APixaban vs. PhenpRocoumon in Patients With ACS and AF: APPROACH-ACS-AF
NCT02789917 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 403
Last updated 2020-08-14
Summary
It is hypothesised that a dual therapy strategy by oral anticoagulation with the new Factor-Xa-inhibitor apixaban plus clopidogrel is superior to a triple therapy regimen with phenprocoumon plus acetylsalicylic acid (ASA) and clopidogrel with respect to avoiding bleeding events in patients with atrial fibrillation undergoing percutaneous coronary intervention in the setting of an acute coronary syndrome.
Conditions
- Acute Coronary Syndrome
- Atrial Fibrillation
- Coronary Artery Disease
Interventions
- OTHER
-
Dual Therapy
Combination of Apixaban 5mg/dl (or in reduced dosing of 2.5 mg/d depending on age, renal function and body weight) in combination with Clopidogrel 75 mg/d for 6 months.
- OTHER
-
Triple Therapy
HAS-BLED-Score \<3: Combination of Phrenprocoumon (INR 2.0-2.5), Clopidogrel (75mg/d) and ASA (100 mg/d) for 6 months. HAS-BLED-Score ≥ 3: Combination of Phrenprocoumon (INR 2.0-2.5), Clopidogrel (75mg/d) and ASA (100 mg/d) for 1 month followed by Phrenprocoumon (INR 2.0-3.0) and Clopidogrel (75mg/d) for 5 months.
Sponsors & Collaborators
-
Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)
collaborator OTHER -
Technical University of Munich
collaborator OTHER -
Helmholtz Zentrum München
collaborator INDUSTRY -
University of Göttingen
collaborator OTHER -
University of München
collaborator OTHER -
University Medicine Greifswald
collaborator OTHER -
LMU Klinikum
lead OTHER
Principal Investigators
-
Reza Wakili, MD · Klinikum der Universität München (LMU)
-
Steffen Massberg, Prof. · Klinikum der Universität München (LMU)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-06-30
- Primary Completion
- 2020-08-31
- Completion
- 2020-08-31
Countries
- Germany
Study Locations
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