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Atrial FibrillationNCT02684981

Patient Convenience Study (RE-SONANCE)

An observational study of Atrial Fibrillation and Stroke, run by Boehringer Ingelheim at 12 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this non-interventional study is to describe patient's perception of anticoagulant treatment when using Pradaxa to prevent stroke and systemic embolism while suffering from atrial fibrillation (according to its approved indication in the approved dosages of 110 milligrams or 150 milligrams twice daily) in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Atrial Fibrillation, Stroke
How many people
9,472 participants
Where
12 sitesin 12 countries
Study dates
11 Nov 2015to 1 Jun 2017
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: European patients with non valvular atrial fibrillation

Who may be able to join

  • Cohort A:
  • A. Written informed consent prior to participation
  • A. Female and male patients >= 18 years of age with a diagnosis of non-valvular atrial fibrillation.
  • A. At least 3 months of continuous VKA treatment for stroke prevention prior to baseline assessment.
  • A. Patients switched to Pradaxa according Summary of Product Characteristics and physician's discretion.
  • OR
Show all 10Show fewer
  • Cohort B:
  • B. Written informed consent prior to participation.
  • B. Female and male patients >= 18 years of age newly diagnosed with non-valvular atrial fibrillation and no previous treatment for stroke prevention (no use of any oral anticoagulant (OAC) within one year prior to enrolment).
  • B. Stroke prevention treatment initiated with Pradaxa or VKA according to Summary of Product Characteristics and physician's discretion.

Who cannot join

  • Contraindication to the use of Pradaxa or VKA as described in the Summary of Product Characteristics (SmPC).
  • Patients receiving Pradaxa or VKA for any other condition than stroke prevention in atrial fibrillation.
  • Current participation in any clinical trial of a drug or device.
  • Current participation in an European registry on the use of oral anticoagulation in AF.

Trial locations and contacts

12 sites in 12 countries.

12 sites in 12 countries

Austria1 site
  • Study site

    Multiple Locations

Other trials in Austria

Bulgaria1 site
  • Study site

    Multiple Locations

Other trials in Bulgaria

Czechia1 site
  • Study site

    Multiple Locations

Other trials in Czechia

Estonia1 site
  • Study site

    Multiple Locations

Other trials in Estonia

Hungary1 site
  • Study site

    Multiple Locations

Other trials in Hungary

Israel1 site
  • Study site

    Multiple Locations

Other trials in Israel

Latvia1 site
  • Study site

    Multiple Locations

Other trials in Latvia

Poland1 site
  • Study site

    Multiple Locations

Other trials in Poland

Romania1 site
  • Study site

    Multiple Locations

Other trials in Romania

Russia1 site
  • Study site

    Multiple Locations

Other trials in Russia

Serbia1 site
  • Study site

    Multiple Locations

Other trials in Serbia

Slovenia1 site
  • Study site

    Multiple Locations

Other trials in Slovenia

About this study

Official title: Non-interventional Study Describing Patients´ Perception on Anticoagulant Treatment and Treatment Convenience When Treated With Pradaxa or Vitamine K Antagonist for Stroke Prevention in Non-Valvular Atrial Fibrillation

The aim of this non-interventional study is to describe patient's perception of anticoagulant treatment when using Pradaxa to prevent stroke and systemic embolism while suffering from atrial fibrillation (according to its approved indication in the approved dosages of 110 milligrams or 150 milligrams twice daily) in comparison to standard care using Vitamin K Antagonist (VKA).

Medical subject headings
Atrial Fibrillation, Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02684981
Study groupRoleWhat they receive
Cohort A - VKA to Pradaxa switcherPatients with non-valvular atrial fibrillation (NVAF), currently on Vitamin K Antagonist (VKA) therapy, who are switched to Pradaxa.
Cohort B - newly assigned to treatmentNewly diagnosed NVAF patients who are treated with VKA or Pradaxa (VKA : Pradaxa = 1:1).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Convenience PACT-Q2 Scores at Second and Last Assessment Compared to Baseline Assessment

    The individual questions in PACT-Q2 were grouped into two domains, convenience and satisfaction. For each domain, a global score was calculated and used for analysis. The range of the global score is 0-100, with higher score indicating better outcome. The global score is calculated by summing up the individual scores, and then rescaled to 0-100. The PACT-Q2 is to be administered to patients once treatment is ongoing. Due to the non-normality of the data, results presented are for median change instead of mean change in PACT-Q2 scores from baseline (V1) to Initiation stage (V2) and from baseline (V1) to Continuation stage (V3) with full range instead of standard deviation of the differences.

    Measured: From baseline up to 210 days

  2. Satisfaction PACT-Q2 Scores at Second and Last Assessment Compared to Baseline Assessment

    The individual questions in PACT-Q2 were grouped into two domains, convenience and satisfaction. For each domain, a global score was calculated and used for analysis. The range of the global score is 0-100, with higher score indicating better outcome. The global score is calculated by summing up the individual scores, and then rescaled to 0-100. The PACT-Q2 is to be administered to patients once treatment is ongoing. Due to the non-normality of the data, results presented are for median change instead of mean change in PACT-Q2 scores from baseline (V1) to Initiation stage (V2) and from baseline (V1) to Continuation stage (V3) with full range instead of standard deviation of the differences.

    Measured: From baseline up to 210 days

  3. Convenience PACT-Q2 Scores at Second and Last Assessment Between Treatment Groups

    The individual questions in PACT-Q2 were grouped into two domains, convenience and satisfaction. For each domain, a global score was calculated and used for analysis. The range of the global score is 0-100, with higher score indicating better outcome. The global score is calculated by summing up the individual scores, and then rescaled to 0-100. The PACT-Q2 is to be administered to patients once treatment is ongoing. Due to the non-normality of the data, results presented are for median change instead of mean change in PACT-Q2 scores from baseline (V1) to Initiation stage (V2) and from baseline (V1) to Continuation stage (V3) with full range instead of standard deviation of the differences.

    Measured: Day 30 up to Day 210

  4. Satisfaction PACT-Q2 Scores at Second and Last Assessment Between Treatment Groups

    The individual questions in PACT-Q2 were grouped into two domains, convenience and satisfaction. For each domain, a global score was calculated and used for analysis. The range of the global score is 0-100, with higher score indicating better outcome. The global score is calculated by summing up the individual scores, and then rescaled to 0-100. The PACT-Q2 is to be administered to patients once treatment is ongoing. Due to the non-normality of the data, results presented are for median change instead of mean change in PACT-Q2 scores from baseline (V1) to Initiation stage (V2) and from baseline (V1) to Continuation stage (V3) with full range instead of standard deviation of the differences.

    Measured: Day 30 up to Day 210

  5. Characterization of Patients With Respect to Congestive Heart Failure, Hypertension, Age (≥75), Diabetes Mellitus, Stroke/Transient Ischemic Attack (TIA), Vascular Disease, Age 65-75, Sex Category (CHA2DS2-VASc) Score

    CHA2DS2-VASc score, are clinical prediction rules for estimating the risk of stroke in patients with non-rheumatic atrial fibrillation (AF), a common and serious heart arrhythmia associated with thromboembolic stroke. Such a score is used to determine whether or not treatment is required with anticoagulation therapy or antiplatelet therapy. CHA2DS2-VASc stroke risk score may range from 0 to 9 with 0 being the best outcome. Score of < 2 was considered as low or intermediate risk and score of ≥ 2 was considered as high risk.

    Measured: Baseline

  6. Characterization of Patients With Respect to Hypertension, Abnormal Renal and Liver Function, Stroke, Bleeding History or Predisposition, Labile International Normalized Ratio (INR), Elderly (>65 Years), Drug and Alcohol (HAS-BLED) Score

    HAS-BLED is a scoring system developed to assess 1-year risk of major bleeding in patients with atrial fibrillation. A calculated HAS-BLED score is between 0 and 9 and based on eight parameters with a weighted value of 0-2. A high score corresponds to a greater risk, while low score corresponds to a lower risk. Data presented are percentage of patients with high and low risk.

    Measured: Baseline

  7. Characterization of Patients With Respect to Kidney Function (Creatinine Clearance)

    Creatinine is a waste product produced by muscles from the breakdown of a compound called creatine. Creatinine is filtered from the blood by the kidneys and released into the urine. A creatinine clearance test measures creatinine levels in both a sample of blood and a sample of urine from a 24-hour urine collection. The results are used to calculate the amount of creatinine that has been cleared from the blood and passed into the urine. Data presented here are geometric mean and confidence interval of creatinine clearance for patients at baseline (V1), initiation stage (V2) and continuation stage (V3).

    Measured: Baseline and up to 210 days

  8. Characterization of Patients With Respect to Comorbidities

    Comorbidity is the presence of one or more additional diseases or disorders co-occurring with (that is, concomitant or concurrent with) a primary disease or disorder. Data presented here are percentage of total patients with comorbidities.

    Measured: Baseline

  9. Characterization of Patients With Respect to Concomitant Therapies

    Concomitant therapies are two or more drugs used or given at or almost at the same time. The data presented here are percentage of total patients for taking concomitant medication.

    Measured: Baseline

  10. Characterization of Patients With Respect to Dosing of Pradaxa

    The data presented in this outcome measure is percentage of patients in both cohorts receiving 110 mg and 150 mg dose of Pradaxa at baseline (V1).

    Measured: Baseline and up to 210 days

  11. Duration in Months of Previous VKA Treatment

    The data presented in this outcome measure are Mean (SD) of duration in months of previous VKA treatment in total patients in cohort A.

    Measured: Baseline

  12. Stroke- and/or Bleeding Related Risk Factors in Medical History and at Baseline (Not Applicable)

    This endpoint is not assessable as the necessary data was not collected in the database

    Measured: Baseline

Secondary outcomes (2)
  1. PACT-Q2 Scores at Last Assessment Compared to Second Assessment

    The individual questions in PACT-Q2 were grouped into two domains, convenience and satisfaction. For each domain, a global score was calculated and used for analysis. The range of the global score is 0-100, with higher score indicating better outcome. The global score is calculated by summing up the individual scores, and then rescaled to 0-100. Due to the non-normality of the data, results presented here are median change in PACT-Q2 scores between initiation stage (V2) and Continuation stage (V3).

    Measured: From 30 days up to 210 days

  2. Description of PACT-Q1 Items at Baseline

    Patients in Cohort B were given PACT-Q1 to assess patients' expectation from Anticoagulation therapy. Following are the seven items from PACT-Q1. The score range is 1-5. Each question is analyzed individually, with higher score indicating better outcome. A1 - How confident are you that your anticoagulant treatment (AT) will prevent blood clots? A2 - Do you expect that your AT will relieve some of the symptoms you experience? A3 - Do you expect that your AT will cause side effects such as minor bruises or bleeding? A4 - How important is it for you to have an AT that is easy to take? A5 - How concerned are you about making mistakes when taking your AT? A6 - How important is it for you to take care of your AT by yourself? A7 - How concerned are you about how much you may have to pay for your AT? For questions A1, A2, A4 and A6, higher score is higher expectations of the treatment and for questions A3, A5 and A7, lower score is higher expectations of the treatment.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Feb 2016 (estimated)
  2. Study start11 Nov 2015
  3. Primary completion1 Jun 2017
  4. Study completion1 Jun 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
9,472 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02684981
Sponsor's protocol ID
1160.249
Status last verified
May 2019
First submitted
11 Nov 2015
Last updated
24 Jul 2019

Publications

  • Vinereanu D, Napalkov D, Bergler-Klein J, Benczur B, Ciernik M, Gotcheva N, Medvedchikov A, Poder P, Simic D, Skride A, Tang W, Trusz-Gluza M, Vesely J. Patient perceptions of anticoagulant treatment with dabigatran or a vitamin K antagonist for stroke prevention in atrial fibrillation according to region and age: an exploratory analysis from the RE-SONANCE study. J Thromb Thrombolysis. 2021 Nov;52(4):1195-1206. doi: 10.1007/s11239-021-02450-2. Epub 2021 Apr 30.

    PubMed 33929686

Questions about this trial

What is this clinical trial studying?

An observational study of Atrial Fibrillation and Stroke, run by Boehringer Ingelheim at 12 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Austria, Bulgaria, Czechia, Estonia, Hungary and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Convenience PACT-Q2 Scores at Second and Last Assessment Compared to Baseline Assessment (time frame: From baseline up to 210 days). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02684981, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2019.

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Patient Convenience Study (RE-SONANCE) (NCT02684981) | AzTrials