18 and older, any sex, with Atrial Fibrillation. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Stroke (Hemorrhagic, Ischemic, or Stroke of Uncertain Classification)Primary· From October 2010 to September 2015 (the study period)
The rate of overall stroke (hemorrhagic, ischemic or stroke of uncertain classification ) in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: As primary International Classification of Diseases, Ninth Revision (ICD-9) discharge diagnosis (Dx): 431.x Intracerebral hemorrhage (ICH), 433.x1 Occlusion and stenosis of precerebral arteries with cerebr
Group
Value
95% CI
Optum Clinformatics - Dabigatran vs. Warfarin (Dabigatran)
0.90
0.60 – 1.30
Optum Clinformatics - Dabigatran vs. Warfarin (Warfarin)
1.01
0.66 – 1.50
MarketScan - Dabigatran vs. Warfarin (Dabigatran)
0.64
0.51 – 0.80
MarketScan - Dabigatran vs. Warfarin (Warfarin)
0.99
0.80 – 1.20
Optum Clinformatics - Rivaroxaban vs. Warfarin (Rivaroxaban)
0.80
0.56 – 1.11
Optum Clinformatics - Rivaroxaban vs. Warfarin (Warfarin)
1.02
0.72 – 1.39
MarketScan - Rivaroxaban vs. Warfarin (Rivaroxaban)
0.78
0.64 – 0.94
MarketScan - Rivaroxaban vs. Warfarin (Warfarin)
1.09
0.90 – 1.31
Optum Clinformatics - Apixaban vs. Warfarin (Apixaban)
1.08
0.74 – 1.53
Optum Clinformatics - Apixaban vs. Warfarin (Warfarin)
1.26
0.86 – 1.80
MarketScan - Apixaban vs. Warfarin (Apixaban)
0.62
0.44 – 0.84
MarketScan - Apixaban vs. Warfarin (Warfarin)
1.16
0.87 – 1.51
Major BleedingPrimary· From October 2010 to September 2015 (the study period)
The rate of major bleeding (Major intracranial bleeding and major extracranial bleed ) in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. For outcome definitions please refer the descriptions section of outcome 8 (major intracranial bleeding) and outcome 9 (major extracranial bleeding).
Group
Value
95% CI
Optum Clinformatics - Dabigatran vs. Warfarin (Dabigatran)
2.43
1.91 – 3.05
Optum Clinformatics - Dabigatran vs. Warfarin (Warfarin)
5.23
4.35 – 6.24
MarketScan - Dabigatran vs. Warfarin (Dabigatran)
4.36
4.00 – 4.74
MarketScan - Dabigatran vs. Warfarin (Warfarin)
6.06
5.58 – 6.56
Optum Clinformatics - Rivaroxaban vs. Warfarin (Rivaroxaban)
6.2
5.5 – 7.0
Optum Clinformatics - Rivaroxaban vs. Warfarin (Warfarin)
6.3
5.5 – 7.2
MarketScan - Rivaroxaban vs. Warfarin (Rivaroxaban)
6.9
6.5 – 7.4
MarketScan - Rivaroxaban vs. Warfarin (Warfarin)
7.5
7.0 – 8.0
Optum Clinformatics - Apixaban vs. Warfarin (Apixaban)
3.33
2.69 – 4.07
Optum Clinformatics - Apixaban vs. Warfarin (Warfarin)
6.83
5.80 – 7.99
MarketScan - Apixaban vs. Warfarin (Apixaban)
4.25
3.74 – 4.80
MarketScan - Apixaban vs. Warfarin (Warfarin)
7.96
7.15 – 8.83
Stroke or Systemic EmbolismSecondary· From October 2010 to September 2015 (the study period)
The rate of stroke (hemorrhagic, ischemic or stroke of uncertain classification ) or systemic embolism in patients matched on propensity scores and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. For outcome definitions please refer the descriptions section of outcome 4 (Systemic embolism), outcome 5 (Ischemic stroke), outcome 6 (Hemorrhagic stroke) and outcome 7 (Stroke uncertain classification).
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.92
0.77 – 1.08
Dabigatran vs. Warfarin (Warfarin)
1.13
0.95 – 1.33
Rivaroxaban vs. Warfarin (Rivaroxaban)
1.00
0.85 – 1.15
Rivaroxaban vs. Warfarin (Warfarin)
1.29
1.11 – 1.50
Apixaban vs. Warfarin (Apixaban)
0.81
0.63 – 1.02
Apixaban vs. Warfarin (Warfarin)
1.36
1.10 – 1.66
Systemic EmbolismSecondary· From October 2010 to September 2015 (the study period)
The rate of systemic embolism in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: ICD-9 Diagnoses: 444.x Arterial embolism.
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.23
0.17 – 0.32
Dabigatran vs. Warfarin (Warfarin)
0.14
0.08 – 0.22
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.21
0.15 – 0.29
Rivaroxaban vs. Warfarin (Warfarin)
0.22
0.15 – 0.32
Apixaban vs. Warfarin (Apixaban)
0.05
0.02 – 0.11
Apixaban vs. Warfarin (Warfarin)
0.17
0.09 – 0.29
Ischemic StrokeSecondary· From October 2010 to September 2015 (the study period)
The rate of ischemic stroke in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: As primary ICD-9 discharge diagnosis (Dx): 433.x1 Occlusion and stenosis of precerebral arteries with cerebral infarction, ICD-9 Dx 434.x1 Occlusion and stenosis of cerebral arteries with cerebral infarction
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.63
0.51 – 0.76
Dabigatran vs. Warfarin (Warfarin)
0.80
0.65 – 0.97
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.63
0.52 – 0.75
Rivaroxaban vs. Warfarin (Warfarin)
0.90
0.75 – 1.07
Apixaban vs. Warfarin (Apixaban)
0.61
0.46 – 0.79
Apixaban vs. Warfarin (Warfarin)
1.03
0.80 – 1.29
Hemorrhagic StrokeSecondary· From October 2010 to September 2015 (the study period)
The rate of hemorrhagic in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: As primary ICD-9 discharge diagnosis (Dx): 431.x Intracerebral hemorrhage (ICH)
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.07
0.03 – 0.12
Dabigatran vs. Warfarin (Warfarin)
0.19
0.12 – 0.28
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.18
0.12 – 0.25
Rivaroxaban vs. Warfarin (Warfarin)
0.18
0.12 – 0.26
Apixaban vs. Warfarin (Apixaban)
0.15
0.09 – 0.25
Apixaban vs. Warfarin (Warfarin)
0.18
0.10 – 0.31
Stroke Uncertain ClassificationSecondary· From October 2010 to September 2015 (the study period)
The rate of stroke uncertain classification in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: As primary ICD-9 discharge diagnosis (Dx): ICD-9 Dx code 436.x (acute, but ill-defined cerebrovascular disease).
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.00
0.00 – 0.02
Dabigatran vs. Warfarin (Warfarin)
0.00
0.00 – 0.02
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.00
0.00 – 0.01
Rivaroxaban vs. Warfarin (Warfarin)
0.00
0.00 – 0.02
Apixaban vs. Warfarin (Apixaban)
0.00
0.00 – 0.03
Apixaban vs. Warfarin (Warfarin)
0.00
0.00 – 0.04
Major Intracranial BleedingSecondary· From October 2010 to September 2015 (the study period)
The rate of major intracranial bleeding in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: ICD-9 diagnosis: 430.x Subarachnoid hemorrhage (SAH), 431.x Intracerebral hemorrhage (ICH), 432.x other and unspecified intracranial hemorrhage including 432.1x - subdural hemorrhage
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.21
0.15 – 0.30
Dabigatran vs. Warfarin (Warfarin)
0.58
0.46 – 0.73
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.44
0.35 – 0.55
Rivaroxaban vs. Warfarin (Warfarin)
0.66
0.53 – 0.81
Apixaban vs. Warfarin (Apixaban)
0.45
0.32 – 0.60
Apixaban vs. Warfarin (Warfarin)
0.69
0.51 – 0.92
Major Extra-cranial BleedingSecondary· From October 2010 to September 2015 (the study period)
The rate of major extracranial bleeding (Major upper GI bleed, major lower and unspecified GI bleed, major urogenital bleed, major other bleed) in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. For outcome definitions please refer the descriptions section of outcome 11 (Major upper gastrointestinal bleeding), outcome 12 (Major lower gastrointestinal bleeding), outcome 13 (Major urogenital
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
3.78
3.48 – 4.10
Dabigatran vs. Warfarin (Warfarin)
5.37
4.96 – 5.79
Rivaroxaban vs. Warfarin (Rivaroxaban)
6.31
5.94 – 6.69
Rivaroxaban vs. Warfarin (Warfarin)
6.54
6.11 – 6.99
Apixaban vs. Warfarin (Apixaban)
3.51
3.13 – 3.92
Apixaban vs. Warfarin (Warfarin)
6.92
6.31 – 7.58
Major Gastrointestinal (GI) BleedingSecondary· From October 2010 to September 2015 (the study period)
The rate of major gastrointestinal (GI) bleeding (Major upper GI bleeding, major lower/unspecified GI bleeding) in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. For outcome definitions please refer the descriptions section of outcome 11 (Major upper gastrointestinal bleeding) and outcome 12 (Major lower gastrointestinal bleeding).
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
2.39
2.15 – 2.65
Dabigatran vs. Warfarin (Warfarin)
2.82
2.53 – 3.13
Rivaroxaban vs. Warfarin (Rivaroxaban)
3.82
3.53 – 4.12
Rivaroxaban vs. Warfarin (Warfarin)
3.43
3.13 – 3.76
Apixaban vs. Warfarin (Apixaban)
1.99
1.70 – 2.30
Apixaban vs. Warfarin (Warfarin)
3.59
3.16 – 4.07
Major Upper Gastrointestinal BleedingSecondary· From October 2010 to September 2015 (the study period)
The rate of Major upper gastrointestinal bleeding in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: ICD-9 diagnoses: 531.0x, 531.2x, 531.4x, 531.6x, 532.0x, 532.2x, 532.4x, 532.6x, 533.0x, 533.2x, 533.4x, 533.6x, 534.0x, 534.2x, 534.4x, 534.6x, 578.0 OR ICD-9 procedure code 44.43 (endoscopic control of gastric or duodenal bleeding) OR Current
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
0.51
0.41 – 0.64
Dabigatran vs. Warfarin (Warfarin)
0.90
0.74 – 1.08
Rivaroxaban vs. Warfarin (Rivaroxaban)
0.99
0.85 – 1.15
Rivaroxaban vs. Warfarin (Warfarin)
0.88
0.73 – 1.05
Apixaban vs. Warfarin (Apixaban)
0.64
0.49 – 0.83
Apixaban vs. Warfarin (Warfarin)
0.89
0.68 – 1.14
Major Lower Gastrointestinal BleedingSecondary· From October 2010 to September 2015 (the study period)
The rate of lower gastrointestinal bleeding in patients who are matched on propensity score and calendar quarter of initiation. Event rates were calculated as the total number of patients in each treatment group who had the outcome during follow-up divided by the total person-years at risk in the cohort. The outcome definition includes following: Lower GI/unspecified GI site bleeds :Diverticulosis of small intestine with hemorrhage: 562.02, Diverticulitis of small intestine with hemorrhage: 562.03, Diverticulosis of colon with hemorrhage: 562.12, Diverticulitis of colon with hemorrhage: 562.13
Group
Value
95% CI
Dabigatran vs. Warfarin (Dabigatran)
2.18
1.96 – 2.43
Dabigatran vs. Warfarin (Warfarin)
2.48
2.21 – 2.77
Rivaroxaban vs. Warfarin (Rivaroxaban)
3.40
3.13 – 3.69
Rivaroxaban vs. Warfarin (Warfarin)
3.09
2.80 – 3.39
Apixaban vs. Warfarin (Apixaban)
1.61
1.36 – 1.90
Apixaban vs. Warfarin (Warfarin)
3.17
2.76 – 3.62
Sponsor's own description
This cohort study is the sequential expansion of the comparative effectiveness study of oral anticoagulants and plans to identify initiators of oral anticoagulants using electronic claims data from a commercial insurance database to quantify associations between anticoagulant choice (warfarin and dabigatran) and the occurrence of selected outcomes in patients with non-valvular atrial fibrillation at risk for stroke.
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07429214 — A Study of VARIPULSE Catheter and TRUPULSE Generator With VARIPULSE Pro Software in Participants With PAF or PsAF
· NA
· recruiting
NCT07271238 — Feasibility Study on the VERAFEYE Imaging and Navigation System for Guided Catheter Ablation Procedures
· NA
· recruiting
NCT07388108 — Atrial Dyssynchrony to Predict Arrhythmias in the Postoperative Setting of Cardiovascular Surgery.
· recruiting
NCT07428967 — AV Node Ablation and CONDUCTion System Pacing for Atrial Fibrillation With Preserved Left Ventricular Function
· NA
· recruiting
NCT06650995 — AlEX-DHF: Ablation and Exercise in Diastolic Heart Failure
· NA
· recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 2 October 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02081807.