    Primary biliary cholangitis 1/5436 (0%)
    Infections and infestations
    Pneumonia bacterial 5/5436 (0.1%)
    Pneumonia 4/5436 (0.1%)
    Cellulitis 2/5436 (0%)
    Pyelonephritis acute 2/5436 (0%)
    Bacteraemia 1/5436 (0%)
    Empyema 1/5436 (0%)
    Endocarditis 1/5436 (0%)
    Endophthalmitis 1/5436 (0%)
    Gangrene 1/5436 (0%)
    Influenza 1/5436 (0%)
    Necrotising fasciitis 1/5436 (0%)
    Pseudomembranous colitis 1/5436 (0%)
    Pyelitis 1/5436 (0%)
    Sepsis 1/5436 (0%)
    Tuberculous pleurisy 1/5436 (0%)
    Arthritis bacterial 1/5436 (0%)
    Arthritis infective 1/5436 (0%)
    Infective spondylitis 1/5436 (0%)
    Bacterial prostatitis 1/5436 (0%)
    Infectious pleural effusion 1/5436 (0%)
    Complicated appendicitis 1/5436 (0%)
    Injury, poisoning and procedural complications
    Subdural haematoma 5/5436 (0.1%)
    Fall 4/5436 (0.1%)
    Pelvic fracture 2/5436 (0%)
    Clavicle fracture 1/5436 (0%)
    Femoral neck fracture 1/5436 (0%)
    Femur fracture 1/5436 (0%)
    Fractured sacrum 1/5436 (0%)
    Humerus fracture 1/5436 (0%)
    Rib fracture 1/5436 (0%)
    Spinal compression fracture 1/5436 (0%)
    Contusion 1/5436 (0%)
    Post procedural haemorrhage 1/5436 (0%)
    Incision site haemorrhage 1/5436 (0%)
    Vascular procedure complication 1/5436 (0%)
    Traumatic intracranial haemorrhage 1/5436 (0%)
    Procedural haemorrhage 1/5436 (0%)
    Meniscus injury 1/5436 (0%)
    Investigations
    Heart rate decreased 1/5436 (0%)
    Weight increased 1/5436 (0%)
    Metabolism and nutrition disorders
    Diabetes mellitus 2/5436 (0%)
    Decreased appetite 2/5436 (0%)
    Hypokalaemia 1/5436 (0%)
    Hyponatraemia 1/5436 (0%)
    Marasmus 1/5436 (0%)
    Musculoskeletal and connective tissue disorders
    Arthritis 1/5436 (0%)
    Osteoarthritis 1/5436 (0%)
    Pain in extremity 1/5436 (0%)
    Haematoma muscle 1/5436 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Lung neoplasm malignant 6/5436 (0.1%)
    Colon cancer 5/5436 (0.1%)
    Gastric cancer 5/5436 (0.1%)
    Pancreatic carcinoma 3/5436 (0.1%)
    Rectal cancer 3/5436 (0.1%)
    Prostate cancer 3/5436 (0.1%)
    Metastases to liver 2/5436 (0%)
    Metastases to lymph nodes 2/5436 (0%)
    Plasma cell myeloma 2/5436 (0%)
    Colon adenoma 2/5436 (0%)
    Malignant neoplasm progression 2/5436 (0%)
    Metastases to peritoneum 2/5436 (0%)
    Small intestine carcinoma 2/5436 (0%)
    Hepatocellular carcinoma 2/5436 (0%)
    Angiocentric lymphoma 1/5436 (0%)
    Bile duct cancer 1/5436 (0%)
    Bladder cancer 1/5436 (0%)
    Bone cancer 1/5436 (0%)
    Cholangiocarcinoma 1/5436 (0%)
    Chronic lymphocytic leukaemia 1/5436 (0%)
    Metastases to bone 1/5436 (0%)
    Myelodysplastic syndrome 1/5436 (0%)
    Rectosigmoid cancer 1/5436 (0%)
    Squamous cell carcinoma of lung 1/5436 (0%)
    Uterine cancer 1/5436 (0%)
    Neuroendocrine carcinoma 1/5436 (0%)
    Gastric adenoma 1/5436 (0%)
    Abdominal neoplasm 1/5436 (0%)
    Gastrointestinal neoplasm 1/5436 (0%)
    Lung neoplasm 1/5436 (0%)
    Soft tissue neoplasm 1/5436 (0%)
    Nervous system disorders
    Cerebral infarction 31/5436 (0.6%)
    Embolic cerebral infarction 6/5436 (0.1%)
    Epilepsy 5/5436 (0.1%)
    Haemorrhagic cerebral infarction 4/5436 (0.1%)
    Cerebral artery embolism 3/5436 (0.1%)
    Cerebral haemorrhage 3/5436 (0.1%)
    Embolic stroke 3/5436 (0.1%)
    Cerebrovascular accident 2/5436 (0%)
    Dementia 2/5436 (0%)
    Transient ischaemic attack 2/5436 (0%)
    Lacunar infarction 2/5436 (0%)
    Altered state of consciousness 1/5436 (0%)
    Brain stem infarction 1/5436 (0%)
    Cerebral atrophy 1/5436 (0%)
    Depressed level of consciousness 1/5436 (0%)
    Dizziness 1/5436 (0%)
    Facial paralysis 1/5436 (0%)
    Myelopathy 1/5436 (0%)
    Neuralgia 1/5436 (0%)
    Paralysis 1/5436 (0%)
    Paraparesis 1/5436 (0%)
    Status epilepticus 1/5436 (0%)
    Subarachnoid haemorrhage 1/5436 (0%)
    Syncope 1/5436 (0%)
    Visual field defect 1/5436 (0%)
    Carotid artery occlusion 1/5436 (0%)
    Carotid artery dissection 1/5436 (0%)
    Cerebral disorder 1/5436 (0%)
    Psychiatric disorders
    Delirium 2/5436 (0%)
    Renal and urinary disorders
    Acute kidney injury 6/5436 (0.1%)
    Renal impairment 3/5436 (0.1%)
    Renal failure 2/5436 (0%)
    Urinary retention 2/5436 (0%)
    Calculus urinary 1/5436 (0%)
    Haematuria 1/5436 (0%)
    Nephrolithiasis 1/5436 (0%)
    Renal infarct 1/5436 (0%)
    Postrenal failure 1/5436 (0%)
    Chronic kidney disease 1/5436 (0%)
    Reproductive system and breast disorders
    Benign prostatic hyperplasia 2/5436 (0%)
    Prostatic haemorrhage 1/5436 (0%)
    Respiratory, thoracic and mediastinal disorders
    Interstitial lung disease 6/5436 (0.1%)
    Dyspnoea 2/5436 (0%)
    Epistaxis 2/5436 (0%)
    Pleural effusion 2/5436 (0%)
    Pneumonia aspiration 2/5436 (0%)
    Pulmonary embolism 2/5436 (0%)
    Respiratory failure 2/5436 (0%)
    Acute respiratory failure 1/5436 (0%)
    Asthma 1/5436 (0%)
    Chronic obstructive pulmonary disease 1/5436 (0%)
    Haemoptysis 1/5436 (0%)
    Pneumothorax 1/5436 (0%)
    Respiratory arrest 1/5436 (0%)
    Obstructive airways disorder 1/5436 (0%)
    Bronchial haemorrhage 1/5436 (0%)
    Organising pneumonia 1/5436 (0%)
    Skin and subcutaneous tissue disorders
    Dermatomyositis 1/5436 (0%)
    Eczema nummular 1/5436 (0%)
    Stevens-Johnson syndrome 1/5436 (0%)
    Surgical and medical procedures
    Cardiac pacemaker insertion 1/5436 (0%)
    Finger amputation 1/5436 (0%)
    Mitral valve replacement 1/5436 (0%)
    Valvuloplasty cardiac 1/5436 (0%)
    Cardiac ablation 1/5436 (0%)
    Cardiac operation 1/5436 (0%)
    Vascular disorders
    Peripheral arterial occlusive disease 5/5436 (0.1%)
    Circulatory collapse 3/5436 (0.1%)
    Deep vein thrombosis 3/5436 (0.1%)
    Arterial occlusive disease 3/5436 (0.1%)
    Embolism arterial 2/5436 (0%)
    Haemorrhagic infarction 2/5436 (0%)
    Aortic aneurysm 1/5436 (0%)
    Aortic aneurysm rupture 1/5436 (0%)
    Aortic dissection 1/5436 (0%)
    Arteriovenous fistula 1/5436 (0%)
    Shock haemorrhagic 1/5436 (0%)
    Arterial stenosis 1/5436 (0%)
    Atheroembolism 1/5436 (0%)
    Other (Not Including Serious) Adverse Events
    Patients With Nonvalvular Atrial Fibrillation (NVAF)
    Affected / at Risk (%) # Events
    Total 0/5436 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    All Principal Investigators ARE employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Boehringer Ingelheim, Call Center
    Organization Boehringer Ingelheim
    Phone 1-800-243-0127
    Email clintriage.rdg@boehringer-ingelheim.com
    Responsible Party:
    Boehringer Ingelheim
    ClinicalTrials.gov Identifier:
    NCT03175198
    Other Study ID Numbers:
    • 1160-0284
    First Posted:
    Jun 5, 2017
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Feb 1, 2022