CClinicalTrials.gg
Status unknownNCT02331602RIVAL-AFUpdated Aug 6, 2015

Anti-inflammatory Effects of Rivaroxaban Versus Dabigatran

A Phase 4 interventional study of Rivaroxaban and Dabigatran in Atrial Fibrillation, sponsored by Yokohama City University Medical Center. Status unknown at 16 sites in Japan. Open to participants aged 20 Years to 90 Years. Per ClinicalTrials.gov, last updated 2015-08-06.

Sponsored by Yokohama City University Medical Center · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2015), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
20 Years to 90 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the antiinflammatory effects of rivaroxaban compared with dabigatran in patients with atrial fibrillation.

Read the detailed description

Previous study showed that administration of rivaroxaban reduced expression of proinflammatory mediators in apolipoprotein E-deficient mice. However, it is unknown whether the anti-inflammatory markers are decreased in patients with atrial fibrillation receiving novel oral anticoagulants.

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Conditions studied

  • Atrial Fibrillation

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Keywords

  • atrial fibrillation
  • anticoagulation
  • inflammation
03

In context

Atrial Fibrillation

3,869 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's planned enrollment of 200 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Yokohama City University Medical Center is the lead sponsor of 16 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • non-valvular atrial fibrillation
  • a CHADS2-VASc score of 1 or more

Exclusion criteria

Exclusion Criteria:

  • contraindication for rivaroxaban or dabigatran
  • stroke or systemic embolism, acute coronary syndromes or peripheral artery disease within 6 months before enrollment
  • acute heart failure
  • severe chronic renal failure (creatinine clearance \< 30mL/min.)
  • receiving dual antiplatelet therapy
  • patients with a body weight of 50kg or less
  • uncontrolled hypertension
  • active malignancy, collagen disease, or infectious disease
  • patients undergoing surgery within 6 months before enrollment
  • patients who are planned to undergoing catheter ablation for atrial fibrillation
  • patients who are not allowed to participate in the trial by judgement of the treating physician
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    rivaroxaban

    Patients are assigned to receive rivaroxaban 15mg once daily for 12 months according to a computer-generated randomization sequence at the central registration center. Patients with creatinine clearance 30-49 mL/min receive rivaroxaban 10mg once daily.

    Drug: Rivaroxaban

  • Active comparator
    dabigatran

    Patients are assigned to receive dabigatran 150mg twice daily for 12 months according to a computer-generated randomization sequence at the central registration center. Patients at a high risk of bleeding receive dabigatran 110mg twice daily.

    Drug: Dabigatran

Interventions

  • DrugRivaroxaban

    Patients are assigned to receive rivaroxaban 15mg once daily for 12 months. Patients with creatinine clearance 30-49 mL/min receive rivaroxaban 10mg once daily.

    Also known as: Xarelto

  • DrugDabigatran

    Patients are assigned to receive dabigatran 150mg twice daily for 12 months. Patients at a high risk of bleeding receive dabigatran 110mg twice daily.

    Also known as: Pradaxa

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What researchers measure

Primary outcomes

  1. median variation of inflammatory markers (including high sensitivity C reactive protein, pentraxin3, interleukin-6, and interleukin-18) between at baseline and 12 months later in each treatment group

    Time frame: 12 months

Secondary outcomes

  1. change over time of above inflammatory markers during 12 months follow-up period (at baseline, 1 month, 3 months, 6 months, and 12 months later) in each treatment group

    Time frame: 12 months

Other outcomes

  1. frequency of 12-month adverse cardiac and cerebrovascular events (including cardiovascular death, myocardial infarction, revascularization, ischemic stroke and systemic embolism)and frequency of 12-month major bleeding (defined as ISTH criteria)

    Time frame: 12 months

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Study locations

16 of 16 sites recruiting
  • Ashigara Kami Hospital
    Ashigaura, Kanagawa 258-0003, Japan
    • Izumi Kobayashi, MD · Contact · eno_r@hotmail.com · 81-465-83-0351
    • Izumi Kobayashi, MD · Principal investigator
    Recruiting
  • Chigasaki Municipal Hospital
    Chigasaki, Kanagawa 253-0042, Japan
    Recruiting
  • Fujisawa City Hospital
    Fujisawa, Kanagawa 251-8550, Japan
    Recruiting
  • Fujisawa Shounandai Hospital
    Fujisawa, Kanagawa 252-0802, Japan
    Recruiting
  • Hadano Red Cross Hospital
    Hadano, Kanagawa 257-0017, Japan
    • Reimin Sawada, MD · Contact · rsawada@live.jp · 81-463-81-3721
    • Reimin Sawada, MD · Principal investigator
    Recruiting
  • National Hospital Organization Sagamihara National Hospital
    Sagamihara, Kanagawa 252-0392, Japan
    Recruiting
  • Nagatsuta kousei general hospital
    Yokohama, Kanagawa 226-0027, Japan
    • Takeshi Takamura, MD · Contact · tkmrt@yokohama-cu.ac.jp · 81-45-981-1201
    • Takeshi Takamura, MD · Principal investigator
    Recruiting
  • Yokohama City University Medical Center
    Yokohama, Kanagawa 232-0024, Japan
    • Kazuo Kimura, MD · Contact · c-kimura@urahp.yokohama-cu.ac.jp · 81-45-261-5656
    • Kazuo Kimura, MD · Principal investigator
    • Kengo Tsukahara, MD · Sub investigator
    Recruiting
  • Saiseikai Yokohama City Southern Hospital
    Yokohama, Kanagawa 234-8503, Japan
    Recruiting
  • Kanagawa Cardiovascular and Respiratory Disease Center
    Yokohama, Kanagawa 236-0051, Japan
    Recruiting
  • Yokohama Seamen's Insurance Hospital
    Yokohama, Kanagawa 240-8585, Japan
    Recruiting
  • International Goodwill Hospital
    Yokohama, Kanagawa 245-0006, Japan
    Recruiting
  • Yokohama City University Hospital
    Yokohama, Kanagawa, Japan
    Recruiting
  • Yokosuka City hospital
    Yokosuka, Kanagawa 240-0195, Japan
    • Jun Okuda, MD · Contact · jokudajun@yahoo.co.jp · 81-46-856-3136
    • Jun Okuda, MD · Principal investigator
    Recruiting
  • International University of Health and Welfare Atami Hospital
    Atami, Shizuoka 413-0012, Japan
    • Tomohiko Shigemasa, MD · Contact · tshig@iuhw.ac.jp · 81-557-81-9171
    • Tomohiko Shigemasa, MD · Principal investigator
    Recruiting
  • Omori Red Cross Hospital
    Ohta, Tokyo 143-8527, Japan
    • Yasuyuki Mochida, MD · Contact · y-mochi@u01.gate01.com · 81-3-3775-3111
    • Yasuyuki Mochida, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02331602
Lead sponsor
Yokohama City University Medical Center
Collaborators
Yokohama City University
Responsible party
Kiyoshi Hibi (Associate Professor, Division of Cardiology, Yokohama City University Medical Center) — Principal investigator
First posted
Jan 6, 2015
Start date
Jul 2013
Primary completion
Oct 2015 (estimated)
Completion
Dec 2015 (estimated)
Last update
Aug 6, 2015

Study contacts

Kengo Tsukahara, MD
Contact
k-tsuka@urahp.yokohama-cu.ac.jp
81-45-261-5656
Kazuo Kimura, MD
principal investigator · Yokohama City University Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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