TABLE 2.
Phase II and III Clinical Trials Using Dabigatran
Trial Name | Indication | Dabigatran Dose | Comparator | Treatment Duration | Thrombotic Outcome | Major Bleeding |
---|---|---|---|---|---|---|
PETRO44 Phase II |
Nonvalvular atrial fibrillation | 50 mg, 150 mg or 300 mg BID | Warfarin (INR 2Y3) | 12 wk | Stroke and systemic embolism 50 mg: 1.7% 150 mg: 0% 300 mg: 0% Warfarin: 0% | 50 mg: 0% 150 mg: 0% 300 mg: 0% Warfarin: 0% |
RE-LY1 Phase III |
Nonvalvular atrial fibrillation | 110 mg or 150 mg BID | Warfarin (INR 2Y3) | Median follow-up 2 y | Stroke and systemic embolism 110 mg: 1.53%/y‡ 150 mg: 1.11%/y* Warfarin: 1.69%/y | 110 mg: 2.71%/y* 150 mg: 3.11%/y Warfarin: 3.36%/y |
RE-DEEM5 Phase II |
Secondary prevention after ACS | 50 mg, 75 mg, 110 mg, 150 mg BID | Placebo | 6 mo | CV death, MI, or stroke 50 mg BID: 4.6% 75 mg BID: 4.9% 110 mg BID: 3.0% 150 mg BID: 3.5% placebo: 3.8% | 50 mg BID: 0.8% 75 mg BID: 0.3% 110 mg BID: 2.0%† 150 mg BID: 1.2%† placebo: 0.5% |
BISTRO I45 Phase II |
VTE prevention after THR | Dose escalation 12.5Y300 mg twice daily, 150 mg or 300 mg/d | N/A | 6Y10 d | All VTE 12.5 mg BID: 20.8% 25 mg BID: 9.5% 50 mg BID: 14.8% 100 mg BID: 19.4% 150 mg Daily: 9.1% 150 mg BID: 9.5% 200 mg BID: 19.0% 300 mg Daily: 0% | 0% in all groups |
BISTRO II46 Phase II |
VTE prevention after THR or TKR | 50 mg, 150 mg, or 225 mg twice daily, 300 mg/d | Enoxaparin 40 mg/d | 6Y10 d | All VTE 50 mg BID: 28.5% 150 mg BID: 17.4%* 300 mg/d: 16.6%* 225 mg BID: 13.1%* Enoxaparin: 24% | 50 mg BID: 0.3%* 150 mg BID: 4.1% 300 mg/d: 4.7% 225 mg BID: 3.8% Enoxaparin: 2% |
RE-MODEL47 Phase III |
VTE prevention after TKR | 150 mg or 220 mg/d | Enoxaparin 40 mg/d | 6Y10 d | VTE and all-cause mortality 150 mg: 40.5%‡ 220 mg: 36.4%‡ Enoxaparin: 37.7% |
150 mg: 1.3% 220 mg: 1.5% Enoxaparin: 1.3% |
RE-NOVATE48 Phase III |
VTE prevention after THR | 150 mg or 220 mg/d | Enoxaparin 40 mg/d | 28Y35 d | VTE and all-cause mortality 150 mg: 8.6%‡ 220 mg: 6%‡ Enoxaparin: 6.7% | 150 mg: 1.3% 220 mg: 2% Enoxaparin: 1.6% |
RE-MOBILIZE49 Phase III |
VTE prevention after TKR | 150 mg or 220 mg/d | Enoxaparin 30 mg BID | 12Y15 d | VTE and all-cause mortality 150 mg: 34%† 220 mg: 31%† Enoxaparin: 25% | 150 mg: 0.6% 220 mg: 0.6% Enoxaparin: 1.4% |
RE-NOVATE II7 Phase III |
VTE prevention after THR | 220 mg/d | Enoxaparin 40 mg/d | 208Y35 d | VTE and all-cause mortality 220 mg: 7.7%‡ Enoxaparin: 8.8% | 220 mg: 1.4% Enoxaparin: 0.9% |
RE-COVER8 Phase III |
Acute VTE treatment | 150 mg BID | Warfarin (INR 2Y3) | 6 mo | Recurrent VTE Dabigatran: 2.4%‡ Warfarin: 2.1% | Dabigatran: 1.6% Warfarin: 1.9% |
RE-MEDY Phase III |
Secondary VTE prophylaxis | 150 mg BID | Warfarin (INR 2Y3) | 18 mo | Not reported | Not reported |
Statistically significant superiority demonstrated over comparator.
Statistically significant inferiority demonstrated over comparator.
Statistically significant noninferiority demonstrated to comparator.
ACS, acute coronary syndrome; TKR, total knee replacement; THR, total hip replacement.