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Trial · NCT03064035

Fixed Versus Variable Dosing of 4-factor Prothrombin Complex Concentrate for Emergent Warfarin Reversal

NCT03064035, Phase 4, Completed, HealthPartners Institute; results first posted 2023-07-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Fixed Versus Variable Dosing of 4-factor Prothrombin Complex Concentrate for Emergent Warfarin Reversal. Trials, record NCT03064035. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03064035

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Fixed Versus Variable Dosing of 4-factor Prothrombin Complex Concentrate for Emergent Warfarin Reversal
NCT number
NCT03064035
Status
Completed
Phases
Phase 4
Enrollment
79 participants, actual
Lead sponsor
HealthPartners Institute
Conditions
Acute Bleeding on Long-Term Anticoagulation Therapy, Hemorrhage, Significant Bleeding in Patients With a Coagulopathy (Prolonged Thrombin Time), Urgent Reversal of Vitamin K Antagonist (VKA) Anticoagulation
Interventions
4-factor prothrombin complex concentrate (4FPCC)
First posted
2017-02-24
Last updated
2023-09-14
Results first posted
2023-07-11

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants Who Demonstrated Significant Reversal of INR Within 15 Minutes15 minutesTo evaluate whether fixed dose 4FPCC is acceptably comparable to variable dosing with respect to anticoagulation reversal, as defined by a targeted INR of ≤1.5
SecondaryNumber of Participants With a Thromboembolic Eventup to 7 days post administration of 4FPCC
Study patients will be followed post-administration of 4FPCC for thromboembolic events such as deep vein thrombosis, pulmonary embolism, ischemic stroke or transient ischemic event, or myocardial infarction.
SecondaryTotal Cost of Dosing StrategyHospital Stay, Up to 6 months
Cost outcomes will be assessed for all study patients and compared by dosing assignment. Cost of treatment was assessed based on the amount of 4FPCC doses administered during admission, using the study-contemporary rate of $1.57/unit

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Who Demonstrated Significant Reversal of INR Within 15 Minutes15 minutesParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With a Thromboembolic Eventup to 7 days post administration of 4FPCCParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTotal Cost of Dosing StrategyHospital Stay, Up to 6 monthsdollarsMEDIAN

Results by group6

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Who Demonstrated Significant Reversal of INR Within 15 MinutesFixed Dose 4FPCC21Participants
Number of Participants Who Demonstrated Significant Reversal of INR Within 15 MinutesVariable Dose 4FPCC33Participants
Number of Participants With a Thromboembolic EventFixed Dose 4FPCC0Participants
Number of Participants With a Thromboembolic EventVariable Dose 4FPCC0Participants
Total Cost of Dosing StrategyFixed Dose 4FPCC2524.56Inter-Quartile Range 2497.87 to 2551.25dollars
Total Cost of Dosing StrategyVariable Dose 4FPCC3372.36Inter-Quartile Range 2643.36 to 4101.36dollars

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFixed Dose 4FPCC39
Overall StudySTARTEDVariable Dose 4FPCC40
Overall StudyCOMPLETEDFixed Dose 4FPCC34
Overall StudyCOMPLETEDVariable Dose 4FPCC37
Overall StudyNOT COMPLETEDFixed Dose 4FPCC5
Overall StudyNOT COMPLETEDVariable Dose 4FPCC3

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFixed Dose 4FPCC034
Total, all-cause mortalityVariable Dose 4FPCC037
Total, other adverse eventsFixed Dose 4FPCC034
Total, other adverse eventsVariable Dose 4FPCC037
Total, serious adverse eventsFixed Dose 4FPCC034
Total, serious adverse eventsVariable Dose 4FPCC037

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Fixed Dose 4FPCC vs Variable Dose 4FPCC: Number of Participants Who Demonstrated Significant Reversal of INR Within 15 MinutesTrial comparisons
Fixed Dose 4FPCC vs Variable Dose 4FPCC: deaths from any causeTrial comparisons
Fixed Dose 4FPCC vs Variable Dose 4FPCC: Number of Participants With a Thromboembolic EventTrial comparisons
Fixed Dose 4FPCC vs Variable Dose 4FPCC: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03064035

GET https://conductscience.org/api/trials/v1/NCT03064035/registered