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antithrombotics in atrial fibrillation for secondary prevention of thromboembolic events, clinical trials results

aspirin versus placebo
EAFT, 1993
aspirin 300 mg/d
versus
placebo
Patient with non rheumatic AF and recent TIA or minor ischaemic stroke(secondary prevention).Double blind
Follow-up duration: 2.3 years
europe,israel
aspirin versus placebo (on top fluidione)
FFAACS , 2001
fluidione standard dose (target INR: 2-2.6) + aspirin low dose 100 mg
versus
fluidione standard dose(target INR:2-2.6) + placebo
high risk patients with non valvular atrial fibrillationDouble blind
Follow-up duration: 0.84 y
France
dabigatran 100mg versus warfarin
RE-LY 110mg (2nd prevention subgroup) , 2010
dabigatran 110mg daily
versus
warfarin
patients with a prior stroke or transient ischemic attack open
Follow-up duration: 2 y
dabigatran 150mg versus warfarin
RE-LY 150mg (2nd prevention subgroup) ,
dabigatran 150mg daily
versus
warfarin
patients with a prior stroke or transient ischemic attack open
Follow-up duration: 2 y
Indobufen versus warfarin
SIFA, 1997
NCT00244426
indobufen 200 mg (the dose was lowered to 100 mg if impaired renal function:cc<80 ml/mn)
versus
warfarin standard dose(target INR 2.0-3.5)
non rhumatismal AF and recent cerebral ischemic episode(< or =15 days) Open
Follow-up duration: 12 months
Italy
oral anticoagulant versus placebo
EAFT, 1993
Oral anticoagulation standard dose(target INR 3.0 (2.5-4.0)) the choice of anticoagulant type was free but most physicians choose coumarin derivatives.
versus
placebo
Patient with non rheumatic AF and recent TIA or minor ischaemic stroke(secondary prevention).Open
Follow-up duration: 2.3 years
rivaroxaban versus warfarin
ROCKET (2nd prevention subgroup) , 2011
rivaroxaban
versus
warfarin INR 2-3
patients with a prior stroke or transient ischemic attackdouble-blind

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