Avoiding Anticoagulation After IntraCerebral Haemorrhage
NCT03243175 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2026-04-07
Summary
Randomised controlled trials (RCTs) demonstrate a substantial benefit from oral anticoagulant drugs for the prevention of stroke and systemic embolism in non-valvular atrial fibrillation (AF). However, these RCTs excluded patients with prior intracerebral haemorrhage (ICH). Therefore, guidelines are unable to recommend whether oral anticoagulant drugs, in particular non-vitamin K antagonist (called direct OAC) - can be used for patients with AF after an intracerebral haemorrhage.
Roughly 30% of adults with ICH have AF but in 2017 it remains unclear whether they should start oral anticoagulant drugs, be treated with left atrial appendage closure (LAAC) or avoid anticoagulation and LAAC.
Conditions
- Intracerebral Hemorrhage
- Atrial Fibrillation
- Microhaemorrhage
Interventions
- DRUG
-
Apixaban 5 MG
Apixaban 5mg x 2 during 24 months
- DEVICE
-
left atrial appendage closure
left atrial appendage closure
Sponsors & Collaborators
-
Ministry of Health, France
collaborator OTHER_GOV -
Institut National de la Santé Et de la Recherche Médicale, France
collaborator OTHER_GOV -
University Hospital, Lille
lead OTHER
Principal Investigators
-
Charlotte Cordonnier, MD, PhD · University Hospital Lille, Inserm, Univ Lille
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-01-17
- Primary Completion
- 2029-01-31
- Completion
- 2029-12-31
Countries
- France
Study Locations
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