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Atrial FibrillationNCT02849509

Patient Convenience Study- NIS RELATE

An observational study of Atrial Fibrillation, run by Boehringer Ingelheim at 50 sites in 5 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 mg or 150 mg twice daily) in comparison to… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Atrial Fibrillation
What is being tested?
Pradaxa (dabigatran) and Vitamin K antagonist
How many people
1,313 participants
Where
50 sitesin 5 countries
Study dates
20 Jun 2016to 30 Dec 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: SEASK Patients with Non valvuar Atrial Fribrillation

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

50 sites in 5 countries.

50 sites in 5 countries

South Korea33 sites
  • Korea University Ansan Hospital

    Ansan, 136-705

  • Sejong General Hospital

    Bucheon-si, 422-711

  • Inje University Busan Paik Hospital

    Busan, 47392

  • Dong-A University Hospital

    Busan, 49201

  • Pusan National Univ. Hosp

    Busan, 602-739

  • Soon Chun Hyang University Hospital Cheonan

    Cheonan, 31151

  • Dankook University Hospital

    Cheonan, 330-715

  • Daegu Catholic University Medical Center

    Daegu, 42472

  • Keimyung University Dongsan Medical Center

    Daegu, 700-712

  • Kyungpook National Univ. Hosp

    Daegu, 700-721

  • Yeungnam University Medical Center

    Daegu, 705-703

  • Chungnam National University Hospital

    Daejoen, 301721

  • Chonnam National University Hospital

    Gwangju, 501-757

  • Chosun University Hospital

    Gwangju, 61453

  • Wonkwang University School of Medicine & Hospital

    Iksan, 570-711

  • Inha University Hospital

    Incheon, 400 711

  • Gachon University Gil Medical Center

    Incheon, 405-760

  • Jeju National University Hospital

    Jeju City, 690-767

  • Chonbuk National University Hospital

    Jeonju, 561-712

  • Gyeongsang National University Hospital

    Jinju, 660-702

  • Seoul National University Bundang Hospital

    Seongnam, 463-707

  • The Catholic University of Korea, Seoul St.Mary's Hospital

    Seoul, 06591

  • Seoul National University Hospital

    Seoul, 110-744

  • Severance Hospital, Yonsei University Health System

    Seoul, 120-752

  • VHS Medical Center

    Seoul, 134-791

  • Samsung Medical Center

    Seoul, 135-710

  • Gangnam Severance Hospital

    Seoul, 135-720

  • Korea University Anam Hospital

    Seoul, 136-705

  • Korea University Guro Hospital

    Seoul, 152-703

  • Chung-Ang University Hospital

    Seoul, 156-755

  • Ewha Womans University Mokdong Hospital

    Seoul, 158-710

  • Ajou University Hospital

    Suwon, 443-380

  • Wonju Severance Christian Hosp

    Wŏnju, 220-701

Other trials in South Korea

Malaysia6 sites
  • Hospital Sultanah Bahiyah

    Alor Star, 05460

  • Institut Jantung Negara

    Kuala Lumpur, 50400

  • Hospital University Kebangsaan Malaysia

    Kuala Lumpur, 56000

  • University Malaya Medical Centre

    Kuala Lumpur, 59100

  • Hospital Tengku Ampuan Afzan

    Kuantan, 25100

  • UiTM Sg Buloh Campus

    Sg Buloh, 47000

Other trials in Malaysia

Thailand6 sites
  • Bhumibol Adulyadej Hospital

    Bangkok, 10220

  • King Chulalongkorn Hospital

    Bangkok, 10330

  • Pramongkutklao Hospital

    Bangkok, 10400

  • Ramathibodi Hospital

    Bangkok, 10400

  • Chiangmai University

    Chiang Mai, 50200

  • Thammasat University Hospital

    Pathum Tani, 12120

Other trials in Thailand

Indonesia3 sites
  • Harapan Kita National Cardiovascular Center

    Jakarta Barat, 11420

  • Rumah Sakit Bina Waluya

    Jakarta Timur, 13750

  • Rumah Sakit Siloam Lippo Karawaci, Tangerang

    Tangerang, 15811

Other trials in Indonesia

Singapore2 sites
  • National Heart Center

    Singapore, 169609

  • Changi General Hospital

    Singapore, 529889

Other trials in Singapore

About this study

Official title: Non-interventional Study Describing Patients' Perception on Anticoagulant Treatment and Treatment Convenience When Treated With Pradaxa or Vitamin K Antagonist for Stroke Prophylaxis in 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 mg or 150 mg twice daily) in comparison to standard care using Vitamin K Antagonist (VKA).

Being tested
Pradaxa (dabigatran), Vitamin K antagonist
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • Pradaxa (dabigatran)Drug

    Pradaxa (dabigatran etexilate)110mg or 150mg

  • Vitamin K antagonistDrug

    Vitamin K antagonist or Pradaxa

Study groups in NCT02849509
Study groupRoleWhat they receive
Switch Patients / APatients with non-valvular atrial fibrillation (NVAF), currently on Vitamin K Antagonist (VKA) therapy, who are switched to Pradaxa.
Receives: Drug: Pradaxa (dabigatran)
New Patients / BNewly diagnosed NVAF patients who are treated with VKA or Pradaxa (VKA : Pradaxa = 1:1).
Receives: Drug: Vitamin K antagonist

What is being measured

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

  1. Mean Perception of Anticoagulant Treatment Questionnaire, Part 2 (PACT-Q2) Scores, for Patients in Cohort A, at Second Assessment Compared to Baseline Assessment

    Mean Perception of Anticoagulant treatment Questionnaire, part 2 (PACT-Q2) scores, for patients in cohort A, at second assessment compared to baseline assessment. The PACT-Q2 is composed of 3 dimensions covering: convenience (11 items), burden of disease \& treatment (2 items), \& anticoagulant treatment satisfaction (7 items). In this outcome the mean convenience \& satisfaction dimension scores of PACT-Q2 at second assessment (Visit 2) were compared with baseline assessment (Visit 1). Within the PACT-Q2, items for convenience \& for burden of disease and treatment were reversed (reversed score = 6 - item score), added together \& rescaled on a 0-100 scale to obtain the convenience dimension score. Items for anticoagulant treatment satisfaction were summed \& rescaled on 0-100 scale to determine satisfaction score. High scores are more favorable.

    PACT-Q2 which were completed more than 1 day after discontinuation of treatment or using incorrect procedure were excluded from analysis.

    Measured: Visit 1 (Baseline) and second assessment Visit 2 (7-124 days after initiation on Pradaxa or VKA)

  2. Mean PACT-Q2 Scores, for Patients in Cohort A, at Last Assessment Compared to Baseline Assessment

    Mean PACT-Q2 scores, for patients in cohort A, at last assessment compared to baseline assessment. The mean convenience and satisfaction dimension scores of PACT-Q2 at the last assessment (Visit 3) were compared with the baseline assessment (Visit 1). Within the PACT-Q2, items for convenience and for burden of disease and treatment were reversed (reversed score = 6 - item score), added together and rescaled on a 0-100 scale to obtain the convenience dimension score. Items for anticoagulant treatment satisfaction were summed and rescaled on a 0-100 scale to determine the satisfaction score. High scores are more favorable.

    PACT-Q2 which were completed more than 1 day after discontinuation of treatment or using incorrect procedure were excluded from the analysis.

    Measured: Visit 1 (Baseline) and last assessment Visit 3 (125-365 days after initiation on Pradaxa or VKA)

  3. Mean PACT-Q2 Scores, for Patients in Cohort B, at Second Assessment Compared Between Treatment Groups

    Mean PACT-Q2 scores, for patients in cohort B, at second assessment compared between treatment groups. Convenience dimension score and satisfaction dimension score of PACT-Q2 both range from 0 to 100 with high scores indicate better outcome.

    Mean PACT-Q2 scores, for patients in Cohort B, were compared between matched Pradaxa® and VKA patients at the second assessment. The mean convenience and satisfaction scores of PACT-Q2 were compared between matched Pradaxa® and VKA patients. Pradaxa® and VKA patients were matched based on propensity scores using a variable ratio, parallel, balanced 2:1, nearest neighbour matching algorithm with a caliper width of 0.05 and without replacement.

    PACT-Q2 which were completed more than 1 day after discontinuation of treatment or using incorrect procedure were excluded from the analysis.

    Measured: Second assessment Visit 2 (7-124 days after initiation on Pradaxa or VKA)

  4. Mean PACT-Q2 Scores, for Patients in Cohort B, at Last Assessment Compared Between Treatment Groups

    Mean PACT-Q2 scores, for patients in cohort B, at last assessment compared between treatment groups.

    Convenience dimension score and satisfaction dimension score of PACT-Q2 both range from 0 to 100 with high scores indicate better outcome.

    Mean PACT-Q2 scores, for patients in Cohort B, were compared between matched Pradaxa® and VKA patients at the last assessment. The mean convenience and satisfaction scores of PACT-Q2 were compared between matched Pradaxa® and VKA patients. Pradaxa® and VKA patients were matched based on propensity scores using a variable ratio, parallel, balanced 2:1, nearest neighbour matching algorithm with a caliper width of 0.05 and without replacement.

    Measured: Last assessment - Visit 3 (125-365 days after initiation on Pradaxa or VKA)

  5. Patient Characterization at Baseline - Categorical Parameters

    Categorical parameters of the patient characteristics at baseline included age, gender, Stroke- and/or bleeding related risk factors in medical history (MH), co-morbidities (CoMo), concomitant therapies (CM) and dosing of Pradaxa® (DoP).

    Measured: Baseline (Visit1)

  6. Patient Characteristics at Baseline - Duration of Previous VKA Treatment for Cohort A

    Duration of continuous VKA treatment for stroke prevention prior to baseline assessment (Cohort A)

    Measured: Baseline (Visit1)

Secondary outcomes (5)
  1. Patient Characteristics at Baseline - CHA2DS2-VASc Stroke Risk Score

    CHA2DS2-VASc stroke risk score is calculated based on the following conditions: Congestive heart failure, Hypertension, Age (≥ 75), Diabetes Mellitus, Stroke/ Transient Ischaemic Attack (TIA), Vascular disease, Age 65-74, Sex category.

    CHA2DS2-VASc stroke risk score may range from 0 to 9 with 0 being the best outcome.

    Measured: Baseline (Visit1)

  2. Patient Characteristics at Baseline - HAS-BLED Bleeding Risk Score

    HAS-BLED bleeding risk score is calculated based on the following conditions: Hypertension, Abnormal renal and Hypertension, Abnormal renal and liver function, Stroke, Bleeding history or predisposition, Labile INR, Elderly (>65 years), Drugs and Alcohol.

    HAS-BLED bleeding risk score may range from 0 to 9 with 0 being the best outcome.

    Measured: Baseline (Visit1)

  3. Patient Characteristics at Baseline - Creatinine Clearance

    Creatinine clearance at baseline is a measure of the patient's kidney function and is one of the baseline patient characteristics.

    Measured: Baseline (Visit1)

  4. Mean PACT-Q2 Scores, for Patients in Cohort A, at Last Assessment Compared to Second Assessment

    Mean PACT-Q2 scores, for patients in cohort A, at last assessment compared to second assessment.

    The PACT-Q2 is composed of 3 dimensions covering: convenience (11 items), burden of disease and treatment (2 items), and anticoagulant treatment satisfaction (7 items).

    The mean convenience and satisfaction dimension scores of PACT-Q2 at the last assessment (Visit 3)were compared with the second assessment (Visit 2). Within the PACT-Q2, items for convenience and for burden of disease and treatment were reversed (reversed score = 6 - item score), added together and rescaled on a 0-100 scale to obtain the convenience dimension score. Items for anticoagulant treatment satisfaction were summed and rescaled on a 0-100 scale to determine the satisfaction score.

    Measured: Second assessment - Visit 2 (7-124 days after initiation on Pradaxa or VKA) and last assessment - Visit 3 (125-365 days after initiation on Pradaxa or VKA)

  5. Description of Perception of Anticoagulant Treatment Questionnaire, Part 1 (PACT-Q1) Items at Baseline for Cohort B

    For Cohort B, scores of PACT-Q1 at baseline were summarised descriptively.

    The PACT-Q1 is composed of a single dimension (7 items) covering the expectations of patients regarding their anticoagulant treatment and is to be administered before treatment initiation.

    The PACT-Q1 scores ranged from 1 (Not at all) to 5 (Extremely/Completely/ Very much).

    Measured: Baseline (Visit1)

Timeline

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

  1. First posted29 Jul 2016 (estimated)
  2. Study start20 Jun 2016
  3. Primary completion30 Dec 2017
  4. Study completion30 Dec 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
1,313 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02849509
Sponsor's protocol ID
1160.261
Status last verified
Apr 2019
First submitted
4 May 2016
Last updated
8 Jul 2019

Publications

  • Lee YS, Oh YS, Choi EK, Chern AKC, Jiampo P, Chutinet A, Hanafy DA, Trivedi P, Zhai D. Patient perception and treatment convenience of dabigatran versus vitamin K antagonist when used for stroke prophylaxis in atrial fibrillation: Real-world Evaluation of Long-term Anticoagulant Treatment Experience (RE-LATE) study. Open Heart. 2021 Dec;8(2):e001745. doi: 10.1136/openhrt-2021-001745.

    PubMed 34857666

Questions about this trial

What is this clinical trial studying?

An observational study of Atrial Fibrillation, run by Boehringer Ingelheim at 50 sites in 5 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 8 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 50 sites in South Korea, Malaysia, Thailand, Indonesia, Singapore. 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 8 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?

Mean Perception of Anticoagulant Treatment Questionnaire, Part 2 (PACT-Q2) Scores, for Patients in Cohort A, at Second Assessment Compared to Baseline Assessment (time frame: Visit 1 (Baseline) and second assessment Visit 2 (7-124 days after initiation on Pradaxa or VKA)). The study lists 6 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 NCT02849509, 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 8 Jul 2019.

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