Evidence map›Paper›PMID 32404035›Full record

Trial reportStroke2020

Antithrombotic Treatment of Embolic Stroke of Undetermined Source: RE-SPECT ESUS Elderly and Renally Impaired Subgroups.

Hans-Christoph Diener, Ralph L Sacco, J Donald Easton, Christopher B Granger, Michal Bar, Richard A Bernstein, Michael Brainin, Martina Brueckmann, Lisa Cronin, Geoffrey Donnan and 14 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07553650 (Master Study Protocol for the Cohort of the Specialist Network Stroke), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07553650 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Master Study Protocol for the Cohort of the Specialist Network Stroke (SN Stroke) (Stroke-CORE)

Typeobservational_patient_registrySponsorCharite University, Berlin, GermanyRan2026 to 2030Enrolled12,750ConditionsIntracerebral Haemorrhage, Paediatric Stroke, Stroke Acute, Stroke
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Brazilian Atrial Fibrillation Guidelines - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
  4. Review
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  13. Review
  14. Prevalence and predictors of atrial fibrillation in patients with embolic stroke of undetermined source: a real-life single-center retrospective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 9 countries.

Hans-Christoph DienerFrom the Faculty of Medicine, Institute for Medical Informatics, Biometry and Epidemiology, University Duisburg-Essen, Germany (H.-C.D.).
Ralph L SaccoClinical and Translational Science, Miller School of Medicine, University of Miami, FL (R.L.S.).
J Donald EastonDepartment of Neurology, University of California, San Francisco (J.D.E.).
Christopher B GrangerDuke Clinical Research Institute, Duke University Medical Center, Durham, NC (C.B.G.).
Michal BarDepartment of Neurology, University Hospital Ostrava, Ostrava-Poruba-Poruba, Czech Republic (M. Bar).
Richard A BernsteinDepartment of Neurology, Northwestern University, Chicago, IL (R.A.B.).
Michael BraininDepartment of Neurosciences and Preventive Medicine, Danube University Krems, Krems an der Donau, Austria (M. Brainin).
Martina BrueckmannMetabolism Medicine, Boehringer Ingelheim International GmbH, Germany (M. Brueckmann).
Lisa CroninCardiometabolic Medicine, Boehringer Ingelheim Ltd, Burlington, ON, Canada (L.C.).
Geoffrey DonnanDepartment of Neurology, Melbourne Brain Centre, University of Melbourne, Parkville, VIC, Australia (G.D.).
Zuzana GdovinováDepartment of Neurology, Pavol Jozef Šafárik University in Košice, University Hospital L. Pasteur, Košice, Slovak Republic (Z.G.).
Claudia GrauerClinical Operations Global, Boehringer Ingelheim Pharma GmbH & Co. K.G., Biberach, Germany (C.G.).
Eva KleineBiostatistics and Data Sciences, Boehringer Ingelheim Pharma GmbH & Co. K.G., Ingelheim, Germany (E.K.).
Timothy J KleinigDepartment of Neurology, Royal Adelaide Hospital, Adelaide, South Australia, Australia (T.J.K.).
Philippe LyrerDivision of Neurology, Stroke Center, University Hospital Basel, Switzerland (P.L.).
Sheila MartinsNeurology Service, Hospital de Clínicas de Porto Alegre, Brazil (S.M.).
Juliane MeyerhoffCardiology Medicine, Boehringer Ingelheim International GmbH, Germany (J.M.).
Truman MillingDepartment of Neurology, Department of Surgery and Perioperative Care, Seton Dell Medical School Stroke Institute, Austin, TX (T.M.).
Waltraud PfeilschifterCenter of Neurology and Neurosurgery, Goethe University Frankfurt, Frankfurt am Main, Germany (W.P.).
Sven PoliDepartment of Neurology with Focus on Neurovascular Diseases and Neurooncology, University of Tübingen, and Hertie Institute for Clinical Brain Research, Germany (S.P.).
Michal ReifDepartment of Neurology, Cerebrovaskulární ambulance s.r.o., Brno, Czech Republic (M.R.).
David Z RoseDepartment of Neurology, Morsani College of Medicine, University of South Florida, Tampa (D.Z.R.).
Daniel ŠaňákComprehensive Stroke Center, Department of Neurology, Palacky University, Olomouc, Czech Republic (D.S.).
Wolf-Rüdiger SchäbitzDepartment of Neurology, Evangelisches Klinikum Bethel, Bielefeld, Germany (W.-R.S.).
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Canada) · CAClinical Research Institute · USEvangelisches Krankenhaus Bielefeld · DEGoethe University Frankfurt · DEHertie Institute for Clinical Brain Research · DEHospital de Clínicas de Porto Alegre · BRNorthwestern University · USPalacký University Olomouc · CZRoyal Adelaide Hospital · AUSeton Medical Center · USThe University of Melbourne · AUUniversität für Weiterbildung Krems · ATUniversity Hospital of Basel · CHUniversity Hospital Ostrava · CZUniversity of California, San Francisco · USUniversity of Duisburg-Essen · DEUniversity of Miami · USUniversity of Pavol Jozef Šafárik · SKUniversity of South Florida · US

Funding

A Patient Centered Approach to Restarting Oral Anticoagulant Therapy After Major HemorrhageK23HL127227 · NHLBI · SETON HEALTHCARE · PI MILLING, TRUMAN · 2016 to 2021
$764k
NHLBI NIH HHS K23 HL127227
6 · The paper itself

Abstract

Background and Purpose- The RE-SPECT ESUS trial (Randomized, Double-Blind, Evaluation in Secondary Stroke Prevention Comparing the Efficacy and Safety of the Oral Thrombin Inhibitor Dabigatran Etexilate Versus Acetylsalicylic Acid in Patients With Embolic Stroke of Undetermined Source) tested the hypothesis that dabigatran would be superior to aspirin for the prevention of recurrent stroke in patients with embolic stroke of undetermined source. This exploratory subgroup analysis investigates the impact of age, renal function (both predefined), and dabigatran dose (post hoc) on the rates of recurrent stroke and major bleeding. Methods- RE-SPECT ESUS was a multicenter, randomized, double-blind trial of dabigatran 150 or 110 mg (for patients aged ≥75 years and/or with creatinine clearance 30 to <50 mL/minute) twice daily compared with aspirin 100 mg once daily. The primary outcome was recurrent stroke. Results- The trial, which enrolled 5390 patients from December 2014 to January 2018, did not demonstrate superiority of dabigatran versus aspirin for prevention of recurrent stroke in patients with embolic stroke of undetermined source. However, among the population qualifying for the lower dabigatran dose, the rate of recurrent stroke was reduced with dabigatran versus aspirin (7.4% versus 13.0%; hazard ratio, 0.57 [95% CI, 0.39-0.82]; interaction

Indexed as

AspirinDabigatranFibrinolytic AgentsIntracranial EmbolismKidney DiseasesStrokeAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleMiddle AgedRecurrenceAspirinDabigatranFibrinolytic Agentsanticoagulantsatrial fibrillationcardiovascular diseaserisk factorssecondary prevention

Identifiers

PMID32404035
PMCPMC7379165
OpenAlexW3025201546

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.