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Edoxaban Treatment in Routine Clinical Practice in Patients With Venous Thromboembolism in Korea and Taiwan (ETNA-VTE-KOR-TWN)

Completed
Conditions
Venous Thromboembolism
Interventions
Registration Number
NCT02952599
Lead Sponsor
Daiichi Sankyo
Brief Summary

According to current guidelines, duration of anticoagulant treatment after a venous thromboembolic event varies from 3 months to indefinite treatment depending on the estimated risks of venous thromboembolism (VTE) recurrence and bleeding. Current data for edoxaban are limited to a maximum treatment duration of 12 months.

Therefore, this study aims to gather further insight into efficacy (i.e. symptomatic recurrent VTE) and safety (i.e. bleeding events, liver adverse events, all-cause mortality and other drug related adverse events) of extended treatment with edoxaban up to 12 months in an unselected patient population in routine clinical practice.

Detailed Description

Edoxaban is an orally administered anticoagulant that inhibits coagulation factor Xa. It has been approved by the Ministry of Food and Drug Safety (MFDS) in Korea (date: 25th, August 2015) for the: Reduction in the risk of stroke and systemic embolism in patients with non valvular atrial fibrillation (NVAF) Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) Reduction in the risk of recurrent DVT and PE, and by Taiwan Food and Drug Administration (TFDA) in Taiwan (date: 24th, February, 2016) for the Prevention of stroke and systemic embolism in adult patients with NVAF with one or more risk factors, such as congestive heart failure, hypertension, age ≥ 75 years, diabetes mellitus, prior stroke or transient ischemic attack (TIA). Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5 to 10 days of initial therapy with a parenteral anticoagulant.

According to current guidelines, duration of anticoagulant treatment after a venous thromboembolic event varies from 3 months to indefinite treatment depending on the estimated risks of venous thromboembolism (VTE) recurrence and bleeding. Current data for edoxaban are limited to a maximum treatment duration of 12 months.

This non-interventional study aims to gather further insight into efficacy (i.e. symptomatic recurrent VTE) and safety (i.e. bleeding events, liver adverse events, all-cause mortality and other drug related adverse events) of extended treatment with edoxaban up to 12 months in approximately 350 patients in an unselected patient population in routine clinical practice.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
352
Inclusion Criteria
  • Established acute initial or recurrent VTE
  • Patients prescribed treatment with edoxaban according to package information before participation in the trial
  • Written informed consent for participation in the study (ICF)
  • Not simultaneously participating in any interventional study
Exclusion Criteria
  • None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients treated with EdoxabanEdoxabanPatients with established acute initial or recurrent VTE treated with edoxaban according to Summary of Product Characteristics (SmPC). Physician's prescribing behaviour will not be influenced, patients may only be included after the treating physician has made the clinical decision to prescribe edoxaban.
Primary Outcome Measures
NameTimeMethod
Rate of participants experiencing Real World Safety Data Events12 months

Categories: VTE-related bleeding events, Drug-related adverse events, Cardiovascular Mortality, and All-cause Mortality

Rate of overall symptomatic VTE recurrenceBaseline to 12 months

Rate of overall symptomatic VTE recurrence within 12 months

Secondary Outcome Measures
NameTimeMethod
Rate of participants taking edoxaban with symptomatic VTE recurrence12 months

Rate of participants taking edoxaban with symptomatic VTE recurrence in 12 months

Rate of participants with patient relevant outcomes12 months

Patient relevant outcomes include bleeding events, strokes (ischaemic and haemorrhagic), systemic embolic events (SEE), and hospitalisations related to cardiovascular (CV) condition (including VTE related hospitalisation).

Rate of participants who permanently discontinued edoxaban with symptomatic VTE recurrence12 months

Rate of participants who permanently discontinued edoxaban with symptomatic VTE recurrence in 12 months

Trial Locations

Locations (19)

Far Eastern Memorial Hospital

🇨🇳

New Taipei City, Banciao District, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Beitou District, Taiwan

Chang Gung Memorial Hospital, KaoHsiung

🇨🇳

Kaohsiung, Niaosong District, Taiwan

KaoHsiung Veterans General Hospital

🇨🇳

Kaohsiung, Zuoying District, Taiwan

Changhua Christian Hospital

🇨🇳

Chang-hua, Taiwan

SoonChunHyang University Hospital Gumi

🇰🇷

Gyeongsang, Gumi, Korea, Republic of

Inje University Haeundae Paik Hospital

🇰🇷

Busan, Haeundae-gu, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Jongno-gu, Korea, Republic of

Dong-A University Hospital

🇰🇷

Seogu, Kwang-Jo Cho, Korea, Republic of

Pusan National University Hospital

🇰🇷

Busan, Seo-gu, Korea, Republic of

SoonChunHyang University Hospital Seoul

🇰🇷

Seoul, Yongsan-gu, Korea, Republic of

Keimyung University Dongsan Medical Center

🇰🇷

Daegu, Korea, Republic of

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Seodaemun-gu, Korea, Republic of

Yonsei University, Wonju Severance Christian Hospital

🇰🇷

Wŏnju, Korea, Republic of

Cheng Hsin General Hospital

🇨🇳

Taipei, Pai-Tou, Taiwan

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Shin Kong Wu Ho-Su Memorial Hospital

🇨🇳

Taipei, Shih Lin District, Taiwan

Taichung Veterans General Hospital

🇨🇳

Taichung, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Zhongzheng District, Taiwan

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