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A Study to Evaluate Effectiveness and Safety of Edoxaban in Patients 80 Years of Age or Older With Nonvalvular Atrial Fibrillation

Recruiting
Conditions
Atrial Fibrillation
Interventions
Registration Number
NCT05804747
Lead Sponsor
Daiichi Sankyo
Brief Summary

Non-valvular atrial fibrillation (NVAF) increases the risk of stroke by three- to five-fold, especially in elderly patients, creating a huge burden on medical system as well as a negative impact on patients' lives. Direct oral anticoagulants (DOACs) are recommended for patients with NVAF to prevent strokes. Real world data reveal the underuse of anticoagulation in the elderly, especially due to physicians' concern of bleeding, often neglecting the thromboembolic risk. This study is designed to evaluate the safety and effectiveness of edoxaban in Korean elderly patients with atrial fibrillation.

Detailed Description

The objective of this study will be to evaluate the safety and effectiveness of edoxaban in patients 80 years of age or older with NVAF. This observational, non-interventional study will prospectively follow Korean patients who have been prescribed edoxaban at the discretion of the physician up to 12 months.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1100
Inclusion Criteria
  • NVAF participants aged ≥ 80 years old
  • Participants who are determined to be prescribed with edoxaban at the discretion of the physician within 8 weeks prior to enrollment according to Package information
  • Participants who can return to the site in person for face-to-face visits
  • Written informed consent for participation in the study (ICF)
Exclusion Criteria
  • Planning to participate or simultaneously participating in any interventional study
  • Life expectancy < 1 year

No influence on prescribing behavior as participants will only be included in the study after the physicians have made the clinical decision to prescribe edoxaban.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
EdoxabanEdoxabanParticipants who were prescribed edoxaban within 8 weeks of study enrollment at the discretion of the physician and were prospectively followed to assess the efficacy and safety of prescribed edoxaban.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Composite of Stroke, Systemic Embolic Events, Major Bleeding, or All-Cause MortalityBaseline up to 12 months
Secondary Outcome Measures
NameTimeMethod
Number of Participants With Composite Events (Stroke, Systemic Embolism, or Cardiovascular Mortality), (Stroke, Systemic Embolism, or All-Cause Mortality), (Stroke [Ischemic, Hemorrhagic] or Systemic Embolism), and (Stroke [Ischemic, Hemorrhagic])Baseline up to 12 months
Percentage of Participants With Edoxaban Dose Change, Based on Reason for Dose ChangeBaseline up to 12 months
Percentage of Participants Who Permanently Discontinued Edoxaban, Based on Reason for DiscontinuationBaseline up to 12 months
Percentage of Participants With Stroke (Ischemic, Hemorrhagic), Systemic Embolism, Cardiovascular Mortality, and All-Cause MortalityBaseline up to 12 months
Number of Hospitalizations Related to Cardiovascular ConditionsBaseline up to 12 months
Number of Participants With Composite of Stroke, Systemic Embolic Events, Major Bleeding, or All-Cause Mortality, Based on Independent Risk FactorsBaseline up to 12 months
Number of Participants With Bleeding Events (Major, Clinically Relevant Non-Major, Minor, and Composite)Baseline up to 12 months
Percentage of Participants With Transient Ischemic Attack, Venous Thromboembolism, and Major Cardiovascular EventsBaseline up to 12 months

Trial Locations

Locations (33)

Korea University Ansan Hospital

🇰🇷

Ansan, Korea, Republic of

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Samsung Changwon Center

🇰🇷

Changwon, Korea, Republic of

Dankook University Hospital

🇰🇷

Cheonan, Korea, Republic of

Soonchunhyang University Hospital

🇰🇷

Cheonan, Korea, Republic of

Kangwon National University Hospital

🇰🇷

Chuncheon, Korea, Republic of

Keimyung University Dongsan Medical Center

🇰🇷

Daegu, Korea, Republic of

Catholic University of Korea Daejeon St. Mary's Hospital

🇰🇷

Daejeon, Korea, Republic of

Chungnam University Hospital

🇰🇷

Daejeon, Korea, Republic of

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Korea University Ansan Hospital
🇰🇷Ansan, Korea, Republic of
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