ENSURE-AFA Prospective, Randomized, Open-Label Blinded Endpoint Evaluation (PROBE) Parallel Group Study Comparing Edoxaban (DU-176b) With Enoxaparin/Warfarin Followed by Warfarin Alone in Subjects Undergoing Planned Electrical Cardioversion of Nonvalvular Atrial Fibrillation
Edoxaban
+ Warfarin
+ Enoxaparin
Arythmies cardiaques+2
+ Fibrillation Auriculaire
+ Maladies Cardiovasculaires
Étude thérapeutique
Résumé
Date de début de l'étude : 25 mars 2014
Date à laquelle le premier participant a commencé l'étude.The purpose of this study is to compare edoxaban (investigational drug) with warfarin and enoxaparin, to see if it is safe and effective in preventing stroke and other blood clot complications in subjects with atrial fibrillation whose doctors plan to treat them with an electrical cardioversion. It is expected that 284 sites will recruit 2200 subjects from North America, EU, Russia, Ukraine and Israel. Participants will be randomly allocated to receive either treatment with edoxaban, or treatment with warfarin, plus enoxaparin if required. Participants will have an equal chance of receiving either treatment. Participants will be in the study for a maximum of 82 days. Study procedures will include physical examinations, vital signs (pulse and sitting blood pressure), ECG (electrocardiogram), finger prick blood clotting tests, blood samples and urine samples. The study is expected to show that edoxaban will provide comparable incidence rates to warfarin plus enoxaparin, the current standard treatment for both efficacy and bleeding.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.2199 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion Criteria: * Has signed informed consent * Is older than minimum legal adult age (country specific) * Has had ongoing AF lasting at least 48 hrs but \<= 12 months (with or without valvular heart disease) * Has treatment plan that includes for electrical cardioversion * Has NVAF or other specific valvular heart diseases (eg, mitral valve prolapse, mitral valve regurgitation, and aortic valve disease) Exclusion Criteria: * Has AF that is transient or reversible * Has contraindicated condition, ie, conditions considered to be formal indication for conventional anticoagulation * Has a history of left atrial appendage (LAA) closure * Has a known thrombus in LAA, the left atrial, left ventricle or aorta - or an intracardial mass * Has had myocardial infarction (MI), stroke, acute coronary syndrome (ACS), or percutaneous coronary intervention (PCI) within the past 30 days * Has any contraindication to anticoagulant agents * Has had protocol-defined signs of bleeding or conditions associated with high risk of bleeding that would preclude participation * Is receiving, or plans to receive during the study period, dual antiplatelet therapy (DAPT) or invasive procedures (other than routine endoscopy) in which bleeding would be anticipated * Has received prohibited concomitant medication or therapy * Has had protocol-defined signs of bleeding or high * Has inadequate liver, kidney, and blood test results * Received any investigational drug or device within the past 30 days or plans to during the study period * Has reproductive potential and does not agree to take proper contraceptive measures * Has active cancer requiring chemotherapy/radiation/major surgery within the next 3 months * Has significant active concurrent medical illness or infection or life expectancy less than 6 months * In the opinion of the investigator, is unlikely to comply with the protocol or complete the study, has had drug or alcohol dependence within the past year, or has any other condition that might place the participant at increased risk of harm * Is a participant in the United States after January 2015 with creatinine clearance (CrCL) greater than 95 mL/minute
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.2 groupes d'intervention sont désignés dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalGroupe II
Comparateur actifObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 12 sites
Second site in
Copenhagen, DenmarkBad Friedrichshall
Heilbronn, GermanyFirst site in
Budapest, Hungary