UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047782
Receipt number R000054475
Scientific Title Retrospective Observational Study of Acute Subdural Hematoma Treated with Idarucizumab in Japan
Date of disclosure of the study information 2022/06/01
Last modified on 2024/01/01 14:43:45

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Retrospective Observational Study of Acute Subdural Hematoma Treated with Idarucizumab in Japan

Acronym

Retrospective Observational Study of Acute Subdural Hematoma Treated with Idarucizumab in Japan

Scientific Title

Retrospective Observational Study of Acute Subdural Hematoma Treated with Idarucizumab in Japan

Scientific Title:Acronym

Retrospective Observational Study of Acute Subdural Hematoma Treated with Idarucizumab in Japan

Region

Japan


Condition

Condition

Acute Subdural Hematoma

Classification by specialty

Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The study investigates the epidemiology of neurotrauma cases, including age, sex, injury course and diagnosis, adherence to antithrombotic medication, status after antithrombotic reversal therapy, ischemic complications associated with reversal treatment, ischemic/hemorrhagic complications with and without restarting antithrombotic treatment, and patient outcomes.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Frequency of ischemic complications after reversal therapy

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

A traumatic acute subdural hematoma was observed while taking dabigatran (anticoagulant), and an elderly person aged 65 years or older who received idarucizumab as a reversal therapy had a head injury.

Key exclusion criteria

1. Multiple trauma cases including trauma to other sites with AIS > 3
2. Cases with coexisting chronic subdural hematoma
3. Cases of cardiopulmonary arrest at the time of delivery

Target sample size

30


Research contact person

Name of lead principal investigator

1st name EIICHI
Middle name
Last name SUEHIRO

Organization

International University of Health and Welfare, School of Medicine

Division name

Department of Neurosurgery

Zip code

286-8520

Address

852 Hatakeda Narita, Chiba 2868520 Japan

TEL

0476-35-5600

Email

esuehiro@iuhw.ac.jp


Public contact

Name of contact person

1st name EIICHI
Middle name
Last name SUEHIRO

Organization

International University of Health and Welfare, School of Medicine

Division name

Department of Neurosurgery

Zip code

286-8520

Address

852 Hatakeda Narita, Chiba 2868520 Japan

TEL

0476-35-5600

Homepage URL


Email

esuehiro@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Nippon Boehringer Ingelheim Co ., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

International University of Health and Welfare Chiba District Ethics Review Board

Address

852 Hatakeda Narita, Chiba 2868520 Japan

Tel

0476-35-5613

Email

rinri_md@iuhw.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 06 Month 01 Day


Related information

URL releasing protocol

10.1089/neur.2023.0065

Publication of results

Published


Result

URL related to results and publications

10.1089/neur.2023.0065

Number of participants that the trial has enrolled

23

Results

The frequency of decreased consciousness level during the course was 30.4%. Among them, the frequency of decreased consciousness level was 14.3% in cases in which the reversal agent was administered early before deterioration of consciousness level and imaging findings was observed. Three patients (13.1%) had ischemic complications. The timing of onset of ischemic complications was 7 days or more after the administration of the reversal agent and before the resumption of anticoagulant in all patients.

Results date posted

2023 Year 05 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

10.1089/neur.2023.0065

Participant flow

10.1089/neur.2023.0065

Adverse events

10.1089/neur.2023.0065

Outcome measures

10.1089/neur.2023.0065

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2022 Year 01 Month 10 Day

Date of IRB

2022 Year 05 Month 24 Day

Anticipated trial start date

2022 Year 06 Month 01 Day

Last follow-up date

2022 Year 09 Month 30 Day

Date of closure to data entry

2022 Year 10 Month 19 Day

Date trial data considered complete

2023 Year 02 Month 01 Day

Date analysis concluded

2023 Year 02 Month 14 Day


Other

Other related information

1) Patient background: age, gender, medical history
2) Injury mechanism
3) Neurological / imaging findings at the time of hospital delivery
4) Progress after hospitalization
5) Worst condition neurological / imaging findings
6) Information on taking antithrombotic drugs
7) Reversal therapy for antithrombotic drugs
8) Acute treatment
9) Presence / absence and timing of complications
10) Outcome (GOS)


Management information

Registered date

2022 Year 05 Month 17 Day

Last modified on

2024 Year 01 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054475