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Safety of colorectal polypectomy with switching warfarin to direct oral anticoagulant

Safety of colorectal polypectomy with switching warfarin to direct oral anticoagulant - SWARD trial

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000024181
Enrollment
45
Registered
2016-09-27
Start date
2016-10-20
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Colorectal polyp

Interventions

Colorectal polypectomy with switching warfarin to DOAC

Sponsors

Kurashiki Central Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Subjects must satisfy all of the following criteria to be enrolled in the study 1.Age:over 20 years-old and under 90 years-old 2.concomitant use of warfarin 3.Colorectal polyps available to be resected by EMR or polypectomy 4.Cardiologist permitted switching warfarin to DOAC(patient with nonvalvular atrial fibrillation or deep vein thrombosis or pulmonary vein thrombosis, without severe renal failure: CCr >30ml/min, without any other contraindication to DOAC) 5.Written informed consent to continue DOAC after this study was obtained 6.Discontinuation or switching to aspirin/cilostazol is available in case of taking thienopyridine derivative 7.Written informed consent for this study was obtained

Exclusion criteria

Exclusion criteria: Potential subjects who meet any of the following criteria will be excluded from participating in the study 1.pregnant or breast-feeding 2.patient with inflammatory bowel disease or familial polyposis 3.without bleeding tendency(Platelet count <90,000/uL at the screening visit) 4.poor bowel preparation

Design outcomes

Primary

MeasureTime frame
Incidence of delayed bleeding and thromboembolic event

Secondary

MeasureTime frame
Incidence of immediate bleeding and perforation, hospitalization

Countries

Japan

Contacts

Public ContactYuichi Shimodate

Kurashiki Central Hospital Gastroenterology and Hepatology

ys13544@kchnet.or.jp086-422-0210

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026