NCT02611635

Brief Summary

The main research question of this patient survey is to assess AF patients' preferences associated with different attributes which describe the different available anticoagulation treatment options (VKA or NOACs and, in case of NOACs, Apixaban, Dabigatran or Rivaroxaban). VKA (Waran®) will be compared to Rivaroxaban.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
382

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2016

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 16, 2015

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 23, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

February 2, 2016

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 26, 2017

Completed
21 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 16, 2017

Completed
Last Updated

February 7, 2018

Status Verified

February 1, 2018

Enrollment Period

12 months

First QC Date

October 16, 2015

Last Update Submit

February 6, 2018

Conditions

Keywords

non-valvular Atrial FibrillationPatient treatment preferenceNOACVKA

Outcome Measures

Primary Outcomes (5)

  • AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Frequency of intake (once/twice daily)

    up to 4 weeks after enrollment of patient

  • AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Need of International normalized ratio (INR) monitoring/dose adjustment (yes/no)

    up to 4 weeks after enrollment of patient

  • AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Need of bridging (yes/no)

    up to 4 weeks after enrollment of patient

  • AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Interactions with food/drugs (yes/no)

    up to 4 weeks after enrollment of patient

  • AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Distance to treating physician (1km or 50km).

    up to 4 weeks after enrollment of patient

Secondary Outcomes (10)

  • Patient-related burden of treatment with anticoagulants measured by the Benefit and Burden Scale of the Anti-clot Treatment Scale (ACTS)

    Baseline

  • Patient's quality of life measured using the SF-12 (interview version)

    up to 4 weeks after enrollment of patient

  • Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Age

    Baseline

  • Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Gender

    Baseline

  • Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: preferred Anticoagulation treatment (agent)

    Baseline

  • +5 more secondary outcomes

Study Arms (2)

VKA treatment of AF / Cohort 1

A sample of about 200 patients with non-valvular atrial fibrillation who are treated with VKAs for at least three months at date of study inclusion

Drug: VKA: Warfarin (Waran)

NOAC treatment of AF / Cohort 2

A sample of about 200 patients with non-valvular atrial fibrillation who are treated with NOACs for at least three months at date of study inclusion

Drug: NOAC: Rivaroxaban (Xarelto, BAY59-7939)Drug: NOAC: Dabigatran etexilateDrug: NOAC: ApixabanDrug: NOAC: EdoxabanDrug: NOAC: Lixiana

Interventions

VKA have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

VKA treatment of AF / Cohort 1

NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

NOAC treatment of AF / Cohort 2

NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

NOAC treatment of AF / Cohort 2

NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

NOAC treatment of AF / Cohort 2

NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

NOAC treatment of AF / Cohort 2

NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

NOAC treatment of AF / Cohort 2

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients in primary care / internal medicine specialist practices or cardiology outpatient clinics in Sweden.

You may qualify if:

  • Patients with a confirmed diagnosis of nonvalvular atrial fibrillation (persistent, paroxysmal, permanent),
  • Generally willingness (informed consent) and ability to fill out a survey on satisfaction with treatment and quality of life, and to conduct a structured phone interview (approx. 20 - 30 min) in Swedish language.
  • Continuous anticoagulation with either Apixaban, or Dabigatran or Rivaroxaban for prevention of Stroke \& systemic embolism for at least the previous 3 months.
  • Continuous anticoagulation with a VKA for prevention of Stroke \& systemic embolism for at least the previous 3 months.

You may not qualify if:

  • Participation in another

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Unknown Facility

Multiple Locations, Sweden

Location

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Vitamin B 6Rivaroxaban

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

PicolinesPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsThiophenesSulfur CompoundsOrganic ChemicalsMorpholinesOxazines

Study Officials

  • Bayer Study Director

    Bayer

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2015

First Posted

November 23, 2015

Study Start

February 2, 2016

Primary Completion

January 26, 2017

Study Completion

February 16, 2017

Last Updated

February 7, 2018

Record last verified: 2018-02

Locations