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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- unpublished or not fully published trial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, W�hlander 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
| Fulltext
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