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Status unknownNCT02334254Updated Jan 8, 2015

Rivaroxaban in Patients With Atrial Fibrillation and Coronary Artery Disease Undergoing Percutaneous Coronary Intervention

A Phase 4 interventional study of rivaroxaban and ticagrel therapy and triple antithrombotic regimen with warfarin, asipirin and clopidogrel in Atrial Fibrillation, sponsored by Beijing Anzhen Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-01-08.

Sponsored by Beijing Anzhen Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2015), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
420
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

To evaluate the safety for the combination of Rivaroxaban and Ticagrel versus triple antithrombotic regimen (Vitamin K Antagonist (VKA), Clopigogrel and Aspirin) in patients with atrial fibrillation and coronary artery disease undergoing percutaneous coronary intervention (PCI).

Read the detailed description

This is an open-label (both physician and participant know the treatment that the participant receives), randomized (study medication is assigned by chance), multicenter clinical study assessing the safety of the combination of rivaroxaban and ticagrel versus triple antithrombotic regimen (warfarin, clopigogrel and aspirin) in patients, who have paroxysmal, persistent, or permanent non-valvular atrial fibrillation (AF) and concomitant coronary artery disease undergoing percutaneous coronary intervention (PCI). A target of 420 participants will be randomized into the study, with approximately 210 participants in each treatment strategy group. Primary comparisons will be made of the rates of major and clinically relevant bleeding, assessed by the modified International Society of Thrombosis and Haemostasis (ISTH) classification. The study consists of a screening phase, a 12-month open-label treatment phase, and an end-of-treatment/early withdrawal visit. The total duration of participation in the study for each participant is approximately 12 months.

02

Conditions studied

  • Atrial Fibrillation

Keywords

  • safety
  • rivaroxaban
  • ticagrel
  • triple antithrombotic regimen
  • undergoing PCI
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's planned enrollment of 420 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Beijing Anzhen Hospital is the lead sponsor of 188 studies on the registry; 100 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • a long-term indication for oral anticoagulation treatment (until at least 1 year after the study)
  • a severe coronary lesion (at least 75% stenosis on angiography or fractional flow reserve lower than 0•80) with indication for PCI
  • age 18-80 years

Exclusion criteria

Exclusion Criteria:

  • history of intracranial bleeding;
  • cardiogenic shock;
  • contra indication to use of antiplatelet or anticoagulation drugs;
  • peptic ulcer in the previous 6 months;
  • thrombo cytopenia (platelet concentration lower than 50\~10⁹/L);
  • major bleeding (according to the Thrombolysis in Myocardial Infarction [TIMI] criteria) in the past 12 months; and
  • pregnancy.
05

Study design

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

Study arms

  • Experimental
    Dual antithrombotic therapy (DAT)

    Dual Antithrombotic Therapy (DAT) regimen of rivaroxaban 2.5mg/5mg b.i.d. plus ticagrelor 90mg b.i.d.

    Drug: rivaroxaban and ticagrel therapy

  • Active comparator
    Triple antithrombotic therapy (TAT)

    Triple antithrombotic therapy (TAT) regimen of aspirin 100mg q.d., clopidogrel 75mg q.d. plus warfarin (INR 1.8-2.5).

    Drug: triple antithrombotic regimen with warfarin, asipirin and clopidogrel

Interventions

  • Drugrivaroxaban and ticagrel therapy

    Antiplatelet therapy are mandatory at least 1 month after bare metal stent implantation, and 6 months after drug-eluting stent implantation.

  • Drugtriple antithrombotic regimen with warfarin, asipirin and clopidogrel
06

What researchers measure

Primary outcomes

  1. Major or clinically relevant non-major bleeding

    Major bleeding was assessed by the International Society of Thrombosis and Hemostasis (ISTH) definition. It included bleeding that was fatal, occurred in a critical location (intracranial, intraspinal, intraocular, retroperitoneal, intraarticular, intramuscular with compartment syndrome, or pericardial), or was associated with a fall in hemoglobin of 2 g/dL or a transfusion of 2 units of packed red blood cells. Clinically relevant non-major bleeding was defined as bleeding that required medical or surgical intervention.

    Time frame: 12 months

Secondary outcomes

  1. Composite outcome of death, myocardial infarction, stent thrombosis and ischemic stroke

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
  • Beijing Anzhen Hospital,Capital Medical University
    Beijing, Beijing 100029, China
    Recruiting
08

References and documents

Publications

  • Gao F, Shen H, Wang ZJ, Yang SW, Liu XL, Zhou YJ. Rationale and design of the RT-AF study: Combination of rivaroxaban and ticagrelor in patients with atrial fibrillation and coronary artery disease undergoing percutaneous coronary intervention. Contemp Clin Trials. 2015 Jul;43:129-32. doi: 10.1016/j.cct.2015.05.012. Epub 2015 May 21. PubMed 26003433 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02334254
Lead sponsor
Beijing Anzhen Hospital
Responsible party
Yujie Zhou (Vice President of Beijing Anzhen Hospital, Capital Medical University, Beijing Anzhen Hospital) — Principal investigator
First posted
Jan 8, 2015
Start date
Aug 2013
Primary completion
Jan 2016 (estimated)
Completion
Jan 2016 (estimated)
Last update
Jan 8, 2015

Study contacts

Yujie Zhou, MD
Contact
yjzhou.az@gmail.com
86 18610323937
Fei Gao, MD
Contact
fgaomd@163.com
1-347-257-4916
Yujie Zhou, MD
principal investigator · Beijing Anzhen Hospital

Oversight

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

Not currently enrolling

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

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