Anticoagulation for Stroke Prevention In Patients With Recent Episodes of Atrial Fibrillation Occurring Transiently With Stress
NCT03968393 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 2270
Last updated 2026-01-12
Summary
Multinational, investigator-initiated study of oral anticoagulation versus no anticoagulation for the prevention of stroke and other adverse cardiovascular events in patients with transient atrial fibrillation occurring transiently with stress and additional stroke risk factors.
Conditions
Interventions
- DRUG
-
Non-vitamin K oral anticoagulant (NOAC)
Participants randomized to the intervention arm will be prescribed one of the following NOACs for the duration of follow-up: edoxaban 60 mg daily (dose reduction to 30 mg, if applicable), apixaban 5 mg twice daily (dose reduction to 2.5 mg, if applicable), dabigatran 110 mg twice daily, or rivaroxaban 20 mg daily (dose reduction to 15 mg, if applicable). The choice of NOAC will be left up to the participant's prescribing physician.
Sponsors & Collaborators
-
Population Health Research Institute
lead OTHER -
Hamilton Health Sciences Corporation
collaborator OTHER
Principal Investigators
-
David Conen, MD, MPH · Population Health Research Institute
-
PJ Devereaux, MD, PhD · Population Health Research Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-06-14
- Primary Completion
- 2028-12-31
- Completion
- 2028-12-31
- FDA Drug
- Yes
Countries
- United States
- Argentina
- Australia
- Brazil
- Canada
- Denmark
- Finland
- Germany
- India
- Italy
- Nepal
- Netherlands
- Pakistan
- South Korea
- Spain
- Sweden
- Switzerland
- United Kingdom
Study Locations
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