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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
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

Full criteria on ClinicalTrials.gov

Sites (14)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of Leuven
Coordinator of this site? Confirm its status
LeuvenBelgiumNot yet recruiting
St. Joesph's Healthcare
Coordinator of this site? Confirm its status
HamiltonCanadaRecruiting
Juravinski
Coordinator of this site? Confirm its status
HamiltonCanadaNot yet recruiting
The Ottawa Hospital
Coordinator of this site? Confirm its status
OttawaCanadaNot yet recruiting
L'Hospital Montfort
Coordinator of this site? Confirm its status
OttawaCanadaNot yet recruiting
Toronto General Hospital
Coordinator of this site? Confirm its status
TorontoCanadaNot yet recruiting
Winnipeg Health Sciences Center
Coordinator of this site? Confirm its status
WinnipegCanadaNot yet recruiting
University of Thessaly
Coordinator of this site? Confirm its status
LarissaGreeceNot yet recruiting
Brigham and Woman's Hospital
Coordinator of this site? Confirm its status
BostonUnited StatesNot yet recruiting
Henry Ford Health Care
Coordinator of this site? Confirm its status
DetroitUnited StatesNot yet recruiting
North Shore University Health
Coordinator of this site? Confirm its status
EvanstonUnited StatesNot yet recruiting
Hartford Health Care
Coordinator of this site? Confirm its status
HartfordUnited StatesNot yet recruiting
Northwell Health System
Coordinator of this site? Confirm its status
New YorkUnited StatesNot yet recruiting
Thomas Jefferson University Hospital
Coordinator of this site? Confirm its status
PhiladelphiaUnited StatesNot yet recruiting

This page is information, not medical advice. Discuss any trial with your doctor.