Post-Operative Biomarker-Guided Precision Medicine For Cardiovascular Risk Reduction
NCT06961630 · Status: RECRUITING · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-04-06
Summary
The goal of this pilot study is to assess enrollment feasibility of a randomized trial of direct oral anticoagulant and high-intensity statin therapy versus usual care in patients with Myocardial Injury after Noncardiac Surgery (MINS). The primary aims of this study are to assess feasibility, study drug adherence, and optimize study design (entry criteria, study endpoints, sample size calculation, site selection) and recruitment strategies for the future multicenter randomized clinical trial studying biomarker-based care in post-operative patients at elevated cardiovascular (CV) risk.
Conditions
- Myocardial Injury After Noncardiac Surgery
Interventions
- DRUG
-
Rivaroxaban
Rivaroxaban 2.5mg will be orally administered twice daily for 6 months.
- DRUG
-
Atorvastatin 80mg will be orally administered daily for 6 months.
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH - lead OTHER
Principal Investigators
-
Nathaniel R. Smilowitz, MD, MS · NYU Langone Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-07
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Future Optimal Research and Care Evaluation - Aortic Stenosis
NCT06168123 ·Status: RECRUITING
-
RanDOmized stUdy Comparing Both Latest Generation Self-Expanding Valves and a Minimalist approaCH vs. Standard Of Care In transCathEter Aortic Valve Implantation
NCT05036018 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Rivaroxaban vs Warfarin in Patients With Metallic Prosthesis
NCT03566303 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Antagonization of Heparin With Protamine Sulfate After TAVI
NCT06215378 ·Status: RECRUITING ·Phase: PHASE3
-
Stroke Volume Analysis During Aortic Valve Replacement Trial
NCT02156856 ·Status: UNKNOWN
-
Assessment of TRanscathetEr and Surgical Aortic BiOprosthetic Valve Thrombosis and Its TrEatment With Anticoagulation
NCT02318342 ·Status: RECRUITING ·Phase: NA
-
REdo tranScatheter Aortic Valve Replacement for Transcatheter aOrtic Valve failuRE
NCT06777368 ·Status: RECRUITING
-
Cardioprotective Effect of RIPC in Patients Undergoing TAVI
NCT02283398 ·Status: WITHDRAWN ·Phase: NA
-
Assessment of Clinical Onset of IV Heparin in Interventional Cardiology and Cardiac Surgery
NCT04785885 ·Status: UNKNOWN
-
Prehabilitation to Improve Functional and Clinical Outcomes in Patients With Aortic Stenosis
NCT02597985 ·Status: COMPLETED ·Phase: NA
-
Ischemic And Bleeding Risk Assessment After TAVR
NCT06000943 ·Status: RECRUITING
-
Avr Thrombosis OutcoMe Study
NCT04234841 ·Status: NOT_YET_RECRUITING
-
Early Prediction of Major Adverse Cardiovascular Events Using Remote Monitoring
NCT03064360 ·Status: COMPLETED
-
Choice of Valve Substitute in the Era of Oral Anticoagulation Self-Management
NCT01269905 ·Status: COMPLETED
-
Randomized Trial of TAVI vs. SAVR in Patients With Severe Aortic Valve Stenosis at Low to Intermediate Risk of Mortality
NCT03112980 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
CoreValve Advance-II Study: Prospective International Post-market Study
NCT01624870 ·Status: COMPLETED
-
Comparative Analysis of Stented Biological Prosthesis Versus Aortic Allograft in Patients With Degenerative Aortic Valve Disease
NCT07210541 ·Status: COMPLETED
-
Impact of Beta-blocker on Outcome Among Patients Undergoing Transcatheter Aortic Valve Replacement (B-TAVR)
NCT06472934 ·Status: RECRUITING ·Phase: NA
-
PROVE ACURATE neo2™ - Post Market Safety and Performance Surveillance in Aortic Stenosis
NCT05539573 ·Status: ACTIVE_NOT_RECRUITING
-
SecondarY Prevention and maNagement of Myocardial Injury aftER Noncardiac surGerY (SYNERGY) Pilot Trial
NCT06768034 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Physiological Reconditioning Program Administered Remotely in Patients Undergoing Transcatheter Aortic Valve Replacement: A Pilot Study
NCT03801460 ·Status: UNKNOWN ·Phase: NA
-
Outcome Prediction in Patients With Aortic Stenosis After TAVI
NCT06043180 ·Status: NOT_YET_RECRUITING
-
STrategies for Antithrombotic tReatment Following Transcatheter Edge-to-Edge Repair in Patients With an Indication for Oral Anticoagulant
NCT06901466 ·Status: RECRUITING ·Phase: PHASE4
-
Dapagliflozin After Transcatheter Aortic Valve Implantation
NCT04696185 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy Study of the Medtronic CoreValve® System in the Treatment of Severe, Symptomatic Aortic Stenosis in Intermediate Risk Subjects Who Need Aortic Valve Replacement (SURTAVI).
NCT01586910 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA