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NCT01884350: AEGEAN

Assessment of an Education and Guidance Programme for Eliquis Adherence in Non-Valvular Atrial Fibrillation (AEGEAN)

Completed Phase 4 Results posted Last updated 19 August 2019
What this trial tests

Phase 4 trial testing Apixaban in Non-valvular Atrial Fibrillation in 1,217 participants. Completed in 20 January 2016.

Timeline
15 October 2013
Primary endpoint
20 January 2016
20 January 2016

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment1,217
Start date15 October 2013
Primary completion20 January 2016
Estimated completion20 January 2016
Sites220 locations across France, Italy, Belgium, United Kingdom, Germany, Switzerland, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Non-valvular Atrial Fibrillation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Days With a Correct Execution of the Apixaban Dosing Regimen Primary · Day 1 up to week 24

The mean percentage of days which participants maintained adherence to apixaban treatment was measured for each arm. Adherence to apixaban = number of units of adherence \*100 / total number of eligible days for the time period from first dose date, up to 169 days. Unit of adherence: A 24-hour window where the treatment is taken as prescribed, ie, 1 tablet (5 mg or 2.5 mg, as appropriate) 2 times a day. If only one dose is missed in 24-hours, it is still considered as a unit of adherence. Adherence up to 24 weeks was calculated as the percentage of adherence units within that period. If a part

GroupValue95% CI
Apixaban (Primary SOC Information)91.64± 17.143
Apixaban (Additional Educational Program)91.88± 16.140
Percentage of Days With a Correct Execution of the Apixaban Dosing Regimen During the 12 to 24 Weeks Period Compared With During the First 12 Weeks Secondary · Day 1 to Week 12, Week 12 to Week 24

The mean adherence to apixaban treatment during the first 24 weeks was measured between the standard of care (SOC) information and Additional Education Program (AEP) arms and expressed as a percentage. Adherence to Apixaban = number of units of adherence \*100 / total number of eligible days for the time period.

Day 1 to Week 12
GroupValue95% CI
Apixaban (Primary SOC Information)93.7± 14.18
Apixaban (Additional Educational Program)93.0± 15.71
Week 12 to Week 24
GroupValue95% CI
Apixaban (Primary SOC Information)90.3± 20.64
Apixaban (Additional Educational Program)90.9± 18.36
Percentage of Days With a Correct Execution of the Apixaban Dosing Regimen During the 24 to 48 Weeks Period Secondary · Week 24 to Week 48

The mean percentage of days which participants maintained adherence to apixaban treatment was measured for each arm. Adherence to apixaban = number of units of adherence \*100 / total number of eligible days for the time period from first dose date, up to 169 days. Unit of adherence: A 24-hour window where the treatment is taken as prescribed, ie, 1 tablet (5 mg or 2.5 mg, as appropriate) 2 times a day. If only one dose is missed in 24-hours, it is still considered as a unit of adherence. Adherence over 24 weeks was calculated as the percentage of adherence units within that period. If a parti

GroupValue95% CI
Apixaban (Primary SOC Information)87.59± 22.921
Apixaban (Additional Educational Program)88.41± 22.148
Apixaban (Secondary SOC)87.51± 21.125
Non-adherence Predictors of 20% or More (vs. at Least 80% Adherence) at 24 Weeks Secondary · Week 24

Logit analyses were conducted on the Primary Efficacy Set to identify non-adherence predictors of 20% or more (vs. at least 80% adherence) at 24 weeks. In the Primary SOC group, alcohol use, Mini-Mental State Evaluation (MMSE) score, UK standard occupational classification, and type of atrial fibrillation were retained in the model (p-value \<= 0.2). In the Additional Educational Program group, alcohol use, type of atrial fibrillation, age and Vitamin K Antagonists (VKA) status were retained in the model (p-value \<= 0.2). Odds ratios are presented for predictors of non-adherence.

<=2 Alcoholic Drink/Day Average vs None
GroupValue95% CI
Apixaban (Primary SOC Information)1.2510.691 – 2.265
Apixaban (Additional Educational Program)0.9940.558 – 1.682
>=3 Alcoholic Drink/Day Average vs None
GroupValue95% CI
Apixaban (Primary SOC Information)4.2681.226 – 14.859
Apixaban (Additional Educational Program)3.7820.884 – 16.178
Mini-mental state examination score
GroupValue95% CI
Apixaban (Primary SOC Information)0.8080.686 – 0.952
Apixaban (Additional Educational Program)NANA – NA
Higher mgmt., adm. and professional jobs vs UKSOC1
GroupValue95% CI
Apixaban (Primary SOC Information)0.8270.136 – 5.033
Apixaban (Additional Educational Program)NANA – NA
Higher professional occupations vs UKSOC1
GroupValue95% CI
Apixaban (Primary SOC Information)0.8980.197 – 4.091
Apixaban (Additional Educational Program)NANA – NA
Intermediate occupations vs UKSOC1
GroupValue95% CI
Apixaban (Primary SOC Information)1.2300.401 – 3.769
Apixaban (Additional Educational Program)NANA – NA
Large employers and mgmt. and adm. jobs vs UKSOC1
GroupValue95% CI
Apixaban (Primary SOC Information)2.8230.412 – 19.338
Apixaban (Additional Educational Program)NANA – NA
Lower mgmt., adm. and professional jobs vs UKSOC1
GroupValue95% CI
Apixaban (Primary SOC Information)0.9480.256 – 3.515
Apixaban (Additional Educational Program)NANA – NA
Number of Participants With Serious Adverse Events (SAEs), Drug Related Adverse Events (AE), AE Leading to Discontinuation, and Death Secondary · Day 1 up to week 24

AEs with onset date from day 1 through week 24 are included in this summary. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug.

SAE
GroupValue95% CI
Apixaban (Primary SOC Information)75
Apixaban (Additional Educational Program)82
Drug related AE
GroupValue95% CI
Apixaban (Primary SOC Information)54
Apixaban (Additional Educational Program)41
AE leading to discontinuation
GroupValue95% CI
Apixaban (Primary SOC Information)33
Apixaban (Additional Educational Program)22
Death
GroupValue95% CI
Apixaban (Primary SOC Information)6
Apixaban (Additional Educational Program)5
Number of Participants With Serious Adverse Events (SAEs), Drug Related Adverse Events (AE), AE Leading to Discontinuation, and Death Secondary · Week 24 up to Week 48

Adverse events with onset date after 24 weeks are included in this summary. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug.

SAE
GroupValue95% CI
Apixaban (Primary SOC Information)71
Apixaban (Additional Educational Program)43
Apixaban (Secondary SOC)30
Drug related AE
GroupValue95% CI
Apixaban (Primary SOC Information)15
Apixaban (Additional Educational Program)12
Apixaban (Secondary SOC)10
AE leading to discontinuation
GroupValue95% CI
Apixaban (Primary SOC Information)14
Apixaban (Additional Educational Program)3
Apixaban (Secondary SOC)8
Death
GroupValue95% CI
Apixaban (Primary SOC Information)3
Apixaban (Additional Educational Program)3
Apixaban (Secondary SOC)6

Adverse events — posted to ClinicalTrials.gov

Time frame: From date of first dose to date of last dose plus 30 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Primary SOC (Period 1)
Serious: 69/604 (11%)
Deaths:
Continued Additional Educational Program (CAEP) (Period 2)
Serious: 40/308 (13%)
Deaths:
Secondary SOC (Period 2)
Serious: 29/223 (13%)
Deaths:
Additional Educational Program (Period 1)
Serious: 79/558 (14%)
Deaths:
Primary SOC (Period 2)
Serious: 62/604 (10%)
Deaths:

Serious adverse events (230 terms)

ReactionSystemPrimary SOC (Period 1)Continued Additional Educa…Secondary SOC (Period 2)Additional Educational Pro…Primary SOC (Period 2)
Cardiac failureCardiac disorders
Atrial fibrillationCardiac disorders
Cardiac ablationSurgical and medical procedures
PneumoniaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
FallInjury, poisoning and procedural complications
SyncopeNervous system disorders
HypertensionVascular disorders
Peripheral ischaemiaVascular disorders
Inguinal hernia repairSurgical and medical procedures
NephrectomySurgical and medical procedures
Acute coronary syndromeCardiac disorders
Angina pectorisCardiac disorders
Angina unstableCardiac disorders
BradyarrhythmiaCardiac disorders
Myocardial infarctionCardiac disorders
Right ventricular failureCardiac disorders
Chronic obstructive pulmonaryRespiratory, thoracic and mediastinal disorders
Pulmonary oedemaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
EpilepsyNervous system disorders
Transient ischaemic attackNervous system disorders
Inguinal herniaGastrointestinal disorders
HaematuriaRenal and urinary disorders
Other adverse events (1 terms — click to expand)

ReactionSystemPrimary SOC (Period 1)Continued Additional Educa…Secondary SOC (Period 2)Additional Educational Pro…Primary SOC (Period 2)
DyspnoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Cardiac failure, Atrial fibrillation, Cardiac ablation, Pneumonia, Dyspnoea, Chest pain, Fall, Syncope.

Data from ClinicalTrials.gov NCT01884350 adverse events section.

Sponsor's own description

The study purpose is to assess the impact of an educational program on patient adherence in patients taking Apixaban for SPAF at 24 weeks

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Educational Impact on Apixaban Adherence in Atrial Fibrillation (the AEGEAN STUDY): A Randomized Clinical Trial.
    Montalescot G, Brotons C, Cosyns B, Crijns HJ, et al · · 2020 · cited 22× · PMID 31243691 · DOI 10.1007/s40256-019-00356-2
  2. A Review of the Key Clinical Trials of 2015: Results and Implications.
    McCune C, McKavanagh P, Menown IB. · · 2016 · cited 3× · PMID 27277596 · DOI 10.1007/s40119-016-0063-5

Verify or expand the search:

Other trials of Apixaban

Trials testing the same drug.

Other recruiting trials for Non-valvular Atrial Fibrillation

Currently open trials in the same condition.

Other Bristol-Myers Squibb trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing