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Atrial FibrillationNCT05378308

NOACs Use in AF or VTE (SUNSHINE Registry)

An observational study of Atrial Fibrillation and Venous Thromboembolism, run by Henan Provincial People's Hospital at 1 site in China.

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Sites and contacts
Official record

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Trial summary

The outcomes regiStry for non-vitamin k antagonist oral anticoagUlants treatmeNt in variouS tHrombotIc dIseases for better cliNical practicE (SUNSHINE) is a multicenter, prospective, observational non-interventional inpatient/outpatient disease registry to assess the utilization of Non-vitamin k antagonist oral… Read more about this study

Who is it for?
Any age
What is being tested?
Patients with Atrial Fibrillation (AF) or venous thromboembolism (VTE)
How many people
5,000 participants
Where
1 siteChina
Study dates
6 Jun 2022to 31 May 2027
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: NOACs use in patients for various clinical scenarios (mainly with AF or VTE).

Who may be able to join

  • Patients with clinically diagnosed with AF (eg, by electrocardiogram, Holter monitoring, implanted device, etc) or VTE (initial or recurrent acute VTE)
  • Patients who use OACs therapy (including NOAC or VKA) within the preceding 3 months
  • Patients can be enrolled from both inpatient or outpatient settings

Who cannot join

  • AF resulting from reversible cause factors (e.g., thyroid disease, postoperative AF)
  • Patients with a diagnosis of valvular AF (valvular AF mainly refers to patients with AF that have either rheumatic valvular disease [predominantly mitral stenosis] or mechanical heart valves)
  • Patients participating in an ongoing clinical trial in AF or VTE
  • Have Multiple anticoagulation indications apart from AF or VTE
  • Patients with incomplete information (illogical data, missing or insufficient data)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 450000

    Shujuan Zhao, 0086-13837101436, 49800425@qq.com

    Recruiting

Other trials in China

About this study

Official title: Outcomes regiStry for Non-vitamin k Antagonist Oral anticoagUlants treatmeNt in variouS tHrombotIc dIseases for Better cliNical practicE (SUNSHINE)

The outcomes regiStry for non-vitamin k antagonist oral anticoagUlants treatmeNt in variouS tHrombotIc dIseases for better cliNical practicE (SUNSHINE) is a multicenter, prospective, observational non-interventional inpatient/outpatient disease registry to assess the utilization of Non-vitamin k antagonist oral anticoagulants (NOACs), and associated outcomes. The SUNSHINE registry will focus on the collection and analysis of observational data in medical records from hospital information system (HIS) to evaluate the outcomes related with these NOACs when applied in extensive patient populations outside of clinical research studies. The registry will also allow for mainly combining the atrial fibrillation (AF) and venous thromboembolism (VTE) databases. In brief, the SUNSHINE registry will provide important information on the outcomes of NOACs in routine practice and gather further information on its safety and effectiveness.

Read the detailed description

The SUNSHINE registry will generate the extensive integrated repository of routine clinical care data for NOACs use in patients for various clinical scenarios (mainly with AF or VTE). It will provide important information on the use of NOACs in routine clinical care and gather further information on its safety and effectiveness. The study will compare the characteristics of patients newly anticoagulated with either VKAs or NOACs, to describe the reasons for discontinuing the previous anticoagulant strategy and/or choosing the newly initiated anticoagulant treatment, and to precisely describe the prescriptions of patients newly initiated with a NOAC agent, the treatment patterns, clinical course and the clinical outcomes related with their use. The registry will be a multicenter-collaborated study led by clinical pharmacists and cooperate with health care providers (eg, cardiologists, internists, electrophysiologists, general practitioners, and so on). Target enrollment will be approximately 5,000 patients. It is expected that enrollment will finish in approximately 5 years. Patients who meet the eligibility criteria will be included. Approval from the Henan Provincial People's Hospital Institutional Review Board will be obtained before starting the survey. Since the sensitive data of each patient will be removed (e.g., by name and identification), and only presented in aggregate; therefore, informed consent is waived for this study. Confidentiality will be ensured in accordance with the Declaration of Helsinki. Data collection will include patients' electronic medical records (include demographics, clinical characteristics, medical management, laboratory measurements and imaging parameters, prescription information), the catigories of treating physicians, local NOAC medical insurance policy and NOACs availability of each institution.

Being tested
Patients with Atrial Fibrillation (AF) or venous thromboembolism (VTE)
Medical subject headings
Atrial Fibrillation, Venous Thromboembolism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Patients with Atrial Fibrillation (AF) or venous thromboembolism (VTE)Other

    Patients with AF or VTE; OAC treatment patterns according to patient demographics, clinical factors, risk stratification, geographic regions, local NOAC medical insurance policy and NOACs availability

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Profiles of patients with OACs

    Patient's characteristics such as age, gender, weight, BMI, disease status; disease characteristics like co-morbidities (congestive heart failure history, hypertension, diabetes mellitus, stroke/transient ischemic attack)/thromboembolism history, vascular disease history, renal impairment, liver impairment, prior major bleeding), treatment history (previous anticoagulation strategy, duration and indication of previous anticoagulation treatment).

    Measured: During hospitalization

  2. Patients with AF prescribed with OAC

    Difference in the proportion of patients with AF prescribed with OAC between the appropriate use and the inappropriate use group.

    Measured: During hospitalization

  3. Patients with VTE prescribed with OAC

    Difference in the proportion of patients with VTE prescribed with OAC between the appropriate use and the inappropriate use group.

    Measured: During hospitalization

Secondary outcomes (2)
  1. Number of major bleeding events

    Major bleeding will be defined according to International Society of Thrombosis and Hemostasis (ISTH) criteria.

    Measured: 5 years

  2. Number of adverse cardiac events

    Cardiac events are defined as stroke or non-central nervous system (non-CNS) systemic embolism, myocardial infarction, and cardiovascular death.

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 May 2022
  2. Study start6 Jun 2022
  3. Primary completion31 May 2027 (estimated)
  4. Study completion31 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
5,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05378308
Sponsor's protocol ID
2022-0508
Status last verified
May 2022
First submitted
8 May 2022
Last updated
9 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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