- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03907046
Anticoagulation in ICH Survivors for Stroke Prevention and Recovery (ASPIRE)
March 20, 2024 updated by: Yale University
Anticoagulation in Intracerebral Hemorrhage (ICH) Survivors for Stroke Prevention and Recovery
Primary Aim: To determine if apixaban is superior to aspirin for prevention of the composite outcome of any stroke (hemorrhagic or ischemic) or death from any cause in patients with recent ICH and atrial fibrillation (AF).
Secondary Aim: To determine if apixaban, compared with aspirin, results in better functional outcomes as measured by the modified Rankin Scale.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
ASPIRE is a randomized, double-blinded, phase III clinical trial designed to test the efficacy and safety of anticoagulation, compared with aspirin, in patients with a recent ICH and non-valvular AF.
Seven hundred patients will be enrolled over 3.5 years and followed for study outcomes for a minimum of 12 months and maximum of 36 months.
The primary efficacy outcome is any stroke (hemorrhagic or ischemic) or death from any cause.
The secondary efficacy outcome is the change in the modified Rankin Scale score.
Recruitment will take place at sites coordinated through the NIH/NINDS StrokeNet.
Study Type
Interventional
Enrollment (Estimated)
700
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Kevin N Sheth, MD
- Phone Number: 443-615-4729
- Email: kevin.sheth@yale.edu
Study Contact Backup
- Name: Hooman Kamel, MD
- Phone Number: 646-962-8284
- Email: hok9010@med.cornell.edu
Study Locations
-
-
Alabama
-
Birmingham, Alabama, United States, 35294
- Recruiting
- University of Alabama Hospital
-
Contact:
- Angela Shapshak, MD
-
Mobile, Alabama, United States, 36604
- Recruiting
- University of South Alabama University Hospital
-
Contact:
- Taha Nisar, MD
-
-
Arizona
-
Chandler, Arizona, United States, 85224
- Withdrawn
- Chandler Regional Medical Center
-
Tucson, Arizona, United States, 85719
- Recruiting
- Banner University Medical Center
-
Contact:
- Firas Kaddouh, MD
-
-
Arkansas
-
Little Rock, Arkansas, United States, 77205
- Withdrawn
- UAMS Medical Center
-
-
California
-
Carmichael, California, United States, 95608
- Recruiting
- Mercy San Juan Medical Center
-
Contact:
- Lucian Maidan
-
Castro Valley, California, United States, 94546
- Withdrawn
- Eden Medical Center, Castro Valley
-
Colton, California, United States, 92324
- Recruiting
- Arrowhead Regional Medical Center
-
Contact:
- Dan Miulli, MD
-
Downey, California, United States, 90242
- Suspended
- Rancho Los Amigos National Rehabilitation Center
-
Fontana, California, United States, 92335
- Recruiting
- Kaiser Permanente Fontana Medical Center
-
Contact:
- Vaninder Chhabra
-
Long Beach, California, United States, 90806
- Withdrawn
- Long Beach Memorial Medical Center
-
Los Alamitos, California, United States, 90720
- Recruiting
- Los Alamitos Medical Center
-
Contact:
- Nirav Patel, MD
-
Los Angeles, California, United States, 90048
- Recruiting
- Cedars-Sinai Medical Center
-
Contact:
- Konrad Schlick, MD
-
Los Angeles, California, United States, 90027
- Recruiting
- Kaiser Permanente Los Angeles Medical Center
-
Contact:
- Harsimran Brara, MD
-
Los Angeles, California, United States, 90095
- Recruiting
- Ronald Reagan UCLA Medical Center
-
Contact:
- Latisha Sharma, MD
-
Modesto, California, United States, 95350
- Recruiting
- Doctors Medical Center Modesto, Modesto, CA
-
Contact:
- James Jaffe, MD
-
Newport Beach, California, United States, 92663
- Withdrawn
- Hoag Hospital Newport Beach
-
Orange, California, United States, 92868
- Recruiting
- UC Irvine Medical Center
-
Contact:
- Wengui Yu, MD
-
Palm Springs, California, United States, 92262
- Recruiting
- Desert Regional Medical Center
-
Contact:
- Kevin Attenhofer, MD
-
Pasadena, California, United States, 91105
- Recruiting
- Huntington Memorial Hospital
-
Contact:
- Arib Ohanian, MD
-
Redwood City, California, United States, 94063
- Recruiting
- Kaiser Permanente Redwood City Medical Center, Redwood City, CA
-
Contact:
- Sheila Chan, MD
-
Sacramento, California, United States, 95817
- Recruiting
- UC Davis Medical Center
-
Contact:
- Kwan Ng, MD
-
Sacramento, California, United States, 95825
- Recruiting
- Kaiser Permanente Sacramento Medical Center
-
Contact:
- Yekaterina Axelrod, MD
-
San Francisco, California, United States, 94110
- Recruiting
- San Francisco General Hospital
-
Contact:
- Claude Hemphill, MD
-
Stanford, California, United States, 94304
- Recruiting
- Stanford University Medical Center
-
Contact:
- Chitra Venkat, MD
-
Whittier, California, United States, 90602
- Recruiting
- PIH Health Hospital - Whittier
-
Contact:
- Gautam Ganguly, MD
-
-
Colorado
-
Grand Junction, Colorado, United States, 81501
- Withdrawn
- St. Mary's Medical Center
-
-
Connecticut
-
Danbury, Connecticut, United States, 06810
- Recruiting
- Danbury Hospital
-
Contact:
- Charles Guardia, MD
-
Hartford, Connecticut, United States, 06102
- Recruiting
- Hartford Hospital
-
Contact:
- Mark Alberts, MD
-
New Haven, Connecticut, United States, 06511
- Recruiting
- Yale New Haven Hospital
-
Contact:
- Guido Falcone, MD
-
-
Delaware
-
Wilmington, Delaware, United States, 28403
- Recruiting
- New Hanover Regional Medical Center
-
Contact:
- James McKinney, MD
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20007
- Recruiting
- MedStar Georgetown University Hospital
-
Contact:
- Douglas Mayson, MD
-
Washington, District of Columbia, United States, 20010
- Withdrawn
- MedStar Washington Hospital Center
-
-
Florida
-
Clearwater, Florida, United States, 33756
- Recruiting
- Morton Plant Hospital
-
Contact:
- Ajay Arora, MD
-
Jacksonville, Florida, United States, 32224
- Terminated
- Mayo Clinic
-
Miami, Florida, United States, 33136
- Recruiting
- Jackson Memorial Hospital
-
Contact:
- Sebastian Koch
-
Pensacola, Florida, United States, 32504
- Recruiting
- Ascension Sacred Heart Pensacola
-
Contact:
- Terry Neill, MD
-
Port Saint Lucie, Florida, United States, 34987
- Recruiting
- Cleveland Clinic Tradition Hospital
-
Contact:
- Marc Babi, MD
-
Tampa, Florida, United States, 33606
- Recruiting
- Tampa General Hospital
-
Contact:
- Swetha Renati, MD
-
Tampa, Florida, United States, 33607
- Recruiting
- St. Joseph's Hospital
-
Contact:
- Abilash Haridas, MD
-
-
Georgia
-
Atlanta, Georgia, United States, 30303
- Recruiting
- Grady Memorial Hospital
-
Contact:
- Daniel Schachter, MD
-
Atlanta, Georgia, United States, 30322
- Recruiting
- Emory University Hospital
-
Contact:
- Fadi Nahab, MD
-
Augusta, Georgia, United States, 30912
- Recruiting
- Augusta University Medical Center
-
Contact:
- Fenwick Nichols, MD
-
Marietta, Georgia, United States, 30060
- Recruiting
- WellStar Kennestone Hospital
-
Contact:
- Christopher Horn, MD
-
-
Hawaii
-
Honolulu, Hawaii, United States, 96813
- Recruiting
- The Queen's Medical Center
-
Contact:
- Kazuma Nakagawa, MD
-
-
Illinois
-
Arlington Heights, Illinois, United States, 60005
- Withdrawn
- NCH Hospital, Arlington Heights
-
Chicago, Illinois, United States, 60612
- Recruiting
- Rush University Medical Center
-
Contact:
- Rima Dafer, MD
-
Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago Medical Center
-
Contact:
- Elisheva Coleman, MD
-
Chicago, Illinois, United States, 60612
- Recruiting
- University of Illinois Hospital
-
Contact:
- Ali Alaraj, MD
-
Maywood, Illinois, United States, 60153
- Recruiting
- Loyola University Medical Center
-
Contact:
- Sarkis Morales-Vidal, MD
-
Peoria, Illinois, United States, 61637
- Recruiting
- OSF St. Francis Medical Center
-
Contact:
- Arun Talkad
-
Rockford, Illinois, United States, 61114
- Withdrawn
- Javon Bea Hospital - Riverside
-
Springfield, Illinois, United States, 62769
- Withdrawn
- St. John's Hospital
-
Winfield, Illinois, United States, 60190
- Recruiting
- Central DuPage Hospital
-
Contact:
- Dhruvil Pandya, MD
-
-
Iowa
-
Iowa City, Iowa, United States, 52242
- Recruiting
- University of Iowa Hospitals & Clinics
-
Contact:
- Amir Shaban, MD
-
-
Kansas
-
Kansas City, Kansas, United States, 66160
- Recruiting
- University of Kansas Hospital
-
Contact:
- Kyle Carpenter, MD
-
-
Kentucky
-
Lexington, Kentucky, United States, 40536
- Recruiting
- University of Kentucky Hospital
-
Contact:
- Suhas Gangadhara, MD
-
Louisville, Kentucky, United States, 40202
- Withdrawn
- University of Louisville Hospital
-
-
Louisiana
-
New Orleans, Louisiana, United States, 70121
- Recruiting
- Ochsner Medical Center - Main Campus
-
Contact:
- Richard Zweifler
-
-
Maine
-
Bangor, Maine, United States, 04401
- Withdrawn
- Eastern Maine Medical Center
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
-
Contact:
- Mariel Kozberg, MD
-
Boston, Massachusetts, United States, 02215
- Recruiting
- Beth Israel Deaconess Medical Center
-
Contact:
- Magdy Selim, MD
-
Boston, Massachusetts, United States, 02118
- Recruiting
- Boston Medical Center
-
Contact:
- Steven Feske, MD
-
Boston, Massachusetts, United States, 02111
- Recruiting
- Tufts Medical Center
-
Contact:
- Emiliya Melkumova, MD
-
Burlington, Massachusetts, United States, 01805
- Recruiting
- Lahey Hospital & Medical Center
-
Contact:
- Colin James Culbertson, MD
-
Springfield, Massachusetts, United States, 01199
- Recruiting
- Baystate Medical Center
-
Contact:
- Gottfried Schlaug, MD
-
Worcester, Massachusetts, United States, 01655
- Recruiting
- UMASS Memorial Medical Center
-
Contact:
- Majaz Moonis, MD
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Recruiting
- University of Michigan University Hospital
-
Contact:
- Aditya Pandey
-
Detroit, Michigan, United States, 48202
- Withdrawn
- Henry Ford Hospital
-
Flint, Michigan, United States, 48532
- Recruiting
- McLaren Flint
-
Contact:
- Bharath Naravetla, MD
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Trinity Health Saint Mary's
-
Contact:
- Muhammad Farooq, MD
-
Grand Rapids, Michigan, United States, 49503
- Withdrawn
- Trinity Health Saint Mary's
-
Mount Clemens, Michigan, United States, 48043
- Recruiting
- McLaren Macomb
-
Contact:
- Bharath Naravetla, MD
-
Traverse City, Michigan, United States, 49684
- Recruiting
- Munson Medical Center
-
Contact:
- David Rosenbaum, MD
-
Wyoming, Michigan, United States, 49519
- Withdrawn
- Metro Health Hospital
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55407
- Recruiting
- Abbott Northwestern Hospital
-
Contact:
- Ganesh Asaithambi, MD
-
Minneapolis, Minnesota, United States, 55455
- Recruiting
- M Health Fairview University of Minnesota Medical Center
-
Contact:
- Oladi Bentho, MD
-
Saint Cloud, Minnesota, United States, 56303
- Recruiting
- St. Cloud Hospital
-
Contact:
- Muhammad Fareed Suri, MD
-
Saint Louis Park, Minnesota, United States, 55426
- Recruiting
- HealthPartners Methodist Hospital
-
Contact:
- Darwin Ramirez Abreu, MD
-
Saint Paul, Minnesota, United States, 55101
- Recruiting
- Regions Hospital
-
Contact:
- Darwin Ramirez-Abreu, MD
-
Saint Paul, Minnesota, United States, 55102
- Withdrawn
- United Hospital, St. Paul
-
-
Mississippi
-
Jackson, Mississippi, United States, 39216
- Recruiting
- University of Mississippi Medical Center
-
Contact:
- Allison Strickland, MD
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Recruiting
- Barnes Jewish Hospital
-
Contact:
- Yan Wang, MD
-
Springfield, Missouri, United States, 65807
- Recruiting
- Cox Medical Center South
-
Contact:
- Benjamin Lisle, MD
-
-
Nebraska
-
Omaha, Nebraska, United States, 68105
- Recruiting
- University of Nebraska Medical Center
-
Contact:
- Marco Gonzalez Castellon, MD
-
-
New Jersey
-
Summit, New Jersey, United States, 07901
- Recruiting
- Overlook Medical Center
-
Contact:
- John Hanna, MD
-
Trenton, New Jersey, United States, 08638
- Withdrawn
- Capital Health Regional Medical Center
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87106
- Recruiting
- University of New Mexico Hospital
-
Contact:
- Tarun Girotra, MD
-
-
New York
-
Bronx, New York, United States, 10467
- Recruiting
- Montefiore Medical Center
-
Contact:
- Kathryn Kirchoff-Torres, MD
-
Brooklyn, New York, United States, 11219
- Recruiting
- Maimonides Medical Center
-
Contact:
- Quingliang Wang, MD
-
Brooklyn, New York, United States, 11203
- Recruiting
- Kings County Hospital Center
-
Contact:
- Susan Law, MD
-
Brooklyn, New York, United States, 11220
- Recruiting
- NYU Langone Hospital - Brooklyn
-
Contact:
- Jennifer Frontera
-
Brooklyn, New York, United States, 11215
- Active, not recruiting
- NewYork-Presbyterian Brooklyn Methodist Hospital
-
Buffalo, New York, United States, 14202
- Active, not recruiting
- Buffalo General Medical Center
-
Manhasset, New York, United States, 11030
- Recruiting
- North Shore University Hospital
-
Contact:
- Rohan Arora, MD
-
New York, New York, United States, 10019
- Recruiting
- Mount Sinai West
-
Contact:
- Neha Dangayach, MD
-
New York, New York, United States, 10029
- Recruiting
- The Mount Sinai Hospital
-
Contact:
- Neha Dangayach, MD
-
New York, New York, United States, 10065
- Recruiting
- NYP Weill Cornell Medical Center
-
Contact:
- Hooman Kamel, MD
-
New York, New York, United States, 10032
- Recruiting
- NYP Columbia University Medical Center
-
Contact:
- Imama Naqvi, MD
-
Poughkeepsie, New York, United States, 12601
- Recruiting
- Vassar Brothers Medical Center
-
Contact:
- Paul Wright, MD
-
Rochester, New York, United States, 14642
- Recruiting
- Strong Memorial Hospital
-
Contact:
- Curtis Benesch, MD
-
Staten Island, New York, United States, 10305
- Withdrawn
- Staten Island University Hospital - North Campus
-
Stony Brook, New York, United States, 11794
- Recruiting
- Stony Brook University Hospital
-
Contact:
- Jason Mathew, MD
-
Syracuse, New York, United States, 13210
- Recruiting
- SUNY Upstate Medical University
-
Contact:
- Julius-Gene Latorre, MD
-
Valhalla, New York, United States, 10595
- Recruiting
- Westchester Medical Center
-
Contact:
- Stephan Mayer, MD
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- Recruiting
- University of North Carolina Medical Center
-
Contact:
- David Huang, MD
-
Charlotte, North Carolina, United States, 28204
- Withdrawn
- Carolinas Medical Center
-
Greensboro, North Carolina, United States, 27401
- Active, not recruiting
- Moses H. Cone Memorial Hospital
-
Winston-Salem, North Carolina, United States, 27157
- Recruiting
- Wake Forest Baptist Medical Center
-
Contact:
- Stacey Wolfe, MD
-
Winston-Salem, North Carolina, United States, 27103
- Recruiting
- Forsyth Medical Center
-
Contact:
- Lauren Peruski, MD
-
-
Ohio
-
Akron, Ohio, United States, 44307
- Recruiting
- Cleveland Clinic Akron General
-
Contact:
- Ahmed Itrat, MD
-
Cincinnati, Ohio, United States, 45219
- Recruiting
- University of Cincinnati Medical Center
-
Contact:
- Rob Stanton, MD
-
Cincinnati, Ohio, United States, 45220
- Recruiting
- Good Samaritan Hospital
-
Contact:
- Christopher Zammit, MD
-
Cleveland, Ohio, United States, 44109
- Recruiting
- MetroHealth Medical Center
-
Contact:
- Agnieszka Ardelt, MD
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic
-
Contact:
- Blake Buletko
-
Cleveland, Ohio, United States, 44106
- Recruiting
- UH Cleveland Medical Center
-
Contact:
- Abhishek Ray, MD
-
Columbus, Ohio, United States, 43214
- Recruiting
- Riverside Methodist Hospital
-
Contact:
- Vivek Rai, MD
-
Columbus, Ohio, United States, 43210
- Recruiting
- OSU Wexner Medical Center
-
Contact:
- Yousef Hannawi, MD
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- OU Medical Center
-
Contact:
- Evgeny Sidorov
-
Tulsa, Oklahoma, United States, 74104
- Recruiting
- St. John Medical Center
-
Contact:
- Rahul Rahangdale, MD
-
Tulsa, Oklahoma, United States, 74104
- Recruiting
- Ascension St. John Medical Center
-
Contact:
- Rahul Rahangdale, MD
-
-
Oregon
-
Portland, Oregon, United States, 92739
- Recruiting
- Oregon Health & Science University Hospital
-
Contact:
- Wayne Clark
-
Portland, Oregon, United States, 97213
- Recruiting
- Providence St. Vincent Medical Center
-
Contact:
- John Zurasky
-
Springfield, Oregon, United States, 97477
- Recruiting
- PeaceHealth Sacred Heart Medical Center - RiverBend
-
Contact:
- Elaine Skalabrin, MD
-
-
Pennsylvania
-
Abington, Pennsylvania, United States, 19001
- Recruiting
- Jefferson Abington Hospital
-
Contact:
- Larami MacKenzie, MD
-
Allentown, Pennsylvania, United States, 18103
- Withdrawn
- Lehigh Valley Hospital - Cedar Crest
-
Danville, Pennsylvania, United States, 17822
- Recruiting
- Geisinger Medical Center
-
Contact:
- Clemens Schirmer, MD
-
Hershey, Pennsylvania, United States, 17033
- Recruiting
- Penn State Hershey Medical Center
-
Contact:
- Nandakumar Nagaraja, MD
-
Philadelphia, Pennsylvania, United States, 19107
- Recruiting
- Thomas Jefferson University Hospital
-
Contact:
- Diana Tzeng, MD
-
Philadelphia, Pennsylvania, United States, 19140
- Recruiting
- Temple University Hospital
-
Contact:
- Paul Katz, MD
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Hospital of the University of Pennsylvania
-
Contact:
- Jens Witsch, MD
-
Pittsburgh, Pennsylvania, United States, 15213
- Recruiting
- UPMC Presbyterian Hospital
-
Contact:
- Marcelo Rocha
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Recruiting
- Rhode Island Hospital
-
Contact:
- Torrey Birch, MD
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina University Hospital
-
Contact:
- Christine Holmstedt, MD
-
Greenville, South Carolina, United States, 29605
- Recruiting
- Greenville Hospital System
-
Contact:
- Sanjeev Sivakumar, MD
-
-
South Dakota
-
Sioux Falls, South Dakota, United States, 57108
- Recruiting
- Avera Research Institute
-
Contact:
- Jonathon Cooke, MD
-
-
Tennessee
-
Chattanooga, Tennessee, United States, 37403
- Recruiting
- Erlanger Health System
-
Contact:
- Mounzer Kassab, MD
-
Knoxville, Tennessee, United States, 37916
- Recruiting
- Fort Sanders Regional Medical Center
-
Contact:
- S. Arthur Moore, MD
-
Memphis, Tennessee, United States, 38104
- Recruiting
- Methodist University Hospital
-
Contact:
- Balaji Krishnaiah, MD
-
Nashville, Tennessee, United States, 37232
- Recruiting
- Vanderbilt University Hospital
-
Contact:
- Deborah Kerrigan, MD
-
-
Texas
-
Austin, Texas, United States, 78705
- Withdrawn
- St. David's Medical Center
-
Dallas, Texas, United States, 75390
- Withdrawn
- UT Southwestern Medical Center
-
Houston, Texas, United States, 77030
- Recruiting
- Houston Methodist Hospital
-
Contact:
- Britz Britz, MD
-
Houston, Texas, United States, 77030
- Recruiting
- Memorial Hermann Texas Medical Center
-
Contact:
- Andrew Barreto, MD
-
Houston, Texas, United States, 77030
- Suspended
- Baylor College of Medicine Medical Center
-
San Antonio, Texas, United States, 78229
- Recruiting
- University of Texas Health Science Center San Antonio
-
Contact:
- Reza Behrouz, MD
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Recruiting
- University of Utah Healthcare
-
Contact:
- Nabeel Chauhan, MD
-
-
Vermont
-
Burlington, Vermont, United States, 05401
- Recruiting
- The University of Vermont Medical Center
-
Contact:
- Chris Commichau
-
-
Virginia
-
Charlottesville, Virginia, United States, 22908
- Recruiting
- UVA Medical Center
-
Contact:
- Brad Worral, MD
-
Falls Church, Virginia, United States, 22042
- Recruiting
- Inova Fairfax Hospital
-
Contact:
- Saqib Chaudhry, MD
-
Richmond, Virginia, United States, 23298
- Recruiting
- VCU Medical Center
-
Contact:
- Shraddha Mainali, MD
-
-
Washington
-
Seattle, Washington, United States, 98104
- Recruiting
- Harborview Medical Center
-
Contact:
- David Tirschwell, MD
-
Seattle, Washington, United States, 98101
- Withdrawn
- Virginia Mason Medical Center
-
Seattle, Washington, United States, 98122
- Recruiting
- Swedish Medical Center - Cherry Hill Campus
-
Contact:
- James Bartscher, MD
-
-
West Virginia
-
Morgantown, West Virginia, United States, 26506
- Recruiting
- WVU Healthcare Ruby Memorial Hospital
-
Contact:
- Amelia Adcock, MD
-
-
Wisconsin
-
Milwaukee, Wisconsin, United States, 53226
- Recruiting
- Froedtert Hospital
-
Contact:
- Hatim Attar, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age at least 18 years
- Intracerebral hemorrhage (ICH) (including primary intraventricular hemorrhage) confirmed by brain CT or MRI
- Can be randomized within 14-180 days after ICH onset
- Non-valvular AF (defined as atrial fibrillation or atrial flutter), documented by electrocardiography or a physician-confirmed history of prior AF
- Provision of signed and dated informed consent form by patient or legally authorized representative
- For females of reproductive potential: use of highly effective contraception
Exclusion Criteria:
- Index event is hemorrhagic transformation of a brain infarction or hemorrhage into a tumor
- History of earlier ICH within 12 months preceding index event
- Active infective endocarditis
- Clear indication for anticoagulant drugs (e.g., requires anticoagulation for deep vein thrombosis or pulmonary embolism) or antiplatelet drugs (e.g., requires aspirin or clopidogrel for recent coronary stent).
- Previous or planned left atrial appendage closure
- Clinically significant bleeding diathesis
- Serum creatinine ≥2.5 mg/dL
- Active hepatitis or hepatic insufficiency with Child-Pugh score B or C
- Anemia (hemoglobin <8 g/dL) or thrombocytopenia (<100 x 10^9/L) that is chronic in the judgment of the investigator
- Pregnant or breastfeeding
- Known allergy to aspirin or apixaban
- Concomitant participation in a competing trial
- Considered by the investigator to have a condition that precludes safe or active participation in the trial
- Persistent, uncontrolled systolic blood pressure (≥180 mm Hg)
- ICH caused by an arteriovenous malformation (AVM) that has not yet been secured
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Apixaban
Apixaban dosing will be 5 mg tablet in morning and 5 mg tablet in evening.
A reduced dose of 2.5 mg tablet in morning and 2.5 mg tablet in evening will be used if: (1) ≥2 of the following are present: age ≥80 years, body weight ≤60 kg, or serum creatinine 1.5-2.4
mg/dL, or (2) Patient is taking a strong CYP3A4/pGP inhibitor (e.g., ketoconazole, itraconazole, ritonavir, or clarithromycin).
|
Apixaban is an oral anticoagulant of the Factor Xa inhibitor class.
Other Names:
|
Placebo Comparator: Aspirin
Aspirin dose will be 81 mg tablet once daily.
|
Aspirin is an oral antiplatelet drug.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Stroke or death
Time Frame: Up to 3 years
|
Incidence of stroke of any type (ischemic or hemorrhagic) or death from any cause
|
Up to 3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Modified Rankin Scale (mRS) score
Time Frame: Change from baseline to 12 months; change over duration of follow-up
|
Measure of neurologic disability (0=no disability to 6=dead)
|
Change from baseline to 12 months; change over duration of follow-up
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kevin N Sheth, MD, Yale School of Medicine
- Principal Investigator: Hooman Kamel, MD, Weill Medical College of Cornell University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 28, 2020
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
April 1, 2027
Study Registration Dates
First Submitted
April 4, 2019
First Submitted That Met QC Criteria
April 4, 2019
First Posted (Actual)
April 8, 2019
Study Record Updates
Last Update Posted (Actual)
March 21, 2024
Last Update Submitted That Met QC Criteria
March 20, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Arrhythmias, Cardiac
- Intracranial Hemorrhages
- Atrial Fibrillation
- Hemorrhage
- Cerebral Hemorrhage
- Physiological Effects of Drugs
- 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
- Protease Inhibitors
- Factor Xa Inhibitors
- Antithrombins
- Serine Proteinase Inhibitors
- Anticoagulants
- Aspirin
- Apixaban
Other Study ID Numbers
- 2000026409
- 1U01NS106513-01A1 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Atrial Fibrillation
-
Ablacon, Inc.CompletedArrhythmias, Cardiac | Atrial Fibrillation, Persistent | Persistent Atrial Fibrillation | Longstanding Persistent Atrial FibrillationGermany
-
Ablacon, Inc.RecruitingAtrial Fibrillation | Arrhythmias, Cardiac | Arrhythmia | Atrial Flutter | Atrial Fibrillation, Persistent | Atrial Tachycardia | Atrial Arrhythmia | Atrial Fibrillation Paroxysmal | Atrial Fibrillation, Paroxysmal or PersistentUnited States, Belgium, Netherlands, Czechia
-
Barts & The London NHS TrustAtriCure, Inc.Not yet recruitingAtrial Fibrillation, Persistent | Persistent Atrial Fibrillation | Atrial Arrhythmia | Atrium; FibrillationUnited Kingdom
-
AtriCure, Inc.Active, not recruitingPersistent Atrial Fibrillation | Atrial Fibrillation (AF) | Longstanding Persistent Atrial FibrillationUnited States
-
Maastricht University Medical CenterRWTH Aachen UniversityUnknownAtrial Fibrillation (Paroxysmal) | Atrial Fibrillation Recurrent | Atrial Fibrillation Common Gene VariantsNetherlands
-
Adagio MedicalRecruitingAtrial Fibrillation | Atrial Flutter | Paroxysmal Atrial Fibrillation | Persistent Atrial FibrillationNetherlands, Germany, Belgium
-
Vivek ReddyEnrolling by invitationAtrial Fibrillation and Flutter | Atrial Flutter Typical | Atrial Fibrillation, Paroxysmal or PersistentUnited States
-
Fundació Institut de Recerca de l'Hospital de la...RecruitingAtrial Arrhythmia | Atrial Fibrillation and Flutter | Atrial Fibrillation RecurrentSpain
-
St. George's Hospital, LondonRecruitingAtrial Fibrillation | Atrial Fibrillation, Persistent | Persistent Atrial Fibrillation | Atrial ArrhythmiaUnited Kingdom
-
R-PharmFSBI "National Medical Research Center of Cardiology named after academician...CompletedAtrial Flutter | Paroxysmal Atrial Fibrillation | Persistent Atrial FibrillationRussian Federation
Clinical Trials on Apixaban
-
PfizerBristol-Myers SquibbCompleted
-
Bristol-Myers SquibbCompleted
-
Portola PharmaceuticalsCompleted
-
Assistance Publique - Hôpitaux de ParisBristol-Myers SquibbActive, not recruitingCancer-associated ThrombosisFrance, Spain, Netherlands, Belgium, Austria, Greece, Switzerland, Canada, Italy, Poland, United Kingdom
-
The Affiliated Hospital of Qingdao UniversityCompleted
-
Doasense GmbHActive, not recruitingAnticoagulant TherapyGermany
-
Baim Institute for Clinical ResearchBristol-Myers SquibbCompletedAtrial FibrillationUnited States
-
University Hospital, GenevaSunnybrook Health Sciences CentreNot yet recruitingDeep Vein Thrombosis
-
Universitaire Ziekenhuizen KU LeuvenRecruitingAnticoagulation | Short Bowel SyndromeBelgium
-
Artivion Inc.Duke Clinical Research InstituteTerminatedAortic Valve Stenosis | Aortic Valve Disease | Aortic Valve FailureUnited States