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See also:
All atrial fibrillation clinical trials
All clinical trials of new oral anticoagulants
All clinical trials of AZD0837
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Treatments
Studied treatment |
AZD0837 for 3-9 months
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Control treatment |
dose-adjusted Vitamin-K antagonists (VKA) (aiming for an international normalized ratio (INR) 2.0 to 3.0)
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Remarks |
4 doses: 150 mg od, 300mg od, 450 mg od and 200mg bid |
Patients
Patients |
patients with non-valvular atrial fibrillation (AF) with one or more additional risk factors for stroke |
Inclusion criteria |
1) Nonvalvular AF (NVAF) verified by at least two ECGs in the last year separated by at least one week.; 2) Previous cerebral ischemic attack (stroke or TIA, >30 days prior to randomization); 3) Previous systemic embolism.; 4) Symptomatic congestive heart failure (CHF); 5) Impaired left ventricular systolic function; 6) Diabetes mellitus; 7) Hypertension requiring anti-hypertensive treatment.; |
Exclusion criteria |
1) AF secondary to reversible disorders, eg hyperthyroidism, drugs and pulmonary embolism; 2) Known contraindication to VKA treatment; 3) Presence of a valvular heart disease, mechanical heart valves, active endocarditis, left ventricular aneurysm or thrombus, atrial myxoma or any condition other than AF requiring chronic anticoagulation treatment; 4) Conditions associated with increased risk of major bleeding for example: history of intracranial bleeding, history of bleeding gastrointestinal disorder or major surgical procedure or trauma two weeks prior to randomization; |
Baseline characteristics |
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Method and design
Randomized effectives |
636 / 318 (studied vs. control) |
Design |
Parallel groups |
Blinding |
double blind |
Follow-up duration |
3 or 9 months |
Primary endpoint |
Safety variables |
Studied endpoints |
Safety variables, Pharmacokinetic parameters, Pharmacodynamic markers, Pharmacogenetics, |
Remarks / Comments
phase 2
Results
No results available for this trial
- unpublished or not fully published trial
Meta-analysis of all similar trials:
antithrombotics in atrial fibrillation for primary prevention of thromboembolic events
new oral anticoagulants in atrial fibrillation for all type of patients
Reference(s)
TrialResults-center ID |
TRC11459
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Trials register # |
NCT00684307
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unpublished (or not yet fully published) trial
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Lip GY, Rasmussen LH, Olsson SB, Jensen EC, Persson AL, Eriksson U, Wåhlander KF.
Oral direct thrombin inhibitor AZD0837 for the prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation: a randomized dose-guiding, safety, and tolerability study of four doses of AZD0837 vs. vitamin K antagonists..
Eur Heart J 2009;30:2897-907
- 10.1093/eurheartj/ehp318
Pubmed
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Hubmed
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