RE-LY trial

E861731

The RE-LY trial was a large, pivotal clinical study that compared the efficacy and safety of the oral anticoagulant dabigatran with warfarin for stroke prevention in patients with atrial fibrillation.

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Statements (47)

Predicate Object
instanceOf clinical trial
phase III trial
randomized controlled trial
acronym RE-LY NERFINISHED
anticoagulantMechanismStudied direct thrombin inhibition
clinicalQuestion whether dabigatran can replace warfarin for stroke prevention in atrial fibrillation
comparatorDrug warfarin
comparatorDrugClass vitamin K antagonist
controlGroup dose-adjusted warfarin
dabigatranDoseArm 110 mg twice daily
150 mg twice daily
designFeature blinded dabigatran doses
multicenter
open-label warfarin arm
prospective
randomized
drugClassStudied direct thrombin inhibitor
efficacyOutcome hemorrhagic stroke
ischemic stroke
systemic embolism
enrollmentSize over 18,000 patients
fullName Randomized Evaluation of Long-Term Anticoagulation Therapy NERFINISHED
geographicScope international
impact influenced atrial fibrillation stroke prevention guidelines
supported regulatory approval of dabigatran for stroke prevention in atrial fibrillation
indicationStudied nonvalvular atrial fibrillation
interventionDrug dabigatran etexilate NERFINISHED
keyFinding both dabigatran doses reduced intracranial hemorrhage compared with warfarin
dabigatran 110 mg twice daily had lower major bleeding than warfarin
dabigatran 110 mg twice daily was noninferior to warfarin for stroke or systemic embolism
dabigatran 150 mg twice daily increased gastrointestinal bleeding compared with warfarin
dabigatran 150 mg twice daily reduced stroke or systemic embolism compared with warfarin
overall mortality was similar or slightly lower with dabigatran compared with warfarin
patientCondition increased risk of stroke
patientPopulation adult patients
population patients with atrial fibrillation at risk of stroke
primaryEndpoint stroke or systemic embolism
primaryObjective to compare dabigatran with warfarin for stroke prevention in atrial fibrillation
publicationType landmark trial in anticoagulation
resultInterpretation dabigatran is an effective alternative to warfarin for many patients with atrial fibrillation
safetyEndpoint major bleeding
safetyOutcome gastrointestinal bleeding
intracranial hemorrhage
sponsor Boehringer Ingelheim NERFINISHED
therapeuticArea cardiology
thrombosis and hemostasis
warfarinTargetINR 2.0–3.0

Referenced by (1)

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dabigatran hasClinicalTrial RE-LY trial