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NCT03433235

Early Administration of Edoxaban After Acute Ischemic Stroke in Patients With Non-valvular Atrial Fibrillation

Completed Phase 2 Last updated 11 December 2020
What this trial tests

Phase 2 trial testing Edoxaban in Acute Ischemic Stroke in 68 participants. Completed in 2 July 2020.

Timeline
19 June 2018
Primary endpoint
14 April 2020
2 July 2020

Quick facts

Lead sponsorJong Sung Kim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment68
Start date19 June 2018
Primary completion14 April 2020
Estimated completion2 July 2020
Sites1 location across South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Jong Sung Kim

Who can join

20 and older, any sex, with Acute Ischemic Stroke. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The investigators hypothesize that earlier initiation of edoxaban in AF-related stroke patients may significantly reduce the early recurrence of ischemic stroke, compared with conventional strategy of anticoagulation following 1-3-6-12 rule. To expedite the verification of the hypothesis, the investigators are planning to use diffusion weighted imaging (DWI), which has been reported to be a surrogate to predict both short-term and long-term prognosis after stroke, to detect the recurrent ischemic events. Because data on the early anticoagulation in patients with AF-related stroke are limited, the investigators decided to perform a pilot study before establishing an appropriate clinical trial protocol. This study will help estimate the efficacy and safety of early administration of edoxaban, and determine the sample size of a following clinical trial. To ensure the safety in this pilot exploration, the investigators will not include patients with severe ischemic strokes, who are often prone to experience hemorrhagic transformation in the acute post-stroke period.

Publications & conference data

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

  1. Update of Anticoagulation Use in Cardioembolic Stroke With a Special Reference to Endovascular Treatment.
    Safouris A, Psychogios K, Palaiodimou L, Orosz P, et al · · 2024 · cited 5× · PMID 38326704 · DOI 10.5853/jos.2023.01578
  2. Early Administration of Edoxaban After Acute Ischemic Stroke in Patients With Non-valvular Atrial Fibrillation: A Pilot Randomized Trial.
    Kim JS, Lee KB, Chang DI, Cha JK, et al · · 2023 · cited 2× · PMID 37282378 · DOI 10.5853/jos.2023.00325
  3. Early recurrence of ischaemic stroke of cardioembolic cause and delayed anticoagulation: a case report.
    Aghetti A, Reiner P. · · 2022 · PMID 35462640 · DOI 10.7573/dic.2021-10-5

Verify or expand the search:

Other trials of Edoxaban

Trials testing the same drug.

Other recruiting trials for Acute Ischemic Stroke

Currently open trials in the same condition.

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Data sources for this page

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