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
- Contact Person Email
- victoria.ouazanapariente@aphp.fr
- Site Name
- Centre Hospitalier De Libourne Robert Boulin
- Department Name
- cardiology
- Contact Person Name
- Antoine DEPLAGNE
- Contact Person Email
- antoine.deplagne@ch-libourne.fr
- 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
- Contact Person Email
- olivier.morel@chru-strasbourg.fr
- 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
- Contact Person Email
- victoria.ouazanapariente@aphp.fr
- 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
- Contact Person Email
- antoine.milhem@ch-larochelle.fr
- 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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