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A controlled, randomised, double-blind, double-dummy, parallel-group, phase III, multicenter study to evaluate efficacy and safety of the oral direct thrombin inhibitor AZD0837 compared to warfarin for the prevention of stroke and systemic embolic events (SEE) in patients with atrial fibrillation (ASSURE-AF) - ASSURE-AF

A controlled, randomised, double-blind, double-dummy, parallel-group, phase III, multicenter study to evaluate efficacy and safety of the oral direct thrombin inhibitor AZD0837 compared to warfarin for the prevention of stroke and systemic embolic events (SEE) in patients with atrial fibrillation (ASSURE-AF) - ASSURE-AF

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REPEC
Registry ID
PER-150-08
Enrollment
180
Registered
2009-01-20
Start date
Unknown
Completion date
Unknown
Last updated
2023-09-04

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

Conditions

None listed

Interventions

Group 1 Type of group
Patients will be treated once a day in the morning with AZD0837 350 mg (± 175 mg) Group name:Group 2 Type of group
Patients will be treated once a day in the morning with warfarin looking for a 2.0 to 3.0 RIN, 2.5 objective RIN.

Sponsors

ASTRAZENECA - PERU,
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years

Inclusion criteria

Inclusion criteria: • Provision of informed consent prior to any specific study procedure. • Woman or man> 18 years old • Rhythm Verification • Stroke risk classification at least one of the risk factors

Exclusion criteria

Exclusion criteria: • Fertile women without a reliable contraceptive method, in the opinion of the Researcher, before and during participation in the study. • Breastfeeding • AF secondary to a current reversible disorder (eg, hyperthyroidism, isolated postoperative AF, drugs and pulmonary embolism) • Allergy and / or intolerance to AVK • Valvular heart disease • Active infectious endocarditis • Any other condition other than AF that requires chronic anticoagulant treatment • myocardial infarction (MI), cardiac surgery (eg, coronary artery bypass graft, CABG) and / or percutaneous coronary intervention (PCI) within 3 months prior to enrollment. Any PCI that requires treatment with clopidogrel at the time of enrollment. • Stroke, TIA and / or systemic embolism within 14 days prior to randomization • Known bleeding disorders and / or conditions associated with increased risk of major bleeding • Severe renal impairment (calculated creatinine clearance (CrCl) 3 x LSN and / or bilirubin> 2 x LSN • Uncontrolled hypertension, systolic blood pressure> 180 mmHg • Anemia (Hb <100 g / 1 = 6.2 mmol / I) and / or platelet count <100 x 10 ^ / 1 • Scheduled pulmonary vein ablation procedure, PCI or major surgery. Programmed cardioversion (direct current (CD) or pharmacological) within the month of randomization. • Another serious illness with an estimated survival of less than 12 months, any condition that causes the patient to be too weak to participate in the study, and / or inability to complete the study according to the protocol. Severe neurological deficit or disability that interferes with the detection and / or evaluation of a new cerebrovascular event • Known drug addiction or alcohol abuse • Enrollment or randomization to the previous treatment in the present study and / or participation in previous studies with AZD0837. • Participation in another clinical study with IP and / or intervention during the last 3 months. • Participation in the planning and / or conduct of the study (applies to both AstraZeneca staff and the study center).

Design outcomes

Primary

MeasureTime frame
Outcome name:A cerebrovascular accident is defined as a focal neurological deficit caused by an ischemic or hemorrhagic event of the central nervous system, with residual symptoms at least 24 hours after the onset or causing death. Measure:Outcome composed of stroke and SES in each patient Timepoints:During the study

Secondary

MeasureTime frame
Outcome name:TIA is defined as a focal neurological deficit that resolves spontaneously without any evidence of residual deficit within 24 hours. At a minimum, the diagnosis of TIA requires at least 1 major symptom (unilateral weakness of 2 or more areas of the body (face, arm, trunk, leg), inability to speak, loss of visual field) or 2 minor symptoms (diplopia , vertigo or disturbances in walking, dysarthria, dysphagia, dysphonia or unilateral numbness). Measure:Appearance of transient ischemic attack Timepoints:During the study ; Outcome name:Total mortality includes all deaths, that is, CV and not CV. When possible, the classification should be based on the results of the autopsy. Measure:Total mortality Timepoints:During the study ; Outcome name:CV mortality includes death from CV disease, cerebrovascular disease and any other vascular abnormality, as well as deaths without a documented non-vascular cause. Measure:Cardiovascular mortality Timepoints:During the study

Countries

Bulgaria, Denmark, France, Hungary, Peru, Slovakia, Spain, Sweden

Contacts

Public ContactUrsula Isabel Rodriguez-Frias

ASTRAZENECA PERU S.A.

ursula.rodriguezfrias@astrazeneca.com610-1540

Outcome results

None listed

Source: REPEC (via WHO ICTRP)