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临床试验/EUCTR2018-002176-41-GB
EUCTR2018-002176-41-GB进行中(未招募)1 期

PREvention of STroke in Intracerebral haemorrhaGE survivors with Atrial Fibrillation (PRESTIGE-AF) - PRESTIGE-AF

Imperial College London0 个研究点目标入组 654 人开始时间: 2020年7月30日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
654

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Age = 18 years
  • 2. Written informed consent
  • 3. Recent history of a non-traumatic spontaneous ICH during the 6 months before enrolment
  • 4. Documented evidence of AF (paroxysmal, persistent or permanent)
  • CHA2DS2-VASc score=2 for male, and CHA2DS2-VASc score= 3 for female patients
  • 5. Availability of brain imaging following the index Intracerebral Haemorrhage (ICH)
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 100
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 554

排除标准

  • 1. Patient lacks capacity to consent
  • 2. Fully dependent (defined as a modified Rankin Scale score of over 4)
  • 3. Women who are pregnant, breastfeeding, or plan to become pregnant during the Study period
  • 4. Women of childbearing potential (WOCBP) who are unable or unwilling to take measures for effective contraception
  • 5. ICH occurring within the last 14 days before enrolment
  • 6. ICH occurring longer than 6 months before enrolment
  • 7. ICH resulting from trauma or vascular malformation
  • 8. Another indication for long-term anticoagulation
  • 9. Patient has hypertension, which in the opinion of the investigator, is uncontrollable with medication
  • 10. Any contraindication (except intracerebral haemorrhage) to treatment with apixaban, dabigatran, edoxaban, rivaroxaban as per SmPC. Including any of the following:
  • oHypersensitivity to the active principle or any of the excipients
  • oClinically relevant bleeding in progress
  • oLiver disease associated with coagulopathy and a clinically relevant bleeding risk
  • oInjuries or conditions such as a significant risk of major bleeding
  • oHepatic impairment or liver disease which can have an impact on survival
  • oExclusion of patients with end-stage renal creatinine clearance CrCL, (CrCL <15 ml / min) or in patients undergoing dialysis
  • oConcomitant treatment with other anticoagulants
  • oPatients with a history of thrombosis and antiphospholipid antibody syndrome
  • Special warnings and precautions for use for apixaban, dabigatran, edoxaban, rivaroxaban as per SmPC should also be taken into account at randomisation.
  • 11. Absolute need for antiplatelet agent (APA) at enrolment, meaning that a patient randomised to receive DOAC who would require an APA is not eligible (single APA is permitted in control group only, at time of randomisation).
  • 12. Presence of a left atrial appendage occlusion device (LAAO) or plan to implant an LAAO
  • 13. Presence of any medical, psychological, or psychiatric condition which in the opinion of the Principal or Co-Investigator would cause participation in the Study to be unwise
  • 14. Participation in any clinical study with an Investigational Medicinal Product within the past 30 days or 5 half-lives of the study drug(observational studies are permitted)

研究者

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