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In order to understand the risks and benefits of edoxaban use in a real-world clinical setting in the Non valvular Atrial Fibrillation (NVAF) indication, Daiichi-Sankyo proposed this non-interventional study to gain insight into the safety (bleeding, liver adverse events, all-cause mortality and other drug related adverse events) and efficacy of edoxaban use in non-preselected patients with NVAF.
Edoxaban was approved by the Ministry of Food and Drug Safety (MFDS) in Korea (date: 25th, August 2015) for the reduction in the risk of stroke and systemic embolism in patients with NVAF, treatment of deep vein thrombosis (DVT) and pulmonary embolism. Edoxaban was approved by the Taiwan Food and Drug Administration (TFDA) in Taiwan (date: 24th, February, 2016) for the prevention of stroke and systemic embolism in adult patients with NVAF with one or more risk factors, such as congestive heart failure, hypertension, age at least 75 years, diabetes mellitus, prior stroke or transient ischemic attack (TIA), or treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), following 5 to 10 days of initial therapy with a parenteral anticoagulant.
Real world evidence data of routine clinical practice use of edoxaban up to two years will be collected and evaluated in approximately 2,500 patients, treated by specialized as well as non-specialized physicians in hospital centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Edoxaban | Patients with established NVAF treated with edoxaban according to package information. Physician's prescribing behaviour will not be influenced; patients may only be included after the treating physician has made the clinical decision to prescribe edoxaban. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Edoxaban | Drug | Prescribed according to approved label |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Participants Experiencing Real-World Safety Data Events within 2 Years | Real-world safety data events include bleeding events (including intracranial haemorrhage), adverse events and mortality | within 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Participants with Patient Relevant Outcomes | Patient relevant outcomes include Strokes (ischaemic and haemorrhagic) , Systemic Embolic Events (SEE), Transient Ischemic Attack (TIA), Major Adverse Cardiovascular Events (MACE), Venous Thromboembolism (VTE), Acute Coronary Syndrome (ACS), and Hospitalisations related to a cardiovascular (CV) condition. | within 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with NVAF and treated with edoxaban according to the package information.
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Leader | Daiichi Sankyo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Soon Chun Hyang University Hospital Cheonan | Cheonan | Chungcheongnam-do | 31151 | South Korea | ||
| GangNeung Asan Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24251359 | Background | Giugliano RP, Ruff CT, Braunwald E, Murphy SA, Wiviott SD, Halperin JL, Waldo AL, Ezekowitz MD, Weitz JI, Spinar J, Ruzyllo W, Ruda M, Koretsune Y, Betcher J, Shi M, Grip LT, Patel SP, Patel I, Hanyok JJ, Mercuri M, Antman EM; ENGAGE AF-TIMI 48 Investigators. Edoxaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2013 Nov 28;369(22):2093-104. doi: 10.1056/NEJMoa1310907. Epub 2013 Nov 19. | |
| 40161305 |
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De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
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| Rate of Participants Compliant with Edoxaban Therapy | Categories: Always, Almost Always, Most of the Time, Less than Half the Time, Unknown | 2 years |
| Gangneung |
| Gangwon-do |
| 25440 |
| South Korea |
| Yonsei University, Wonju Severance Christian Hospital | Wŏnju | Gangwon-do | 26426 | South Korea |
| Hallym University Medical Center | Anyang-si | Gyeonggi-do | 14068 | South Korea |
| Soon Chun Hyang University Hospital Bucheon | Bucheon-si | Gyeonggi-do | 14584 | South Korea |
| Inje University Ilsan Paik Hospital | Goyang-si | Gyeonggi-do | 10380 | South Korea |
| National Health Insurance Service Ilsan Hospital | Goyang-si | Gyeonggi-do | 10444 | South Korea |
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 13620 | South Korea |
| Ajou University Hospital | Suwon | Gyeonggi-do | 16799 | South Korea |
| Samsung Changwon Hospital | Changwŏn | Gyeongsangnam-do | 51353 | South Korea |
| St. Carollo General Hospital | Suncheon | Jeollanam-do | 57931 | South Korea |
| Gyeongsang National University Hospital | Gyeongsang | Jinju-si | 52727 | South Korea |
| Inje Universitiy Busan Paik Hospital | Busan | 47392 | South Korea |
| Inje University Haeundae Paik Hospital | Busan | 48108 | South Korea |
| Dong A University Hospital | Busan | 49201 | South Korea |
| Keimyung University Dongsan Medical Center | Daegu | 41931 | South Korea |
| Yeongnam University Medical Center (1526) | Daegu | 42415 | South Korea |
| Yeongnam University Medical Center (1533) | Daegu | 42415 | South Korea |
| Chungnam National University Hospital | Daejeon | 35015 | South Korea |
| Chosun University Hospital | Gwangju | 61453 | South Korea |
| Chonnam National University Hospital | Gwangju | 61469 | South Korea |
| Gachon University Gil Medical Center | Incheon | 21565 | South Korea |
| Inha University Hospital | Incheon | 22332 | South Korea |
| Nowon Eulji Medical Center, Eulji University | Seoul | 01830 | South Korea |
| Kyung Hee University Hospital | Seoul | 02447 | South Korea |
| Korea University Anam Hospital | Seoul | 02841 | South Korea |
| Seoul National University Hospital (1512) | Seoul | 03080 | South Korea |
| Seoul National University Hospital (1534) | Seoul | 03080 | South Korea |
| Severance Hospital, Yonsei University Health System | Seoul | 03722 | South Korea |
| Hanyang University Seoul Hospital | Seoul | 04763 | South Korea |
| Veterans Health Service Medical Center | Seoul | 05368 | South Korea |
| Gangnam Severance Hospital, Yonsei University Health System | Seoul | 06273 | South Korea |
| Samsung Medical Center (1519) | Seoul | 06351 | South Korea |
| Samsung Medical Center (1520) | Seoul | 06351 | South Korea |
| Seoul Metropolitan Government Seoul National University Boramae Medical Center | Seoul | 07061 | South Korea |
| Hallym University, Kangnam Sacred Heart Hospital | Seoul | 07441 | South Korea |
| Korea University Guro Hospital | Seoul | 08308 | South Korea |
| Taipei Veterans General Hospital | Taipei | Beitou District | 11217 | Taiwan |
| Chang Gung Memorial Hospital, Linko | Taoyuan | Guishan District | 33305 | Taiwan |
| Tri-Service General Hospital | Taipei | Neihu District | 11490 | Taiwan |
| Chang Gung Memorial Hospital, KaoHsiung | Kaohsiung City | Niaosong District | 83301 | Taiwan |
| Taichung Veterans General Hospitial | Kaohsiung City | Niaosong District | 83301 | Taiwan |
| Cheng Hsin General Hospital | Taipei | Pai-Tou | 11220 | Taiwan |
| National Taiwan University Hospital | Taipei | Zhongzheng District | 10002 | Taiwan |
| KaoHsiung Veterans General Hospital | Kaohsiung City | Zuoying District | 81362 | Taiwan |
| Chung Shan Medical University Hospitial | Taichung | 40201 | Taiwan |
| China Medical University Hospital | Taichung | 40447 | Taiwan |
| Derived |
| Morrone D, Dinshaw L, de Souza JAG, Chen C, Kirchhof P, Koretsune Y, Pecen L, Wang CC, Yamashita T, Unverdorben M, De Caterina R. Edoxaban treatment in routine clinical practice is highly concordant with the 2020 European Society of Cardiology atrial fibrillation guidelines: results from the noninterventional Global ETNA-AF programme. Eur Heart J Open. 2025 Mar 28;5(2):oeaf004. doi: 10.1093/ehjopen/oeaf004. eCollection 2025 Mar. |
| 40014354 | Derived | De Caterina R, Unverdorben M, Chen C, Choi EK, Koretsune Y, Morrone D, Pecen L, Bramlage P, Wang CC, Yamashita T, Kirchhof P. Two-Year Follow-Up of Patients With Atrial Fibrillation Receiving Edoxaban in Routine Clinical Practice: Results From the Global ETNA-AF Program. Clin Cardiol. 2025 Feb;48(3):e70091. doi: 10.1002/clc.70091. |
| 38881370 | Derived | Unverdorben M, Colonna P, Jin J, Kohler S, Santamaria A, Saxena M, Borrow A, Chen C, von Heymann C, Vanassche T. Periprocedural Edoxaban Management and Clinical Outcomes in Patients Undergoing Transcatheter Cardiovascular Procedures in the EMIT-AF/VTE Program. Clin Appl Thromb Hemost. 2024 Jan-Dec;30:10760296241260728. doi: 10.1177/10760296241260728. |
| 38098072 | Derived | von Heymann C, Unverdorben M, Colonna P, Santamaria A, Saxena M, Vanassche T, Kohler S, Borrow AP, Jin J, Chen C. Management of edoxaban therapy and clinical outcomes in patients undergoing major or nonmajor surgery: a subanalysis of the EMIT-AF/VTE study. Thromb J. 2023 Dec 14;21(1):124. doi: 10.1186/s12959-023-00568-2. |
| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C552171 | edoxaban |
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