Aspirin Monotherapy Versus Sequential Warfarin-Aspirin Therapy After TAVR in Patients With Pure Aortic Regurgitation
NCT07677410 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1172
Last updated 2026-08-10
Summary
This multicenter randomized controlled trial evaluates antithrombotic strategies post-TAVR in severe aortic regurgitation patients without long-term anticoagulation. Patients are randomized 1:1 to aspirin 75-100 mg daily for 12 months versus warfarin (INR 2-3) for 6 months followed by aspirin for 6 months. Primary hypothesis: aspirin is superior for bleeding and non-inferior for death/thrombosis. Primary endpoint is a composite of death, stroke, thrombosis, MI, embolism, and major bleeding at 1 year. Sample size: 1172. Follow-up: 30 days, 6 months, 12 months.
Conditions
- Aortic Regurgitation Disease
Interventions
- DRUG
-
Aspirin 75-100 mg orally once daily
- DRUG
-
Warfarin
Warfarin orally with dose adjusted to maintain INR 2-3
Sponsors & Collaborators
-
Suzhou Jiecheng Medical Technology Co., Ltd.
collaborator UNKNOWN -
Shanghai Zhongshan Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-18
- Primary Completion
- 2029-07-01
- Completion
- 2030-07-01
Countries
- China
Study Locations
More Related Trials
-
Screening for Amyloidosis Before Aortic Valve Elective Replacement
NCT04869631 ·Status: ACTIVE_NOT_RECRUITING
-
Safety & Efficacy of the J-Valve Ausper System in Patients With Severe Aortic Stenosis and/or Aortic Regurgitation
NCT03025971 ·Status: COMPLETED ·Phase: NA
-
ART Trial: Transcatheter J-VALVE Versus Surgery for Aortic Regurgitation Therapy
NCT07453407 ·Status: RECRUITING ·Phase: NA
-
TAVR in Adults With Pure Severe Aortic Regurgitation
NCT05737264 ·Status: UNKNOWN
-
Outcomes for Patients With Ascending Aortic Dilation Who Underwent TAVR
NCT07148973 ·Status: COMPLETED
-
Low-dose Colchicine for Thromboprophylaxis After Transcatheter Aortic Valve Replacement
NCT07411768 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Myocardial Efficiency of the Left Ventricle in Asymptomatic Patients With Aortic Valve Stenosis - a Prognostic Marker and a Target for Intervention?
NCT02076711 ·Status: COMPLETED ·Phase: PHASE2
-
A Prospective, Multicenter, Observational Study of the Safety and Efficacy of Emergency Transcatheter Aortic Valve Replacement in Patients With Severe Aortic Stenosis
NCT07108478 ·Status: NOT_YET_RECRUITING
-
Early Surgery for Patients With Asymptomatic Aortic Stenosis
NCT02627391 ·Status: UNKNOWN ·Phase: NA
-
Safety and Efficacy of Emergent TAVI in Patients With Severe AS
NCT05528211 ·Status: NOT_YET_RECRUITING
-
TAVR for Aortic Regurgitation Under TTE Guidance
NCT07458672 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy of Angiotensin Receptor Blocker Following aortIc Valve Intervention for Aortic STenOsis: a Randomized mulTi-cEntric Double-blind Phase II Study
NCT03315832 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
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
-
Progression of Ascending Aorta Diameters in Bicuspid Aortic Valve After Transcatheter or Surgical Replacement.
NCT05708118 ·Status: UNKNOWN
-
The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis
NCT03163329 ·Status: UNKNOWN ·Phase: PHASE2
-
Choice of Valve Substitute in the Era of Oral Anticoagulation Self-Management
NCT01269905 ·Status: COMPLETED
-
Early Versus Deferred Aortic Valve Replacement in Patients With Moderate Aortic Stenosis and Mitral Regurgitation
NCT05310461 ·Status: RECRUITING ·Phase: NA
-
Strategies to Prevent Transcatheter Heart Valve Dysfunction in Low Risk Transcatheter Aortic Valve Replacement
NCT03557242 ·Status: UNKNOWN ·Phase: NA
-
Transcatheter Aortic Valve Replacement for Pure Severe Aortic Valve Regurgitation
NCT06381271 ·Status: RECRUITING
-
Ischemic And Bleeding Risk Assessment After TAVR
NCT06000943 ·Status: RECRUITING
-
Transcatheter Aortic Valve Replacement for Failed Transcatheter Aortic Valve
NCT04500964 ·Status: COMPLETED
-
Evaluate the Transcatheter Artificial Aortic Valve and Transcatheter Artificial Heart Values Delivery System
NCT03788590 ·Status: UNKNOWN ·Phase: NA
-
A Clinical and Imaging Registry of Transcatheter Aortic Valve Implantation Using JenaValve System/ J-Valve System for Patients With Pure Aortic Regurgitation
NCT07021612 ·Status: RECRUITING
-
Erythropoietin + Iron Therapy for Anemic Patients Undergoing Aortic Valve Replacement
NCT02390102 ·Status: COMPLETED ·Phase: PHASE3
-
Outcome, Recuperation and Hemodynamics in Aortic Stenosis
NCT05272020 ·Status: UNKNOWN ·Phase: NA