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Atrial FibrillationPhase 4REVISE-AFNCT06187311

Clinical Trial to Evaluate Efficacy and Safety of Rivaroxaban 15mg and 20mg in Patients With Non-valvular Atrial Fibrillation

A Phase 4 study testing Rivaroxaban 20 MG and Rivaroxaban 15 MG in people with Atrial Fibrillation and Anticoagulant Adverse Reaction, run by Korea University Anam Hospital at 1 site in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In this clinical trial, Rivaroxaban of standard dose (20mg) and reduced dose (15mg) will be administeted in non-valvular atrial fibrillation patients without severe renal dysfunction. It is a randomized, open-label, and phase 4 clinical trial to compare and evaluate efficacy and safety of Rivaroxaban. Read more about this study

Who is it for?
Ages 19 to 99 years
What is being tested?
Rivaroxaban 20 MG and Rivaroxaban 15 MG
Could I receive a placebo?
No, everyone receives an active treatment
How many people
940 participants
Where
1 siteSouth Korea
Study dates
12 Jan 2023to 30 Jun 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 19 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult men and women over 19 years of age when screening
  • A person whose atrial fibrillation has been confirmed by electrocardiogram during screening and baseline.
  • Anticoagulants for the prevention of stroke or systemic embolism For cases where medication is required, a person with a CHA2DS2-VASC score of 1 male/female 2 or more points (In case of one or more risk factors)
  • 4) CrCl (Creatinine Clearance) ≥50 ml/min
  • A person who voluntarily agrees in writing to this study

Who cannot join

  • Moderate mitral valve stenosis or mechanical artificial valve A person with a history of mechanical valve
  • Thyroid disease, terminal hypertrophy, brown cytoplasm, adrenal glands that affect the occurrence of atrial fibrillation A person accompanied by cortical disease, parathyroid disease, pancreatic disease, etc.
  • clinically significant bleeding (e.g., intracranial bleeding, gastrointestinal bleeding)
  • Clinical significance of liver disease related to blood coagulation disorder and Child Pugh B and C liver disease associated with the risk of bleeding
  • Patients with increased risk of bleeding due to the following conditions:
  • Gastrointestinal ulcer history within 6 months prior to random allocation
Show all 18Show fewer
  • Intracranial or intracranial hemorrhage history within 6 months prior to random assignment
  • vascular abnormalities in the spinal cord or brain
  • History of brain, spinal cord or ophthalmic surgery within 30 days prior to random assignment
  • ⑤ Brain or spinal cord injury within 6 months prior to random allocation
  • ⑥ If you have esophageal varices or are suspected
  • ⑦ Arteriovenous malformations
  • ⑧ Vascular aneurysms
  • ⑨ Patients with malignant tumors (Neoplasm) at high risk of bleeding
  • Stroke requiring combination of antiplatelet drugs when treating acute coronary syndrome or a patient with a history of transient ischemic attacks
  • Patients who are overreacting to the main or components of Rivaroxaban
  • Galactose intolerance, Lapp lactase deficiency, or glucose-galactose absorption a patient with genetic problems such as a disability
  • Patients with uncontrolled hypertension (systolic BP > 180 mm Hg or diastolic BP > 100 mm Hg)

Trial locations and contacts

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

Jong-il Choi, MD, PHD contact

02-920-6710

jongilchoi@korea.ac.kr

South Korea1 site, 1 recruiting
  • Korea University Anam Hospital

    Seoul, 02841

    Jong-il Choi, PhD, jongilchoi@korea.ac.kr

    Joo Hee Jeong, MD, jessica0115@naver.com

    Recruiting

Other trials in South Korea

About this study

Official title: A Randomized, Open-labelled, Investigator-initiated Clinical Trial to Evaluate Efficacy and Safety of Rivaroxaban 15mg and 20mg in Patients With Non-valvular Atrial Fibrillation

In this clinical trial, Rivaroxaban of standard dose (20mg) and reduced dose (15mg) will be administeted in non-valvular atrial fibrillation patients without severe renal dysfunction.

It is a randomized, open-label, and phase 4 clinical trial to compare and evaluate efficacy and safety of Rivaroxaban.

Read more

After obtaining informed consent to participate in this trial, screening is performed (Screening visit).

Screening includes baseline 12-lead electrocardiography and laboratory tests to exclude severe end-organ dysfunction (such as renal dysfunction, liver dysfunction, or anemia).

Baseline visits are available on the same day. After screening, subjects eligible for the trial will be randomly assigned (1:1 ratio) to Group 1 (15 mg of Rivaroxaban) or Group 2 (20 mg of Rivaroxaban) (Baseline visit).

The study drug (Rivaroxaban 15mg or 20mg daily) will be administered for 12 months.

During study period, a total of six visits (3,6,9,12 months) will be made, and follow-up test and outcome measurement will be done in each visit.

Being tested
Rivaroxaban 20 MG, Rivaroxaban 15 MG
Keywords
Non-vitamin K antagonist oral anticoagulant, rivaroxaban
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • Rivaroxaban 20 MGDrug

    Subjects should take clinical trial drugs (20 mg of rivaroxaban) for each group of administration once a day for 12 months, according to random assignments.

  • Rivaroxaban 15 MGDrug

    Subjects should take clinical trial drugs (15 mg of rivaroxaban) for each group of administration once a day for 12 months, according to random assignments.

Study groups in NCT06187311
Study groupRoleWhat they receive
Rivaroxaban 15mgExperimentalSubjects eligible for this clinical trial will be randomly assigned to Group 1 (15 mg of rivaroxaban) or Group 2 (20 mg of rivaroxaban) at baseline visits in a 1:1 ratio.
Receives: Drug: Rivaroxaban 15 MG
Rivaroxaban 20mgExperimentalSubjects eligible for this clinical trial will be randomly assigned to Group 1 (15 mg of rivaroxaban) or Group 2 (20 mg of rivaroxaban) at baseline visits in a 1:1 ratio.
Receives: Drug: Rivaroxaban 20 MG

What is being measured

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

  1. Incident rate of major bleeding events

    Incidence of 'major bleeding' defined by International Society on Thrombosis and Haemostasis (ISTH) : (i) hb decrease 2 g/dL or more, or (ii) bleeding requiring RBC transfusion 2 or more unites, (iii) bleeding at major organ (intracranial, intraocular, pericardial, intra-articular, retroperitoneal or intramuscular bleeding), (iv) bleeding that result lethal outcome

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

Secondary outcomes (9)
  1. Occurrence of Stroke, Non-CNS systemic embolism, and vascular death death

    Composite of stroke, Non-CNS systemic embolism, and vascular death death

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

  2. Occurrence of Stroke, Non-CNS systematic embolism, and myocardial infarction infaration, cardiovascular death

    Composite of stroke, Non-CNS systemic embolism, and myocardial infarction

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

  3. Occurrence Stroke, Non-CNS systemic embolism, myocardial infarction (Myocardial infarction), (Cardio vascular death)

    Individual incidence of stroke, Non-CNS systemic embolism, and myocardial infarction

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy

  4. Occurrence of Severe Disabling Stroke

    Severe stroke that results Modified Rankin Scale between 3 ~ 5

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

  5. All-cause motality

    Death of any cuase

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

  6. Incidence of non-major clinically significant bleeding*

    Any bleeding that do not fulfill 'major bleeding', but requring clinical intervention or unexpected medical visit, cease of study

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy

  7. Abnormal reaction and drug abnormal reaction expression, vital sign, laboratory inspection, physical examination, 12-lead ECG

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy

  8. Number of unexpected medical service visit (Healthcare Utilization)

    Any visit of medical service except routine visits

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

  9. Proportion of the drug taken during study period (Treatment persistence)

    Maintenance of treatment to drug administration and treatment adherence

    Measured: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.

Timeline

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

  1. First posted2 Jan 2024
  2. Study start12 Jan 2023
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 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
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
940 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06187311
Sponsor's protocol ID
2023AN0034
Acronym
REVISE-AF
Status last verified
Dec 2023
First submitted
16 Dec 2023
Last updated
5 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Patel MR, Mahaffey KW, Garg J, Pan G, Singer DE, Hacke W, Breithardt G, Halperin JL, Hankey GJ, Piccini JP, Becker RC, Nessel CC, Paolini JF, Berkowitz SD, Fox KA, Califf RM; ROCKET AF Investigators. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med. 2011 Sep 8;365(10):883-91. doi: 10.1056/NEJMoa1009638. Epub 2011 Aug 10.

    PubMed 21830957
  • Hori M, Matsumoto M, Tanahashi N, Momomura S, Uchiyama S, Goto S, Izumi T, Koretsune Y, Kajikawa M, Kato M, Ueda H, Iwamoto K, Tajiri M; J-ROCKET AF study investigators. Rivaroxaban vs. warfarin in Japanese patients with atrial fibrillation - the J-ROCKET AF study -. Circ J. 2012;76(9):2104-11. doi: 10.1253/circj.cj-12-0454. Epub 2012 Jun 5.

    PubMed 22664783
  • Cho MS, Yun JE, Park JJ, Kim YJ, Lee J, Kim H, Park DW, Nam GB. Outcomes After Use of Standard- and Low-Dose Non-Vitamin K Oral Anticoagulants in Asian Patients With Atrial Fibrillation. Stroke. 2019 Jan;50(1):110-118. doi: 10.1161/STROKEAHA.118.023093. Epub 2018 Dec 3.

    PubMed 30580716
  • Lin YC, Chien SC, Hsieh YC, Shih CM, Lin FY, Tsao NW, Chen CW, Kao YT, Chiang KH, Chen WT, Chien LN, Huang CY. Effectiveness and Safety of Standard- and Low-Dose Rivaroxaban in Asians With Atrial Fibrillation. J Am Coll Cardiol. 2018 Jul 31;72(5):477-485. doi: 10.1016/j.jacc.2018.04.084.

    PubMed 30049307
  • Chan YH, Lee HF, Wang CL, Chang SH, Yeh CH, Chao TF, Yeh YH, Chen SA, Kuo CT. Comparisons of Rivaroxaban Following Different Dosage Criteria (ROCKET AF or J-ROCKET AF Trials) in Asian Patients With Atrial Fibrillation. J Am Heart Assoc. 2019 Nov 5;8(21):e013053. doi: 10.1161/JAHA.119.013053. Epub 2019 Oct 18.

    PubMed 31623498

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Rivaroxaban 20 MG and Rivaroxaban 15 MG in people with Atrial Fibrillation and Anticoagulant Adverse Reaction, run by Korea University Anam Hospital at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jong-il Choi, MD, PHD (02-920-6710, jongilchoi@korea.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incident rate of major bleeding events (time frame: At baseline(Visit 2) and at 3 month, 6 month, 9 month, 12 month after the baseline visit, or at 1~3 month interval with regard to the subject's therapy.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06187311, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jan 2024.

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