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A phase 3, randomised, double-blind, double dummy, parallel group, multi-centre, multi-national study for evaluation of efficacy and safety of du-176b verses warfarin in subjects with atrial fibrillation

A phase 3, randomised, double- blind, double dummy, parallel group, multi-center, multi-national study for evaluation of efficacy and safety of du-176b versus warfarin in subjects with atrial fibrillation

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000132246
Acronym
ENGAGE AF TIMI 48
Enrollment
16500
Registered
2009-02-25
Start date
2008-11-19
Completion date
Unknown
Last updated
2026-02-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A global study to assess the safety and effectiveness of a potential new drug in comparison to the standard practice of dosing with warfarin in those patients diagnosis of Atrial Fibrillation

Interventions

Intervention Arm 1: Du-176b is taken once daily orally - 60mg Intervention Arm 2: Du-176b is taken once daily orally - 30mg The overall duration for intervention 1 and 2 is taken once daily orally for approximately 2 years

Sponsors

Daiichi Sankyo Pharma Development
Lead SponsorCommercial sector/Industry

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
21 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Male or female subjects with age = 21 years; 2. Able to provide written informed consent; 3. History of Atrial Fibrillation (AF) documented by a 12-lead electrocardiographic reading and/or continuous electrocardiogram (ECG) (e.g., Holter monitoring) consistent with Atrial Fibrillation (AF) (notation of AF as the abnormal rhythm on the local ECG report with evidence of irregularly irregular rhythm and an absence of P-waves on the ECG for diagnosis of AF) within the prior 12 months and for which anticoagulation therapy is indicated and planned for the duration of the study, including subjects with paroxysmal, persistent, or permanent AF and subjects with or without previous vitamin K antagonist (VKA) (including warfarin) experience (it is anticipated that approximately 40% of subjects will be VKA-naive); 4. A moderate to high risk of stroke, as defined by Scoring system Congestive Heart Failure, Hypertension, Age, Diabetes, previous stroke (CHADS2) index score of at least 2, is required to be eligible for the study. The CHADS2 scoring is performed by assigning 1 point each for a history of congestive heart failure, hypertension, age 75 years, or diabetes mellitus; and by assigning 2 points for history of stroke or Trans Ischemic Attack (TIA).

Exclusion criteria

1 Transient AF secondary to other reversible disorders 2 Subjects with moderate or severe mitral stenosis, unresected atrial myxoma, or a mechanical heart valve 3 Subjects with any contraindication for anticoagulant agents; 4 Subjects with conditions associated with high risk of bleeding or have known or suspected hereditary or acquired bleeding disorders 5 Females of childbearing potential including the following: a)Females with a history of tubal-ligation; b) Females less than 2 years post-menopausal

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026