Real-world Comparative Effectiveness of Stroke Prevention in Patients With Atrial Fibrillation Treated With Factor Xa Non-vitamin-K Oral Anticoagulants (NOACs) vs. Phenprocoumon
NCT03563937 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 64920
Last updated 2020-11-27
Summary
Existing real-world studies have provided evidence that novel oral anticoagulants (NOACs) in general and rivaroxaban in particular are more effective and at least as safe as warfarin in non-valvular atrial fibrillation (NVAF) patients with renal impairment. Nevertheless, it is known that clinicians often hesitate to prescribe NOACs to patients with even moderate renal impairment. Therefore, it is important to investigate effectiveness and safety of rivaroxaban and other NOACs compared to vitamin-K antagonists in NVAF patients with renal dysfunction in real life setting.
The primary objectives of this study are to describe the risk of ischemic stroke (IS)/ systemic embolism (SE) and intracranial hemorrhage (ICH) in patients with non-valvular atrial fibrillation (NVAF) and renal impairment initiating treatment with individual NOACs (rivaroxaban, apixaban, edoxaban) compared to phenprocoumon.
Conditions
Interventions
- DRUG
-
Phenprocoumon
Follow the physician's prescription.
- DRUG
-
Apixaban
2.5 mg or 5 mg, twice daily
- DRUG
-
Rivaroxaban (Xarelto, BAY59-7939)
15 mg or 20 mg, once daily
- DRUG
-
Edoxaban
30 mg or 60 mg, once daily
Sponsors & Collaborators
-
Janssen Research & Development, LLC
collaborator INDUSTRY - lead INDUSTRY
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-06-15
- Primary Completion
- 2019-12-10
- Completion
- 2019-12-10
Countries
- Germany
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