Efficacy and Safety of Rivaroxaban for the Prevention of Stroke in Subjects With Non-Valvular Atrial Fibrillation

NCT ID: NCT00494871

Last Updated: 2015-04-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2010-01-31

Brief Summary

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This is a clinical study evaluating the efficacy and safety of rivaroxaban for stroke prevention in patients with atrial fibrillation (originally described in Japanese).

Detailed Description

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Within the US 'Johnson \& Johnson Pharmaceutical Research \& Development, L.L.C.' is sponsor.

Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Rivaroxaban (Xarelto, BAY59-7939)

Participants received once daily (OD) a rivaroxaban 15 mg tablet and a warfarin placebo tablet during the double-blind treatment period

Group Type EXPERIMENTAL

Rivaroxaban (Xarelto, BAY59-7939)

Intervention Type DRUG

Participants orally administered rivaroxaban 15 mg OD (CrCL \[creatinine clearance\] \>= 50 mL/min) or 10 mg OD (CrCL 30-49 mL/min)

Warfarin placebo

Intervention Type DRUG

Participants orally administered a warfarin placebo tablet (adjusted based upon sham INR values)

Warfarin

Participants received OD a warfarin potassium tablet and a rivaroxaban placebo tablet during the double-blind treatment period

Group Type ACTIVE_COMPARATOR

Warfarin

Intervention Type DRUG

Participants orally administered a warfarin potassium tablet (INR \[international normalized ratio\] target was 1.6-2.6 for patients \>70 years and 2.0-3.0 for patients \<70 years)

Rivaroxaban placebo

Intervention Type DRUG

Participants orally administered a rivaroxaban placebo tablet

Interventions

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Rivaroxaban (Xarelto, BAY59-7939)

Participants orally administered rivaroxaban 15 mg OD (CrCL \[creatinine clearance\] \>= 50 mL/min) or 10 mg OD (CrCL 30-49 mL/min)

Intervention Type DRUG

Warfarin

Participants orally administered a warfarin potassium tablet (INR \[international normalized ratio\] target was 1.6-2.6 for patients \>70 years and 2.0-3.0 for patients \<70 years)

Intervention Type DRUG

Rivaroxaban placebo

Participants orally administered a rivaroxaban placebo tablet

Intervention Type DRUG

Warfarin placebo

Participants orally administered a warfarin placebo tablet (adjusted based upon sham INR values)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 20 years or older
* Japanese male or female
* Non- valvular atrial fibrillation documented by ECG
* Patients with a risk of stroke and non-CNS systemic embolism

Exclusion Criteria

* Significant mitral stenosis
* Patients in whom anticoagulants are contraindicated
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen R&D, L.L.C.

UNKNOWN

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Kasugai, Aichi-ken, Japan

Site Status

Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Okazaki, Aichi-ken, Japan

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Goshogawara, Aomori, Japan

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Hirosaki, Aomori, Japan

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Hirosaki, Aomori, Japan

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Asahi, Chiba, Japan

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Funabashi, Chiba, Japan

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Imba, Chiba, Japan

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Matsudo, Chiba, Japan

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Matsudo, Chiba, Japan

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Yotsukaidō, Chiba, Japan

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Imabari, Ehime, Japan

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Matsuyama, Ehime, Japan

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Matsuyama, Ehime, Japan

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Matsuyama, Ehime, Japan

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Niihama, Ehime, Japan

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Saijō, Ehime, Japan

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Tōon, Ehime, Japan

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Fukui-shi, Fukui, Japan

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Chikushi-gun, Fukuoka, Japan

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Chikushino-shi, Fukuoka, Japan

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Chikushino-shi, Fukuoka, Japan

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Fukuoka, Fukuoka, Japan

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Fukuoka, Fukuoka, Japan

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Fukuoka, Fukuoka, Japan

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Fukuoka, Fukuoka, Japan

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Kasuga, Fukuoka, Japan

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Kasuga, Fukuoka, Japan

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Kitakyushu, Fukuoka, Japan

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Kitakyushu, Fukuoka, Japan

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Kurume, Fukuoka, Japan

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Ogōri, Fukuoka, Japan

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Yame, Fukuoka, Japan

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Yame, Fukuoka, Japan

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Kōriyama, Fukushima, Japan

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Gifu, Gifu, Japan

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Ōgaki, Gifu, Japan

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Maebashi, Gunma, Japan

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Mebashi, Gunma, Japan

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Ōtake, Hiroshima, Japan

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Asahikawa, Hokkaido, Japan

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Chitose, Hokkaido, Japan

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Hakodate, Hokkaido, Japan

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Muroran, Hokkaido, Japan

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Otaru, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Sunagawa, Hokkaido, Japan

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Tomakomai, Hokkaido, Japan

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Kobe, Hyōgo, Japan

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Kobe, Hyōgo, Japan

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Kobe, Hyōgo, Japan

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Higashiibaraki, Ibaraki, Japan

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Hitachi, Ibaraki, Japan

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Jōsō, Ibaraki, Japan

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Kasama, Ibaraki, Japan

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Moriya, Ibaraki, Japan

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Namegata, Ibaraki, Japan

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Toride, Ibaraki, Japan

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Kanazawa, Ishikawa-ken, Japan

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Nomi, Ishikawa-ken, Japan

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Hanamaki, Iwate, Japan

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Morioka, Iwate, Japan

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Marugame, Kagawa-ken, Japan

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Takamatsu, Kagawa-ken, Japan

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Izumi, Kagoshima-ken, Japan

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Kagoshima, Kagoshima-ken, Japan

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Atsugi, Kanagawa, Japan

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Fujisawa, Kanagawa, Japan

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Fujisawa, Kanagawa, Japan

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Kamakura, Kanagawa, Japan

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Kawasaki, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Nangoku, Kochi, Japan

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Kumamoto, Kumamoto, Japan

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Kyoto, Kyoto, Japan

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Uji, Kyoto, Japan

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Kuwana, Mie-ken, Japan

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Sendai, Miyagi, Japan

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Sendai, Miyagi, Japan

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Sendai, Miyagi, Japan

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Sendai, Miyagi, Japan

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Sendai, Miyagi, Japan

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Komoro, Nagano, Japan

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Matsumoto, Nagano, Japan

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Suwa, Nagano, Japan

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Nagasaki, Nagasaki, Japan

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Jōetsu, Niigata, Japan

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Nagaoka, Niigata, Japan

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Beppu, Oita Prefecture, Japan

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Beppu, Oita Prefecture, Japan

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Ōita, Oita Prefecture, Japan

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Ōita, Oita Prefecture, Japan

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Ōita, Oita Prefecture, Japan

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Ōita, Oita Prefecture, Japan

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Yufu, Oita Prefecture, Japan

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Kasaoka, Okayama-ken, Japan

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Okayama, Okayama-ken, Japan

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Okayama, Okayama-ken, Japan

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Okinawa, Okinawa, Japan

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Shimajiri, Okinawa, Japan

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Daitō, Osaka, Japan

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Higashiosaka, Osaka, Japan

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Hirakata, Osaka, Japan

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Hirakata, Osaka, Japan

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Kawachi-Nagano, Osaka, Japan

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Kishiwada, Osaka, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Osaka, Osaka, Japan

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Takatsuki, Osaka, Japan

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Toyonaka, Osaka, Japan

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Yao, Osaka, Japan

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Hanyū, Saitama, Japan

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Kasukage, Saitama, Japan

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Kitamoto, Saitama, Japan

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Tokorozawa, Saitama, Japan

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Tokorozawa, Saitama, Japan

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Wako, Saitama, Japan

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Kusatsu, Shiga, Japan

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Fujinomiya, Shizuoka, Japan

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Fukuroi, Shizuoka, Japan

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Hamamatsu, Shizuoka, Japan

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Hamamatsu, Shizuoka, Japan

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Iwata, Shizuoka, Japan

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Shimada, Shizuoka, Japan

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Shizuoka, Shizuoka, Japan

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Shizuoka, Shizuoka, Japan

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Shizuoka, Shizuoka, Japan

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Narutochō-mitsuishi, Tokushima, Japan

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Tokushima, Tokushima, Japan

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Edogawa-ku, Tokyo, Japan

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Hachiōji, Tokyo, Japan

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Higashikurume, Tokyo, Japan

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Itabashi-ku, Tokyo, Japan

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Itabashi-ku, Tokyo, Japan

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Meguro-ku, Tokyo, Japan

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Ōta-ku, Tokyo, Japan

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Shibuya-ku, Tokyo, Japan

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Shinagawa-ku, Tokyo, Japan

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Shinjuku-ku, Tokyo, Japan

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Tottori-shi, Tottori, Japan

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Toyama, Toyama, Japan

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Wakayama, Wakayama, Japan

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Higashikawada, Yamagata, Japan

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Shimonoseki, Yamaguchi, Japan

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Shūnan, Yamaguchi, Japan

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Countries

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Japan

References

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Hori M, Matsumoto M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iwamoto K, Tajiri M; J-ROCKET AF study investigators. Rivaroxaban vs. warfarin in Japanese patients with atrial fibrillation - the J-ROCKET AF study -. Circ J. 2012;76(9):2104-11. doi: 10.1253/circj.cj-12-0454. Epub 2012 Jun 5.

Reference Type RESULT
PMID: 22664783 (View on PubMed)

Chan MY, Lin M, Lucas J, Moseley A, Thompson JW, Cyr D, Ueda H, Kajikawa M, Ortel TL, Becker RC. Plasma proteomics of patients with non-valvular atrial fibrillation on chronic anti-coagulation with warfarin or a direct factor Xa inhibitor. Thromb Haemost. 2012 Dec;108(6):1180-91. doi: 10.1160/TH12-05-0310. Epub 2012 Oct 10.

Reference Type RESULT
PMID: 23052711 (View on PubMed)

Tanahashi N, Hori M, Matsumoto M, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iwamoto K, Tajiri M; J-ROCKET AF Study Investigators. Rivaroxaban versus warfarin in Japanese patients with nonvalvular atrial fibrillation for the secondary prevention of stroke: a subgroup analysis of J-ROCKET AF. J Stroke Cerebrovasc Dis. 2013 Nov;22(8):1317-25. doi: 10.1016/j.jstrokecerebrovasdis.2012.12.010. Epub 2013 Jan 22.

Reference Type RESULT
PMID: 23352688 (View on PubMed)

Hori M, Matsumoto M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iwamoto K, Tajiri M; J-ROCKET AF study investigators. Safety and efficacy of adjusted dose of rivaroxaban in Japanese patients with non-valvular atrial fibrillation: subanalysis of J-ROCKET AF for patients with moderate renal impairment. Circ J. 2013;77(3):632-8. doi: 10.1253/circj.cj-12-0899. Epub 2012 Dec 8.

Reference Type RESULT
PMID: 23229461 (View on PubMed)

Tanigawa T, Kaneko M, Hashizume K, Kajikawa M, Ueda H, Tajiri M, Paolini JF, Mueck W. Model-based dose selection for phase III rivaroxaban study in Japanese patients with non-valvular atrial fibrillation. Drug Metab Pharmacokinet. 2013;28(1):59-70. doi: 10.2133/dmpk.dmpk-12-rg-034. Epub 2012 Jul 17.

Reference Type RESULT
PMID: 22813718 (View on PubMed)

Kaneko M, Tanigawa T, Hashizume K, Kajikawa M, Tajiri M, Mueck W. Confirmation of model-based dose selection for a Japanese phase III study of rivaroxaban in non-valvular atrial fibrillation patients. Drug Metab Pharmacokinet. 2013;28(4):321-31. doi: 10.2133/dmpk.dmpk-12-rg-109. Epub 2013 Jan 22.

Reference Type RESULT
PMID: 23337693 (View on PubMed)

Matsumoto M, Hori M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iekushi K, Yamanaka S, Tajiri M; J-ROCKET AF Study Investigators. Rivaroxaban versus warfarin in Japanese patients with non-valvular atrial fibrillation in relation to hypertension: a subgroup analysis of the J-ROCKET AF trial. Hypertens Res. 2014 May;37(5):457-62. doi: 10.1038/hr.2014.1. Epub 2014 Jan 30.

Reference Type RESULT
PMID: 24477179 (View on PubMed)

Uchiyama S, Hori M, Matsumoto M, Tanahashi N, Momomura S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iekushi K, Yamanaka S, Tajiri M; J-ROCKET AF Study Investigators. Net clinical benefit of rivaroxaban versus warfarin in Japanese patients with nonvalvular atrial fibrillation: a subgroup analysis of J-ROCKET AF. J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1142-7. doi: 10.1016/j.jstrokecerebrovasdis.2013.10.001. Epub 2013 Nov 1.

Reference Type RESULT
PMID: 24189454 (View on PubMed)

Hori M, Matsumoto M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iekushi K, Yamanaka S, Tajiri M; J-ROCKET AF Study Investigators. Rivaroxaban versus warfarin in Japanese patients with nonvalvular atrial fibrillation in relation to the CHADS2 score: a subgroup analysis of the J-ROCKET AF trial. J Stroke Cerebrovasc Dis. 2014 Feb;23(2):379-83. doi: 10.1016/j.jstrokecerebrovasdis.2013.07.021. Epub 2013 Aug 15.

Reference Type RESULT
PMID: 23954611 (View on PubMed)

Hori M, Kajikawa M. The J-ROCKET AF Study: a matter of ethnicity or a matter of weight? Reply. Circ J. 2013;77(10):2637. doi: 10.1253/circj.cj-13-0879. Epub 2013 Aug 1. No abstract available.

Reference Type RESULT
PMID: 23903065 (View on PubMed)

Hori M, Matsumoto M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iekushi K, Yamanaka S, Tajiri M; J-ROCKET AF Study Investigators. Rivaroxaban vs. warfarin in Japanese patients with non-valvular atrial fibrillation in relation to age. Circ J. 2014;78(6):1349-56. doi: 10.1253/circj.cj-13-1324. Epub 2014 Apr 7.

Reference Type RESULT
PMID: 24705469 (View on PubMed)

Other Identifiers

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12620

Identifier Type: -

Identifier Source: org_study_id

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