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临床试验/NCT01847560
NCT01847560已完成不适用

A Description of Warfarin and NOAC Utilization Patterns Including Initiation, Switching, and Discontinuation

Boehringer Ingelheim1 个研究点 分布在 1 个国家目标入组 333,664 人开始时间: 2013年4月17日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
333,664
试验地点
1
主要终点
Percentage of Patients Initiating Specific Anticoagulant

研究概览

简要总结

This study plans to describe utilization patterns for oral anticoagulants over time in patients with non-valvular atrial fibrillation at risk for stroke using electronic claims data from a United States commercial insurance database.

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

入选标准

  • 未提供

排除标准

  • 未提供

结局指标

主要结局

Percentage of Patients Initiating Specific Anticoagulant

时间窗: From January 2009 to September 2015 (The study period)

Proportion of patients initiating specific anticoagulant over time per arm in source cohort is estimated and is expressed in percentage. This is related to UnitedHealth database and no treatment initiation rate was estimated in MarketScan as the study cohort was defined from a population of oral anticoagulants users. The overall number of participants analyzed "609201" reported for each of the treatment arm below corresponds to overall patients numbers in UnitedHealth for the entire study period rather than for each of the treatment arm. Likewise the number of participants for each of the treatment arm for different time period corresponds to the total number of participants for the specific study period rather than for each of the treatment arm. Incident users at given time period could also be counted in later time period if the patient discontinued the drug and had re-entry during the study period.

Percentage of Patients Initiating Specific Anticoagulant Dose - Rivaroxaban

时间窗: From January 2009 to September 2015 (The study period)

Percentage of patients initiating specific anticoagulant dose of rivaroxaban across all time periods combined in the unmatched cohort for UnitedHealth and MarketScan cohort are presented. Proportion of patients initiating specific anticoagulant over time per arm in source cohort is estimated and is expressed in percentage.

Percentage of Patients Initiating Specific Anticoagulant Dose - Apixaban

时间窗: From January 2009 to September 2015 (The study period)

Percentage of patients initiating specific anticoagulant dose of apixaban across all time periods combined in the unmatched cohort for UnitedHealth and MarketScan cohort are presented. Proportion of patients initiating specific anticoagulant over time per arm in source cohort is estimated and is expressed in percentage.

Description of the Characteristics of Anticoagulant Initiators

时间窗: From January 2009 to September 2015 (The study period)

The analyses described the characteristics of patients treated with various oral anticoagulants. CHA2DS2-VASc stroke risk score is calculated based on the following conditions: Congestive heart failure/ Left ventricular (LV) dysfunction, Hypertension, Age (≥ 75), Diabetes Mellitus, Stroke/ transient ischemic attack (TIA) /thromboembolism, Vascular disease, Age 65-74, female gender. HAS-BLED bleeding risk score is calculated based on the following conditions: Hypertension, Abnormal renal and liver function, Stroke (1 point), Bleeding history or predisposition, Labile international normalized ratio (INR), Elderly (\>65 years), Drugs and Alcohol. CHA2DS2-VASc stroke risk score may range from 0 to 9 with 0 being the best outcome. HAS-BLED bleeding risk score may range from 0 to 9 with 0 being the best outcome. New initiators of warfarin before Dabigatran became available were only characterized in terms of age and sex (results provided above).

Percentage of Patients Initiating Specific Anticoagulant Dose - Dabigatran

时间窗: From January 2009 to September 2015 (The study period)

Percentage of patients initiating specific anticoagulant dose of dabigatran across all time periods combined in the unmatched cohort for UnitedHealth and MarketScan cohort are presented. Proportion of patients initiating specific anticoagulant over time per arm in source cohort is estimated and is expressed in percentage.

次要结局

  • Treatment Persistence Over Time(From January 2009 to September 2015 (The study period))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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