UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016424
Receipt number R000019074
Scientific Title An analysis on distribution and inter-relationships of biomarkers under rivaroxaban in Japanese patients with non-valvular atrial fibrillation (CVI ARO 1 study)
Date of disclosure of the study information 2015/02/02
Last modified on 2020/06/17 18:06:23

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Basic information

Public title

An analysis on distribution and inter-relationships of biomarkers under rivaroxaban in Japanese patients with non-valvular atrial fibrillation (CVI ARO 1 study)

Acronym

An analysis on distribution and inter-relationships of biomarkers under rivaroxaban in Japanese patients with non-valvular atrial fibrillation (CVI ARO 1 study)

Scientific Title

An analysis on distribution and inter-relationships of biomarkers under rivaroxaban in Japanese patients with non-valvular atrial fibrillation (CVI ARO 1 study)

Scientific Title:Acronym

An analysis on distribution and inter-relationships of biomarkers under rivaroxaban in Japanese patients with non-valvular atrial fibrillation (CVI ARO 1 study)

Region

Japan


Condition

Condition

Patients with non-valvular atrial fibrillation who are taking rivaroxaban for primary prevention of ischemic stroke

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To obtain the information regarding the clinical efficacy and the limitation of PT value in patients with non-valvular atrial fibrillation under rivaroxaban.

Basic objectives2

PK,PD

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

PT values with multiple reagents and anti-Xa activity under rivaroxaban, and serum concentration of rivaroxaban

Key secondary outcomes

adverse events including ischemic stroke


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with non-valvular atrial fibrillation
(including paroxysmal atrial fibrillation) who are taking rivaroxaban for primary
prevention of ischemic stroke (both of naive and experienced)

Key exclusion criteria

(1) Receiving dual anti-platelet therapy
(2) Inadequate dosage of rivaroxaban at PT measurement
(3) Rivaroxaban hypersensitivity
(4) River dysfunction with clotting disorder
(5) Moderate and high river dysfunction (Child-Pugh classification B or C)
(6) Renal dysfunction (creatinine clearance <30 mL/min)
(7) Women who are pregnant or may be pregnant
(8) Patients taking HIV protease inhibitor (ritonavir, atazanavir, indinavir, etc)
(9)Patients taking azole antimycotic agent (itraconazole, voriconazole, ketoconazole, etc., excluding fluconazole)
(10) Patients taking drugs containing cobicistat
(11) Patients taking drugs with CYP3A4 or strong P-glycoprotein derivant (rifampicin, phenytoin, carbamazepine, phenobarbital, Saint John's wort-containing food, etc.)
(12) Patients with acute bacterial endocarditis
(13) Patients who did not give written informed consents for this study
(14) Patients who are judged by the researchers as inadequate for this study

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Yamashita

Organization

The Cardiovascular Institute

Division name

Director

Zip code

106-0031

Address

3-2-19 Nishiazabu, Minato-Ku, Tokyo. ZIP: 106-0031

TEL

+81-3-3408-2151

Email

sinsuz-tky@umin.net


Public contact

Name of contact person

1st name Kazumi
Middle name
Last name Matsuda

Organization

The Cardio Vascular Institute Academic Research Organization (CVI ARO)

Division name

Head office

Zip code

106-0031

Address

3-2-19 Nishiazabu, Minato-Ku, Tokyo

TEL

+81-3-3408-2151

Homepage URL


Email

matsuda@cvi.or.jp


Sponsor or person

Institute

The Cardiovascular Institute

Institute

Department

Personal name



Funding Source

Organization

Bayer HealthCare AG

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

Germany


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee of The Cardiovascular Institute

Address

Nishi-azabu 3-2-19, Minato-ku, Tokyo

Tel

03-3408-2151

Email

matsuda@cvi.or.jp


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

心臓血管研究所付属病院(東京都)/ The Cardiovascular Institute (Tokyo)


Other administrative information

Date of disclosure of the study information

2015 Year 02 Month 02 Day


Related information

URL releasing protocol

https://www.cvi.or.jp/kenkyujo/cviaro.html#link01

Publication of results

Published


Result

URL related to results and publications

https://www.sciencedirect.com/science/article/abs/pii/S1347436717302203?via%3Dihub

Number of participants that the trial has enrolled

101

Results

1) The pharmacokinetics of rivaroxaban were affected by creatinine clearance, alanine aminotransferase, and use of CYP3A4 or P-gp inhibitors.
2) PTs with 5 reagents werepredicted by pharmacodinamic models with SC, hematocrit, serum albumin, and age, with medium predicting ability (highest/lowest R2 = 0.746/0.658 in Recombiplastin/Thromborel S, respectively).

Results date posted

2020 Year 06 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Consecutive non-valvular atrial
fibrillation under rivaroxaban between Jan/June, 2015 were recruited.

Participant flow

Outpatients of the Cardiovascular Institute.

Adverse events

One bleeding

Outcome measures

Concentration and PT with 5 reagents at 2-4 hours after (peak) and before intake of
rivaroxaban (trough) were measured at outpatient clinic

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 05 Month 14 Day

Date of IRB

2014 Year 12 Month 25 Day

Anticipated trial start date

2015 Year 01 Month 26 Day

Last follow-up date

2016 Year 06 Month 30 Day

Date of closure to data entry

2016 Year 09 Month 30 Day

Date trial data considered complete

2016 Year 09 Month 30 Day

Date analysis concluded

2016 Year 11 Month 30 Day


Other

Other related information

Final results were published.


Management information

Registered date

2015 Year 02 Month 02 Day

Last modified on

2020 Year 06 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019074


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name