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Edoxaban study

Not Applicable
Conditions
All diseases that require high-risk gastrointestinal endoscopic procedures such as endoscopic polype
Registration Number
JPRN-jRCTs031180190
Lead Sponsor
Terai Shuji
Brief Summary

The incidence rate of thrombosis and embolism associated with the replacement of warfarin to edoxaban before surgery and the withdrawal of edoxaban for 1 ~ 2 days from the day of surgery was 0%. In addition, the incidence of postprocedural bleeding was 14.3%, almost the same as the previous occurrence rate by heparin bridge therapy. On the other hand, the length of hospitalization was 8.7 days, which was significantly shorter than heparin bridge therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
21
Inclusion Criteria

1) Japanese patients taking Warfarin or Edoxban to prevent thromboembolism caused by non-valvula atrial fibrillation or recurrence of deep vein thrombus
2) 20 years old or older
3) Performance status (ECOG) of 0 to 2
4) Hb: >= 9 g/dl
5) Plt: >= 100,000 /mm3
6) AST,ALT: <= 150 U/l
7) eGFR: >= 30 ml/min
8) Written informed consent

Exclusion Criteria

1) Patients with clinical bleeding tendency
2) Patients during the other antithrombotic agent except warfarin or
Edoxaban
3) Allergy to DOAC
4) Patients during azole antifungal drugs
5) Pregnant or lactation woman
6) Patients with mitral stenosis or replacement of the artificial valve
7) Patients with a history of cardiogenic ischemic stroke
8) Patients with a history of ischemic stroke or TIA
9) Patients with mitral valve regurgitation or aortic valvular disease
10) Patients with anti-phospholipid antibody syndrome
11) Patients with a history of deep vein thrombosis or pulmonary embolism
12) Patients who are disqualified for the study by physicians
13) Patients with contraindication for Edoxaban

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Post-procedural bleeding rate (soon after registration to 2 months after endoscopic procedures, >= CTCAE v5.0 Grade 3)
Secondary Outcome Measures
NameTimeMethod
1) thromboembolism rate (soon after registration to 2 months after endoscopic procedures)<br>2) All complication rate (soon after registration to 2 months after endoscopic procedures)<br>3) Post-procedural bleeding rate (soon after registration to 2 months after endoscopic procedures, >= CTCAE v5.0 Grade 1)<br>4) Length of hospital stay
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