UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028383
Receipt number R000032492
Scientific Title An analysis on distribution and inter-relationships of biomarkers under edoxaban in Japanese patients with non-valvular atrial fibrillation
Date of disclosure of the study information 2017/07/26
Last modified on 2020/06/17 18:20:15

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Basic information

Public title

An analysis on distribution and inter-relationships of biomarkers under edoxaban in Japanese patients with non-valvular atrial fibrillation

Acronym

CVI ARO 7 study

Scientific Title

An analysis on distribution and inter-relationships of biomarkers under edoxaban in Japanese patients with non-valvular atrial fibrillation

Scientific Title:Acronym

CVI ARO 7 study

Region

Japan


Condition

Condition

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

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the distribution of serum concentration of edoxaban measured by LC/MS/MS and anti-Xa assay in patients with non-valvular atrial fibrillation, and determine the 90% interval.
To evaluate the distribution of PT and aPTT values in patients with non-valvular atrial fibrillation under edoxaban, and determine the 90% interval.

Basic objectives2

PK,PD

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

1) Distribution of serum concentration of edoxaban and its 90% interval
2) PT and APTT under edoxaban and its 90% interval

Key secondary outcomes

All adverse events during the observation period


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


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with non-valvular atrial fibrillation (including paroxysmal atrial fibrillation) who are taking edoxaban.
Eligible conditions are follows:
1) Taking edoxaban for more than 2 weeks.
2) Age >= 20 years
3) Given informed consent.

Key exclusion criteria

(1) Receiving dual anti-platelet therapy
(2) Inadequate dosage of edoxaban at registration
(3) Edoxaban hypersensitivity
(4) Patients who are bleeding
(5) Patients with acute bacterial endocarditis
(6) Renal dysfunction (creatinine clearance <30 mL/min)
(7) River dysfunction with clotting disorder
(8) Patients who had admitted with cardiovascular disease (stroke, myocardial infarction, PCI, and heart failure) or bleeding requiring hospitalization within 1 month before the registration
(9) Patients who did not give written informed consents for this study
(10) 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 Shinya
Middle name
Last name Suzuki

Organization

The Cardiovascular Institute

Division name

Department of cardiovascular medicine

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

Cardiovascular 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

Medical Science Department
Daiichi-Sankyo Co. LTD.

Institute

Department

Personal name



Funding Source

Organization

Daiichi-Sankyo Co. 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

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
The Cardiovascular Institute


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 26 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://link.springer.com/article/10.1007/s00380-019-01438-6

Number of participants that the trial has enrolled

106

Results

1) PC-Ed by LC-MS/MS was 194.3 (49.4-345.3) and 17.0 (4.8-40.7) ng/mL at peak and trough.
2) Correlation of PT with PC-Ed was higher than that of aPTT.
3) Among 6 PT reagents, Coagupia PT-N and Simplastin Excel S (both PT reagents) showed the highest predictive capability for the upper outlier of PC-Ed at peak and trough.

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 NVAF patients under edoxaban therapy were evaluated.

Participant flow

Outpatients of the Cardiovascular Institute

Adverse events

All-cause death, stroke, systemic embolism, bleeding requiring hospitalization,
and cardiovascular events requiring hospitalization were not observed during the observation period.

Outcome measures

Plasma concentration of edoxaban, PT, and aPTT

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 06 Month 15 Day

Date of IRB

2017 Year 05 Month 25 Day

Anticipated trial start date

2017 Year 06 Month 26 Day

Last follow-up date

2018 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Main paper was published.


Management information

Registered date

2017 Year 07 Month 26 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=R000032492


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name