Page last updated: 2024-11-02

phenindione and Gastrointestinal Hemorrhage

phenindione has been researched along with Gastrointestinal Hemorrhage in 8 studies

Phenindione: An indandione that has been used as an anticoagulant. Phenindione has actions similar to WARFARIN, but it is now rarely employed because of its higher incidence of severe adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p234)

Gastrointestinal Hemorrhage: Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.

Research Excerpts

ExcerptRelevanceReference
"We conducted a multicenter, prospective, randomized, open-label, adjudicator-masked trial comparing edoxaban with vitamin K antagonists in patients with prevalent or incident atrial fibrillation as the indication for oral anticoagulation after successful TAVR."9.41Edoxaban versus Vitamin K Antagonist for Atrial Fibrillation after TAVR. ( Anderson, R; Baber, U; Boersma, E; Capranzano, P; Chen, C; Dangas, GD; Duggal, A; Hambrecht, R; Hayashida, K; Hengstenberg, C; Jin, J; Kim, HS; Laeis, P; Lang, I; Lanz, H; López-Otero, D; Mehran, R; Meincke, F; Möllmann, H; Moreno, R; Nombela-Franco, L; Nordbeck, P; Ohlmann, P; Pilgrim, T; Rodés-Cabau, J; Saito, S; Shawl, F; Thiele, H; Unverdorben, M; Valgimigli, M; Van Mieghem, NM; Veltkamp, R; Vranckx, P; Watanabe, Y; Yamamoto, M; Zamorano, JL, 2021)
"We conducted a multicenter, prospective, randomized, open-label, adjudicator-masked trial comparing edoxaban with vitamin K antagonists in patients with prevalent or incident atrial fibrillation as the indication for oral anticoagulation after successful TAVR."5.41Edoxaban versus Vitamin K Antagonist for Atrial Fibrillation after TAVR. ( Anderson, R; Baber, U; Boersma, E; Capranzano, P; Chen, C; Dangas, GD; Duggal, A; Hambrecht, R; Hayashida, K; Hengstenberg, C; Jin, J; Kim, HS; Laeis, P; Lang, I; Lanz, H; López-Otero, D; Mehran, R; Meincke, F; Möllmann, H; Moreno, R; Nombela-Franco, L; Nordbeck, P; Ohlmann, P; Pilgrim, T; Rodés-Cabau, J; Saito, S; Shawl, F; Thiele, H; Unverdorben, M; Valgimigli, M; Van Mieghem, NM; Veltkamp, R; Vranckx, P; Watanabe, Y; Yamamoto, M; Zamorano, JL, 2021)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19907 (87.50)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's1 (12.50)2.80

Authors

AuthorsStudies
Van Mieghem, NM1
Unverdorben, M1
Hengstenberg, C1
Möllmann, H1
Mehran, R1
López-Otero, D1
Nombela-Franco, L1
Moreno, R1
Nordbeck, P1
Thiele, H1
Lang, I1
Zamorano, JL1
Shawl, F1
Yamamoto, M1
Watanabe, Y1
Hayashida, K1
Hambrecht, R1
Meincke, F1
Vranckx, P1
Jin, J1
Boersma, E1
Rodés-Cabau, J1
Ohlmann, P1
Capranzano, P1
Kim, HS1
Pilgrim, T1
Anderson, R1
Baber, U1
Duggal, A1
Laeis, P1
Lanz, H1
Chen, C1
Valgimigli, M1
Veltkamp, R1
Saito, S1
Dangas, GD1
MCQUILLAN, WM1
EASTHAM, RD1
MORGAN, EH1
Lloyd, DA1
Immelman, EJ1
Wright, MG1
Tanser, AR1
Keat, EC1
Killian, ST1
Heitzman, EJ1
Leigh, J1
Lyon, DC1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Edoxaban Versus Standard of Care and Their Effects on Clinical Outcomes in Patients Having Undergone Transcatheter Aortic Valve Implantation (TAVI) - in Atrial Fibrillation[NCT02943785]Phase 31,426 participants (Actual)Interventional2017-03-21Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Who Experienced a Composite of Adverse Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)

A composite of clinical adverse events included cardiovascular death, MI ischemic stroke, SEE, valve thrombosis, and major bleeding as defined by ISTH criteria. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban151
Vitamin K Antagonist (VKA)123

Number of Participants Who Experienced Major Adverse Cardiac and Cerebrovascular Events (MACCE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Major adverse cardiac and cerebrovascular events (MACCE) is defined as the composite of all-cause death (excluding adjudicated non-cardiac death), MI, stroke (ischemic, hemorrhagic, or undetermined), or repeat coronary revascularization of the target lesion (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban86
Vitamin K Antagonist (VKA)80

Number of Participants Who Experienced Major Adverse Cardiac Events (MACE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Major adverse cardiac events (MACE) is defined as the composite of all-cause death (excluding adjudicated non-cardiac death), MI, or repeat coronary revascularization of the target lesion. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban61
Vitamin K Antagonist (VKA)53

Number of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKA

ISTH Bleeding Criteria for Major Bleeding are defined as clinically overt bleeding that is associated with: a fall in hemoglobin of 2 g/dL (1.24 mmol/L) or more, or a transfusion of 2 or more units of whole blood or packed red blood cells, or symptomatic bleeding into a critical site or organ such as intracranial, intraspinal, intraocular, retroperitoneal, pericardial, intra-articular, or intramuscular with compartment syndrome, or a fatal outcome. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban98
Vitamin K Antagonist (VKA)68

Number of Participants Who Experienced Myocardial Infarctions (MI) in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Peri-procedural MI was defined as new ischemic symptoms or signs and elevated cardiac biomarkers within 72 hours after index procedure, consisting of at least one sample post-procedure with a peak value exceeding 15x as the upper reference limit (URL) for troponin or 5x for CK-MB. Spontaneous MI is defined as any one of the following: Detection of rise and/or fall of cardiac biomarkers with at least one value above the 99th percentile URL, together with the evidence of myocardial ischemia with at least one of the following: Symptoms of ischemia; ECG changes indicative of new ischemia; New pathological Q-waves in at least two contiguous leads; Imaging evidence of a new loss of viable myocardium or new wall motion abnormality; Sudden, unexpected cardiac death, involving cardiac arrest, often with symptoms suggestive of myocardial ischemia, and accompanied by new ST elevation or new left bundle branch block, and/or evidence of fresh thrombus; Pathological findings of an acute MI. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban12
Vitamin K Antagonist (VKA)7

Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKA

The composite endpoint net adverse clinical events (NACE) included all-cause death, myocardial infarction (MI), ischemic stroke, systemic embolic events (SEE), valve thrombosis, and major bleeding per definition of the International Society on Thrombosis and Haemostasis (ISTH]. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban170
Vitamin K Antagonist (VKA)157

Number of Participants Who Experienced Systemic Embolic Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Systemic thromboembolism [non-central nervous system] is defined as abrupt vascular insufficiency of an extremity or organ associated with clinical or radiological evidence of arterial occlusion in the absence of other likely mechanisms, (e.g., trauma, atherosclerosis, instrumentation). (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban2
Vitamin K Antagonist (VKA)3

Number of Participants Who Experienced Valve Thrombosis in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Valve thrombosis was defined as any thrombus attached to or near an implanted valve that occludes part of the blood flow path, interferes with valve function, or is sufficiently large to warrant treatment. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

InterventionParticipants (Count of Participants)
Edoxaban0
Vitamin K Antagonist (VKA)0

Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on BARC Type 3 or 5 Criteria in Participants Taking Edoxaban vs VKA

The composite endpoint of net adverse event clinical events (NACE) included all-cause death, MI, ischemic stroke, SEE, valve thrombosis, and major bleeding based on Bleeding Academic Research Consortium (BARC) Type 3 or 5 criteria. Major bleeding by BARC criteria was defined as Type 3: clinical, laboratory, and/or imaging evidence of bleeding with provider responses; Type 3a: any transfusion with overt bleeding; overt bleeding plus Hb drop of 3 to < 5 g/dL; Type 3b: overt bleeding plus Hb drop ≥ 5 g/dL; cardiac tamponade; bleeding requiring surgical intervention; bleeding requiring intravenous vasoactive drugs; Type 3c: intracranial hemorrhage; subcategories confirmed by autopsy, imaging, or lumbar puncture; intraocular bleed compromising vision; Type 5: fatal bleeding; Type 5a: probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious; Type 5b: definite fatal bleeding; overt bleeding or autopsy or imaging confirmation (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

,
InterventionParticipants (Count of Participants)
Composite endpoint NACE (BARC Type 3 or 5)Major bleeding (BARC Type 3 or 5)
Edoxaban16489
Vitamin K Antagonist (VKA)15157

Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on GUSTO Criteria in Participants Taking Edoxaban vs VKA

The composite endpoint of net adverse event clinical events (NACE) included all-cause death, MI, ischemic stroke, SEE, valve thrombosis, and major bleeding based on Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries (GUSTO). GUSTO criteria was defined as the following: severe or life threatening: intracerebral hemorrhage or resulting in substantial hemodynamic compromise requiring treatment and moderate: requiring blood transfusion but not resulting in hemodynamic compromise. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

,
InterventionParticipants (Count of Participants)
Composite endpoint NACE (GUSTO)Severe or life threatening and moderate bleeding (GUSTO)
Edoxaban16082
Vitamin K Antagonist (VKA)14651

Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKA

The composite endpoint of net adverse event clinical events (NACE) included all-cause death, myocardial infarction (MI), ischemic stroke, systemic embolic events (SEE), valve thrombosis, and major bleeding based on Thrombolysis in Myocardial Infarction (TIMI) criteria. Bleeding by TIMI criteria was defined as the following: (1) Major, any intracranial hemorrhage or any clinically overt bleeding, (including bleeding evident in imaging studies) associated with a fall of hemoglobin (Hb) of ≥ 5g/dL or fatal bleeding and (2) Minor, any clinically overt bleeding associated with a fall in Hb ≥ 3g/dL but < 5 g/dL. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

,
InterventionParticipants (Count of Participants)
Composite endpoint NACE (TIMI)Composite of major and minor bleeding (TIMI)
Edoxaban15472
Vitamin K Antagonist (VKA)14142

Number of Participants Who Experienced Stroke Events (Ischemic, Hemorrhagic, Undetermined) in Participants Taking Edoxaban vs VKA (Adjudicated Data)

Stroke events are categorized as any stroke, fatal stroke, and non-fatal stroke. (NCT02943785)
Timeframe: Baseline through study completion, up to 36 months post-dose

,
InterventionParticipants (Count of Participants)
Any stroke (ischemic, hemorrhagic, or undetermined)Fatal stroke (ischemic, hemorrhagic, or undetermined)Non-fatal stroke (ischemic, hemorrhagic, or undetermined)
Edoxaban29425
Vitamin K Antagonist (VKA)35332

Trials

1 trial available for phenindione and Gastrointestinal Hemorrhage

ArticleYear
Edoxaban versus Vitamin K Antagonist for Atrial Fibrillation after TAVR.
    The New England journal of medicine, 2021, 12-02, Volume: 385, Issue:23

    Topics: 4-Hydroxycoumarins; Aged; Aged, 80 and over; Anticoagulants; Atrial Fibrillation; Factor Xa Inhibito

2021

Other Studies

7 other studies available for phenindione and Gastrointestinal Hemorrhage

ArticleYear
EXPERIENCES WITH PROPHYLACTIC ANTI-COAGULATION IN FEMORAL NECK FRACTURES.
    Journal of the Royal College of Surgeons of Edinburgh, 1964, Volume: 10

    Topics: Cerebrovascular Disorders; Ecchymosis; Femoral Neck Fractures; Gastrointestinal Hemorrhage; Geriatri

1964
PLASMA HYPERCOAGULABILITY IN PATIENTS WITH CARCINOMA AND AFTER HAEMORRHAGE.
    Lancet (London, England), 1964, Sep-12, Volume: 2, Issue:7359

    Topics: Blood Coagulation Disorders; Blood Coagulation Tests; Gastrointestinal Hemorrhage; Hemophilia A; Hem

1964
Anticoagulant-induced intramural haematoma of the bowel.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1973, May-05, Volume: 47, Issue:17

    Topics: Acute Disease; Adult; Aged; Emergencies; Gastrointestinal Hemorrhage; Hematoma; Humans; Hypoprothrom

1973
Phenindione-induced haemorrhagic ulcerative colitis.
    British medical journal, 1966, Mar-05, Volume: 1, Issue:5487

    Topics: Colitis, Ulcerative; Drug Hypersensitivity; Gastrointestinal Hemorrhage; Phenindione

1966
Intramural hemorrhage of small intestine due to anticoagulants.
    JAMA, 1967, May-15, Volume: 200, Issue:7

    Topics: Aged; Duodenal Obstruction; Female; Gastrointestinal Hemorrhage; Humans; Hypoprothrombinemias; Injec

1967
Submucosal jejunal haemorrhage with phenindione.
    Australasian annals of medicine, 1967, Volume: 16, Issue:4

    Topics: Ascitic Fluid; Cholelithiasis; Coronary Disease; Female; Gastrointestinal Hemorrhage; Hematoma; Huma

1967
Intussusception complicating anticoagulant therapy.
    British medical journal, 1968, May-11, Volume: 2, Issue:5601

    Topics: Gastrointestinal Hemorrhage; Hemoperitoneum; Humans; Intussusception; Male; Middle Aged; Phenindione

1968