Apixaban in Patients Who Undergo CIED Procedure- Randomized Pilot Study

NCT ID: NCT02450682

Last Updated: 2016-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-03-31

Brief Summary

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This study is being done to determine if apixaban is more safe, when compared to warfarin, at reducing the risk of bleeding during CIED procedures.

Detailed Description

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Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Apixaban

30 participants prescribed Apixaban 3-14 days before and 28 days after CIED procedure.

Group Type ACTIVE_COMPARATOR

Apixaban

Intervention Type DRUG

Anticoagulant agent for Atrial Fibrillation and undergo CIED generator change

Warfarin

30 participants will take stable dose of warfarin and go through the procedure without drug interrupt. The dose is adjusted by INR level. Length of treatment is 42 days, 14 days before and 28 days after the procedure.

Group Type OTHER

Warfarin

Intervention Type DRUG

Anticoagulant agent for Atrial Fibrillation and undergo CIED generator change

Interventions

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Apixaban

Anticoagulant agent for Atrial Fibrillation and undergo CIED generator change

Intervention Type DRUG

Warfarin

Anticoagulant agent for Atrial Fibrillation and undergo CIED generator change

Intervention Type DRUG

Other Intervention Names

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Eliquis Coumadin

Eligibility Criteria

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Exclusion Criteria

1. Patient is critically ill, or in unstable condition
2. Patient is at high risk for bleeding, HAS-BLED score ≥ 3
3. Patient is required to take dual antiplatelet agents in addition to anticoagulant drug. (e.g. recent cardiac stent placement)
4. Patients have mechanical cardiac valve or another condition other than NVAF that requires chronic anticoagulation
5. Women of childbearing potential with positive pregnant test
6. Bilirubin \>2x upper limit of normal, in association with AST/ALT/ALP \>3x upper limit normal
7. Allergy to apixaban and warfarin
8. Subjects requiring taking strong dual inhibitors of CYP3A4 and P-gp who already meet the criteria to take 2.5 mg apixaban
9. Subjects requiring taking strong dual inducers of CYP3A4 and P-gp (.e.g., rifampin, carbamazepine, phenytoin, St. John's wort)
10. Patients who take any investigational drugs within 30 days of enrolling in study.
11. Prisoners or subjects who are involuntarily incarcerated.
12. Subjects who are compulsorily detained for treatment of either a psychiatric or physical (eg, infectious disease) illness.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Yong-Mei Cha

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yong-Mei Cha, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Samuel Asirvatham, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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14-005395

Identifier Type: -

Identifier Source: org_study_id

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