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NCT03285373: RE-CONOCE

This Study Observes the Use of New Oral Anticoagulants (NOACs) in Patients With a Heart Rhythm Disorder in Spain

Completed Results posted Last updated 18 February 2020
What this trial tests

trial testing NOAC in Atrial Fibrillation in 1,008 participants. Completed in 31 January 2019.

Timeline
29 November 2017
Primary endpoint
31 January 2019
31 January 2019

Quick facts

Lead sponsorBoehringer Ingelheim
StatusCompleted
Study typeOBSERVATIONAL
Enrollment1,008
Start date29 November 2017
Primary completion31 January 2019
Estimated completion31 January 2019
Sites75 locations across Spain

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

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 Initiation Primary · 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.

GroupValue95% CI
Dabigatran72.8± 9.9
Rivaroxaban72.5± 10.7
Apixaban72.6± 9.8
Edoxaban74.0± 10.0
All Patients72.8± 10.1
Usage of NOAC Based on Baseline Characteristics: CHA2DS2-VASc Scores at the Time of the First NOAC Initiation Primary · 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

GroupValue95% CI
Dabigatran3.2± 1.5
Rivaroxaban3.3± 1.6
Apixaban3.3± 1.5
Edoxaban3.3± 1.5
All Patients3.3± 1.5
Number of Patients on Risk Based on CHA2DS2-VASc Scores at the Time of the First NOAC Initiation Primary · 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
GroupValue95% CI
Dabigatran3
Rivaroxaban10
Apixaban3
Edoxaban0
All Patients16
Moderate risk
GroupValue95% CI
Dabigatran53
Rivaroxaban34
Apixaban36
Edoxaban21
All Patients144
High risk
GroupValue95% CI
Dabigatran252
Rivaroxaban207
Apixaban215
Edoxaban108
All Patients782
Usage of NOAC Based on Baseline Characteristics: HAS-BLED Score at the Time of the First NOAC Initiation Primary · 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.

GroupValue95% CI
Dabigatran1.8± 1.0
Rivaroxaban1.8± 1.1
Apixaban1.7± 1.1
Edoxaban1.8± 1.0
All Patients1.8± 1.1
Number of Patients on Risk Based on HAS-BLED Score at the Time of the First NOAC Initiation Primary · 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
GroupValue95% CI
Dabigatran17
Rivaroxaban29
Apixaban27
Edoxaban11
All Patients84
Moderate risk
GroupValue95% CI
Dabigatran219
Rivaroxaban157
Apixaban170
Edoxaban86
All Patients632
High risk
GroupValue95% CI
Dabigatran72
Rivaroxaban65
Apixaban56
Edoxaban31
All Patients224
Appropriateness of NOACs Prescription Secondary · 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

GroupValue95% CI
All Patients88
All Patients10
All Patients16
All Patients16
Mean Number of Visits to the Physician Per Year Secondary · 1 year (data collected during single visit on day 1)

Mean number of visits to the physician per year considered for the NOAC Management.

GroupValue95% CI
All Patients2.0± 1.1
Duration of First NOAC, All NOAC and Subsequent NOAC Treatment Secondary · 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
GroupValue95% CI
All Patients9.4± 6.5
All NOAC
GroupValue95% CI
All Patients9.6± 6.5
Subsequent NOAC
GroupValue95% CI
All Patients5.1± 4.1
Number of Patients Who Required Discontinuing the NOAC Treatment, to Adjust the NOAC Dose or to Change to a New NOAC Secondary · 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
GroupValue95% CI
All Patients4
Dose adjustment
GroupValue95% CI
All Patients20
Change to a new NOAC
GroupValue95% CI
All Patients32
No change
GroupValue95% CI
All Patients907
Number of Patients Who Changed From One NOAC to a New NOAC Type and Dose Secondary · 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.

GroupValue95% CI
All Patients5
All Patients4
All Patients1
All Patients2
Reason for Treatment Changes Secondary · 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
GroupValue95% CI
All Patients5
Investigator decision
GroupValue95% CI
All Patients30
Patient decision
GroupValue95% CI
All Patients7
Adverse event
GroupValue95% CI
All Patients14
Number of Patients With Previous Treatment With Vitamin K Antagonists Secondary · single visit (Day 1)

Number of patient with Previous Treatment with Vitamin K Antagonists.

GroupValue95% CI
Dabigatran146
Rivaroxaban125
Apixaban100
Edoxaban53
All Patients424
Dabigatran168
Rivaroxaban128
Apixaban166
Edoxaban77
All Patients539

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.

Dabigatran
Serious: 3/314 (1%)
Deaths: 1/314

Serious adverse events (3 terms)

ReactionSystemDabigatran
Sudden deathGeneral disorders
Ischaemic strokeNervous system disorders
Cerebrovascular disorderNervous system disorders

Most-reported serious reactions: Sudden death, Ischaemic stroke, Cerebrovascular disorder.

Data from ClinicalTrials.gov NCT03285373 adverse events section.

Sponsor's own description

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.

Verify or expand the search:

Other trials of NOAC

Trials testing the same drug.

Other recruiting trials for Atrial Fibrillation

Currently open trials in the same condition.

Other Boehringer Ingelheim trials

Trials by the same sponsor.

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Data sources for this page

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.

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