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NCT05705089: REWARF-STEMI
Rivaroxaban vErsus Warfarin for Antithrombotic TheRapy in Patients With LeFt Ventricular Thrombus After Acute STEMI
Phase 3 trial testing Rivaroxaban 15 MG in Left Ventricular Thrombus in 50 participants. Completed in 1 April 2023.
1 February 2023
Quick facts
| Lead sponsor | Rajaie Cardiovascular Medical and Research Center |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 50 |
| Start date | 30 July 2020 |
| Primary completion | 1 February 2023 |
| Estimated completion | 1 April 2023 |
| Sites | 2 locations across Iran |
Drugs / interventions tested
- Rivaroxaban 15 MG
- Warfarin (warfarin) — full drug profile →
Conditions studied
- Left Ventricular Thrombus — all drugs for Left Ventricular Thrombus →
- ST Segment Elevation Myocardial Infarction — all drugs for ST Segment Elevation Myocardial Infarction →
Sponsor
Rajaie Cardiovascular Medical and Research Center — full company profile →
Who can join
Adults 18 to 80, any sex, with Left Ventricular Thrombus or ST Segment Elevation Myocardial Infarction. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The purpose of the study is to assess the safety and efficacy of rivaroxaban-based versus warfarin-based antithrombotic regimens on outcomes of patients with left ventricle thrombosis following acute ST elevation myocardial infarction at 3 months from enrollment in an open-label parallel groups pilot randomized clinical trial
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
-
Direct oral anticoagulants or warfarin in patients with left ventricular thrombus after ST-elevation myocardial infarction: a pilot trial and a prespecified meta-analysis of randomised trials.
Jenab Y, Sadeghipour P, Mohseni-Badalabadi R, Kaviani R, et al · · 2025 · cited 18× · PMID 39773831 · DOI 10.4244/eij-d-24-00527 -
Trial sequential analysis of efficacy and safety of direct oral anticoagulants and vitamin K antagonists against left ventricular thrombus.
Kitano T, Nabeshima Y, Kataoka M, Takeuchi M. · · 2023 · cited 6× · PMID 37580355 · DOI 10.1038/s41598-023-40389-x -
Decoding vascular calcification: mechanistic insights and translational strategies.
Adelnia H, Ray S, Ta HT. · · 2026 · PMID 41665680 · DOI 10.1007/s00018-026-06086-4 -
Efficacy and safety of direct oral anticoagulants versus warfarin in patients with a left ventricular thrombus: an updated systematic review and meta-analysis of randomised controlled trials.
Costa TA, Chagas GCL, Tavares de Sousa LM, Lins de Souza B, et al · · 2025 · PMID 41265923 · DOI 10.1136/openhrt-2025-003542
Verify or expand the search:
- PubMed search for NCT05705089
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Rivaroxaban 15 MG
Trials testing the same drug.
- NCT06187311 — Clinical Trial to Evaluate Efficacy and Safety of Rivaroxaban 15mg and 20mg in Patients With Non-valvular Atrial Fibrill · Phase 4 · recruiting
- NCT05669313 — The Effects of Hypothermia and Acidosis on Coagulation During Treatment With Rivaroxaban Measured With ROTEM · completed
- NCT05233124 — Antithrombotic Therapy in Acute Coronary Syndromes and Coronary Artery Ectasia · Phase 2 · unknown
Other recruiting trials for Left Ventricular Thrombus
Currently open trials in the same condition.
- NCT06515730 — Treatment With Apixaban Versus Warfarin in Patients With Left Ventricular Thrombus After Acute Myocardial Infarction · Phase 4 · recruiting
- NCT06742567 — Apixaban Prophylaxis for Prevention of Left Ventricular Thrombus Following Anterior Myocardial Infarction · Phase 3 · recruiting
Other Rajaie Cardiovascular Medical and Research Center trials
Trials by the same sponsor.
- NCT06541691 — Coated or Chewable Aspirin and a Hybrid Strategy to Mitigate Adverse Effects of Air Pollution in Stable Atherosclerotic · NA · recruiting
- NCT06124937 — Empagliflozin to Prevent Post-Operative Atrial Fibrillation · Phase 3 · unknown
- NCT04486508 — Intermediate-dose vs Standard Prophylactic Anticoagulation and Statin vs Placebo in ICU Patients With COVID-19 · Phase 3 · completed
- NCT04304118 — Rajaie Cardiomyopathy and Myocarditis Registry · unknown
- NCT03926156 — RIvoraxaban in Mitral Stenosis · Phase 3 · terminated
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05705089 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Rajaie Cardiovascular Medical and Research Center
- Last refreshed: 7 April 2023
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/NCT05705089.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing