Atrial Fibrillation, Stroke
Conditions
Brief summary
To determine the long term safety and efficacy of BIBR 1048 in patients with chronic atrial fibrilla tion, with or without concomitant chronic treatment with acetylsalicylic acid (ASA).
Interventions
dosage used at study start
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosis and main criteria for inclusion: Paroxysmal, persistent, or permanent (chronic) non-rheumatic atrial fibrillation with a history of coronary artery disease (CAD) Inclusion Criteria: * previous treatment with BIBR 1048 in PETRO (trial 1160.20- NCT01227629) and no premature discontinuation of therapy * paroxysmal, persistent, or permanent (chronic) non-rheumatic atrial fibrillation, documented by electrocardiogram (ECG) at least twice prior to enrollment in PETRO * concomitant coronary artery disease -an additional risk factor for stroke (one or more of the following conditions/events): hypertension, diabetes mellitus (DM), congestive heart failure (CHF) or Left ventricular dysfunction (LVD), previous ischemic stroke or transient ischemic attack) TIA, or age greater than 75 years. -age \>= 18 years * written, informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 5 years | Time to first occurrence of stroke, transient ischaemic attacks, system thromboembolism, myocardial infarction, other major adverse cardiac events and mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Major Bleeding | 5 years | Time to first occurrence of fatal or life-threatening, retroperitoneal, intracranial, intraocular, or intraspinal bleeding, which required surgical treatment, led to a transfusion of a minimum of 2 units of packed cells or whole blood, or led to a fall in hemoglobin of 20g/L or less. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Major + Minor/Relevant Bleeding | 5 years | Time to first occurrence of either major or minor/relevant bleeding. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Any Bleeding | 5 years | Time to first occurrence of any bleeding event. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Minor Bleeding | 5 years | Time to first occurrence of minor bleeding. A minor bleeding event is any bleed that does not qualify as a major bleed. All minor bleeding events not fulfilling one of the criteria for clinically relevant were classified as nuisance bleeds. Clinically-relevant was defined as spontaneous skin hematoma ≥25 cm², spontaneous nose bleed \>5 min, macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention, spontaneous rectal bleeding, gingival bleeding \>5 min, leading to hospitalization, leading to a transfusion of \<2 units of packed cells or whole blood and any other bleeding event considered clinically relevant by the investigator. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Yearly Event Rate of Myocardial Infarction | 5 years | Time to first occurrence of any myocardial infarction. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate of Other Major Adverse Cardiac Events | 5 years | Time to first occurrence of any other major adverse cardiac events. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate of Death | 5 years | Time to death of any cause. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Stroke | 5 years | Time to first occurrence of any fatal or non-fatal stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Severe Adverse Event | 5 years | Frequency of patients with severe adverse events. |
| Laboratory Analyses | 5 years | Frequency of patients with possible clinically significant abnormalities, i.e. with values out of normal range. Normal ranges are defined as: * Alanine aminotransferase (ALT): 5-45 \[U/L\] * Aspartate aminotransferase (AST): 10-40 \[U/L\] * Bilirubin, total: 0.2-1.0 \[mg/dL\] |
| Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 5 years | Time to first occurrence of ischaemic stroke, transient ischaemic attacks, non-central nervous system systemic thromboembolism, myocardial infarction, other major adverse cardiac events and all-cause mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate of Ischaemic Stroke | 5 years | Time to first occurrence of any ischaemic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate of Haemorrhagic Stroke | 5 years | Time to first occurrence of any haemorrhagic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Transient Ischaemic Attacks | 5 years | Time to first occurrence of any transient ischaemic attacks. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
| Yearly Event Rate for Systemic Thromboembolism | 5 years | Time to first occurrence of any non-central nervous system systemic thromboembolism. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25 |
Countries
Denmark, Netherlands, Sweden, United States
Participant flow
Recruitment details
This was a non-randomized open-label extension study of study 1160.20. Patients initially continued Dabigatran treatment of 1160.20; per protocol amendment, most patients moved to 150 mg bid. All events were assigned to the Dabigatran regimen that a patient received prior to the event and patients may be counted in multiple regimens
Pre-assignment details
In this non-randomized follow-up study, events are displayed cumulatively that occurred in the initial study (1160.20) or in the present study.
Participants by arm
| Arm | Count |
|---|---|
| Dabigatran Etexilate, 150 mg QD (Once Daily) Dosage used at study start | 98 |
| Dabigatran Etexilate, 150 mg BID (Twice Daily) Dosage used at study start | 89 |
| Dabigatran Etexilate, 300 mg QD (Once Daily) Dosage used at study start | 50 |
| Dabigatran Etexilate, 300 mg BID (Twice Daily) Dosage used at study start | 124 |
| Total | 361 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 36 | 25 | 13 | 33 |
| Overall Study | Lost to Follow-up | 0 | 1 | 0 | 0 |
| Overall Study | Protocol Violation | 4 | 0 | 2 | 2 |
| Overall Study | site closures, subject moving | 7 | 7 | 3 | 9 |
| Overall Study | Withdrawal by Subject | 1 | 4 | 3 | 3 |
Baseline characteristics
| Characteristic | Dabigatran Etexilate, 150 mg QD (Once Daily) | Dabigatran Etexilate, 150 mg BID (Twice Daily) | Dabigatran Etexilate, 300 mg QD (Once Daily) | Dabigatran Etexilate, 300 mg BID (Twice Daily) | Total |
|---|---|---|---|---|---|
| Age, Continuous | 70.4 Years STANDARD_DEVIATION 8.6 | 69.3 Years STANDARD_DEVIATION 8.2 | 71.0 Years STANDARD_DEVIATION 6.8 | 68.8 Years STANDARD_DEVIATION 8.5 | 69.7 Years STANDARD_DEVIATION 8.2 |
| Atrial fibrillation Paroxysmal | 18 Participants | 23 Participants | 10 Participants | 31 Participants | 82 Participants |
| Atrial fibrillation Permanent | 40 Participants | 28 Participants | 25 Participants | 47 Participants | 140 Participants |
| Atrial fibrillation Persistent | 40 Participants 139 | 38 Participants 40 | 15 Participants 38 | 46 Participants 15 | 139 Participants |
| Sex: Female, Male Female | 19 Participants | 18 Participants | 10 Participants | 12 Participants | 59 Participants |
| Sex: Female, Male Male | 79 Participants | 71 Participants | 40 Participants | 112 Participants | 302 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 1 | 18 / 105 | 17 / 102 | 219 / 356 | 65 / 90 | 57 / 161 |
| serious Total, serious adverse events | 0 / 1 | 8 / 105 | 20 / 102 | 153 / 356 | 39 / 90 | 21 / 161 |
Outcome results
Yearly Event Rate for Any Bleeding
Time to first occurrence of any bleeding event. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Any Bleeding | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Any Bleeding | 25.5 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Any Bleeding | 21.5 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Any Bleeding | 14.7 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Any Bleeding | 14.9 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Any Bleeding | 58.5 yearly event rate (percentage) |
Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality.
Time to first occurrence of stroke, transient ischaemic attacks, system thromboembolism, myocardial infarction, other major adverse cardiac events and mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 17.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 5.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 5.7 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 4.5 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Composite Endpoint of Stroke, Transient Ischaemic Attacks, System Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and Mortality. | 2.4 yearly event rate (percentage) |
Yearly Event Rate for Major Bleeding
Time to first occurrence of fatal or life-threatening, retroperitoneal, intracranial, intraocular, or intraspinal bleeding, which required surgical treatment, led to a transfusion of a minimum of 2 units of packed cells or whole blood, or led to a fall in hemoglobin of 20g/L or less. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Major Bleeding | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Major Bleeding | 0.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Major Bleeding | 6.6 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Major Bleeding | 3.1 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Major Bleeding | 0.8 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Major Bleeding | 7.3 yearly event rate (percentage) |
Yearly Event Rate for Major + Minor/Relevant Bleeding
Time to first occurrence of either major or minor/relevant bleeding. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 8.5 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 11.6 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 7.6 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 6.6 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Major + Minor/Relevant Bleeding | 26.8 yearly event rate (percentage) |
Yearly Event Rate for Minor Bleeding
Time to first occurrence of minor bleeding. A minor bleeding event is any bleed that does not qualify as a major bleed. All minor bleeding events not fulfilling one of the criteria for clinically relevant were classified as nuisance bleeds. Clinically-relevant was defined as spontaneous skin hematoma ≥25 cm², spontaneous nose bleed \>5 min, macroscopic hematuria spontaneous or lasting longer than 24 hours if associated with an intervention, spontaneous rectal bleeding, gingival bleeding \>5 min, leading to hospitalization, leading to a transfusion of \<2 units of packed cells or whole blood and any other bleeding event considered clinically relevant by the investigator. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 0.0 yearly event rate (percentage) |
| 50 mg Once Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 8.5 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 17.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 5.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 9.9 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 4.5 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 7.1 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 5.8 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 8.3 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Clinically relevant | 19.5 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Minor Bleeding | Nuisance only | 31.7 yearly event rate (percentage) |
Laboratory Analyses
Frequency of patients with possible clinically significant abnormalities, i.e. with values out of normal range. Normal ranges are defined as: * Alanine aminotransferase (ALT): 5-45 \[U/L\] * Aspartate aminotransferase (AST): 10-40 \[U/L\] * Bilirubin, total: 0.2-1.0 \[mg/dL\]
Time frame: 5 years
Population: All treated patients.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 50 mg Once Daily | Laboratory Analyses | ALT > 3*ULN | 0 participants |
| 50 mg Once Daily | Laboratory Analyses | AST > 3*ULN | 0 participants |
| 50 mg Once Daily | Laboratory Analyses | Bilirubin > 2*ULN | 0 participants |
| 50 mg Twice Daily | Laboratory Analyses | ALT > 3*ULN | 0 participants |
| 50 mg Twice Daily | Laboratory Analyses | AST > 3*ULN | 0 participants |
| 50 mg Twice Daily | Laboratory Analyses | Bilirubin > 2*ULN | 0 participants |
| 150 mg Once Daily | Laboratory Analyses | ALT > 3*ULN | 0 participants |
| 150 mg Once Daily | Laboratory Analyses | AST > 3*ULN | 0 participants |
| 150 mg Once Daily | Laboratory Analyses | Bilirubin > 2*ULN | 0 participants |
| 150 mg Twice Daily | Laboratory Analyses | ALT > 3*ULN | 9 participants |
| 150 mg Twice Daily | Laboratory Analyses | AST > 3*ULN | 10 participants |
| 150 mg Twice Daily | Laboratory Analyses | Bilirubin > 2*ULN | 5 participants |
| 300 mg Once Daily | Laboratory Analyses | ALT > 3*ULN | 4 participants |
| 300 mg Once Daily | Laboratory Analyses | AST > 3*ULN | 3 participants |
| 300 mg Once Daily | Laboratory Analyses | Bilirubin > 2*ULN | 2 participants |
| 300 mg Twice Daily | Laboratory Analyses | AST > 3*ULN | 1 participants |
| 300 mg Twice Daily | Laboratory Analyses | Bilirubin > 2*ULN | 0 participants |
| 300 mg Twice Daily | Laboratory Analyses | ALT > 3*ULN | 2 participants |
Severe Adverse Event
Frequency of patients with severe adverse events.
Time frame: 5 years
Population: All treated patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Severe Adverse Event | 0 participants |
| 50 mg Twice Daily | Severe Adverse Event | 5 participants |
| 150 mg Once Daily | Severe Adverse Event | 13 participants |
| 150 mg Twice Daily | Severe Adverse Event | 96 participants |
| 300 mg Once Daily | Severe Adverse Event | 28 participants |
| 300 mg Twice Daily | Severe Adverse Event | 16 participants |
Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality
Time to first occurrence of ischaemic stroke, transient ischaemic attacks, non-central nervous system systemic thromboembolism, myocardial infarction, other major adverse cardiac events and all-cause mortality. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 17.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 5.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 5.5 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 4.5 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Composite Secondary Endpoint of Ischaemic Stroke, Transient Ischaemic Attacks, Non-central Nervous System Systemic Thromboembolism, Myocardial Infarction, Other Major Adverse Cardiac Events and All-cause Mortality | 2.4 yearly event rate (percentage) |
Yearly Event Rate for Stroke
Time to first occurrence of any fatal or non-fatal stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Stroke | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Stroke | 4.3 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Stroke | 5.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Stroke | 1.1 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Stroke | 1.7 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Stroke | 0.0 yearly event rate (percentage) |
Yearly Event Rate for Systemic Thromboembolism
Time to first occurrence of any non-central nervous system systemic thromboembolism. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Systemic Thromboembolism | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Systemic Thromboembolism | 8.5 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Systemic Thromboembolism | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Systemic Thromboembolism | 0.2 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Systemic Thromboembolism | 0.4 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Systemic Thromboembolism | 1.2 yearly event rate (percentage) |
Yearly Event Rate for Transient Ischaemic Attacks
Time to first occurrence of any transient ischaemic attacks. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.2 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.4 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate for Transient Ischaemic Attacks | 0.0 yearly event rate (percentage) |
Yearly Event Rate of Death
Time to death of any cause. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate of Death | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate of Death | 0.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate of Death | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate of Death | 2.7 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate of Death | 2.1 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate of Death | 0.0 yearly event rate (percentage) |
Yearly Event Rate of Haemorrhagic Stroke
Time to first occurrence of any haemorrhagic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.6 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.0 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate of Haemorrhagic Stroke | 0.0 yearly event rate (percentage) |
Yearly Event Rate of Ischaemic Stroke
Time to first occurrence of any ischaemic stroke. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate of Ischaemic Stroke | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate of Ischaemic Stroke | 4.3 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate of Ischaemic Stroke | 5.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate of Ischaemic Stroke | 0.5 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate of Ischaemic Stroke | 1.7 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate of Ischaemic Stroke | 0.0 yearly event rate (percentage) |
Yearly Event Rate of Myocardial Infarction
Time to first occurrence of any myocardial infarction. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate of Myocardial Infarction | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate of Myocardial Infarction | 0.0 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate of Myocardial Infarction | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate of Myocardial Infarction | 1.1 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate of Myocardial Infarction | 0.4 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate of Myocardial Infarction | 0.0 yearly event rate (percentage) |
Yearly Event Rate of Other Major Adverse Cardiac Events
Time to first occurrence of any other major adverse cardiac events. Yearly event rate (%) = number of subjects with event / subject-years \* 100. Subject years = sum (date of end of treatment - date of start of treatment) of all entered subjects / 365.25
Time frame: 5 years
Population: All treated patients. In this non-randomized follow-up study, most patients changed treatment regimens per amendment during conduct and treatment exposure was not comparable between regimens. Events were assigned to the regimen a patient received prior to the event, and patients may be counted in multiple regimens. No statistical analysis was done.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 50 mg Once Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 0.0 yearly event rate (percentage) |
| 50 mg Twice Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 8.5 yearly event rate (percentage) |
| 150 mg Once Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 0.0 yearly event rate (percentage) |
| 150 mg Twice Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 1.1 yearly event rate (percentage) |
| 300 mg Once Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 0.8 yearly event rate (percentage) |
| 300 mg Twice Daily | Yearly Event Rate of Other Major Adverse Cardiac Events | 1.2 yearly event rate (percentage) |