NCT04174859

Brief Summary

While it is well known that stopping or changing medication with blood thinners in patients who suffer from non-valvular atrial fibrillation (NVAF) increases the risk of ischemic stroke (a condition which occurs when a vessel supplying blood to the brain is obstructed), bleeding or thromboembolism (a condition that happens when a blood clot forms elsewhere in the body and travels through the blood stream to plug another vessel), limited data are available on the number of NVAF patients and the reasons why NVAF patients in Italy stop or change their treatment with blood thinners to prevent stroke or thromboembolism. By following the NVAF patients in routine clinical practice in Italy who are treated with rivaroxaban to prevent stroke or systemic embolism researchers want to find out how many NVAF patients and for what reasons NVAF patients stopped or changed rivaroxaban treatment. Study data will be collected through patients' routine visits at their treating doctor over a period of 24 months for each patient.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
812

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2019

Typical duration for all trials

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

November 21, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 22, 2019

Completed
18 days until next milestone

Study Start

First participant enrolled

December 10, 2019

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2022

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 12, 2022

Completed
Last Updated

October 18, 2024

Status Verified

October 1, 2024

Enrollment Period

2.6 years

First QC Date

November 21, 2019

Last Update Submit

October 17, 2024

Conditions

Keywords

Atrial Fibrillation (AF)NVAF

Outcome Measures

Primary Outcomes (3)

  • Date of start of rivaroxaban treatment

    24 months

  • Date of stop of rivaroxaban treatment

    24 months

  • Number of patients who discontinue (i.e: number of discontinuation) from study initiation to end of observation/follow up.

    24 months

Secondary Outcomes (4)

  • Reasons for discontinuation of rivaroxaban therapy

    24 months

  • Reason for dose change of rivaroxaban therapy

    24 months

  • Reason for switch to other therapy

    24 months

  • Treatment adherence: Self-reported medication adherence measured by the MMAS-8 (Morinsky Scale score)

    24 months

Study Arms (1)

NVAF patients

Start treatment with rivaroxaban at the discretion of physician.

Drug: Rivaroxaban (Xarelto, BAY59-7939)

Interventions

Treatment dose is following the description of physicians.

NVAF patients

Eligibility Criteria

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

NVAF patients who are treated with rivaroxaban to prevent stroke or non-CNS systemic embolism. Owing to the observational study design, patients will only be enrolled in the study if the decision to treat with rivaroxaban has been made by the treating physician in advance and independent of study inclusion. The decision to prescribe rivaroxaban is solely at the discretion of the investigator and made in accordance with his/her experience in accordance to SmPC.

You may qualify if:

  • Age \>= 18
  • Patient with a diagnosis of NVAF
  • New user to rivaroxaban, naïve or non naïve to treatment with oral anticoagulant
  • Patient for whom the decision to initiate treatment with rivaroxaban was made as per physician's routine treatment practice for prevention of stroke and non-central nervous system (CNS) systemic embolism
  • Signed an informed consent

You may not qualify if:

  • Patient with heart valve replacement
  • Patient is participating in an investigational program with interventions outside of routine clinical practice

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Many locations

Multiple Locations, Italy

Location

Related Links

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Rivaroxaban

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsMorpholinesOxazinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 21, 2019

First Posted

November 22, 2019

Study Start

December 10, 2019

Primary Completion

June 30, 2022

Study Completion

December 12, 2022

Last Updated

October 18, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

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