Atrial FibrillationNCT02964949
Comparison of Two Doses of Edoxaban Using Different Tests (Assays) and Clinical Outcomes
A study testing Edoxaban in people with Atrial Fibrillation, run by Daiichi Sankyo at 233 sites in 15 countries.
Trial summary
Atrial fibrillation is when the heart's two upper chambers (called atria) beat chaotically and irregularly, out of coordination with the two lower chambers (called ventricles) of the heart. This can lead to blood clots forming in the heart chamber. 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?
- Edoxaban
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 607 participants
- Where
- 233 sitesin 15 countries
- Study dates
- 24 Jan 2017to 9 Oct 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
Who may be able to join
- Meets protocol-specified criteria for qualification
- Is able to follow the protocol specified contraception methods
- Is willing and able to comply with any restrictions related to food, drink and medications
- Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures
Who cannot join
- Has history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters
- Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:
- the safety or well-being of the participant or study staff
- the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding)
- the analysis of results
Trial locations and contacts
233 sites in 15 countries.
233 sites in 15 countries
Hungary29 sites
Principal SMO Kft
Baja, 6500
Belgyogyaszati es Kardiologiai Maganrendelo
Békéscsaba, 5600
Grof Tisza Istvan Korhaz
Berettyóújfalu, 4101
Budapesti Szent Ferenc Korhaz
Budapest, 1021
Budai Irgalmasrendi Korhaz
Budapest, 1023
Szent Margit Korhaz
Budapest, 1032
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036
Bajcsy-Zsilinszky Korhaz es Rendelointezet
Budapest, 1106
Semmelweis Egyetem
Budapest, 1122
Semmelweis Egyetem
Budapest, 1125
Nyiro Gyula Korhaz - Orszagos Pszichiatriai es Addiktologiai Intezet
Budapest, 1135
Uzsoki Utcai Korhaz
Budapest, 1145
Debreceni Egyetem Klinikai Kozpont (4002)
Debrecen, 4032
Debreceni Egyetem Klinikai Kozpont (4025)
Debrecen, 4032
Markhot Ferenc Oktatokorhaz es Rendelointezet
Eger, 3300
Petz Aladar Megyei Oktato Korhaz
Győr, 9024
Csongrad Megyei Egeszsegugyi Ellato Kozpont Hodmezovasarhely-Mako
Hódmezővásárhely, 6800
Studium Egeszseghaz Kft
Kalocsa, 6300
Somogy Megyei Kaposi Mor Oktato Korhaz
Kaposvár, 7400
Bacs-Kiskun Megyei Korhaz
Kecskemét, 6000
Selye Janos Korhaz
Komárom, 2921
Kanizsai Dorottya Korhaz
Nagykanizsa, 8800
SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
Nyíregyháza, 4400
Pecsi Tudomanyegyetem
Pécs, 7624
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, 6725
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Csongrad Megyei Dr Bugyi Istvan Korhaz
Szentes, 6600
Jeruzsalemhegyi Egeszseghaz
Veszprém, 8200
Zala Megyei Szent Rafael Korhaz
Zalaegerszeg, 8900
Russia27 sites
TSHI Altay Territorial Cardiologocal dispensary
Barnaul, 656055
City Hospital 1
Chelyabinsk, 454048
FSBI "Scientific-research Institute for Complex Problems of cardiovascular disease"
Kemerovo, 650002
Dep Clin Hosp on Station Kemerovo of OAO "Russian Railways
Kemerovo, 650055
FSHI "MSU of MoIA of RF of Kemerovo Region"
Kemerovo, 650099
SBIH of Moscow City Clinical Hospital 17
Moscow, 119620
FSBI Russian Cardiological Scientific and Industrial Complex of the MoH of the RF
Moscow, 121522
SBIH of Novosibirsk Region Clinical Emergency Hospital 2
Novosibirsk, 630008
Ultramed
Omsk, 644024
SBEI HPE Orenburg State Medical University of the MoH of the RF
Orenburg, 460000
SPb SBIH City Hospital 38 n a N A Semashko
Pushkin, 196601
SBI of Ryazan region Regional Clinical Cardiological Dispensary
Ryazan, 390026
FSBIH SPb Clinical Hospital of RAS
Saint Petersburg, 194017
FFSBI The Nikiforov Russian Center of Emergency and Radiation Medicine
Saint Petersburg, 194044
StP SHI Clinical hospital of St Luka
Saint Petersburg, 194044
SBI of HE Northwestern SMU n a I I Mechnikov
Saint Petersburg, 195067
SHI "Center of Occupational Pathology"
Saint Petersburg, 195271
LLC "Institute of Medical Investigations"
Saint Petersburg, 196084
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022
LLC Medical Institute on Krestovsky
Saint Petersburg, 197110
North-West Federal Medical Research Center n a V A Almazov
Saint Petersburg, 197341
SPb SBIH City Hospital 15
Saint Petersburg, 198205
FSBI Saint-Petersburg Multidisciplinary Centre
Saint Petersburg, 199004
SPB SHI Pokrovskaya City Hospital
Saint Petersburg, 199106
SBEI HPE Smolensk State Medical University of the MoH of the RF
Smolensk, 214019
FSBI Research Institute for Cardiology of Siberian Branch RAMS
Tomsk, 634012
SBIH of Yaroslavl region Regional Clinical Hospital
Yaroslavl, 150062
Ukraine25 sites
Cherkasy Regional Cardiological Center
Cherkasy, 18009
CI Cherkasy RH of Cherkasy Regional Council
Cherkasy, 18009
Ivano-Frankivsk RCCD of MHU Dept of Arterial Hypertension SHEI Ivano-Frankivsk NMU
Ivano-Frankivsk, 76018
Ivano-Frankivsk Regional Clinical Cardiology Dispensary
Ivano-Frankivsk, 76018
GI L T Malaya Therapy National Institute of the NAMS of Ukraine
Kharkiv, 61039
Railway Transport Kharkiv CH#1 of Healthcare Center Branch of PJSC Ukrainian Railway
Kharkiv, 61103
SI Institute of General & Emergency Surgery of NAMS of Ukraine
Kharkiv, 61103
SMPI Central Clinical Hospital of Ukrzaliznytsia
Kharkiv, 61103
CI of Healthcare Kharkiv CCH 8 Dept of Cardiology for Patients with MI 2 Kharkiv MA of PGE of MOHU
Kharkiv, 61176
Kyiv CCH #12 Dept of Therapy O.O.Bogomolets NMU
Kyiv, 01103
Kyiv City Clinical Hospital 1
Kyiv, 2091
Med Center 'Ok!Clinic' of International Institute of Clinical Trials LLC
Kyiv, 2091
SI Heart Institute of the MoH of Ukraine
Kyiv, 2660
SI NSС M D Strazhesko Institute of Cardiology of NAMSU (9102)
Kyiv, 3680
SI NSС M D Strazhesko Institute of Cardiology of NAMSU (9116)
Kyiv, 3680
CI Lutsk CCH Volyn Regional Center of Cardiovascular Pathology and Thrombolysis
Lutsk, 43024
Regional State Clinical Treatment-Diagnostic Cardiological Centre
Lviv, 79015
CI Odesa Regional Clinical Hospital Regional Center of Cardiosurgery
Odesa, 65025
Multifield Medical Center of Odesa NMU (University Clinic 1)
Odesa, 65026
First CCH Cardiology Dept SHEIU Ukrainian Medical Stomatological Academy
Poltava, 36038
Transcarpathian RC Cardiology Dispensary Dept of General Cardiology SHEI Uzhgorod NU
Uzhhorod, 88000
M I Pyrogov VRCH M I Pyrogov VNMU Ch of IM 1
Vinnytsia, 21018
CI Zaporizhzhia Cl Hosp 10 Dept of Therapy SI ZMA of PGE of MoHU
Zaporizhzhya, 69001
O F Herbachevskyi Regional Clinical Hospital of Zhytomyr RC
Zhytomyr, 10003
CI Central City Hospital 2 of Zhytomyr
Zhytomyr, 10004
Czechia24 sites
Innera s r o
Benešov, 256 01
Poliklinika Humanitas
Bílovec, 743. 01
Fakultni nemocnice Brno
Brno, 625 00
Fakultni nemocnice u sv. Anny v Brne
Brno, 656 91
Edumed s.r.o
Broumov, 550 01
Nemocnice Havlickuv Brod, p.o.
Havlíčkův Brod, 580 22
Kardio-Pisova, s.r.o.
Hradec Králové, 500 02
Oblastni nemocnice Kolin, a.s.
Kolín, 280 00
Centrum pro choroby srdce a cev
Kroměříž, 767 01
Kromerizska nemocnice, a.s.
Kroměříž, 767 01
InterKardioML s r o
Mariánské Lázně, 353 01
PV - kardiologie s.r.o.
Pardubice, 530 02
Ordince pro choroby srdce a cev
Prague, 101 00
AVICENA -KARDIOLOGIE, INTERNA s.r.o.
Prague, 110 00
Nemocnice na Frantisku
Prague, 110 00
Kardio-Pisova sro
Prague, 148 00
Fakultni nemocnice v Motole
Prague, 150 06
Corintez s.r.o
Prague, 158 00
Poliklinika RAVAK
Příbram, 261 01
Oblastni nemocnice Pribram, a.s.
Příbram, 261 95
Nemocnice Slany
Slaný, 274 01
Poliklinika Masarykuv Dum, s.r.o.
Trutnov, 541 01
Clinical Trials Services s.r.o
Uherské Hradiště, 686 01
Krajska nemocnice T Bati a s
Zlín, 760 01
Poland23 sites
CERMED
Bialystok, 15-270
KLIMED Marek Klimkiewicz
Bialystok, 15-765
KARDIOMED Janczska Kociwska Ostki PodckaRekrzSp
Elblag, 82-300
Synexus Polska SCM Sp z o o Gdansku
Gdansk, 80-382
Indywidualna Specjalistyczna Praktyka Lekarska w Dziedzinie Kardiologii lek med Krzysztof Cymerman
Gdynia, 81-157
Synexus Polska Sp z o o Oddzial w Gdyni
Gdynia, 81-384
Synexus Polska Sp z o o Oddzial w Katowicach
Katowice, 40-040
Grazyna Pulka Specjalistyczny Osrodek ALL-MED
Krakow, 31-023
Centrum Opieki Zdrowotnej Orkan-Med
Ksawerów, 95-054
Gabinet Internistyczno-Kardiologiczny Dr n. med. Jacek Nowak
Libiąż, 32-590
Polimedica Centrum Badań Profilaktyki I Leczenia
Lodz, 90-302
Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Łodzi
Lodz, 93-153
KLIMED Marek Klimkiewicz
Łomża, 18-404
Medicome Sp z o o
Oświęcim, 32-600
SPZOZ w Pulawach Szpital Specjalistyczny
Puławy, 24-100
Janusz Spyra Specjalistyczna Praktyka Lekarska
Ruda Śląska, 41-709
Centrum Medyczne Sabamed - Rzeszów
Rzeszów, 35-006
Centrum Medyczne Medyk
Rzeszów, 35-055
NZOZ Pro-Cordis Sopockie Centrum Bad Kardiolog
Sopot, 81-717
Indywidualna Specjalistyczna Praktyka Lekarska B Busz-Papiez
Szczecin, 70-506
Synexus Polska Sp z o o Oddział w Warszawie
Warsaw, 01-192
Synexus Polska Sp z o o Oddział we Wroclawiu
Wroclaw, 50-088
KO-MED Centra Kliniczne Zamosc
Zamość, 22-400
Bulgaria19 sites
MHAT 'Sveta Ekaterina' EOOD
Dimitrovgrad, 6400
MHAT Dr Tota Venkova AD
Gabrovo, 5300
Medical Center Haskovo EOOD
Haskovo, 6300
MHAT-Haskovo AD
Haskovo, 6300
MHAT - Pazardzhik AD
Pazardzhik, 4400
MHAT Sv Pantaleymon - Pleven OOD
Pleven, 5800
SHATC Pleven EAD
Pleven, 5800
UMHAT 'Dr Georgi Stranski' EAD
Pleven, 5800
UMHAT Sv Georgi EAD
Plovdiv, 4000
MHAT-Plovdiv AD
Plovdiv, 4002
Second MHAT - Sofia AD
Sofia, 1202
Fifth MHAT - Sofia EAD
Sofia, 1233
NMTH Tsar Boris III
Sofia, 1233
MHAT - National Heart Hospital EAD
Sofia, 1309
UMHAT Alexandrovska EAD
Sofia, 1431
UMHAT 'Tsaritsa Yoanna - ISUL' EAD
Sofia, 1527
Fourth MHAT - Sofia EAD
Sofia, 1606
UMHAT 'Sveta Anna' AD
Sofia, 1750
SHATC Cardiolife OOD
Varna, 9000
Croatia12 sites
General Hospital Dubrovnik
Dubrovnik, 20000
General Hospital Dr Tomislav Bardek
Koprivnica, 48000
Special Hospital for medical rehabilitation
Krapinske Toplice, 49217
Clinical Hospital Centre Rijeka
Rijeka, 51000
General Hospital Dr Josip Bencevic
Slavonski Brod, 35000
General Hospital Varazdin
Varaždin, 42000
General Hospital Zadar
Zadar, 23000
Clinical Hospital Center Sestre Milosrdnice
Zagreb, 10000
Clinical Hospital Dubrava
Zagreb, 10000
Clinical Hospital Sveti Duh
Zagreb, 10000
University Hospital center Zagreb (2108)
Zagreb, 10000
University Hospital center Zagreb (2110)
Zagreb, 10000
Latvia11 sites
Daugavpils Regional Hospital
Daugavpils, LV-5417
Dr Iveta Neniske GP Practice
Jēkabpils, LV-5201
Jelgava Outpatient Clinic
Jelgava, LV-3001
Dr R Eglite's Private practice
Kuldīga, LV-3301
Inese Cebere GP practice
Liepāja, LV-3401
Pauls Stradins Clinical University Hospital
Riga, LV-1002
Clinic of GP A Lasmanis ALMA
Riga, LV-1010
GK Neiroklinika
Riga, LV-1011
Health Centre 4
Riga, LV-1012
Dr D Harasimjuka GP Practice
Valmiera, LV-4201
Regional Hospital of Ziemelkurzeme
Ventspils, LV-3601
Slovakia11 sites
Stredoslovensky ustav srdcovych a cievnych chorob a s
Banská Bystrica, 97401
Alian s r o
Bardejov, 8501
Cardioconsult s r o
Bratislava, 81104
DIAMETABOL s r o
Bratislava, 82106
Veria s r o
Bratislava, 85101
Medicalgroup s r o
Košice, 4001
KARDIO 1 s r o
Lučenec, 984 39
Kardiologicka ambulancia Dr Kolikova
Považská Bystrica, 1701
Medispol s r o
Prešov, 8001
Interna SK s r o
Svidník, 8901
MEDIVASA s r o
Žilina, 1001
Belgium10 sites
O L V Ziekenhuis
Aalst, 9300
ZNA Middelheim
Antwerp, 2260
AZ Sint-Jan Brugge
Bruges, 8000
C H U Brugmann - Site Victor Horta
Brussels, 1020
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, 3500
St-Franciskus Ziekenhuis
Heusden-Zolder, 3550
Universitairsitaire Ziekenhuizen Leuven
Leuven, 3000
C H R de la Citadelle
Liège, 4000
AZ Sint-Maarten
Mechelen, 2800
AZ Turnhout - Campus Sint-Elisabeth
Turnhout, 2300
Denmark10 sites
Bispebjeg og Fredeiksberg Hospital
Copenhagen, 2400
Amager Hospital
Copenhagen S, 2300
Gentofte Hospital
Hellerup, 2900
Herlev Hospital
Herlev, 2730
Holbæk Sygehus
Holbæk, 4300
Hvidovre Hospital
Hvidovre, 2650
Rigshospitalet
København Ø, 2100
Nykøbing F Sygehus
Nykøbing Falster, 4800
Slagelse Sygehus
Slagelse, 4200
Regionshospitalet Viborg
Viborg, 8800
Serbia10 sites
Clinical Center of Serbia
Belgrade, 11000
Military Medical Academy
Belgrade, 11000
Clinical Center Dr Dragisa Misovic Dedinje
Belgrade, 11040
Dedinje Cardiovascular Institute
Belgrade, 11040
Clinical Center Bezanijska kosa
Belgrade, 11080
Institute of Cardiovascular Diseases of Vojvodina
Kamenitz, 21204
Clinical Center Kragujevac
Kragujevac, 11000
Clinical Center Kragujevac
Kragujevac, 34000
Clinical Center Nis
Niš, 18000
Niska Banja
Niška Banja, 18205
Spain10 sites
Hospital Virgen del Mar
Almería, 4120
Hospital del Mar
Barcelona, 8003
Hospital Quiron Barcelona
Barcelona, 8023
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Hospital Universitario Clinico San Carlos
Madrid, 28040
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, 28222
Parc Sanitari Sant Joan de Deu
Sant Boi de Llobregat, 8830
Complejo Hospitalario Universitario de Santiago
Santiago de Compostela, 15706
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Nuestra Señora del Prado
Talavera de la Reina, 45600
Lithuania8 sites
Kaunas Clinical Hospital Public Institution
Kaunas, 47144
Saules Seimos Medicinos Centras JSC
Kaunas, 49449
Elite Medicale JSC
Kaunas, 50177
Hospital of Lithuanian University of Health Sciences Kaunas Clinics (5103)
Kaunas, LT-50009
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, LT-50009
Cardiology and Rehabilitation Clinic JSC
Klaipėda, 91131
Klaipeda Republican Hospital Public Institution
Klaipėda, 92231
Vilnius University Hospital Santariskiu Clinic Public Institution
Vilnius, LT-08661
Estonia4 sites
East Tallinn Central Hospital
Tallinn, 101389
Dr Arvo Rosenthal LLC
Tallinn, 13419
North Estonia Medical Centre Foundation
Tallinn, 13419
Tartu University Hospital
Tartu, 51014
About this study
Official title: Evaluation of Edoxaban in Anticoagulant Naïve Patients With Nonvalvular Atrial Fibrillation (NVAF) and High Creatinine Clearance
Atrial fibrillation is when the heart's two upper chambers (called atria) beat chaotically and irregularly, out of coordination with the two lower chambers (called ventricles) of the heart. This can lead to blood clots forming in the heart chamber.
Patients with atrial fibrillation will be treated with either 60 mg or 75 mg of edoxaban for up to 12 months, with a 2-4 week follow-up, after which their participation is complete.
Blood samples will be collected before the first dose of study drug (Day 0), and on Days 30, 90 and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose).
- Conditions
- Atrial Fibrillation
- Being tested
- Edoxaban
- Keywords
- Nonvalvular Atrial Fibrillation, High Creatinine Clearance, Developmental Phase III, Anticoagulant Naïve
- Medical subject headings
- Atrial Fibrillation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EdoxabanDrug
Edoxaban will be provided in blister packs with active and placebo tablets maintaining the blind, i.e., one 60 mg active tablet and a 15 mg placebo or one 60 mg active tablet and a 15 mg active tablet. Transition doses of 30 mg + 15 mg edoxaban are provided in 14-tablet blister packs.
| Study group | Role | What they receive |
|---|---|---|
| Edoxaban 75 mg | Experimental | Edoxaban 60 mg + edoxaban 15 mg orally, once daily, at the same time (preferably morning) for up to 12 months, with a 2-4 week follow-up period. If needed when the patient completes or discontinues the study, an open-label transition dose of 30 mg and 15 mg edoxaban tablets will be provided. Receives: Drug: Edoxaban |
| Edoxaban 60 mg | Active comparator | Edoxaban 60 mg + placebo 15 mg orally, once daily, at the same time (preferably morning) for up to 12 months, with a 2-4 week follow-up period. If needed when the patient completes or discontinues the study, an open-label transition dose of 30 mg and 15 mg edoxaban tablets will be provided. Receives: Drug: Edoxaban |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pharmacokinetics: Average Concentration of Edoxaban at Steady State (Cav)
In pharmacokinetics, steady state means the overall intake of a drug is about equal to its elimination
Measured: After initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Pharmacokinetics: Minimum Concentration of Edoxaban in Plasma (Cmin)
Cmin is a term used in pharmacokinetics that usually refers to the minimum blood plasma concentration that a drug achieves after the drug has been administered and prior to the administration of a second dose
Measured: After initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Pharmacodynamics: Mean exposure using validated assays
Exposure analysis performed with validated Liquid Chromatography/Tandem Mass Spectrometry/Mass Spectrometry (LC/MS/MS) assay with lithium heparin plasma.
Categories: Edoxaban and its metabolite (D21-2393)
Measured: Pre-dose and after initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Pharmacodynamics: Mean exposure with anti-Factor Xa (FXa) assay
Exposure analysis performed with anti-FXa assay, using sodium citrate plasma samples Categories: Edoxaban and D21-2393
Measured: Pre-dose and after initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Secondary outcomes (5)
Efficacy: Number of participants with composite event 1
Composite event 1 includes ischemic or hemorrhagic stroke/transient ischemic attack (TIA) and systemic embolic events (SEE)
Measured: within 3 years
Efficacy: Number of participants with composite event 2
Composite event 2 includes stroke/TIA, SEE, myocardial infarction, cardiovascular death, and major bleeding
Measured: within 3 years
Safety: Number of participants with major bleeding (including intracranial)
Major bleeding is defined per the International Society on Thrombosis and Haemostasis (ISTH) definition
Measured: within 3 years
Safety: Number of participants with clinically relevant bleeding
Clinically relevant bleeding is a combination of major bleeding and clinically relevant non-major (CRNM) bleeding
Measured: within 3 years
Safety: Number of participants with any bleeding
Count of participants who experienced any bleeding event
Measured: within 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Nov 2016 (estimated)
- Study start24 Jan 2017
- Primary completion9 Oct 2018
- Study completion9 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Atrial FibrillationStudies of the same condition, open and under way.
- More trials run by Daiichi SankyoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 607 participants (actual)
Sponsor and investigators
- Lead sponsor
- Daiichi Sankyo
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Responsible party
- Sponsor
- Investigators
- Global Clinical Leader, Study director, Daiichi Sankyo
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02964949
- Sponsor's protocol ID
- DU176b-C-E314
- Other IDs
- 2016-001795-30, 2016
- Status last verified
- Dec 2018
- First submitted
- 14 Nov 2016
- Last updated
- 12 Feb 2019
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Edoxaban in Anticoagulant Naïve Patients With Nonvalvular Atrial Fibrillation (NVAF) and High Creatinine Clearance
- ClinicalTrials.gov ID
- NCT02964949
- Acronym / sponsor ID
- DU176b-C-E314
- Conditions
- Atrial Fibrillation
- Keywords
- Nonvalvular Atrial Fibrillation, High Creatinine Clearance, Developmental Phase III, Anticoagulant Naïve
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 607 participants (actual)
- Lead sponsor
- Daiichi SankyoIndustry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Study start
- 24 Jan 2017 (actual)
- Primary completion
- 9 Oct 2018 (actual)
- Study completion
- 9 Oct 2018 (actual)
- First posted
- 16 Nov 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Atrial fibrillation is when the heart's two upper chambers (called atria) beat chaotically and irregularly, out of coordination with the two lower chambers (called ventricles) of the heart. This can lead to blood clots forming in the heart chamber.
Patients with atrial fibrillation will be treated with either 60 mg or 75 mg of edoxaban for up to 12 months, with a 2-4 week follow-up, after which their participation is complete.
Blood samples will be collected before the first dose of study drug (Day 0), and on Days 30, 90 and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose).
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Edoxaban 75 mg | Experimental | Drug: EdoxabanEdoxaban 60 mg + edoxaban 15 mg orally, once daily, at the same time (preferably morning) for up to 12 months, with a 2-4 week follow-up period. If needed when the patient completes or discontinues the study, an open-label transition dose of 30 mg and 15 mg edoxaban tablets will be provided. |
| Edoxaban 60 mg | Active comparator | Drug: EdoxabanEdoxaban 60 mg + placebo 15 mg orally, once daily, at the same time (preferably morning) for up to 12 months, with a 2-4 week follow-up period. If needed when the patient completes or discontinues the study, an open-label transition dose of 30 mg and 15 mg edoxaban tablets will be provided. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Meets protocol-specified criteria for qualification
- Is able to follow the protocol specified contraception methods
- Is willing and able to comply with any restrictions related to food, drink and medications
- Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures
Key exclusion criteria (5 listed)
- Has history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters
- Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EdoxabanEdoxaban will be provided in blister packs with active and placebo tablets maintaining the blind, i.e., one 60 mg active tablet and a 15 mg placebo or one 60 mg active tablet and a 15 mg active tablet. Transition doses of 30 mg + 15 mg edoxaban are provided in 14-tablet blister packs. | Drug | Edoxaban 60 mg, Edoxaban 75 mg |
Primary outcome
Pharmacokinetics: Average Concentration of Edoxaban at Steady State (Cav)
Time frame: After initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
In pharmacokinetics, steady state means the overall intake of a drug is about equal to its elimination
Pharmacokinetics: Minimum Concentration of Edoxaban in Plasma (Cmin)
Time frame: After initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Cmin is a term used in pharmacokinetics that usually refers to the minimum blood plasma concentration that a drug achieves after the drug has been administered and prior to the administration of a second dose
Pharmacodynamics: Mean exposure using validated assays
Time frame: Pre-dose and after initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Exposure analysis performed with validated Liquid Chromatography/Tandem Mass Spectrometry/Mass Spectrometry (LC/MS/MS) assay with lithium heparin plasma. Categories: Edoxaban and its metabolite (D21-2393)
Pharmacodynamics: Mean exposure with anti-Factor Xa (FXa) assay
Time frame: Pre-dose and after initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)
Exposure analysis performed with anti-FXa assay, using sodium citrate plasma samples Categories: Edoxaban and D21-2393
5 secondary outcomes
Efficacy: Number of participants with composite event 1
Time frame: within 3 years
Efficacy: Number of participants with composite event 2
Time frame: within 3 years
Safety: Number of participants with major bleeding (including intracranial)
Time frame: within 3 years
Safety: Number of participants with clinically relevant bleeding
Time frame: within 3 years
Safety: Number of participants with any bleeding
Time frame: within 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Feb 2019.
- Individual participant dataSharing planned: Yes. De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Leader study director
Daiichi Sankyo
233 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Edoxaban in people with Atrial Fibrillation, run by Daiichi Sankyo at 233 sites in 15 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 4 inclusion and 5 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 12 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 233 sites in Hungary, Russia, Ukraine, Czechia, Poland and 10 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Pharmacokinetics: Average Concentration of Edoxaban at Steady State (Cav) (time frame: After initiation of dosing on Days 30, 90, and 360 (at pre dose, 1-2 hours post dose and 4-8 hours post-dose)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 12 Feb 2019.