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Comparing the efficacy and safety of apixaban compared to warfarin in patients with left ventricular thrombosis after acute myocardial infarction

Effectiveness and safety of Apixaban versus Warfarin in patients with left ventricular thrombus following acute myocardial infarction: A randomized clinical trial

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20220809055645N1
Enrollment
104
Registered
2022-08-13
Start date
2022-08-23
Completion date
Unknown
Last updated
2022-08-29

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

Conditions

Left ventricular thrombosis following acute myocardial infarction. Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction

Interventions

Intervention 1: Intervention group: Including 52 patients with left ventricular thrombosis after myocardial infarction who will enter the study with personal consent and after completing the informed

Sponsors

Rasht University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: All patients with left ventricular thrombosis within two weeks after acute myocardial infarction, if there is no contraindication to the use of anticoagulants

Exclusion criteria

Exclusion criteria: History of active bleeding, History of coagulation disorders, Contraindications to Apixaban or warfarin (For example, in patients with ESRD), Drug sensitivity to Apixaban or warfarin, Moderate to severe mitral stenosis, Mechanical valve disease, GFR less than 25, If INR is not within the control-normal range, i.e. 2 to 3, Consumption of drugs which interfere with Apixaban (such as amiodarone, antifungal drugs, anti-AIDS drugs, etc.)

Design outcomes

Primary

MeasureTime frame
Reduction of thrombosis and bleeding in patients with left ventricular thrombosis after acute myocardial infarction. Timepoint: At the beginning of the study, 3 months after the intervention. Method of measurement: By Echocardiography.

Secondary

MeasureTime frame
Elimination of thrombus or change in size and its organization in the three-month follow-up, reduction of stroke and other thromboembolic events. Timepoint: Three months after the intervention. Method of measurement: By Echocardiography.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFatemeh Baharvand

Rasht University of Medical Sciences

dr.baharcardio@gmail.com+98 13 3361 8177

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026