Reinitiation of Anticoagulation After Temporary Withdrawal of Vitamin K Antagonist
NCT01348074 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 104
Last updated 2016-04-05
Summary
It is not known how to best restart warfarin after temporary withdrawal. Participants will be randomized to two groups. Group 1 will restart warfarin at their usual maintenance dose, group 2 will restart warfarin at double their maintenance dose for two days followed by their usual maintenance dose. The main outcome parameter will be the number of patients who are back in therapeutic INR (international normalized ratio) range 4, and 9 days after restarting anticoagulation with warfarin. Thromboembolic and/or bleeding events will be recorded as additional parameters. These data will be collected by a standardized telephone interview at 1 month. In addition, the investigators will evaluate a possible prothrombotic state by measuring the potential of thrombin generation and D-dimers in the subset of patients visiting HHS-General Hospital for their INR tests.
Conditions
- Atrial Fibrillation
- Venous Thromboembolism
- Heart Valve Disease
- Surgery
Interventions
- DRUG
-
Double dose
For each individual the dose on Day 1 and Day 2 will be twice the one normally taken
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Sam Schulman, MD, PhD · McMaster University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-04-30
- Primary Completion
- 2013-12-31
- Completion
- 2013-12-31
Countries
- Canada
Study Locations
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