UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027356
Receipt number R000031122
Scientific Title Study of Real World Anticoagulation and Antiplatelet Practice in Patients with Acute Coronary Syndrome Complicated with Atrial fibrillation
Date of disclosure of the study information 2017/05/16
Last modified on 2023/05/22 09:55:33

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Basic information

Public title

Study of Real World Anticoagulation and Antiplatelet Practice in Patients with Acute Coronary Syndrome Complicated with Atrial fibrillation

Acronym

STAR-ACS

Scientific Title

Study of Real World Anticoagulation and Antiplatelet Practice in Patients with Acute Coronary Syndrome Complicated with Atrial fibrillation

Scientific Title:Acronym

STAR-ACS

Region

Japan


Condition

Condition

Atrial fibrillation combined acute coronary syndrome

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

There are various patterns of use of triple anti-thrombotic therapy (DAPT+warfarin,DAPT+NOAC), and the outcomes were difference according the variation of using drugs. As possible, this study will prove that NOAC have a definite place in the treatment of patients with AF, where they are at least as effective,if not superior to warfarin.
The primary objectives of this study were to (1) explore the actual antithrombotic therapy with AF complicating ACS, the patterns of use of triple therapy (DAPT+warfarin, DAPT+NOAC), and the outcomes among patients who were use of NOAC versus not NOAC, (2) describe the use of antithrombotic therapy according to the CHADS2 risk score, and (3) assess the relationship between actual antithrombotic regimen and hemorrhagic and thrombotic events in patients with both ACS and AF, a very high risk population in Japan today.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

#1 Major Bleeding according to International Soiety of Thrombosis and Hemostasis (ISTH)
#2 MACCE (major adverse cardio-cerebral event): composite endpoint of death associated withACS/storoke and other cardiovascular (CV) deaths, non-fatal ACS and non-fatal stroke,and stent thrombosis

Key secondary outcomes

1) Death due to hemorrhage,
2) Cardiac death, CV death (cause of mortality)
3) Non-CV death (cause of death;final clinical diagnosis of death)
4) Bleeding


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

20 years-old <=

Age-upper limit

999 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with ACS meeting following criteria who are admitted to hospitals will be enrolled in this registry, if patients are confirmed to have atrial fibrillation until discharge and provide written informedconsent.
Patients will be consecutively registered at study sites.

Key exclusion criteria

1) ACS caused by surgery, trauma, or coronary rebascularization (PCI or CABG)
2) Patients under 20years of age
3) Transient af after the onset of ACS is excluded
4) Patients considered inappropriatc for study participation by attending physician

Target sample size

460


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Daida

Organization

Juntendo University graduate school

Division name

Department of Cardiovascular Medicine, Graduate School of Medicine

Zip code

113-8431

Address

Hongo, Bunkyo-ku, Tokyo 3-1-3

TEL

03-3813-3111

Email

juntencrc@juntendo.ac.jp


Public contact

Name of contact person

1st name Katumi
Middle name
Last name Miyauchi

Organization

Juntendo University

Division name

Department of Cardiovascular Medicine, Graduate School of Medicine

Zip code

113-8431

Address

Hongo, Bunkyo-ku, Tokyo 3-1-3

TEL

03-3813-3111

Homepage URL


Email

juntencrc@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University Department of Cardiovascular Medicine, Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Bristol-Myers Squibb Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hospital Ethics Committee Juntendo University Hospital

Address

Hongo, Bunkyo-ku, Tokyo 3-1-3

Tel

03-3813-3111

Email

jun-rinri@juntendo.ac.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



Other administrative information

Date of disclosure of the study information

2017 Year 05 Month 16 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

460

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

statistics analyze the operation

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

2016 Year 12 Month 04 Day

Date of IRB

2016 Year 04 Month 22 Day

Anticipated trial start date

2017 Year 04 Month 01 Day

Last follow-up date

2021 Year 10 Month 26 Day

Date of closure to data entry

2021 Year 10 Month 26 Day

Date trial data considered complete

2021 Year 11 Month 09 Day

Date analysis concluded

2022 Year 11 Month 22 Day


Other

Other related information

Not applicable


Management information

Registered date

2017 Year 05 Month 16 Day

Last modified on

2023 Year 05 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031122


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name