Post-Marketing Database Study for Rivaroxaban in Patients With PAD After Lower Limb Revascularization.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,500
- 试验地点
- 1
- 主要终点
- Intracranial bleeding
研究概览
简要总结
This is an observational study in which data already collected from people with peripheral arterial diseases (PAD) who had a surgery to improve blood flow to their legs are studied.
The study is conducted to check the safety of rivaroxaban after it is approved and available in Japan.
In observational studies, only observations are made without participants receiving any advice or changes to healthcare.
PAD is a condition where blood flow is reduced in the arteries of the legs and arms. This can cause pain, numbness, or weakness in the legs, and increases the risk of heart attack and other heart-related problems. People with PAD may undergo surgery to improve blood flow to their legs, in which doctors use a thin tube to open a narrow or blocked blood vessel in the legs.
The study drug, rivaroxaban, is already approved for doctors to prescribe to people with PAD. It works by blocking a protein that causes blood clots, helping to prevent clot formation and improving blood flow.
The participants in this study are already receiving treatment with rivaroxaban 2.5 milligrams (mg) as part of their regular care from their doctors.
There have been studies in which researchers studied the effect and safety of rivaroxaban in participants with PAD who had a surgery to improve blood flow to their legs. However, these studies included only a small number of Japanese participants. In this study, researchers will specifically gather data from Japanese participants to further understand the safety of rivaroxaban.
The main purpose of the study is to learn more about the safety of rivaroxaban 2.5 mg in Japanese participants with PAD who had a surgery to improve blood flow to their legs.
To do this, researchers will collect information about:
- any bleeding event participants have had during their treatment with rivaroxaban
- the participants who died due to the heart and blood flow related problems while receiving rivaroxaban, compared to those who did not receive it
The data will come from electronic healthcare records for people in Japan who had a surgery to improve blood flow to their legs and were diagnosed with PAD between October 2021 to September 2025.
In this study, only available data from routine care are collected. No visits or tests are required as part of this study.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with PAD in or before the month following the index date
- •Lower limb revascularization was performed in or before the month of PAD diagnosis
- •Age 18 years or older as of the index date
排除标准
- •Lower limb revascularization performed in the same month or before the month of PAD diagnosis was performed after the index date
- •Index date before the start date of the enrollment period
研究组 & 干预措施
Exposure
Patients who were prescribed rivaroxaban 2.5 mg during the enrollment period
Reference
Patients who were not prescribed rivaroxaban 2.5mg during the enrollment period and were matched with patients in the exposure group
结局指标
主要结局
Intracranial bleeding
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * An Magnetic Resonance Imaging (MRI) or a Computed Tomography (CT) examination is performed at or after the index date * A diagnosis for any intracranial bleeding is recorded in the same month of the MRI or CT examination * A rehabilitation for stroke or a death is recorded within 30 days after the MRI or CT examination
Hemorrhage requiring for blood transfusion
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * A transfusion with a blood volume equivalent to \> 800 mL is recorded after the index date * No surgery other than endoscopic hemostasis surgery is performed on the day before or on the day of the transfusion * No anticoagulants is prescribed on the day following the transfusion
Intraocular bleeding
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * An ophthalmologic examination is performed after the index date * A diagnosis for any intraocular bleeding is recorded in the same month of the ophtalmologic examination
Upper gastrointestinal bleeding
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * An examination related to an upper gastrointestinal bleeding is performed after the index date * A diagnosis for any upper gastrointestinal bleeding is recorded in the same month of examination * No anticoagulants is prescribed on the day following the examination
Lower gastrointestinal bleeding
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * An examination related to a lower gastrointestinal bleeding is performed after the index date * A diagnosis for any lower gastrointestinal bleeding is recorded in the same month of examination * No anticoagulants is prescribed on the day following the examination
Sudden cardiac death
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
A diagnosis for sudden cardiac death is recorded after the index date.
Acute coronary syndrome and death
时间窗: Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025
If all of the following criteria are met: * A diagnosis for Acute coronary syndrome is recorded after the index date * At the date of sudden cardiac death, Peripheral Component Interconnect (PCI) is recorded * Death within 30 days of sudden cardiac death
次要结局
- All cause death(Retrospective analysis from 01-OCT-2021 to 30-SEPT-2025)
- Re-performing lower limb revascularization(Retrospective analysis from 01-OCT-2021 to 30-SEP-2025)
