CClinicalTrials.gg
CompletedNCT02611635PRiSMA-AFUpdated Feb 7, 2018

Atrial Fibrillation Patient Preference Study

An observational study in Atrial Fibrillation, sponsored by Bayer. Completed at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-02-07.

Sponsored by Bayer · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
382
Ages
18 Years and older
Sex
All
01

Study summary

The main research question of this patient survey is to assess AF patients' preferences associated with different attributes which describe the different available anticoagulation treatment options (VKA or NOACs and, in case of NOACs, Apixaban, Dabigatran or Rivaroxaban).

VKA (Waran®) will be compared to Rivaroxaban.

Read the detailed description

The objective of this study is to investigate the following research questions in a cross-sectional survey of Swedish AF patients being treated either with a VKA or with a NOAC:

  • Which attributes of a medication to prevent stroke do AF patients view as important?
  • Do AF patients have a preference regarding the attributes of the medication options VKA or NOAC and, in case of NOACs, with regards to rivaroxaban attributes?
  • Are there subgroups of AF patients whose preference for one of the medication options appears above or below average?
  • What is the quality of life of Swedish AF patients? Are there subgroups with differences in their quality of life (for example: subgroups of patients with different CHA2DS2-VASc scores)?
  • Which burden do Swedish AF patients experience in association with their anticoagulation therapy? Are there differences in the burden of treatment (ACTS) between patients treated with VKA or with NOACs?
02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • non-valvular Atrial Fibrillation
  • Patient treatment preference
  • NOAC
  • VKA
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 enrollment of 382 is above the median of 300 across 1,363 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

Patients in primary care / internal medicine specialist practices or cardiology outpatient clinics in Sweden.

Eligibility criteria

Inclusion Criteria:

Inclusion criteria for AF patients in both the NOAC and the VKA groups:

  • Patients with a confirmed diagnosis of nonvalvular atrial fibrillation (persistent, paroxysmal, permanent),
  • Age of at least 18 years at time of study inclusion,
  • Generally willingness (informed consent) and ability to fill out a survey on satisfaction with treatment and quality of life, and to conduct a structured phone interview (approx. 20 - 30 min) in Swedish language.

Additional inclusion criterion for Group 1 (NOAC):

  • Continuous anticoagulation with either Apixaban, or Dabigatran or Rivaroxaban for prevention of Stroke \& systemic embolism for at least the previous 3 months.

Additional inclusion criterion for Group 2 (VKA):

  • Continuous anticoagulation with a VKA for prevention of Stroke \& systemic embolism for at least the previous 3 months.

Exclusion Criteria:

Exclusion criteria for both groups:

  • Participation in another
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
382 participants (actual)
Patient registry
No

Groups and cohorts

  • VKA treatment of AF / Cohort 1

    A sample of about 200 patients with non-valvular atrial fibrillation who are treated with VKAs for at least three months at date of study inclusion

    Drug: VKA: Warfarin (Waran)

  • NOAC treatment of AF / Cohort 2

    A sample of about 200 patients with non-valvular atrial fibrillation who are treated with NOACs for at least three months at date of study inclusion

    Drug: NOAC: Rivaroxaban (Xarelto, BAY59-7939) · Drug: NOAC: Dabigatran etexilate · Drug: NOAC: Apixaban · Drug: NOAC: Edoxaban · Drug: NOAC: Lixiana

Interventions

  • DrugVKA: Warfarin (Waran)

    VKA have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

  • DrugNOAC: Rivaroxaban (Xarelto, BAY59-7939)

    NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

  • DrugNOAC: Dabigatran etexilate

    NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

  • DrugNOAC: Apixaban

    NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

  • DrugNOAC: Edoxaban

    NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

  • DrugNOAC: Lixiana

    NOAC have been prescribed in the customary manner in accordance with the terms of the marketing authorization; decision to prescribe these agents has been made at least 3 months prior to study inclusion; assignment of a patient to a particular therapeutic strategy is only made retrospectively (treatment decision falls within current practice and the prescription of the medicines is separated from the decision to include the patient in the study)

06

What researchers measure

Primary outcomes

  1. AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Frequency of intake (once/twice daily)

    Time frame: up to 4 weeks after enrollment of patient

  2. AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Need of International normalized ratio (INR) monitoring/dose adjustment (yes/no)

    Time frame: up to 4 weeks after enrollment of patient

  3. AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Need of bridging (yes/no)

    Time frame: up to 4 weeks after enrollment of patient

  4. AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Interactions with food/drugs (yes/no)

    Time frame: up to 4 weeks after enrollment of patient

  5. AF patients'preferences towards anticoagulation treatment with either VKAs or NOACs measured with a DCE (discrete choice experiment) design in a phone interview: Distance to treating physician (1km or 50km).

    Time frame: up to 4 weeks after enrollment of patient

Secondary outcomes

  1. Patient-related burden of treatment with anticoagulants measured by the Benefit and Burden Scale of the Anti-clot Treatment Scale (ACTS)

    Time frame: Baseline

  2. Patient's quality of life measured using the SF-12 (interview version)

    Variables: Physical/psychological domain according to SF-12 questionnaire

    Time frame: up to 4 weeks after enrollment of patient

  3. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Age

    Time frame: Baseline

  4. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Gender

    Time frame: Baseline

  5. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: preferred Anticoagulation treatment (agent)

    Time frame: Baseline

  6. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: HrQoL as defined by the SF-12 score

    Time frame: Baseline

  7. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: AF symptoms as measured by the EHRA

    Time frame: Baseline

  8. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: TTR (for VKA patients only)

    Time frame: Baseline

  9. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Lifestyle variables

    Time frame: Baseline

  10. Assessment of factors that may be associated with AF patients' preferences towards a specific anticoagulation treatment: Previous switch of anticoagulation treatment

    Time frame: Baseline

07

Study locations

1 site
  • Multiple Locations, Sweden
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02611635
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 23, 2015
Start date
Feb 2, 2016
Primary completion
Jan 26, 2017
Completion
Feb 16, 2017
Last update
Feb 7, 2018

Study contacts

Bayer Study Director
study director · Bayer

Oversight

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

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This study is completed, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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