UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013341
Receipt number R000015566
Scientific Title Exploratory Study to Evaluate the Effect of Uninterrupted Anticoagulants in Catheter Ablation Procedure for Non-valvular Atrial Fibrillation - Comparison between Rivaroxaban and Warfarin -
Date of disclosure of the study information 2014/03/05
Last modified on 2018/09/07 14:01:01

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Basic information

Public title

Exploratory Study to Evaluate the Effect of Uninterrupted Anticoagulants in Catheter Ablation Procedure for Non-valvular Atrial Fibrillation
- Comparison between Rivaroxaban and Warfarin -

Acronym

A Study on Anticoagulant Therapy in Catheter Ablation for Atrial Fibrillation
- Rivaroxaban vs. Warfarin : A Comparative Study -

Scientific Title

Exploratory Study to Evaluate the Effect of Uninterrupted Anticoagulants in Catheter Ablation Procedure for Non-valvular Atrial Fibrillation
- Comparison between Rivaroxaban and Warfarin -

Scientific Title:Acronym

A Study on Anticoagulant Therapy in Catheter Ablation for Atrial Fibrillation
- Rivaroxaban vs. Warfarin : A Comparative Study -

Region

Japan


Condition

Condition

Non-valvular Atrial Fibrillation

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the thromboembolism/bleeding profile of anticoagulant therapy with rivaroxaban by contrast with that of warfarin in subjects with non-valvular atrial fibrillation who undergo catheter ablation procedure, as measured by the incidence rate of ablation-related asymptomatic cerebral infarction and post-procedural major bleeding event.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

the incidence of asymptomatic cerebral infarction caused by catheter ablation

Key secondary outcomes

1. the occurrence of post-procedural (30-40 days) major bleeding event

2. the occurrence of post-procedural (30-40 days) thromboembolic event


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Rivaroxavan will be orally administered at a dose of 15 mg once daily after evening meal. The administration will start one month before ablation and last until one month after that.

Interventions/Control_2

Warfarin will be orally administered once daily after evening meal. The dose of warfarin should be adjusted to achieve and maintain PT-INR in the therapeutic range of 2.0 to 3.0. The administration will start one month before ablation and last until one month after that.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients who fulfill all of the following criteria

1. Be diagnosed non-valvular atrial fibrillation

2. Be scheduled for catheter ablation procedure for AF

3. Has a left atrial diameter <= 55 mm

4. Be aged from 20 to 80 years

5. Sign an informed consent document
by himself/herself

Key exclusion criteria

Patients who fulfill at least one of the following criteria

1. Has a history of a prior stroke or TIA within 6 months before enrollment

2. Has a history of a major bleeding
within 12 months before enrollment

3. Has had major surgery including CABG within 6 months before enrollment

4. Has a history of a MI within 2 months before catheter ablation procedure

5. Has a CrCl < 30 mL/min at screening

6. Has a diagnosis or clinical condition requiring use of dual anti-platelet therapy

7. Has contraindications of rivaroxaban or warfarin

8. Be a patient judged as "inappropriate" by an investigator

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Seiji Takatsuki

Organization

Keio University School of Medicine

Division name

Department of Cardiology

Zip code


Address

35 Shinanomachi Shinjuku Tokyo

TEL

03-5843-6702

Email

seiji.takatsuki@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Seiji Takatsuki

Organization

Keio University School of Medicine

Division name

Department of Cardiology

Zip code


Address

35 Shinanomachi Shinjuku Tokyo

TEL

03-5843-6702

Homepage URL


Email

seiji.takatsuki@gmail.com


Sponsor or person

Institute

Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Bayer Yakuhin, Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

慶応義塾大学病院(東京都)、東京医療センター(東京都)


Other administrative information

Date of disclosure of the study information

2014 Year 03 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 12 Month 20 Day

Date of IRB


Anticipated trial start date

2014 Year 06 Month 16 Day

Last follow-up date

2016 Year 02 Month 29 Day

Date of closure to data entry

2016 Year 03 Month 31 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded

2017 Year 12 Month 28 Day


Other

Other related information



Management information

Registered date

2014 Year 03 Month 05 Day

Last modified on

2018 Year 09 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015566


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name