18 and older, any sex, with 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.
Usage of NOAC Based on Baseline Characteristics: Age at the Time of the First NOAC InitiationPrimary· Start of the first NOAC treatment
Usage of NOAC in patients diagnosed with NVAF, in the hospital setting, based on the baseline characteristics; age, at the time of the start of the first NOAC initiation.
Group
Value
95% CI
Dabigatran
72.8
± 9.9
Rivaroxaban
72.5
± 10.7
Apixaban
72.6
± 9.8
Edoxaban
74.0
± 10.0
All Patients
72.8
± 10.1
Usage of NOAC Based on Baseline Characteristics: CHA2DS2-VASc Scores at the Time of the First NOAC InitiationPrimary· Start of the first NOAC treatment
Usage of NOAC in patients diagnosed with NVAF, in the hospital setting, based on the baseline characteristics: Congestive heart failure, Hypertension, Age (\> 75), Diabetes mellitus, Stroke/TIA, Vascular disease, Age 65-74, Sex Category (CHA2DS2-VASc Score) at the time of the start of the first NOAC initiation.
The CHA2DS2-VASc score is a clinical prediction rule to estimate the risk of stroke in patients with Atrial Fibrillation (AF); it is frequently used to determine the need for an anticoagulation therapy, relating the high scores to a great risk of stroke and a low score corresponds to a
Group
Value
95% CI
Dabigatran
3.2
± 1.5
Rivaroxaban
3.3
± 1.6
Apixaban
3.3
± 1.5
Edoxaban
3.3
± 1.5
All Patients
3.3
± 1.5
Number of Patients on Risk Based on CHA2DS2-VASc Scores at the Time of the First NOAC InitiationPrimary· Start of the first NOAC treatment
Number of patients on risk (Low, Moderate and High) based on CHA2DS2-VASc Scores at the time of the start of the first NOAC initiation.
The total CHA2DS2-VASc Scores score was stratified by category according to the following classification:
1. Low risk (score 0 in male; score 1 in female)
2. Moderate risk (score 1 in male; score 2 in female)
3. High risk (score ≥2 in male; score ≥3 in female)
Low risk
Group
Value
95% CI
Dabigatran
3
Rivaroxaban
10
Apixaban
3
Edoxaban
0
All Patients
16
Moderate risk
Group
Value
95% CI
Dabigatran
53
Rivaroxaban
34
Apixaban
36
Edoxaban
21
All Patients
144
High risk
Group
Value
95% CI
Dabigatran
252
Rivaroxaban
207
Apixaban
215
Edoxaban
108
All Patients
782
Usage of NOAC Based on Baseline Characteristics: HAS-BLED Score at the Time of the First NOAC InitiationPrimary· Start of the first NOAC treatment
Usage of NOAC in patients diagnosed with NVAF, in the hospital setting, based on the baseline characteristics: Hypertension, Abnormal renal and liver function, Stroke (1 point), Bleeding history or predisposition, Labile INR, Elderly (\>65 years), Drugs and Alcohol (HAS-BLED Score) at the time of the start of the first NOAC initiation. HAS-BLED bleeding risk score may range from 0 to 9 with 0 being the best outcome. The high scores to a great risk of bleeding and a low score corresponds to a lower risk of bleeding.
Group
Value
95% CI
Dabigatran
1.8
± 1.0
Rivaroxaban
1.8
± 1.1
Apixaban
1.7
± 1.1
Edoxaban
1.8
± 1.0
All Patients
1.8
± 1.1
Number of Patients on Risk Based on HAS-BLED Score at the Time of the First NOAC InitiationPrimary· Start of the first NOAC treatment
Number of patients on risk (Low, Moderate and High) based on HAS-BLED Score at the time of the start of the first NOAC initiation.
The total HAS-BLED Score was stratified by category according to the following classification:
1. Low risk (score 0)
2. Moderate risk (score 1-2)
3. High risk (score ≥3)
Low risk
Group
Value
95% CI
Dabigatran
17
Rivaroxaban
29
Apixaban
27
Edoxaban
11
All Patients
84
Moderate risk
Group
Value
95% CI
Dabigatran
219
Rivaroxaban
157
Apixaban
170
Edoxaban
86
All Patients
632
High risk
Group
Value
95% CI
Dabigatran
72
Rivaroxaban
65
Apixaban
56
Edoxaban
31
All Patients
224
Appropriateness of NOACs PrescriptionSecondary· single visit (Day 1)
Appropriateness of NOACs prescription based on national recommendations. For this, it was reviewed if the presence of at least one of the following clinical reason or reason related to International Normalized Ratio (INR) control were met.
Reason 1: Patients with known hypersensitivity or with specific contraindications to the use of acenocoumarol or warfarin; Reason 2: Patients with a history of intracranial hemorrhage (ICH) (except during the acute phase); Reason 3: Patients with ischemic stroke who present high-risk clinical and neuroimaging criteria for ICH; Reason 4: Patients on VKA trea
Group
Value
95% CI
All Patients
88
All Patients
10
All Patients
16
All Patients
16
Mean Number of Visits to the Physician Per YearSecondary· 1 year (data collected during single visit on day 1)
Mean number of visits to the physician per year considered for the NOAC Management.
Group
Value
95% CI
All Patients
2.0
± 1.1
Duration of First NOAC, All NOAC and Subsequent NOAC TreatmentSecondary· Through the observational period with an average of 9.4 (first NOAC), 9.6 (All NOAC) and 5.1 (Subsequent NOAC) months, data collected during a single visit.
Duration of NOAC treatment (First NOAC, All NOAC and Subsequent NOAC).
First NOAC
Group
Value
95% CI
All Patients
9.4
± 6.5
All NOAC
Group
Value
95% CI
All Patients
9.6
± 6.5
Subsequent NOAC
Group
Value
95% CI
All Patients
5.1
± 4.1
Number of Patients Who Required Discontinuing the NOAC Treatment, to Adjust the NOAC Dose or to Change to a New NOACSecondary· single visit (Day 1)
Number of patients who required discontinuing the NOAC treatment, to adjust the NOAC dose or to change to a new NOAC
Discontinue treatment
Group
Value
95% CI
All Patients
4
Dose adjustment
Group
Value
95% CI
All Patients
20
Change to a new NOAC
Group
Value
95% CI
All Patients
32
No change
Group
Value
95% CI
All Patients
907
Number of Patients Who Changed From One NOAC to a New NOAC Type and DoseSecondary· single visit (Day 1)
Number of patients who changed from one NOAC to a new NOAC type and dose. The treatment and its dose displayed below refer to the subsequent NOAC.
Group
Value
95% CI
All Patients
5
All Patients
4
All Patients
1
All Patients
2
Reason for Treatment ChangesSecondary· Start of the first NOAC treatment
Reason for treatment changes such as discontinuing the NOAC treatment, to adjust the NOAC dose or to change to a new NOAC.
Lack of efficacy
Group
Value
95% CI
All Patients
5
Investigator decision
Group
Value
95% CI
All Patients
30
Patient decision
Group
Value
95% CI
All Patients
7
Adverse event
Group
Value
95% CI
All Patients
14
Number of Patients With Previous Treatment With Vitamin K AntagonistsSecondary· single visit (Day 1)
Number of patient with Previous Treatment with Vitamin K Antagonists.
Group
Value
95% CI
Dabigatran
146
Rivaroxaban
125
Apixaban
100
Edoxaban
53
All Patients
424
Dabigatran
168
Rivaroxaban
128
Apixaban
166
Edoxaban
77
All Patients
539
Adverse events — posted to ClinicalTrials.gov
Time frame: From Informed consent signed until the end of the trial, up to 12 months..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The primary objective of the study is to describe the usage of NOACs in patients with NVAF, in the hospital setting, based on the baseline characteristics at the time of first NOAC initiation.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
NCT06212674 — Single-stage Pulmonary Vein Isolation Combined With Percutaneous Left Atrial Appendage Occluder Implantation in Patients
· Phase 4
· recruiting
NCT03642509 — Left Atrial Appendage Occlusion Versus Novel Oral Anticoagulation for Stroke Prevention in Atrial Fibrillation
· NA
· recruiting
NCT03284827 — Anticoagulant Versus Dual Antiplatelet Therapy for Preventing Leaflet Thrombosis and Cerebral Embolization After Transca
· Phase 4
· completed
NCT03362788 — The Greek AntiPlatElet Atrial Fibrillation Registry.
· completed
NCT02998905 — NOACs for Stroke Prevention in Patients With Atrial Fibrillation and Previous ICH
· Phase 2
· completed
Other recruiting trials for Atrial Fibrillation
Currently open trials in the same condition.
NCT07429214 — A Study of VARIPULSE Catheter and TRUPULSE Generator With VARIPULSE Pro Software in Participants With PAF or PsAF
· NA
· recruiting
NCT07271238 — Feasibility Study on the VERAFEYE Imaging and Navigation System for Guided Catheter Ablation Procedures
· NA
· recruiting
NCT07388108 — Atrial Dyssynchrony to Predict Arrhythmias in the Postoperative Setting of Cardiovascular Surgery.
· recruiting
NCT07428967 — AV Node Ablation and CONDUCTion System Pacing for Atrial Fibrillation With Preserved Left Ventricular Function
· NA
· recruiting
NCT06650995 — AlEX-DHF: Ablation and Exercise in Diastolic Heart Failure
· NA
· recruiting
Other Boehringer Ingelheim trials
Trials by the same sponsor.
NCT07044700 — Real-world Comparative Effectiveness and Safety of Jardiance in Chinese Patients With Heart Failure of Reduced Ejection
· not yet recruiting
NCT07047508 — Real-world Study to Describe the Effectiveness and Safety Outcomes of Jardiance in Chinese Patients With Heart Failure a
· not yet recruiting
NCT07366034 — A Study to Find Out How Nerandomilast is Tolerated, Handled by the Body, and if it Helps Children and Adolescents With I
· Phase 3
· not yet recruiting
NCT07531628 — A Study to Test How Verducatib is Taken up in the Body of Healthy Chinese Participants
· Phase 1
· not yet recruiting
NCT07497087 — A Study to Test Whether Nerandomilast Helps People With Systemic Sclerosis
· Phase 3
· not yet recruiting
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 18 February 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03285373.