ClinicalTrials.gg
CompletedNCT02480920NOAC-TRUpdated Apr 9, 2019Results posted

Adherence to New Oral Anticoagulation Therapy in Turkey

An observational study in Atrial Fibrillation, sponsored by Cardiovascular Academy Society, Turkey. Completed at 1 site in Turkey. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-09.

Sponsored by Cardiovascular Academy Society, Turkey · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
2,738
Ages
18 Years and older
Sex
All
01

Study summary

This study will compose a national database of drug adherence and investigate the factors that affect drug adherence in patients taking new oral anticoagulation therapy in Turkish Population.

Read the detailed description

NOACs have several clinical and pharmacological advantages over warfarin however suboptimal adherence is one of the most common causes of failure to respond to medications and outcomes.

This observational multicenter, retrospective study, will compose a national database of drug adherence and investigate the factors that affect drug adherence in patients taking new oral anticoagulation therapy in Turkey.

Social support and adherence to therapy factors that may affect drug adherence and adverse events will be assessed by self-report questionnaires.

Non-adherence will be tested for demographic, clinical, awareness of NOAC therapy and socioeconomic factors.

02

Conditions studied

  • Atrial Fibrillation

Keywords

  • Atrial fibrillation Drug Adherence
  • New Oral Anticoagulants
  • Drug Adherence
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's enrollment of 2,738 is above the median of 300 across 1,400 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Cardiovascular Academy Society, Turkey is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Outpatients using a NOAC for at least 3 months duration, with a primary diagnosis of new-onset, non-valvular atrial fibrillation

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients >18 years old
  • Outpatients using a NOAC for at least 3 months duration, with a primary diagnosis of new-onset, non-valvular atrial fibrillation
  • Patients signed patient informed sheet and form

Exclusion criteria

Exclusion Criteria:

  • Patients under 18 years old
  • Patients refused to sign form
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
2,738 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Compliance of NOACs in Turkish Population

    Factors that may affect drug adherence and adverse events will be assessed by self-report questionnaires. Non-adherence will be tested for demographic, clinical, awareness of NOAC therapy and socioeconomic factors. The validity of the Morisky Adherence Scale had already been demonstrated with regard to medication adherence in patients receiving vitamin K antagonists. An extended 8-item Morisky scale was used instead of the original 4-item Morisky scale in order to better identify the situations and the conditions that could affect medication adherence and to better assess the psychometric features.The reliability and the validity of the 8-item Morisky Adherence Scale translated into Turkish had been demonstrated in Turkish population by previous studies.

    Time frame: 10 months

07

Results

Posted Jan 31, 2019

Participant flow

Participant flow — Overall Study
MilestoneStudy Popülation: Who Received NOAC for More Than 3 Months
Started2738
Completed2738
Not completed0

Outcome measures

PrimaryCompliance of NOACs in Turkish Population

Factors that may affect drug adherence and adverse events will be assessed by self-report questionnaires. Non-adherence will be tested for demographic, clinical, awareness of NOAC therapy and socioeconomic factors. The validity of the Morisky Adherence Scale had already been demonstrated with regard to medication adherence in patients receiving vitamin K antagonists. An extended 8-item Morisky scale was used instead of the original 4-item Morisky scale in order to better identify the situations and the conditions that could affect medication adherence and to better assess the psychometric features.The reliability and the validity of the 8-item Morisky Adherence Scale translated into Turkish had been demonstrated in Turkish population by previous studies.

Time frame:
10 months
Reported as:
Count of participants · Participants
Compliance of NOACs in Turkish Population
ParticipantsStudy Popülation: Who Received NOAC for More Than 3 Months
low adherence1342
high and medium adherence1036

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Advers Events—687/2,738 (25.1%)0/2,738 (0%)
Most frequent serious events
Most frequent serious events
EventAdvers Events
BleedingGeneral disorders577/2738
StrokeNervous system disorders100/2738
Systemic EmbolismVascular disorders10/2738

Baseline characteristics

Age, Continuous
Age, Continuous(years)Study Population
Mean70 ± 10
Sex: Female, Male
Sex: Female, Male(Participants)Study Population
Female1623
Male1115
08

Study locations

1 site
  • Volkan Emren
    Afyonkarahi̇sar, Turkey
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02480920
Lead sponsor
Cardiovascular Academy Society, Turkey
Responsible party
Sponsor
First posted
Jun 25, 2015
Start date
Jul 2015
Primary completion
Mar 2016
Completion
Apr 2016
Results posted
Jan 31, 2019
Last update
Apr 9, 2019

Study contacts

Volkan Emren, MD
principal investigator · Cardiovascular Academy Society, İzmir, Turkey

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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