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The purpose of this study is to provide safety and tolerability data for AZD0837 during long-term treatment (5 years) in patients with non-valvular atrial fibrillation (AF) and one or more additional risk factors for stroke and systemic embolic events (moderate to high risk patients).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AZD0837 | Drug | Treatment with AZD0837 starting with 4 different doses, 150 mg od, 300 mg od, 200 mg bid or 450 mg od and then switching to one general common dose, 300 mg od |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding: Number of Patients With Any Bleeding Event, During Treatment Period | Participants | 154-711 days on treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Alanine Transaminase (ALAT): Number of Patients With ALAT>=3xULN, Post Baseline | ULN=Upper limit of Normal | From baseline to Follow up |
| Bilirubin: Number of Patients With Bilirubin>=2xULN, Post Baseline |
Not provided
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lars Hvilstedt Rasmussen, MD, PhD, FESC | Head of Cardiology at Heart Centre Aalborg Aarhus University Hospital DK 9100 Aalborg Denmark | Principal Investigator |
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All participants had previously participated in the Prevention of Stroke and Systemic Embolic Events in Patients With Atrial Fibrillation (NCT00684307) study
The study population included male and female participants >18 years of age with chronic non-valvular Atrial Fibrillation. The participants were recruited during the time period from 25 October 2007 to 20 May 2008 at medical clinics in Europe.
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| ID | Title | Description |
|---|---|---|
| FG000 | AZD0837 | Treatment with AZD0837 starting with 4 different doses, 150 mg od, 300 mg od, 200 mg bid or 450 mg od, then switching to one general common dose, 300 mg od. |
| FG001 | VKA, INR 2-3 | Vitamin K antagonists (VKA), titrated to an international normalised ratio (INR) of 2.0 to 3.0 with a target value of 2.5 |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | AZD0837 | Treatment with AZD0837 starting with 4 different doses, 150 mg od, 300 mg od, 200 mg bid or 450 mg od, then switching to one general common dose, 300 mg od. |
| BG001 | VKA, INR 2-3 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Bleeding: Number of Patients With Any Bleeding Event, During Treatment Period | Participants | Posted | Number | Participants | 154-711 days on treatment |
|
154-711 days on treatment
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AZD0837 | Treatment with AZD0837 starting with 4 different doses, 150 mg od, 300 mg od, 200 mg bid or 450 mg od and then switching to one general common dose, 300 mg od |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Neutropenia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gerard Lynch | AstraZeneca | aztrial_results_posting@astrazeneca.com |
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| ID | Term |
|---|---|
| C551586 | AZD 0837 |
| D014859 | Warfarin |
| ID | Term |
|---|---|
| D015110 | 4-Hydroxycoumarins |
| D003374 | Coumarins |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 |
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| VKA INR 2-3 | Drug | Vitamin K antagonists (VKA), titrated to an international normalised ratio (INR) of 2.0 to 3.0 with a target value of 2.5 |
|
|
| From baseline to Follow up |
| Creatinine: Absolute Change From Baseline, at End of Treatment | Baseline and End of treatment |
| D-dimer:Median and Quartile Range at End of Treatment | Median (Lower Quartile-Upper Quartile ), ng/mL | End of treatment |
| Activated Partial Thromboplastin Time (APTT): Absolute Change From Baseline to End of Treatment | Median Full range, Seconds | Baseline and End of treatment |
| Electroconvulsive Therapy (ECT): Absolute Change From Baseline to End of Treatment | Baseline and End of Treatment |
| AZD0837: Plasma Concentration of AZD0837 at End of Treatment | End of treatment |
| AR-H067637XX, the Active Major Metabolite of AD0837: Plasma Concentration of AR-H067637XX, at End of Treatment | 154-711 days on treatment |
| Withdrawal by Subject |
|
| Protocol Violation |
|
| Discontinuation criteria |
|
| recall of ICF, planned operation, death |
|
Vitamin K antagonists (VKA), titrated to an international normalised ratio (INR) of 2.0 to 3.0 with a target value of 2.5
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
| Secondary | Alanine Transaminase (ALAT): Number of Patients With ALAT>=3xULN, Post Baseline | ULN=Upper limit of Normal | Posted | Number | Participants | From baseline to Follow up |
|
|
|
| Secondary | Bilirubin: Number of Patients With Bilirubin>=2xULN, Post Baseline | Posted | Number | Participants | From baseline to Follow up |
|
|
|
| Secondary | Creatinine: Absolute Change From Baseline, at End of Treatment | Posted | Mean | Full Range | µmol/L | Baseline and End of treatment |
|
|
|
| Secondary | D-dimer:Median and Quartile Range at End of Treatment | Median (Lower Quartile-Upper Quartile ), ng/mL | Only patients who switched to one common dose, 300 mg od, are included in the AZD0837 analysis | Posted | Median | Inter-Quartile Range | ng/mL | End of treatment |
|
|
|
| Secondary | Activated Partial Thromboplastin Time (APTT): Absolute Change From Baseline to End of Treatment | Median Full range, Seconds | Only patients who switched to one common dose, 300 mg od, are included in the AZD0837 analysis | Posted | Median | Full Range | sec | Baseline and End of treatment |
|
|
|
| Secondary | Electroconvulsive Therapy (ECT): Absolute Change From Baseline to End of Treatment | Only patients who switched to one dose, 300 mg od, are included in the AZD0837 analysis | Posted | Median | Full Range | sec | Baseline and End of Treatment |
|
|
|
| Secondary | AZD0837: Plasma Concentration of AZD0837 at End of Treatment | Only patients who switched to one dose, 300 mg od, are included in the AZD0837 analysis | Posted | Median | Full Range | nmol/L | End of treatment |
|
|
|
| Secondary | AR-H067637XX, the Active Major Metabolite of AD0837: Plasma Concentration of AR-H067637XX, at End of Treatment | Only patients who switched to one dose, 300 mg od, are included in the AZD0837 analysis | Posted | Median | Full Range | nmol/L | 154-711 days on treatment |
|
|
|
| 73 |
| 288 |
| 125 |
| 288 |
| EG001 | VKA INR 2-3 | Vitamin K antagonists (VKA), titrated to an international normalised ratio (INR) of 2.0 to 3.0 with a target value of 2.5 | 61 | 235 | 106 | 235 |
| Cardiac Failure | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Atrial Fibrillation | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Angina Unstable | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Bradycardia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Angina Pectoris | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Sick Sinus Syndrome | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Acute Coronary Syndrome | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Atrial Flutter | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Bradyarrhythmia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cardiac Failure Congestive | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Chordae Tendinae Rupture | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Coronary Artery Stenosis | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Heart Valve Incompetence | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Myocardial Ischaemia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Tachyarrhythmia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Tachycardia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Ventricular Tachycardia | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| Hyperthyroidism | Endocrine disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cataract | Eye disorders | MedDRA 10.0 | Systematic Assessment |
|
| Eye Haemorrhage | Eye disorders | MedDRA 10.0 | Systematic Assessment |
|
| Glaucoma | Eye disorders | MedDRA 10.0 | Systematic Assessment |
|
| Retinal Artery Embolism | Eye disorders | MedDRA 10.0 | Systematic Assessment |
|
| Gastrointestinal Haemorrhage | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Gastric Ulcer | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Abdominal Hernia | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Abdominal Pain Lower | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Anal Haemorrhage | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Anal Ulcer | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Haematemesis | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Inguinal Hernia | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Melaena | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Periodontal Disease | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Death | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| Non-Cardiac Chest Pain | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cholecystitis Chronic | Hepatobiliary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cholelithiasis | Hepatobiliary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Jaundice Cholestatic | Hepatobiliary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Corneal Graft Rejection | Immune system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Erysipelas | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Abscess Limb | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Endocarditis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Intervertebral Discitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Pyelonephritis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Respiratory Tract Infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Urinary Tract Infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Urosepsis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Concussion | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Foreign Body Trauma | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Head Injury | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Joint Dislocation | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Post Procedural Haemorrhage | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Subdural Haematoma | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Tibia Fracture | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Alanine Aminotransferase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Haemoglobin Decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Alkaline Phosphatase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Glucose Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| International Normalised Ratio Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Diabetes Mellitus | Metabolism and nutrition disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 10.0 | Systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 10.0 | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 10.0 | Systematic Assessment |
|
| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Inguinal Mass | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Muscle Atrophy | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Muscular Weakness | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Osteitis | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Rheumatoid Arthritis | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Scleroderma | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Colon Cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 10.0 | Systematic Assessment |
|
| Basal Cell Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 10.0 | Systematic Assessment |
|
| Colon Adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 10.0 | Systematic Assessment |
|
| Colon Cancer Metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 10.0 | Systematic Assessment |
|
| Metastases To Central Nervous System | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 10.0 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Transient Ischaemic Attack | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cerebral Artery Embolism | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Cerebrovascular Accident | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Encephalitis | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Epilepsy | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Ischaemic Stroke | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Status Epilepticus | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Vascular Encephalopathy | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Vertebrobasilar Insufficiency | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Delusional Disorder, Persecutory Type | Psychiatric disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dysthymic Disorder | Psychiatric disorders | MedDRA 10.0 | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dysuria | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Renal Failure | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Urinary Bladder Haemorrhage | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Postmenopausal Haemorrhage | Reproductive system and breast disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dyspnoea Exertional | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Arterial Occlusive Disease | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Arterial Stenosis Limb | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Orthostatic Hypotension | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Peripheral Artery Aneurysm | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Peripheral Embolism | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Subclavian Vein Thrombosis | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| 800003Varicose Vein | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| Oedema Peripheral | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Urinary Tract Infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
Not provided
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |