Nonvalvular atrial fibrillation which has developed acute cardiac heart failure acute cardiac insufficiency, nonvalvular atrial fibrillation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who required hospitalization due to acute heart failure (including acute exacerbation of chronic heart failure) 2. Patients who received a definitive diagnosis of NVAF 3. Patients who are administered Edoxaban Tosilate Hydrate on obtaining informed consent or patients who will newly start administration of Edoxaban Tosilate Hydrate after obtaining informed consent 4. Patients who is available for oral administration at registration 5. Aged 20 years or older on obtaining informed consent
Exclusion criteria
Exclusion criteria: 1. Patients using oral anticoagulant other than Edoxaban Tosilate Hydrate at the time of admission 2. Patients with a past medical history of hypersensitivity to Edoxaban Tosilate Hydrate 3. Patients with acute bacterial endocarditis 4. Patients with renal failure (creatinine clearance calculated by Cockcroft-Gault equation is less than 15 mL/min) 5. Patients who is receiving Dual anti-platelet therapy (DAPT) 6. Patients with cardiopulmonary arrest or cardiogenic shock 7. Patients who had gastrointestinal bleeding or major bleeding (ISTH criteria) within 4 weeks of enrollment 8. Patients who are unlikely to complete research, such as progressive malignant tumor merger 9. Pregnant patients 10. Patients who have been enrolled in this study in the past 11. Participating or scheduled to participate in clinical studies with intervention 12. Patients who have been judged inappropriate as the subjects of this study by the principle investigator and others
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Ratio of trough value at the administration from day 1 to 7 to the concentration of Edoxaban plasma (trough value) at the time of final blood drawing 2. Transition of Edoxaban Tosilate Hydrate plasma concentration (trough value) (from day 1 to the final blood drawing) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pharmacokinetics Pharmacokinetic parameters (Cmax, AUCtau, Tmax) of plasma Edoxaban Tosilate Hydrate on day 0 of administration and at the last blood drawing 2. Pharmacodynamics Changes in the following pharmacodynamic biomarkers at the blood drawing 1) Prothrombin fragment 1 + 2 (Fl + 2) 2) D-dimer 3) PT | — |
Contacts
Kitasato University Hospital