This study is to demonstrate the safety and efficacy profile, in two different dose regimens of Edoxaban (DU-176b), (an investigational new drug being tested for the prevention of stroke/systemic embolic events (SEE)), in individuals with atrial fibrillation. Patients will be randomized to one of three treatment groups: High Dose Regimen, Low Dose Regimen, \& Warfarin. The expected duration of the study is 24 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
21,105
Warfarin tablets plus Edoxaban placebo tablets each taken once daily for 24 months
Edoxaban tablets plus warfarin placebo tablets each taken once daily for 24 months
Edoxaban tablets plus warfarin placebo tablets each taken once daily for 24 months
placebo warfarin
placebo edoxaban
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Birmingham, Alabama, United States
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Mobile, Alabama, United States
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Gilbert, Arizona, United States
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Glendale, Arizona, United States
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Lake Havasu City, Arizona, United States
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Compare Edoxaban to Warfarin for Composite of Stroke and Systemic Embolic Events (SEE).
The composite of stroke and Systemic Embolic Events (SEE) during the on treatment period in the mITT analysis population with a non-inferiority analysis.
Time frame: on-treatment period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Composite of Stroke and Systemic Embolic Events (SEE).
The composite of stroke and Systemic Embolic Events (SEE) during the overall study period in the mITT analysis population.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Composite of Stroke and Systemic Embolic Events (SEE).
The composite of stroke and Systemic Embolic Events (SEE) during the on treatment period in the PP (per protocol) analysis set population.
Time frame: on-treatment period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Composite of Stroke and Systemic Embolic Events (SEE).
The composite of stroke and Systemic Embolic Events (SEE) during the overall study period in the PP (per protocol) analysis set population.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Superiority for Composite of Stroke and Systemic Embolic Events (SEE).
Compare edoxaban to warfarin for the composite of stroke and Systemic Embolic Events (SEE) during the overall study period in the ITT analysis set with a superiority analysis.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Composite of Stroke, Systemic Embolic Event (SEE), and Cardiovascular (CV) Mortality
Compare edoxaban to warfarin for the composite of stroke, Systemic Embolic Events, and Cardiovascular mortality during the overall study period in the ITT analysis set.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Major Adverse Cardiac Event (MACE): a Composite of Non-fatal MI, Non-fatal Stroke, Non-fatal SEE, and Death Due to CV Cause or Bleeding
Compare edoxaban to warfarin for Major Adverse Cardiac Event (MACE): a composite of non-fatal Myocardial Infarction, non-fatal stroke, non-fatal Systemic Embolic Events, and death due to Cardiovascular cause or bleeding during the overall study period in the ITT analysis set.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Compare Edoxaban to Warfarin for Composite of Stroke, SEE, and All-cause Mortality
Compare Edoxaban to warfarin for Composite of stroke, Systemic Embolic Events, and all-cause mortality during the overall study period in the ITT analysis set.
Time frame: overall study period 2.5 years of median study drug exposure and 2.8 year of median follow-up
Adjudicated Bleeding Events
Compare edoxaban versus warfarin for Adjudicated Bleeding Events during the on-treatment period in the Safety Analysis set. Major bleeding was adjudicated by the Clinical Events Committee (CEC) and defined based on published guidance from the International Society on Thrombosis and Haemostasis (ISTH), with minor modifications for Hgb decrease and blood transfusion requirements.
Time frame: on-treatment period 2.5 years of median study drug exposure and 2.8 year of median follow-up
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Sierra Vista, Arizona, United States
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Tempe, Arizona, United States
Unnamed facility
Tucson, Arizona, United States
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Harrisburg, Arkansas, United States
Unnamed facility
Hot Springs, Arkansas, United States
...and 999 more locations