Apixaban During Atrial Fibrillation Catheter Ablation: Comparison to Vitamin K Antagonist Therapy
NCT02227550 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 676
Last updated 2017-10-20
Summary
Study objective is to demonstrate that anticoagulation with the direct factor Xa inhibitor apixaban is not less safe than Vitamin-K-antagonists (VKA) therapy in patients undergoing catheter ablation of non-valvular AF in the prevention of peri-procedural complications.
The AXAFA trial will compare peri-ablational treatment with apixaban to peri-ablational treatment wit VKA in a randomized trial of patients undergoing catheter ablation of atrial fibrillation (AF).
Conditions
Interventions
- DRUG
-
Vitamin K antagonist
any locally used VKA, INR 2-3, min. 30 days according to aplicable medical guidelines and local clinical routin
- DRUG
-
Apixaban
factor Xa inhibitor Apixaban min. 30 days 5 mg twice daily (fix dose) dose reduction Apixaban 2,5 mg twice daily in patients who fulfill tow of the following criteria at the time of randomisation: chronic kidney disease (serum creatine \>= 1.5 mg/dl (133mM), \<= 60 kg body weight or age \>= 80 years.
Sponsors & Collaborators
- collaborator INDUSTRY
- collaborator INDUSTRY
-
Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)
collaborator OTHER -
Atrial Fibrillation Network
lead OTHER
Principal Investigators
-
Paulus Kirchhof, Professor · University of Birmingham Centre for Cardiovascular Scienes, UK and University Hospital Muenster, Germany
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-12-31
- Primary Completion
- 2017-04-30
- Completion
- 2017-09-30
Countries
- United States
- Austria
- Belgium
- Denmark
- Germany
- Italy
- Netherlands
- Spain
- United Kingdom
Study Locations
More Related Trials
-
Left Atrial Appendage Exclusion for Prophylactic Stroke Reduction Trial
NCT05478304 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Randomized Trial of Two Ablation Catheters in Paroxysmal Atrial Fibrillation
NCT00678340 ·Status: COMPLETED ·Phase: PHASE4
-
APIXABAN App Study
NCT06903845 ·Status: RECRUITING ·Phase: NA
-
A Trial of Circumferential Pulmonary Vein Ablation (CPVA) Versus Antiarrhythmic Drug Therapy in for Paroxysmal Atrial Fibrillation (AF)
NCT00340314 ·Status: COMPLETED ·Phase: PHASE4
-
Pulsed Field Ablation During Left Atrial Appendage Occlusion: A Randomised Controlled Trial
NCT06334250 ·Status: WITHDRAWN ·Phase: NA
-
Substrate and Trigger Ablation for Reduction of Atrial Fibrillation Trial - Star AF II Study
NCT01203748 ·Status: COMPLETED ·Phase: NA
-
Left Atrial Appendage Occlusion for AF Patients Unable to Use Oral Anticoagulation Therapy
NCT04676880 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Dapagliflozin to Prevent Atrial Fibrillation Recurrence After Transcatheter Pulmonary Venous Isolation.
NCT04780438 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Left Atrial Appendage Closure in Patients With Non-valvular Atrial Fibrillation and End-stage Chronic KIDNEY Disease
NCT05204212 ·Status: RECRUITING ·Phase: NA
-
Evaluation of the WATCHMAN Left Atrial Appendage (LAA) Closure Device in Patients With Atrial Fibrillation Versus Long Term Warfarin Therapy
NCT01182441 ·Status: COMPLETED ·Phase: PHASE3
-
STrategies for Catheter Ablation of peRsistent Atrial Fibrlllation
NCT04428944 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Stroke Feasibility Study
NCT01997905 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Safe Use of New Oral Anticoagulants in Ablation for Atrial Fibrillation
NCT02569255 ·Status: COMPLETED
-
Ablation of the Pulmonary Veins for Paroxysmal Afib
NCT00744874 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Anticoagulation With Left Atrial Appendage Closure After AF Ablation
NCT03795298 ·Status: COMPLETED ·Phase: NA
-
Sub-Clinical Atrial Fibrillation Biomarker Study
NCT02840201 ·Status: COMPLETED
-
NS-PFA Catheter Ablation of Paroxysmal Atrial Fibrillation With the Pulse Biosciences CellFX System
NCT07018596 ·Status: RECRUITING ·Phase: NA
-
Amplatzer Amulet LAAO vs. NOAC
NCT04226547 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Safety and Performance of the Affera SpherePVI™ Multi-Ablation System to Treat Paroxysmal Atrial Fibrillation
NCT05115214 ·Status: RECRUITING ·Phase: NA
-
Catheter Ablation for Recently Diagnosed Paroxysmal Atrial Fibrillation
NCT01505296 ·Status: WITHDRAWN ·Phase: PHASE4
-
Pulsed Field Ablation and Pulsed Field CRyoAbLation in PErsistent AtriaL FibrilLation
NCT05408754 ·Status: COMPLETED ·Phase: NA
-
A Multi-center Study of Apixaban(APPROACH)
NCT04550637 ·Status: UNKNOWN
-
Safety and Efficacy Study of the Combined Ablation Procedure to Treat Paroxysmal Atrial Fibrillation
NCT01103674 ·Status: TERMINATED ·Phase: NA
-
WATCHMAN Left Atrial Appendage System for Embolic PROTECTion in Patients With Atrial Fibrillation
NCT00129545 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Substrate Targeted Ablation Using the FlexAbility™ Ablation Catheter System for the Reduction of Ventricular Tachycardia
NCT02130765 ·Status: TERMINATED ·Phase: NA