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Evaluation of Effectiveness and Safety of Xa Inhibitor for the Prevention of Stroke And Systemic Embolism in a Nationwide Cohort of Japanese Patients Diagnosed as Non-valvular Atrial Fibrillation

Multi-center, Prospective, Non-interventional, Observational Cohort Study to Investigate Effectiveness and Safety of Rivaroxaban on Prevention of Stroke and Systemic Embolism in Patients With Non-valvular Atrial Fibrillation in Japanese Clinical Practice

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02147444
Acronym
EXPAND
Enrollment
7000
Registered
2014-05-26
Start date
2012-11-30
Completion date
Unknown
Last updated
2014-05-26

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

Conditions

Non-valvular Atrial Fibrillation

Keywords

Rivaroxaban, Non-valvular atrial fibrillation, NOAC, Xa inhibitor

Brief summary

The efficacy and safety of a novel oral Xa inhibitor for stroke and systemic embolism, namely rivaroxaban, in non-valvular atrial fibrillation patients are evaluated in Japanese clinical practice.

Interventions

None listed

Sponsors

Tohoku University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients who meet all the criteria below * Patients aged over 20 years * Patients diagnosed with non-valvular atrial fibrillation * Patients who are treated or will be treated with rivaroxaban * Patients from whom written informed consent has been obtained

Exclusion criteria

Patients who meet any of the criteria below * The following patients in whom rivaroxaban is contraindicated for use * Patients with a history of allergies to the ingredients contained in this drug * Patients having a hemorrhagic event (intracranial hemorrhage, gastrointestinal hemorrhage or other clinically significant hemorrhagic events) * Patients having liver disease complicated with coagulation disorder or those having moderate or worse liver disorder (Grade B or C in accordance with the Child-Pugh classification) * Patients having renal failure (creatinine clearance: \<15 mL/min) * Women who are or are likely to be pregnant * Patients who are treated with HIV protease inhibitors (including ritonavir, atazanavir and indinavir) * Patients who are treated with oral or injectable formulations of azole antifungal drugs (including itraconazole, voriconazole and ketoconazole (excluding fluconazole))

Design outcomes

Primary

MeasureTime frameDescription
Combinations of symptomatic stroke (ischemic or hemorrhagic) and systemic embolismup to March/2016Primary efficacy endpoint
Clinically significant hemorrhagic events (massive hemorrhage in accordance with the ISTH classification)up to March/2016Primary safety endpoint

Secondary

MeasureTime frameDescription
Symptomatic hemorrhagic strokeup to March/2016Secondary efficacy endpoints
Systemic embolismup to March/2016Secondary efficacy endpoints
Acute myocardial infarction/unstable angina pectorisup to March/2016Secondary efficacy endpoints
Cardiovascular deathup to March/2016Secondary efficacy endpoints
Combinations of symptomatic stroke (ischemic or hemorrhagic), systemic embolism, myocardial infarction and cardiovascular deathup to March/2016Secondary efficacy endpoints
Transient ischemic attackup to March/2016Secondary efficacy endpoints
Interventional/surgical treatmentup to March/2016Secondary efficacy endpoints
All-cause deathup to March/2016Secondary efficacy endpoints
Clinically insignificant hemorrhagic events (hemorrhagic events other than clinically significant hemorrhagic events)up to March/2016Secondary safety endpoint
Deep vein thrombosis/pulmonary thromboembolismup to March/2016Secondary efficacy endpoints
Symptomatic ischemic strokeup to March/2016Secondary efficacy endpoints

Countries

Japan

Contacts

Primary ContactKoji Fukuda, M.D., Ph. D
fukuda@cardio.med.tohoku.ac.jp+81-22-717-7153

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026