- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01830543
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 (PIONEER AF-PCI)
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
Study Overview
Status
Detailed Description
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.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Bahia Blanca, Argentina
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Buenos Aires, Argentina
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C.a.b.a., Argentina
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Cordoba, Argentina
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Corrientes, Argentina
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La Plata, Argentina
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Resistencia, Argentina
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Rosario, Argentina
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Santa Fe, Argentina
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Vicente Lopez, Argentina
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Chermside N/A, Australia
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Epping, Australia
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Hobart, Australia
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Kogarah, Australia
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Liverpool, Australia
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New Lambton, Australia
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Wollongong, Australia
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Aalst, Belgium
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Bonheiden, Belgium
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Brasschaat, Belgium
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Brugge, Belgium
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Bruxelles, Belgium
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Genk, Belgium
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Gent, Belgium
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Liège, Belgium
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Mechelen, Belgium
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Mol, Belgium
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Roeselare, Belgium
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Turnhout, Belgium
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Belo Horizonte, Brazil
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Blumenau, Brazil
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Brasilia, Brazil
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Campina Grande Do Sul, Brazil
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Campinas, Brazil
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Curitiba, Brazil
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Marilia, Brazil
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Passo Fundo, Brazil
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Porto Alegre, Brazil
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Recife, Brazil
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Sao Paulo, Brazil
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São José Do Rio Preto, Brazil
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São Paulo, Brazil
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Uberlandia, Brazil
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Votuporanga, Brazil
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Blagoevgrad, Bulgaria
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Burgas, Bulgaria
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Pazardjik, Bulgaria
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Pleven, Bulgaria
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Plovdiv, Bulgaria
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Sofia, Bulgaria
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Varna, Bulgaria
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Veliko Tarnovo, Bulgaria
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Chicoutimi, Canada
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Quebec, Canada
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Saint John, Canada
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Alberta
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Edmonton, Alberta, Canada
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British Columbia
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Maple Ridge, British Columbia, Canada
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New Westminster, British Columbia, Canada
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Vancouver, British Columbia, Canada
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Victoria, British Columbia, Canada
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Newfoundland and Labrador
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St. John'S, Newfoundland and Labrador, Canada
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Ontario
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London, Ontario, Canada
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Ottawa, Ontario, Canada
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Sudbury, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Alto, Chile
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Concepcion, Chile
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Punta Arenas, Chile
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Santiago, Chile
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Temuco, Chile
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Brno, Czechia
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Brno 2, Czechia
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Hradec Kralove, Czechia
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Jablonec Na Nisou, Czechia
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Karlovy Vary, Czechia
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Kladno, Czechia
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Litomysl, Czechia
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Olomouc, Czechia
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Plzen, Czechia
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Praha, Czechia
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Praha 10 N/A, Czechia
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Praha 2, Czechia
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Slany, Czechia
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Uherske Hradiste, Czechia
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Aalborg, Denmark
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Copenhagen, Denmark
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Esbjerg, Denmark
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Herlev, Denmark
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Herning, Denmark
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Hvidovre, Denmark
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Koege, Denmark
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Naestved, Denmark
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Odense, Denmark
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Roskilde, Denmark
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Svendborg N/A, Denmark
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Vejle, Denmark
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Besancon Cedex Franche-Comté, France
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Caen Cedex 9, France
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Centres, France
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Chartres, France
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Lille, France
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Limoges Cedex, France
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Marseille Cedex 05, France
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Montfermeil, France
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Nantes Cedex 1, France
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Nimes, France
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Paris, France
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Paris 75, France
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Pau, France
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Pessac, France
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Poitiers, France
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Toulouse, France
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Bad Friedrichshall, Germany
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Bad Nauheim, Germany
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Berlin, Germany
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Dresden, Germany
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Esslingen, Germany
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Frankfurt Am Main, Germany
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Freiburg, Germany
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Greifswald, Germany
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Göttingen, Germany
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Hamburg, Germany
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Heidelberg, Germany
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Köln, Germany
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Limburg, Germany
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Mannheim, Germany
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Ulm, Germany
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Witten, Germany
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Busan, Korea, Republic of
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Daejeon, Korea, Republic of
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Gyeonggi-Do, Korea, Republic of
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Incheon, Korea, Republic of
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Seongnam, Korea, Republic of
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Seoul, Korea, Republic of
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Suwon, Korea, Republic of
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Uijeongbu, Korea, Republic of
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Wonju, Korea, Republic of
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Georgetown, Malaysia
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Johor Bahru, Malaysia
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Kajang, Malaysia
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Kuala Lumpur, Malaysia
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Aguascalientes, Mexico
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Guadalajara, Mexico
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Leon, Mexico
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Mexico, Mexico
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Pachuca, Mexico
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Puebla, Mexico
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Queretaro, Mexico
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Villahermosa, Mexico
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Zapopan, Mexico
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Alkmaar, Netherlands
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Amsterdam, Netherlands
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Amsterdam Zuidoost, Netherlands
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Breda, Netherlands
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Delft, Netherlands
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Den Bosch, Netherlands
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Gorinchem, Netherlands
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Leiden, Netherlands
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Maastricht, Netherlands
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Nieuwegein, Netherlands
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Sneek, Netherlands
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Uden, Netherlands
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Bedzin, Poland
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Bielsko-Biala, Poland
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Chrzanow, Poland
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Gdynia, Poland
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Grodzisk Mazowiecki, Poland
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Katowice, Poland
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Krakow, Poland
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Lodz, Poland
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Mielec, Poland
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Nowy Targ, Poland
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Ostrowiec Swietokrzyski, Poland
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Oswiecim, Poland
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Plock, Poland
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Rzeszow Poland, Poland
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Starachowice, Poland
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Starogard Gdanski, Poland
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Szczecin, Poland
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Torun, Poland
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Tychy, Poland
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Ustron, Poland
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Warszawa, Poland
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Zamosc, Poland
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Bucharest, Romania
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Bucuresti, Romania
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Cluj Napoca, Romania
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Targu-Mures, Romania
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Tg Mures, Romania
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Arkhangelsk, Russian Federation
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Barnaul, Russian Federation
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Chita, Russian Federation
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Ekaterinburg, Russian Federation
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Kemerovo, Russian Federation
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Krasnodar, Russian Federation
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Krasnoyarsk, Russian Federation
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Moscow, Russian Federation
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Nizhny Novgorod, Russian Federation
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Perm, Russian Federation
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Rostov On Don, Russian Federation
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Samara, Russian Federation
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Saratov, Russian Federation
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St. Petersburg, Russian Federation
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Syktyvkar, Russian Federation
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Tumen, Russian Federation
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Tyumen, Russian Federation
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Cape Town, South Africa
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Centurion, South Africa
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Linksfield West, Johannesburg, South Africa
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Somerset West, South Africa
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Falun, Sweden
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Göteborg, Sweden
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Jönköping, Sweden
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Lund, Sweden
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Malmö, Sweden
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Stockholm, Sweden
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Stockholm N/A, Sweden
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Umeå, Sweden
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Örebro, Sweden
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Kaohsiung, Taiwan
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Taichung, Taiwan
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Tainan, Taiwan
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Taipei, Taiwan
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Taoyuan, Taiwan
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Ankara, Turkey
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Antalya, Turkey
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Bursa, Turkey
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Gaziantep, Turkey
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Istanbul, Turkey
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Istanbul Nap, Turkey
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Izmir, Turkey
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Kayseri, Turkey
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Sivas, Turkey
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Cherkassy, Ukraine
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Dnepropetrovsk, Ukraine
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Ivano-Frankivsk, Ukraine
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Kharkiv, Ukraine
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Kharkov, Ukraine
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Khemelnitskiy, Ukraine
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Kyiv, Ukraine
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Lviv, Ukraine
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Odessa, Ukraine
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Rivne, Ukraine
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Uzhgorod, Ukraine
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Zaporizhzhya, Ukraine
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Bath, United Kingdom
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Birmingham, United Kingdom
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Blackburn, United Kingdom
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Bradford, United Kingdom
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Clydebank, United Kingdom
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Cottingham, United Kingdom
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Coventry, United Kingdom
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Dorchester, United Kingdom
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Dundee, United Kingdom
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Edinburgh, United Kingdom
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Exeter, United Kingdom
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Hampshire, United Kingdom
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Harrow, United Kingdom
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High Wycombe, United Kingdom
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London, United Kingdom
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Middlesbrough N/A, United Kingdom
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Norwich, United Kingdom
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Nottingham, United Kingdom
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Plymouth, United Kingdom
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Portsmouth, United Kingdom
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Torquay, United Kingdom
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Truro, United Kingdom
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Worcester, United Kingdom
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Alabama
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Huntsville, Alabama, United States
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California
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Los Alamitos, California, United States
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Mission Viejo, California, United States
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Oceanside, California, United States
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Riverside, California, United States
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Sacramento, California, United States
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San Francisco, California, United States
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Stockton, California, United States
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Thousand Oaks, California, United States
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Torrance, California, United States
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Colorado
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Colorado Springs, Colorado, United States
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Lakewood, Colorado, United States
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Littleton, Colorado, United States
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Connecticut
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Danbury, Connecticut, United States
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District of Columbia
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Washington, D.C., District of Columbia, United States
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Florida
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Atlantis, Florida, United States
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Clearwater, Florida, United States
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Daytona Beach, Florida, United States
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Jacksonville, Florida, United States
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Port Charlotte, Florida, United States
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Safety Harbor, Florida, United States
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Saint Petersburg, Florida, United States
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Tallahassee, Florida, United States
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Tampa, Florida, United States
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Georgia
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Columbus, Georgia, United States
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Macon, Georgia, United States
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Marietta, Georgia, United States
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Idaho
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Boise, Idaho, United States
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Illinois
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Hazel Crest, Illinois, United States
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Indiana
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Indianapolis, Indiana, United States
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Munster, Indiana, United States
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Louisiana
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Hammond, Louisiana, United States
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Lake Charles, Louisiana, United States
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Slidell, Louisiana, United States
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Maine
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Auburn, Maine, United States
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Bangor, Maine, United States
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Maryland
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Baltimore, Maryland, United States
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Michigan
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Detroit, Michigan, United States
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Lansing, Michigan, United States
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Mount Clemens, Michigan, United States
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Petoskey, Michigan, United States
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Ypsilanti, Michigan, United States
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Missouri
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Kansas City, Missouri, United States
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Saint Louis, Missouri, United States
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Montana
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Kalispell, Montana, United States
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Nevada
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Las Vegas, Nevada, United States
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New Jersey
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Hackensack, New Jersey, United States
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Haddon Heights, New Jersey, United States
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New Brunswick, New Jersey, United States
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Newark, New Jersey, United States
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Ridgewood, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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New York
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New York, New York, United States
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Peekskill, New York, United States
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North Carolina
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Sanford, North Carolina, United States
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Oklahoma
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Bartlesville, Oklahoma, United States
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Oklahoma City, Oklahoma, United States
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Tulsa, Oklahoma, United States
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Oregon
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Bend, Oregon, United States
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Portland, Oregon, United States
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Pennsylvania
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Abington, Pennsylvania, United States
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Camp Hill, Pennsylvania, United States
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Doylestown, Pennsylvania, United States
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Erie, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Sayre, Pennsylvania, United States
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York, Pennsylvania, United States
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South Carolina
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Greenville, South Carolina, United States
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Mount Pleasant, South Carolina, United States
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South Dakota
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Rapid City, South Dakota, United States
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Tennessee
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Jackson, Tennessee, United States
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Knoxville, Tennessee, United States
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Texas
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Austin, Texas, United States
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Fort Worth, Texas, United States
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Humble, Texas, United States
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Odessa, Texas, United States
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Plano, Texas, United States
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Utah
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Layton, Utah, United States
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Virginia
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Charlottesville, Virginia, United States
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Manassas, Virginia, United States
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Midlothian, Virginia, United States
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Richmond, Virginia, United States
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Washington
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Bellevue, Washington, United States
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Seattle, Washington, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Weston, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: rivaroxaban 2.5 mg twice daily
rivaroxaban 2.5 mg tablet twice daily plus low-dose aspirin (ASA) 75 to 100 mg once daily and clopidogrel 75 mg tablet once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) followed by rivaroxaban 15 mg tablet (or 10 mg for subjects with moderate renal impairment) once daily plus low-dose ASA for 12 months
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One 2.5 mg tablet twice daily for up to twelve months
One 15 mg tablet once daily for up to twelve months
One 10 mg tablet once daily for up to twelve months
Low-dose aspirin tablet once daily for twelve months
One 75 mg tablet once daily for up to twelve months
One 10 mg tablet once daily for up to twelve months
One 90 mg tablet twice daily for up to twelve months
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EXPERIMENTAL: vitamin K antagonist (VKA)
dose-adjusted vitamin K antagonist (VKA) once daily (target International Normalized Ratio (INR) 2.0 to 3.0) plus low-dose ASA, 75 to 100 mg per day, and clopidogrel 75 mg once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) followed by dose-adjusted VKA once daily (target INR 2.0 to 3.0 or 2.0 to 2.5 at the investigator discretion) plus low-dose ASA for 12 months
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Low-dose aspirin tablet once daily for twelve months
One 75 mg tablet once daily for up to twelve months
One 10 mg tablet once daily for up to twelve months
One 90 mg tablet twice daily for up to twelve months
Dose-adjusted VKA tablet (target International Normalized Ratio (INR) 2.0 to 3.0) once daily for twelve months
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EXPERIMENTAL: rivaroxaban 15 mg once daily
rivaroxaban 15 mg (or 10 mg for subjects with moderate renal impairment) once daily plus clopidogrel 75 mg tablet once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) for 12 months
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One 15 mg tablet once daily for up to twelve months
One 10 mg tablet once daily for up to twelve months
One 75 mg tablet once daily for up to twelve months
One 10 mg tablet once daily for up to twelve months
One 90 mg tablet twice daily for up to twelve months
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With Clinically Significant Bleeding
Time Frame: Up to Month 12
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Clinically significant bleeding is a composite of Thrombolysis in Myocardial Infarction (TIMI) major bleeding, minor bleeding, and bleeding requiring medical attention (BRMA).
TIMI major bleeding is defined as any symptomatic intracranial hemorrhage, clinically overt signs of hemorrhage (including imaging) associated with a drop in hemoglobin of greater than or equal to (>=) 5 grams per deciliter (g/dL) (or when the hemoglobin concentration is not available, an absolute drop in hematocrit of >=15 percent (%)).
TIMI minor bleeding event is defined as any clinically overt sign of hemorrhage (including imaging) that is associated with a fall in hemoglobin concentration of 3 to less than (<) 5 g/dL (or, when hemoglobin concentration is not available, a fall in hematocrit of 9 percent to <15 percent).
A BRMA event is defined as any bleeding event that requires medical treatment, surgical treatment, or laboratory evaluation, and does not meet criteria for a major or minor bleeding event.
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Up to Month 12
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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TIMI major bleeding is defined as any symptomatic intracranial hemorrhage, Clinically overt signs of hemorrhage (including imaging) associated with a drop in hemoglobin of >= 5 g/dL (or when the hemoglobin concentration is not available, an absolute drop in hematocrit of >=15 percent).
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Minor Bleeding
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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TIMI minor bleeding event is defined as any clinically overt sign of hemorrhage (including imaging) that is associated with a fall in hemoglobin concentration of 3 to <5 g/dL (or, when hemoglobin concentration is not available, a fall in hematocrit of 9 percent to <15 percent).
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Bleeding Requiring Medical Attention (BRMA)
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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A BRMA event is defined as any bleeding event that requires medical treatment, surgical treatment, or laboratory evaluation, and does not meet criteria for a major or minor bleeding event.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Composite of Adverse Cardiovascular Events (Cardiovascular Death, Myocardial Infarction (MI) and Stroke)
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of participants who experienced adverse cardiovascular events (cardiovascular death, myocardial Infarction (MI) and stroke) collectively, were assessed.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Cardiovascular Death
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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The percentage of participants with the first occurrence of cardiovascular death were evaluated.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Myocardial Infarction
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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The percentage of participants with the first occurrence of Myocardial Infarction were evaluated.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Stroke
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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The percentage of participants with the first occurrence of Stroke were evaluated.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Percentage of Participants With Stent Thrombosis
Time Frame: Up to Month 12 and end of DAPT-Month 1, 6 and 12
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The percentage of participants with the first occurrence of stent thrombosis were evaluated.
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Up to Month 12 and end of DAPT-Month 1, 6 and 12
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Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Kerneis M, Yee MK, Mehran R, Nafee T, Bode C, Halperin JL, Peterson ED, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Fox KAA, Gibson CM. Novel Oral Anticoagulant Based Versus Vitamin K Antagonist Based Double Therapy Among Stented Patients With Atrial Fibrillation: Insights From the PIONEER AF-PCI Trial. Circ Cardiovasc Interv. 2019 Nov;12(11):e008160. doi: 10.1161/CIRCINTERVENTIONS.119.008160. Epub 2019 Nov 11.
- Gibson WJ, Nafee T, Travis R, Yee M, Kerneis M, Ohman M, Gibson CM. Machine learning versus traditional risk stratification methods in acute coronary syndrome: a pooled randomized clinical trial analysis. J Thromb Thrombolysis. 2020 Jan;49(1):1-9. doi: 10.1007/s11239-019-01940-8.
- Kerneis M, Yee MK, Mehran R, Nafee T, Bode C, Halperin JL, Peterson ED, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Fox KAA, Gibson CM. Association of International Normalized Ratio Stability and Bleeding Outcomes Among Atrial Fibrillation Patients Undergoing Percutaneous Coronary Intervention. Circ Cardiovasc Interv. 2019 Feb;12(2):e007124. doi: 10.1161/CIRCINTERVENTIONS.118.007124.
- Chi G, Kerneis M, Kalayci A, Liu Y, Mehran R, Bode C, Halperin JL, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Peterson ED, Fox KAA, Gibson CM. Safety and efficacy of non-vitamin K oral anticoagulant for atrial fibrillation patients after percutaneous coronary intervention: A bivariate analysis of the PIONEER AF-PCI and RE-DUAL PCI trial. Am Heart J. 2018 Sep;203:17-24. doi: 10.1016/j.ahj.2018.06.003. Epub 2018 Jun 13.
- Chi G, Yee MK, Kalayci A, Kerneis M, AlKhalfan F, Mehran R, Bode C, Halperin JL, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Cohen M, Peterson ED, Fox KAA, Gibson CM. Total bleeding with rivaroxaban versus warfarin in patients with atrial fibrillation receiving antiplatelet therapy after percutaneous coronary intervention. J Thromb Thrombolysis. 2018 Oct;46(3):346-350. doi: 10.1007/s11239-018-1703-5.
- Kerneis M, Gibson CM, Chi G, Mehran R, AlKhalfan F, Talib U, Pahlavani S, Mir M, Bode C, Halperin JL, Nafee T, Peterson ED, Verheugt FWA, Wildgoose P, van Eickels M, Lip GYH, Fox KAA, Cohen M. Effect of Procedure and Coronary Lesion Characteristics on Clinical Outcomes Among Atrial Fibrillation Patients Undergoing Percutaneous Coronary Intervention: Insights From the PIONEER AF-PCI Trial. JACC Cardiovasc Interv. 2018 Apr 9;11(7):626-634. doi: 10.1016/j.jcin.2017.11.009. Epub 2018 Mar 14.
- Gibson CM, Mehran R, Bode C, Halperin J, Verheugt FW, Wildgoose P, Birmingham M, Ianus J, Burton P, van Eickels M, Korjian S, Daaboul Y, Lip GY, Cohen M, Husted S, Peterson ED, Fox KA. Prevention of Bleeding in Patients with Atrial Fibrillation Undergoing PCI. N Engl J Med. 2016 Dec 22;375(25):2423-2434. doi: 10.1056/NEJMoa1611594. Epub 2016 Nov 14.
- Gibson CM, Pinto DS, Chi G, Arbetter D, Yee M, Mehran R, Bode C, Halperin J, Verheugt FW, Wildgoose P, Burton P, van Eickels M, Korjian S, Daaboul Y, Jain P, Lip GY, Cohen M, Peterson ED, Fox KA. Recurrent Hospitalization Among Patients With Atrial Fibrillation Undergoing Intracoronary Stenting Treated With 2 Treatment Strategies of Rivaroxaban or a Dose-Adjusted Oral Vitamin K Antagonist Treatment Strategy. Circulation. 2017 Jan 24;135(4):323-333. doi: 10.1161/CIRCULATIONAHA.116.025783. Epub 2016 Nov 14. Erratum In: Circulation. 2017 Mar 21;135(12 ):e789.
- Gibson CM, Mehran R, Bode C, Halperin J, Verheugt F, Wildgoose P, van Eickels M, Lip GY, Cohen M, Husted S, Peterson E, Fox K. 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 (PIONEER AF-PCI). Am Heart J. 2015 Apr;169(4):472-8.e5. doi: 10.1016/j.ahj.2014.12.006. Epub 2014 Dec 20.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Arrhythmias, Cardiac
- Atrial Fibrillation
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Fibrinolytic Agents
- Fibrin Modulating Agents
- Platelet Aggregation Inhibitors
- Cyclooxygenase Inhibitors
- Antipyretics
- Purinergic P2Y Receptor Antagonists
- Purinergic P2 Receptor Antagonists
- Purinergic Antagonists
- Purinergic Agents
- Protease Inhibitors
- Micronutrients
- Vitamins
- Factor Xa Inhibitors
- Antithrombins
- Serine Proteinase Inhibitors
- Anticoagulants
- Antifibrinolytic Agents
- Hemostatics
- Coagulants
- Aspirin
- Ticagrelor
- Clopidogrel
- Vitamin K
- Rivaroxaban
- Prasugrel Hydrochloride
Other Study ID Numbers
- CR100758
- RIVAROXAFL3003 (OTHER: Janssen Scientific Affairs, LLC)
- 2012-001491-11 (EUDRACT_NUMBER)
Drug and device information, study documents
Studies a U.S. FDA-regulated device product
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