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临床试验/EUCTR2015-001676-21-ES
EUCTR2015-001676-21-ES进行中(未招募)1 期

Anti-Thrombotic Strategy to Lower All Cardiovascular and Neurologic Ischemic and Hemorrhagic Events after Trans-Aortic Valve Implantation for Aortic Stenosis: The ATLANTIS trial - ATLANTIS

ASSISTANCE PUBLIQUE - HOPITAUX DE PARIS (AP-HP)0 个研究点目标入组 1,510 人开始时间: 2016年8月11日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
1,510

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

  • - Patients undergoing successful TAVI procedure independent of previous anti-thrombotic treatment.
  • - Ability to understand and to comply with the study protocol.
  • - Written informed consent.
  • - Men and women = 18.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 610
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 900

排除标准

  • -Creatinine Clearance < 15mL/min (Cockcroft formula) or patient undergoing dialysis.
  • -Mechanical valves.
  • -Known severe mitral valve stenosis requiring an intervention.
  • -Failure of TAVI procedure necessitating re-operation.
  • -Ongoing major bleeding or vascular complication (such patients may become eligible once stabilised).
  • -Prior history of cerebral haemorrhage with absolute counter-indication for anti-coagulant and platelet treatment (AVK, apixaban).
  • -Cerebral vascular or ischemic incident based on anti-coagulant treatment .
  • -Cardiogenic shock manifested by low cardiac output, dependency on pressor amines, non-invasive ventilation or cardiac assistance.
  • -Surgery with major haemorrhagic risk scheduled during the follow-up period and necessitating a halt to treatment with relays by parenteral anti-thrombotic.
  • -Concomitant disease with life expectancy less than one year.
  • -Concomitant use of prasugrel or ticagrelor.
  • -Concomitant treatment with CYP3A4 inhibitors such as anti-fungal azoles (itracozanole and ketoconazole), macrolides (clarithromycine and telithromycin), protease inhibitors (ritonavir, indinavir, nelfinavir and aquinavir) and nefazadone.
  • -Women of childbearing potential (WOCBP).
  • -Men who are sexually active with WOCBP partners.
  • -Pregnancy and breast feeding.
  • -Participation in another interventional therapeutic trial (medication or medical device) on-going or in the previous 30 days.
  • -Hepatic failure associated with haemostatic anomalies and significant bleeding risk.
  • -Cancer progression.
  • -Inability to give informed consent or high likelihood of being unavailable for follow-up.

研究者

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