Apixaban After Anticoagulation-associated Intracerebral Haemorrhage in Patients With Atrial Fibrillation
NCT02565693 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 101
Last updated 2021-04-14
Summary
There is a marked lack of evidence on the optimal prevention of ischaemic stroke in patients with atrial fibrillation and a recent intracerebral haemorrhage (ICH) during treatment with oral anticoagulation. These patients are currently treated with vitamin K antagonists, DOACs, antiplatelet drugs, or no antithrombotic treatment, depending on personal and institutional preferences. Treatment with a direct oral anticoagulant like apixaban might be an attractive alternative in terms of a low risk of recurrent ICH, while at the same time being effective for the prevention of ischaemic stroke. This study aims to obtain reliable estimates of the rates of vascular death or non-fatal stroke in patients with atrial fibrillation and a recent anticoagulation-associated intracerebral haemorrhage who are treated with apixaban versus those who are treated with antiplatelet drugs or no antithrombotic drug at all.
This study has a multi-centre, phase II, randomised, open-label clinical trial with blinded outcome assessment design.
Conditions
- Cerebral Hemorrhage
- Atrial Fibrillation
Interventions
- DRUG
-
Apixaban
- DRUG
- DRUG
-
Carbasalate calcium
- DRUG
-
Clopidogrel
- DRUG
-
Dipyridamole
- OTHER
-
No antithrombotic treatment
Sponsors & Collaborators
-
Dutch Heart Foundation
collaborator OTHER -
ZonMw: The Netherlands Organisation for Health Research and Development
collaborator OTHER -
UMC Utrecht
lead OTHER
Principal Investigators
-
Catharina JM Klijn, MD PhD · Radboud University Medical Center
-
H Bart van der Worp, MD PhD · UMC Utrecht
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2021-01-31
- Completion
- 2021-01-31
Countries
- Netherlands
Study Locations
More Related Trials
-
Apixaban for the Reduction of Thrombo-Embolism in Patients With Device-Detected Sub-Clinical Atrial Fibrillation
NCT01938248 ·Status: COMPLETED ·Phase: PHASE4
-
Trial of Apixaban vs Warfarin in Reducing Rate of Cognitive Decline, Silent Cerebral Infarcts and Cerebral Microbleeds in Patients With Atrial Fibrillation
NCT03839355 ·Status: TERMINATED ·Phase: PHASE3
-
A Phase III Study of Apixaban in Patients With Atrial Fibrillation
NCT00496769 ·Status: COMPLETED ·Phase: PHASE3
-
Direct Oral Anticoagulants in Patients With Atrial Fibrillation (DOACs vs DOACs)
NCT03568916 ·Status: COMPLETED
-
Therapy With New Oral Anticoagulants
NCT02222090 ·Status: UNKNOWN
-
Long-term Safety in Atrial Fibrillation Patients
NCT00645853 ·Status: COMPLETED ·Phase: PHASE2
-
Use of Direct Oral Anticoagulants in UK
NCT03119116 ·Status: COMPLETED
-
What is the Optimal Antithrombotic Strategy in Patients With Atrial Fibrillation Undergoing PCI?
NCT04436978 ·Status: RECRUITING ·Phase: PHASE4
-
Atrial Fibrillation (AF) Patients Not Taking Vitamin-K Antagonist (VKA)
NCT00623779 ·Status: COMPLETED ·Phase: PHASE2
-
Evolution of Coagulation Activity in Non Valvular Atrial Fibrillation Patients Under Apixaban
NCT03136510 ·Status: TERMINATED ·Phase: NA
-
Safety and Effectiveness of Apixaban Compared to Warfarin in Secondary Prevention in Patients With Atrial Fibrillation
NCT05321810 ·Status: COMPLETED
-
Evaluation of Weekly Idrabiotaparinux Sodium Versus Oral Adjusted-dose Warfarin to Prevent Stroke and Systemic Thromboembolic Events in Patients With Atrial Fibrillation
NCT00580216 ·Status: TERMINATED ·Phase: PHASE3
-
What is the Optimal antiplatElet and Anticoagulant Therapy in Patients With Oral Anticoagulation Undergoing revasculariSaTion 2.
NCT02635230 ·Status: UNKNOWN
-
Safety and Efficacy of Apixaban in Very Old Geriatric Subjects (> 80 Years) With Atrial FIbrillation in a Prospective reAl World Study;
NCT04586972 ·Status: COMPLETED
-
Clopidogrel With Aspirin in High-risk Patients With Acute Non-disabling Cerebrovascular Events II
NCT04078737 ·Status: COMPLETED ·Phase: PHASE3
-
Assessment of The Effect of Apixaban in AF
NCT03199521 ·Status: COMPLETED
-
Hirudin Plus Aspirin in the Secondary Prevention of Cardioembolic Stroke Due to Nonvalvular Atrial Fibrillation
NCT02181361 ·Status: COMPLETED
-
Direct Oral Anticoagulants in Patients with Atrial Fibrillation (DOACs Vs Warfarin)
NCT03596502 ·Status: COMPLETED
-
Apixaban Versus Dual-antiplatelet Therapy (Clopidogrel and Aspirin) in Acute Non-disabling Cerebrovascular Events
NCT01924325 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Prevention of Stroke and Systemic Embolic Events in Patients With Atrial Fibrillation
NCT00684307 ·Status: COMPLETED ·Phase: PHASE2
-
Safety Study of Apixaban in Recent Acute Coronary Syndrome
NCT00313300 ·Status: COMPLETED ·Phase: PHASE2
-
Assessment of Quitting Versus Using Aspirin Therapy In Patients Treated With Oral Anticoagulation for Atrial Fibrillation or Other Indication With Stabilized Coronary Artery Disease
NCT04217447 ·Status: TERMINATED ·Phase: PHASE3
-
Efficacy and Safety of Aspirin and Clopidogrel in the Atrial Fibrillation With Low or Moderate Stroke Risk
NCT02960126 ·Status: UNKNOWN ·Phase: PHASE3
-
NOACs for Stroke Prevention in Patients With Atrial Fibrillation and Previous ICH
NCT02998905 ·Status: COMPLETED ·Phase: PHASE2
-
The Middle East Dual Anti-platelet Treatment in Acute Transient Ischemic Attack
NCT02144831 ·Status: WITHDRAWN ·Phase: PHASE4