- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04532528
ReAHEAD: A Study to Find Out Whether Education Improves Adherence to Dabigatran in People With Atrial Fibrillation Who Are Younger Than 75 Years
Relationship of Advanced Holding Education and ADherence on Antithrombotic in Younger SPAF Patients
Lifelong oral anticoagulant (OAC) therapy is the preferred treatment for the prevention of thromboembolic events in the majority of patients with Atrial Fibrillation (AF). Adherence to medication is essential for valid treatment for OAC therapy.
The study aims to explore whether the advanced educational intervention would improve the adherence to dabigatran.
Study Overview
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Chia-Yi, Taiwan, 622
- Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
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Chia-Yi City, Taiwan, 40705
- Chia-Yi Christian Hospital
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Hsinchu, Taiwan, 300
- National Taiwan University Hospital-Hsin-Chu Branch
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Hualien, Taiwan, 970
- Buddhist Tzu Chi General Hospital
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Kaohsiung, Taiwan, 81362
- Kaohsiung Veterans General Hospital
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Kaohsiung, Taiwan, 83301
- Kaohsiung Chang Gung Memorial Hospital
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Kaohsiung, Taiwan, 801
- Kaohsiung Municipal Da-Tung Hospital
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New Taipei City, Taiwan, 235
- Taipei Medical University-Shuang Ho Hospital
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Pingtung, Taiwan, 900
- Pingtung Christian Hospital
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Taichung, Taiwan, 40705
- Taichung Veterans General Hospital
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Taichung, Taiwan, 435
- Tungs' Taichung MetroHarbor Hospital
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Taichung, Taiwan, 437
- Kuang-Tien General Hospital
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Tainan, Taiwan, 704
- NCKUH
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Tainan,, Taiwan, 71004
- Chi Mei Medical Center
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Taipei, Taiwan, 11217
- Taipei Veterans General Hospital
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Taipei, Taiwan, 11490
- Tri-service general hospital
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Taipei, Taiwan, 10449
- Mackay Memorial Hospital
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Taipei, Taiwan, 112
- Cheng Hsin General Hospital
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Taipei, Taiwan, 106
- Cathay General Hospital
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Taipei, Taiwan, 10016
- National Taiwan University Hospital
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Taipei, Taiwan, 11696
- Taipei Municipal Wanfang Hospital
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Taipei City, Taiwan, 110
- Taipei Medical University Hospital
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Taoyuan, Taiwan, 330
- Chang Gung Memorial Hospital(Linkou)
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Patients can be included if ALL the following criteria are met:
- Provide written informed consent prior to participation
- Female or male adult patients aged ≥ 20 years and < 75 years, newly diagnosed with non-valvular atrial fibrillation (NVAF) within 1 month and has newly prescribed with dabigatran on physician's decision before study enrolment.
Exclusion Criteria:
Patients should not be included if ANY ONE of the following criteria is met:
- Contraindication to the use of dabigatran (i.e., active pathological bleeding, history of a serious hypersensitivity reaction to dabigatran [e.g., anaphylactic reaction or anaphylactic shock], severely impaired renal function [Creatinine clearance rate (Ccr) < 30 mL/min], hemorrhagic manifestations, bleeding diathesis, mechanical prosthetic heart valve, congenital or acquired coagulation disorders, organic lesions with bleeding tendency, or concomitantly use systemic ketoconazole, cyclosporine, and itraconazole)
- Participate in other interventional trials currently or in the past 30 days
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Patients receiving standard of care (SOC)
(without advanced educational Intervention)
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Dabigatran
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Patients receiving SOC with advanced educational intervention
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Dabigatran
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients with high adherence to dabigatran treatment at month 12 in patients with and without advanced educational intervention
Time Frame: up to 12 months
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High adherence is defined as achieving a Morisky 8-Item Medication Adherence Questionnaire (MMAS-8) score of 8 Points. The MMAS-8 is an 8-item structured, self-report measure that assesses medication adherence. If a patient scores higher on the scale, they are evaluated as more adherent. If they score lower on the scale, they are presumed to be struggling with non-adherence. |
up to 12 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Proportion of patients with high adherence to dabigatran treatment at 3, 6, and 9 months in patients with and without advanced educational intervention
Time Frame: up to 9 months
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up to 9 months
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Proportion of patients with medium (MMAS-8 score: 6 - 7 points) and low (MMAS-8 score < 6 points) adherence to dabigatran treatment at 3, 6, 9, and 12 months in patients with and without advanced educational intervention
Time Frame: up to 12 months
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up to 12 months
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Mean MMAS-8 score at 3, 6, 9, and 12 months in patients with and without advanced educational intervention
Time Frame: up to 12 months
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up to 12 months
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Discontinuation rate of dabigatran in patients with and without advanced educational intervention
Time Frame: up to 12 months
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up to 12 months
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Percentage of patients with reasons for discontinuation of dabigatran
Time Frame: up to 12 months
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up to 12 months
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Collaborators and Investigators
Sponsor
Publications and helpful links
Helpful Links
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 (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1160-0304
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement".
Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
The data shared are the raw clinical study data sets.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
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