Mobile App for Improving Adherence of Rivoxaban (RIVOX-AF)

May 15, 2026 updated by: Dong-Ju Choi, Seoul National University Bundang Hospital

The ReInforcement of Adherence Via Self-monitoring App Orchestrating Biosignals and Medication of RivoXaban in Patients With Atrial Fibrillation and Co-morbidities: Randomised Control Study(RIVOX-AF Study)

RIVOX-AF study is a prospective, multicenter, randomized controlled study in which patients with AF are allocated to medication-app group or conventional treatment group. The App based feed-back algorithm will provide the patients with check taking drug or reminding of taking drug.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

637

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Seongnam, South Korea, 13620
        • Seoul National University Bundang Hospital

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

19 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients with AF aged 19 years or older with one or more comorbidities including heart failure, myocardial infarction, stable angina, hypertension or diabetes mellitus (Patients can be enrolled 3 months after myocardial infarction or percutaneous coronary intervention).
  • patients who already took or plan to take rivoxban
  • patients who able to use smart phone

Exclusion Criteria:

  • creatinine clearance <15ml/min
  • moderate or severe mitral stenosis
  • mitral valve operation history
  • current alcohol abuse or alcohol abus history
  • Not eligible for study due to legal or psychiatric problem
  • enrolled other clinical study within 4 weeks
  • declined to enroll the study

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: MEDI-app
conventional treatment with MEDI-app feedback
MEDI-app based feedback algorithm. The app based feedback algorithm will check and remind the patients of taking medication.
No Intervention: conventional treatment

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Drug adherence
Time Frame: 24 week
Drug adherence by pill count
24 week
Proportion of adequate medication adherence at 24 weeks
Time Frame: 24 weeks
proportion of patients with ≥95% of continuous medication adherence
24 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The occurrence of clinical composite end point
Time Frame: 24 week
composites of stroke, systemic embolic event, major bleeding requiring hospitalization or transfusion, or death.)
24 week
The occurrence of MACCE and hospitalization
Time Frame: 24 week
MACCE plus hospitalization
24 week
The occurrence of Thromboembolism (Stroke, TIA, Pulmonary embolism)
Time Frame: 24 week
Stroke, TIA, Pulmonary embolism)
24 week
The occurrence of bleeding
Time Frame: 24 week
bleeding event
24 week
Drug adherence
Time Frame: 12 week
Drug adherence by pill count
12 week
Proportion of adequate medication adherence at 12 weeks
Time Frame: 12 week
proportion of patients with ≥95% of continuous medication adherence
12 week
medication adherence by zero-inflated model
Time Frame: 12 week and 24 weeks
medication adherence by zero-inflated model
12 week and 24 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Study Chair: Dong-Ju Choi, MD, PhD, Seoul National Univeristy Bundang Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

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)

March 10, 2022

Primary Completion (Actual)

December 16, 2025

Study Completion (Actual)

December 16, 2025

Study Registration Dates

First Submitted

September 20, 2022

First Submitted That Met QC Criteria

September 25, 2022

First Posted (Actual)

September 27, 2022

Study Record Updates

Last Update Posted (Actual)

May 19, 2026

Last Update Submitted That Met QC Criteria

May 15, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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