Evidence map›Paper›PMID 42249299›Full record

Trial reportBMC primary care2026

Access to renal function information to improve pharmaceutical care in direct oral anticoagulant users: a cluster randomized trial protocol.

Imane Badran, Justine Clarenne, Céline Mongaret, Aline Ohl-Hurtaud, Coralie Barbe, Florian Slimano

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06739603 (Impact of Renal Function Availability to Community Pharmacist for Dispensing Direct Oral Anticoagulant in Ambulatory Patients on Bleeding Occurrence), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06739603 nanot yet recruitingnot on this map

Impact of Renal Function Availability to Community Pharmacist for Dispensing Direct Oral Anticoagulant in Ambulatory Patients on Bleeding Occurrence

TypeinterventionalSponsorUniversité de Reims Champagne-ArdenneRan2025 to 2027Enrolled1,920ConditionsAOD PrescriptionArmspharmaceutical analysis
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Imane BadranDepartment of Clinical Pharmacy, Université de Reims Champagne-Ardenne, GRAPP, F-51100, Reims, France.
Justine ClarenneDepartment of Clinical Pharmacy, Université de Reims Champagne-Ardenne, GRAPP, F-51100, Reims, France.
Céline MongaretUniversité de Clermont Auvergne, ACCePTT, Clermont-Ferrand, F-63000, France.
Aline Ohl-HurtaudDepartment of General Practice, Université 51100 de Reims Champagne-Ardenne, F-Reims, France.
Coralie Barbe *Research on Health University Department, Université de Reims Champagne-Ardenne, Reims, F-51100, France.
Florian Slimano *Department of Clinical Pharmacy, Université de Reims Champagne-Ardenne, GRAPP, F-51100, Reims, France. florian.slimano@univ-reims.fr.

Funding

French Health Ministry RESPIR-2022-005
6 · The paper itself

Abstract

backgroundDirect oral anticoagulants (DOACs) are commonly prescribed for the management of thromboembolic diseases and are known to increase the risk of bleeding. Renal impairment is a risk factor for bleeding in DOACs users, making renal function access essential for community pharmacists during the prescription review and dispensing process. However, community pharmacists often have limited access to patients' renal function information. Giving Community Pharmacists full access to the renal function information could help to mitigate this preventable part of the risk of bleeding by optimizing DOACs choice and dosage, thereby helping to reduce the risk of bleeding events. This study aims to assess the impact of providing Community Pharmacists with access to patients' renal function information when dispensing DOACs on the occurrence of clinically relevant bleeding events three months after dispensing.

methodsA prospective, comparative, randomized, cluster, multicenter trial involving 96 community pharmacies, allocated into two groups: intervention (systematic access to renal function) and control (usual care). A total of 1920 patients will be included over a 24-month period and followed for 6 months. The primary endpoint is the occurrence of clinically relevant bleeding-major and nonmajor-occurring within three months after DOACs dispensing. Secondary endpoints include detail of pharmacist interventions and an assessment of the feasibility of providing renal function access to Community Pharmacists. DISCUSSION: This study will assess the clinical impact of providing Community Pharmacists with access to renal function information. The findings have the potential to inform best practices and drive meaningful changes in ambulatory pharmaceutical care.

trial registrationThe trial is registered with ClinicalTrials.gov: NCT06739603, December 17th, 2024. https://clinicaltrials.gov/study/NCT06739603?term=NCT06739603&rank=1 .

Indexed as

AnticoagulantsCommunity Pharmacy ServicesHemorrhageAdministration, OralFemaleHumansKidney Function TestsPharmacistsProspective StudiesAnticoagulantsBleeding eventsCommunity pharmacistsDirect oral anticoagulantsPharmaceutical careRenal function

Identifiers

PMID42249299
PMCPMC13459215

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.