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临床试验/NCT02549963
NCT02549963Unknown4 期

A Prospective, Multi-Center, Pilot Study to Compare the Safety and Effectiveness of WATCHMAN Left Atrial Appendage Occlusion Device With Rivaroxaban for Stroke Prevention in Patients With Atrial Fibrillation

Shulin Wu9 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2015年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
发起方
入组人数
200
试验地点
9
主要终点
Combined endpoint

研究概览

简要总结

This is a prospective, multi-center, randomized, pilot study comparing the WATCHMAN left atrial appendage occlusion device with Rivaroxaban therapy in patients with non-valvular atrial fibrillation.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

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

  • Paroxysmal, persistent or permanent non-valvular atrial fibrillation
  • Eligible for LAAO and long-term rivaroxaban therapy
  • Calculated CHA2DS2-VASc score of 2 or greater.

排除标准

  • Contraindicated/allergic to aspirin, clopidogrel and novel oral anticoagulants.
  • Indicated for clopidogrel therapy or has taken clopidogrel within 7 days prior to enrollment.
  • History of atrial septal repair or has an atrial septal defect/patent foramen ovale device.
  • History of valvular heart disease.
  • Implanted mechanical valve prosthesis.
  • New York Heart Association Class IV congestive heart failure or left ventricular ejection fraction less than 30%.
  • Patient has left atrial/left atrial appendage thrombus screened by echocardiography
  • Platelet<100*109/L or hemoglobin<100g/L
  • Expected lifespan less than 1 years

研究组 & 干预措施

WATCHMAN LAA Occlusion Device

Experimental

Subjects assigned to receive the WATCHMAN Left Atrial Appendage Occlusion Device.

干预措施: WATCHMAN Left Atrial Appendage Occlusion Device (Device)

Rivaroxaban

Active Comparator

Subjects assigned to receive the Rivaroxaban therapy.

干预措施: Rivaroxaban (Drug)

结局指标

主要结局

Combined endpoint

时间窗: 2 year

All Stroke or Systemic embolism or Cardiovascular death

次要结局

  • Major bleeding event(2 year)
  • Technical and procedure related event(45 days)
  • Cognitive function change(2 year)
  • All bleeding event(2 year)

研究者

发起方
Shulin Wu
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Shulin Wu

Director of Guangdong Cardiovascular Institute

Guangdong Provincial People's Hospital

研究点 (9)

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