A Study Exploring Two Strategies of Rivaroxaban (JNJ39039039; BAY-59-7939) and One of Oral Vitamin K Antagonist in Patients With Atrial Fibrillation Who Undergo Percutaneous Coronary Intervention



Status:Active, not recruiting
Conditions:Atrial Fibrillation
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:6/29/2016
Start Date:May 2013
End Date:July 2016

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An Open-label, Randomized, Controlled, Multicenter Study Exploring Two Treatment Strategies of Rivaroxaban and a Dose-Adjusted Oral Vitamin K Antagonist Treatment Strategy in Subjects With Atrial Fibrillation Who Undergo Percutaneous Coronary Intervention

The primary purpose of this study is to evaluate the safety for 2 different rivaroxaban
treatment strategies and one Vitamin K Antagonist (VKA) treatment strategy utilizing various
combinations of dual antiplatelet therapy (DAPT) or low-dose aspirin (ASA) or clopidogrel
(or prasugrel or ticagrelor).

This is an open-label (both physician and participant know the treatment that the
participant receives), randomized (study medication is assigned by chance), multicenter
clinical study assessing the safety of 2 rivaroxaban treatment strategies and one vitamin K
antagonist (VKA) treatment strategy in participants, who have paroxysmal, persistent, or
permanent non-valvular atrial fibrillation (AF) and have had a percutaneous coronary
intervention (PCI) with stent placement.

A target of 2,100 participants will be randomized into the study, with approximately 700
participants in each treatment strategy group. The randomization will be stratified by the
intended duration of DAPT (1, 6, or 12 months).

The study consists of a screening phase, a 12-month open-label treatment phase, and an
end-of-treatment/early withdrawal visit. The total duration of participation in the study
for each participant is approximately 12 months.

Inclusion Criteria:

- Have a documented medical history of paroxysmal, persistent, or permanent
non-valvular atrial fibrillation (AF)

- Have undergone percutaneous coronary intervention (PCI) procedure (with stent
placement) for primary atherosclerotic disease

- Must have an international normalized ratio (INR) of 2.5 or below to be randomized

- Women must be postmenopausal before entry or practicing a highly effective method of
birth control when heterosexually active

- Be willing and able to adhere to the prohibitions and restrictions specified in the
study protocol

Exclusion Criteria:

- Have any condition that contraindicates anticoagulant or antiplatelet therapy or
would have an unacceptable risk of bleeding, such as, but not limited to: platelet
count <90,000/microliter at screening, history of intracranial hemorrhage, 12 month
history of clinically significant gastrointestinal bleeding, non-VKA induced elevated
prothrombin time (PT) at screening

- Have anemia of unknown cause with a hemoglobin level <10 g/dL (<6.21 mmol/L)

- Have a history of stroke or Transient Ischemic Attack (TIA)

- Have a calculated Creatinine Clearance (CrCl) <30 mL/min at screening

- Have known significant liver disease or liver function test (LFT) abnormalities

- Have any severe condition that would limit life expectancy to less than 12 months
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