NCT06957366Recruiting
Perioperative Anticoagulant Use for Surgery Evaluation -2 (PAUSE-2) Study Patients Receiving a Direct Oral Anticoagulant (DOACs-Dabigatran, Rivaroxaban, Apixaban or Edoxaban) and Needing Elective High-Bleed-Risk Surgery or an Invasive Procedure
Perioperative Anticoagulant Use for Surgery Evaluation -2 (PAUSE-2) Study Patients Receiving a Direct Oral Anticoagulant (DOACs-Dabigatran, Rivaroxaban, Apixaban or Edoxaban) and Needing Elective High-Bleed-Risk Surgery or an Invasive Procedure: A Randomized Control Trial
Source: ClinicalTrials.gov · Last updated 9 May 2025 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
PAUSE 2 study is a prospective, open-label, blinded-endpoint non-inferiority RCT of PAUSE vs. ASRA management in DOAC treated high risk patients with AF/VTE who need elective high bleed risk surgery/procedure and/or any procedure involving neuraxial anesthesia. The purpose of the PAUSE 2 study is to show that PAUSE management will be as safe (i.e., non-inferior) as ASRA management, with 95% of patients having low/undetectable pre-operative DOAC levels \<30 ng/mL in each group., at the time of surgery/neuraxial.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 920 (estimated)
- First submitted
- 25 Apr 2025
- Start date
- 1 Apr 2025
- Primary completion date
- 31 Dec 2027
- Lead sponsor
- McMaster University
- Diseases
- Atrial fibrillation
- NCT number
- NCT06957366
What you commit to
- Study type: Interventional
- Planned participants: 920
- From 1 Apr 2025 to the primary completion date, 31 Dec 2027
- 14 sites in 4 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Receiving a low-dose DOAC regimen used for secondary VTE prevention (e.g. rivaroxaban 10 mg daily, apixaban 2.5 mg bid) or another low-dose DOAC regimen (e.g. rivaroxaban 2.5 mg bid)
- Previous participation in PAUSE 2
Other illness
- Indication for anticoagulation is unusual site thrombosis (e.g. splanchnic, cerebral, sinus, arm)
- cognitive impairment or psychiatric illness that precludes reliable contact during follow up.
Other
- CrCL\<25mL/min (if on apixaban, edoxaban, rivaroxaban) or \<30 mL/min (if on dabigatran)
- Unable or unwilling to provide consent
Who the study is looking for
- Adults, age 18 years of age or greater, with AF/flutter (permanent, persistent or paroxysmal) or VTE (leg deep vein thrombosis or pulmonary embolism) that require a full (therapeutic)-dose DOAC regimen, appropriate for age and renal function, comprising one of (a) apixaban 2.5 mg or 5 mg bid; (b) dabigatran 110 mg or 150 mg bid; (c) edoxaban 30 mg or 60 mg daily; or (d) rivaroxaban 15 mg or 20 mg daily
- High-risk patient having an elective high-bleed-risk surgery or any elective surgery with neuraxial anesthesia (epidural, spinal, regional) or any deep nerve root block.
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (14)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| University of Leuven Coordinator of this site? Confirm its status | Leuven | Belgium | Not yet recruiting |
| St. Joesph's Healthcare Coordinator of this site? Confirm its status | Hamilton | Canada | Recruiting |
| Juravinski Coordinator of this site? Confirm its status | Hamilton | Canada | Not yet recruiting |
| The Ottawa Hospital Coordinator of this site? Confirm its status | Ottawa | Canada | Not yet recruiting |
| L'Hospital Montfort Coordinator of this site? Confirm its status | Ottawa | Canada | Not yet recruiting |
| Toronto General Hospital Coordinator of this site? Confirm its status | Toronto | Canada | Not yet recruiting |
| Winnipeg Health Sciences Center Coordinator of this site? Confirm its status | Winnipeg | Canada | Not yet recruiting |
| University of Thessaly Coordinator of this site? Confirm its status | Larissa | Greece | Not yet recruiting |
| Brigham and Woman's Hospital Coordinator of this site? Confirm its status | Boston | United States | Not yet recruiting |
| Henry Ford Health Care Coordinator of this site? Confirm its status | Detroit | United States | Not yet recruiting |
| North Shore University Health Coordinator of this site? Confirm its status | Evanston | United States | Not yet recruiting |
| Hartford Health Care Coordinator of this site? Confirm its status | Hartford | United States | Not yet recruiting |
| Northwell Health System Coordinator of this site? Confirm its status | New York | United States | Not yet recruiting |
| Thomas Jefferson University Hospital Coordinator of this site? Confirm its status | Philadelphia | United States | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.