Clinical trial • Phase IV • Cardiology

Rivaroxaban for Acute coronary syndrome | Atrial fibrillation

Phase IV trial of Rivaroxaban for Acute coronary syndrome | Atrial fibrillation. CTIS 2024-515433-15-02.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Acute coronary syndrome | Atrial fibrillation
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
31-10-2024
First CTIS Authorization Date
29-01-2025

Trial design

Standard care (standard anticoagulant management) versus intervention: anticoagulation controlled by an implantable holter with teleradiology (no drug name/dose/schedule specified for comparator in source). Phase IV trial in France.

Comparator
Standard care (standard anticoagulant management) versus intervention: anticoagulation controlled by an implantable holter with teleradiology (no drug name/dose/schedule specified for comparator in source).
Target Sample Size
100
Trial Duration For Participant
730

Eligibility

Recruits 100 Vulnerable populations not selected (isVulnerablePopulationSelected: false)..

Vulnerable Population
Vulnerable populations not selected (isVulnerablePopulationSelected: false).

Inclusion criteria

  • {"criterion_text":"- Patients, aged ≥18.\n- Hospitalization for acute coronary syndrome with or without ST segment elevation\n- Atrial fibrillation present at the time of patient arrival at the hospital or occurring at any time during hospitalization. Patient without any prior known history of arrhythmia.\n- Chads2vas SCORE ≥ 1 for men and ≥ 2 for women\n- Ablation of atrial fibrillation before enrollment in the study. The atrial fibrillation ablation can be spontaneous or obtained by treatment\n- Coronary angioplasty with stenting should be done during the hospitalization"}

Exclusion criteria

  • {"criterion_text":"- Atrial fibrillation diagnosed before hospitalization for acute coronary syndrome, whether treated or not\n- Atrial fibrillation still present at inclusion time\n- Patient already on anticoagulant therapy\n- Creatinine clearance < 30 ml per minute\n- Contraindications to anticoagulant therapy\n- Active internal hemorrhage, clinically significant bleeding, bleeding non accessible to compression or bleeding diathesis within 30 days prior to selection visit"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Occurrence during the 2 years of follow-up of a bleeding event defined by a score ≥2 according to the BARC scale","definition_or_measurement_approach":"Defined by a score ≥2 according to the BARC scale occurring during 2 years of follow-up."}

Secondary endpoints

  • {"endpoint_text":"- Occurrence of an event defined by the MACCE indicator","definition_or_measurement_approach":"Occurrence via the MACCE composite indicator (as described: death, stroke or systemic embolism, non-fatal infarction and need for revascularization)."}
  • {"endpoint_text":"- Occurrence of an ischemic event defined by the following composite indicator: death from cardiovascular causes, stroke or systemic embolism, non-fatal infarction and need for revascularization","definition_or_measurement_approach":"Composite indicator: death from cardiovascular causes, stroke or systemic embolism, non-fatal infarction and need for revascularization."}

Recruitment

Planned Sample Size
100
Recruitment Window Months
37
Consent Approach
Informed consent to be provided by adult participants. Subject information and informed consent form documents are listed (L1_SIS and ICF 2024-515433-15-02); no assent for minors (trial enrols patients aged ≥18).

Geography

Total Number Of Sites
15
Total Number Of Participants
100

France

Earliest CTIS Part Ii Submission Date
20-12-2024
Latest Decision Or Authorization Date
25-07-2025
Processing Time Days
217
Number Of Sites
15
Number Of Participants
100

Sites

Site Name
Centre Hospitalier Henri Mondor
Department Name
cardiology
Contact Person Name
Victoria OUAZANA
Site Name
Centre Hospitalier De Libourne Robert Boulin
Department Name
cardiology
Contact Person Name
Antoine DEPLAGNE
Site Name
Centre Hospitalier De Haguenau
Department Name
cardiology
Contact Person Name
Fabien DEPOLI
Contact Person Email
Fabien.depoli@ch-haguenau.fr
Site Name
Centre Hospitalier De Perigueux
Department Name
cardiology
Contact Person Name
Jean LITALIEN
Contact Person Email
jean.litalien@ch-perigueux.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
cardiology
Contact Person Name
François ROUBILLE
Contact Person Email
f-roubille@chu-montpellier.fr
Site Name
Hopitaux Universitaires Pitie Salpetriere
Department Name
cardiology
Contact Person Name
Michel ZEITOUNI
Contact Person Email
michel.zeitouni@gmail.com
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
cardiology
Contact Person Name
Olivier MOREL
Site Name
Les Hopitaux De Chartres
Department Name
cardiology
Contact Person Name
Radwane HAKIM
Contact Person Email
rhakim@ch-chartres.fr
Site Name
Centre Hospitalier Intercommunal de Villeneuve Saint Georges
Department Name
cardiology
Contact Person Name
Victoria OUAZANA
Site Name
Centre Hospitalier De Pau
Department Name
cardiology
Contact Person Name
Nicolas DELARCHE
Contact Person Email
nicolas.delarche@ch-pau.fr
Site Name
Centre Hospitalier Groupe Hospitalier De La Rochelle Re Aunis
Department Name
cardiology
Contact Person Name
Antoine MILHEM
Site Name
HÔPITAL EUROPÉEN GEORGE POMPIDOU
Department Name
cardiology
Contact Person Name
Eloi MARIJON
Contact Person Email
eloi.marijon@aphp.fr
Site Name
Centre Hospitalier Annecy Genevois
Department Name
cardiology
Contact Person Name
Antoine DOMPNIER
Contact Person Email
adompnier@ch-annecygenevois.fr
Site Name
Centre Hospitalier Universitaire De Nimes
Department Name
cardiology
Contact Person Name
Benoit LATTUCA
Contact Person Email
Benoit.lattuca@chu-nimes.fr
Site Name
Clinique Pasteur
Department Name
cardiology
Contact Person Name
Serge BOVEDA
Contact Person Email
sboveda@clinique-pasteur.com

Sponsor

Primary sponsor

Full Name
Centre Hospitalier De Pau
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
Xarelto 10 mg film-coated tablets
Active Substance
Rivaroxaban
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present: EU/1/08/472/001)
Starting Dose
10 mg
Maximum Dose
20 mg
Investigational Product Name
COUMADINE 5 mg, comprimé sécable
Active Substance
Warfarin sodium
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised (marketing authorisation present)
Starting Dose
5 mg
Maximum Dose
5 mg

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