The Direct Oral Anticoagulation Versus Vitamin K Antagonist After Cardiac Surgery Trial
NCT04284839 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 3500
Last updated 2025-09-29
Summary
The DANCE Trial is a multi-centre, randomized controlled trial comparing the safety of direct oral anticoagulants (DOAC) versus vitamin K antagonists (VKA) in the early period (30 days) after cardiac surgery in patients with atrial fibrillation requiring oral anticoagulation.
Conditions
- Bleeding Post Cardiac Surgery
- Indication for Anticoagulation
Interventions
- DRUG
-
DOAC
Patients will receive a DOAC at doses recommended for the indication, adjusted for their renal function is required. The choice of DOAC will be at the discretion of the treating physician.
- DRUG
-
VKA
Patients in the control group will receive VKA once daily; the individual dose will be titrated to achieve a guideline-recommended INR range.
Sponsors & Collaborators
-
Population Health Research Institute
lead OTHER -
Hamilton Health Sciences Corporation
collaborator OTHER
Principal Investigators
-
Emilie Belley-Cote, MD, MSc · McMaster University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-07-18
- Primary Completion
- 2027-06-30
- Completion
- 2027-06-30
Countries
- Australia
- Canada
- Germany
Study Locations
More Related Trials
-
Edoxaban Treatment Versus Vitamin K Antagonist in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention
NCT02866175 ·Status: COMPLETED ·Phase: PHASE3
-
Perioperative Anticoagulant Use for Surgery Evaluation Emergency Registry
NCT04195113 ·Status: COMPLETED
-
Does Thinning the Blood During Surgery Prevent Blood Clots Following Total Knee Replacement Surgery
NCT00253851 ·Status: COMPLETED ·Phase: PHASE4
-
The Perioperative Management of Anti-thrombotic Drug Registry
NCT03695159 ·Status: COMPLETED
-
Global Study to Assess the Safety and Effectiveness of Edoxaban (DU-176b) vs Standard Practice of Dosing With Warfarin in Patients With Atrial Fibrillation
NCT00781391 ·Status: COMPLETED ·Phase: PHASE3
-
The Danish Warfarin-Dialysis Study - Safety and Efficacy of Warfarin in Patients With Atrial Fibrillation on Dialysis
NCT03862859 ·Status: RECRUITING ·Phase: PHASE4
-
Real-world Comparative Effectiveness of Dabigatran Versus Vitamin K Antagonist
NCT02687867 ·Status: COMPLETED
-
Patient Convenience Study (RE-SONANCE)
NCT02684981 ·Status: COMPLETED
-
DOAC Versus VKA in Patients With Non-high-risk APS : Prospective Cohort Study
NCT06884384 ·Status: NOT_YET_RECRUITING
-
Avoiding Risks of Thrombosis and Bleeding in Surgery (ARTS) Trial
NCT06523959 ·Status: RECRUITING ·Phase: PHASE4
-
Validation of a Novel Dabigatran Based Peri-Operative Bridging Anticoagulation Protocol for Patients on Chronic Warfarin Therapy
NCT01810237 ·Status: WITHDRAWN ·Phase: NA
-
The Safety and Effectiveness of Warfarin and Dabigatran Prescribed in the Non-Valvular Atrial Fibrillation Population With DoD Healthcare Coverage
NCT02043808 ·Status: COMPLETED
-
Study of the Efficacy and Safety of DU-176b in Preventing Blood Clots in Patients Undergoing Total Hip Replacement
NCT00107900 ·Status: COMPLETED ·Phase: PHASE2
-
LEAVE Safe With DOACs
NCT04068727 ·Status: COMPLETED ·Phase: NA
-
Reinitiation of Anticoagulation After Temporary Withdrawal of Vitamin K Antagonist
NCT01348074 ·Status: COMPLETED ·Phase: PHASE2
-
Short-Term Anticoagulation Versus Antiplatelet Therapy for Preventing Device Thrombosis Following Left Atrial Appendage Closure
NCT03568890 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Non-Interventional Study Describing Direct Costs Related to Anti-coagulation Treatment
NCT04435769 ·Status: COMPLETED
-
Assays for and Reversal of New Anticoagulants
NCT01795781 ·Status: COMPLETED
-
Effectiveness of Bridging Anticoagulation for Surgery (The BRIDGE Study)
NCT00786474 ·Status: COMPLETED ·Phase: PHASE3
-
Dose-Response in PD and Safety of Cofact Under VKA Anticoagulation
NCT05205863 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Oral Anticoagulant Peri-procedural Management in Patients Undergoing an Oral Surgery, Implantology or Periodontology
NCT03150303 ·Status: TERMINATED
-
The Nordic Aortic Valve Intervention Trial 4 (NOTION-4)
NCT06449469 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
The Efficacy and Safety Study of Dabigatran and Warfarin to Non-valvular Atrial Fibrillation Patients
NCT02646267 ·Status: UNKNOWN ·Phase: PHASE4
-
Pradaxa (Dabigatran Etexilate 220 mg/q.d. in the General Population After Hip or Knee Replacement Surgery
NCT00846807 ·Status: COMPLETED
-
Comparing Different Routes and Doses of Phytonadione (Vitamin K) for Reversing Warfarin Treated Patients With Hip Fracture Before Surgery
NCT00905229 ·Status: WITHDRAWN ·Phase: NA