The Safety and Effectiveness of Warfarin and Dabigatran Prescribed in the Non-Valvular Atrial Fibrillation Population With DoD Healthcare Coverage
The Comparative Safety and Effectiveness of Warfarin and Dabigatran Utilized in the Department of Defense (DoD) Non-Valvular Atrial Fibrillation (NVAF) Patient Population-A Retrospective Database Analysis
Studienübersicht
Status
Bedingungen
Detaillierte Beschreibung
Study Design:
Retrospective
Studientyp
Einschreibung (Tatsächlich)
Kontakte und Standorte
Studienorte
-
-
Massachusetts
-
Lexington, Massachusetts, Vereinigte Staaten
- 1160.183.01 Boehringer Ingelheim Investigational Site
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Probenahmeverfahren
Studienpopulation
Beschreibung
Inclusion criteria:
- Patients must be continuously enrolled in a health plan during the pre-index period;
- Patients must have at least one inpatient, or one physician office visit, emergency room visit with a diagnosis of AF (ICD-9-CM diagnosis code: 427.31in any position) on the index date or during the pre-index period;
- Patients must have a prescription for dabigatran or warfarin (this first prescription will be the index date);
- Patients must be treatment naive from all OAC use prior to first dabigatran or warfarin prescription;
- Aged 18-89 on the index date;
Exclusion criteria:
- Patients with valvular procedures related to the baseline AF diagnosis will be excluded;
- Patients with transient causes of AF such as hyperthyroidism, any cardiac surgery, pericarditis, mycoarditis, pulmonary embolism within 3 months prior to their first diagnosis of AF;
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Zeitperspektiven: Retrospektive
Kohorten und Interventionen
Gruppe / Kohorte |
|---|
|
Dabigatran
|
|
Warfarin
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Stroke (Hemorrhagic, Ischemic)
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period)
|
Event rate of stroke (hemorrhagic, ischemic). Variables in the final propensity score model: age, gender index year, baseline CHADS(2) score (Congestive heart failure, Hypertension, Age ≥75 years, Diabetes mellitus, Prior Stroke or transient ischemic attack (TIA) or Thromboembolism), baseline CHA(2)DS(2)-VASc score (Congestive heart failure, Hypertension, Age ≥75 years (doubled), Diabetes mellitus, Stroke (doubled), Vascular disease, Age 65-74 years, Sex category), baseline HAS-BLED score (Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile International Normalized Ratio, Elderly, Drugs/alcohol concomitantly), baseline use of several medications and presence of several baseline co-morbidities. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period)
|
|
Major Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period)
|
Event rate of major bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period)
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Ischemic Stroke
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period)
|
Event rate of ischemic stroke. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period)
|
|
Hemorrhagic Stroke
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of hemorrhagic stroke. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Intracranial Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major intracranial bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Extracranial Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major extracranial bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major GI Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major gastrointestinal (GI) bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Upper GI Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major upper gastrointestinal (GI) bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Lower GI Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major lower gastrointestinal (GI) bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Urogenital Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major urogenital bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Major Other Bleeding
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of major other bleeding. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Transient Ischemic Attack
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of transient ischemic attacks. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Myocardial Infarction
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of myocardial infarction. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Venous Thromboembolism
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of venous thromboembolism. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Deep Vein Thrombosis
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of deep vein thrombosis. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Pulmonary Embolism
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of pulmonary embolism. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
|
Death
Zeitfenster: From October 1, 2009 through July 31, 2013 (the study period).
|
Event rate of death, due to any cause. The 12-month period prior to and including the index date was defined as the baseline period. Patients were required to have an NVAF diagnosis during this baseline period. |
From October 1, 2009 through July 31, 2013 (the study period).
|
Mitarbeiter und Ermittler
Sponsor
Publikationen und hilfreiche Links
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 1160.183
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur Vorhofflimmern
-
Institut universitaire de cardiologie et de pneumologie...RekrutierungIdiopathisches Kammerflimmern | Kurzgekoppelte ventrikuläre FibrillationNiederlande, Kanada
-
IRCCS Policlinico S. MatteoUniversity of Pavia; Azienda Regionale Emergenza Urgenza (AREU)RekrutierungAußerklinischer Herzstillstand | Ventrikuläre Fibrillation anhaltendItalien
-
Wake Forest University Health SciencesRekrutierungVorhofflimmern | Tachykardie atrial | Vorhofflattern mit schneller ventrikulärer ReaktionVereinigte Staaten
-
Biotronik SE & Co. KGAbgeschlossenVorhofflimmern | Bradykardie | Synkope | Kryptogener Schlaganfall | Tachykardie atrialItalien
-
Edgar JaeggiLabatt Family Heart CentreAbgeschlossenVorhofflattern | Tachykardie, supraventrikulär | Tachykardie, AV-Knoten-Wiedereintritt | Tachykardie atrial | Tachykardie, reziprok | Tachykardie, paroxysmal | Fetaler Hydrops | Tachykardie, atriale EktopieVereinigte Staaten, Vereinigtes Königreich, Kanada, Hongkong, Niederlande, Tschechien, Schweden, Australien, Brasilien, Finnland, Frankreich, Russische Föderation, Spanien, Schweiz