Ex-vivo Effect of New Oral Anticoagulants on Point-of-care Devices
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Purpose
Concentration determinations of anticoagulants require plasma instead of whole blood, and results are not immediately available to clinicians. Monitoring anticoagulants concentration along with bedside methods may provide an alternative guide for administration of the NOAC.
The purpose of this investigation is to compare bedside coagulation assays in whole blood with plasma concentrations of the new oral anticoagulants (NOAC) in patients treated with therapeutic dosis of NOAC.
| Condition |
|---|
|
Effect of NOAC on POCT |
| Study Type: | Observational |
| Study Design: | Time Perspective: Retrospective |
| Official Title: | Time-dependent ex Vivo Influence of Rivaroxaban on Point-of-care Devices |
| Enrollment: | 100 |
| Study Start Date: | June 2012 |
| Groups/Cohorts |
|---|
|
Control
Healthy volunteers without medication
|
|
Phenprocoumon
Patients receiving Marcumar having target INR 2-3
|
|
Dabigatran
Patients receiving therapeutic dosis of Pradaxa
|
|
Rivaroxaban
Patients receiving therapeutic dosis of Xarelto
|
Detailed Description:
This open-label study will be performed by ex vivo investigations. Patients receiving the NOAC as dabigatran or rivaroxaban in therapeutic doses are recruited and informed consent of two blood sampling times will be obtained in correlation to the time of drug intake (two and 24 hours after drug intake). The bedside measurements will be performed and compared directly with the concentrations determined by plasma concentration assays. These investigations will be performed at the department of Angiology at the university hospital Frankfurt.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients indicated for NOAC-therapy
The indication for the use of NOAC is provided by the attending physician. The criteria for inclusion and exclusion criteria for the use of the new oral anticoagulants must meet appropriate eligibility criteria and the clinical guidelines that are described in the SOPs.
Patients treated with dabigatran 2x150mg / d for the prevention of stroke and systemic embolism in non-valvular atrial fibrillation are included.
Moreover, patients treated with rivaroxaban 20 mg / d for DVT prophylaxis and treatment of recurrent DVT or PE are included.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Prof. Dr. E. Lindhoff-Last, Prof. Dr. med. Lindhoff-Last, Johann Wolfgang Goethe University Hospitals |
| ClinicalTrials.gov Identifier: | NCT01613443 History of Changes |
| Other Study ID Numbers: | POCT-NOAC |
| Study First Received: | June 5, 2012 |
| Last Updated: | November 1, 2012 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Johann Wolfgang Goethe University Hospitals:
|
Dabigatran, Rivaroxaban, Point of Care-testing |
ClinicalTrials.gov processed this record on May 16, 2013