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CompletedNCT04401761XATOCUpdated Oct 25, 2023

A Study to Collect Data on the Treatment Pattern of Xarelto + Acetylsalicylic Acid in the Routine Clinical Practice in Patients Who Are Suffering From a Condition That Narrows the Blood Vessels Supplying the Heart and / or a Condition That Most Commonly Narrows the Blood Vessel in the Legs

An observational study in Coronary Artery Disease and Peripheral Artery Disease, sponsored by Bayer. Completed at 10 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-25.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,189
Ages
18 Years and older
Sex
All
01

Study summary

The study will focus on effectiveness and safety of rivaroxaban (Xarelto) when given together with acetylsalicylic acid (combination therapy) to patients suffering from coronary artery disease (a condition that affects the blood vessels supplying the heart) and / or peripheral artery disease (a condition that affects the blood vessels of the lower limbs) in the routine clinical practice. The study will help to collect data for prevention cardiovascular death, myocardial infarction (MI), stroke and major adverse limb events in adult patients. The study will focus on information on when and why physicians are starting to treat patients with combination therapy, treatment duration, reasons to discontinue treatment and previous therapies. The study will also investigate treatment outcomes for patients being treated with a combination therapy by their physicians.

02

Conditions studied

  • Coronary Artery Disease
  • Peripheral Artery Disease

Keywords

  • Thrombosis
03

In context

Coronary Artery Disease

5,676 studies on the registry are indexed under Coronary Artery Disease; 958 are open to participants now.

This study's enrollment of 3,189 is above the median of 335 across 1,978 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Bayer is the lead sponsor of 1,674 studies on the registry; 54 are open to participants now.

Of its 213 completed or terminated interventional studies of FDA-regulated products, 130 (61%) 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
Sampling method
Non-probability sample

Study population

International population of adult CAD/PAD patients

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

  • Adult (≥18 years) patient (except Taiwan ≥ 20 years old).
  • Diagnosis of CAD or symptomatic PAD.
  • Treatment according to local marketing authorization, rivaroxaban 2.5 mg [BID] plus Acetylsalicylic acid (ASA) 75-100 mg [OD] started up to 4 weeks before or after the ICF is signed.
  • Only in those countries with a marketing authorization of rivaroxaban in the Acute Coronary Syndrome (ACS) indication, patients already on rivaroxaban treatment for ACS for more than 4 weeks, who are subsequently fulfilling criteria for CAD, are also allowed to be enrolled.

Exclusion criteria

Exclusion Criteria:

  • Contra-indications according to the local marketing authorization.
  • Patients who will be treated with chronic anticoagulation therapy other than rivaroxaban 2.5 mg given for CAD/PAD.
  • Participation in an interventional trial.
  • Enrolment in the XATOA study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,189 participants (actual)
Patient registry
No

Groups and cohorts

  • CAD/PAD-patients

    Adult patients with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) who are treated with a combination of rivaroxaban and acetylsalicylic acid.

    Drug: Rivaroxaban (BAY59-7939, Xarelto) · Drug: Acetylsalicylic acid

Interventions

06

What researchers measure

Primary outcomes

  1. Health status by questionnaire EQ-5D-5L

    Self-reported health-related quality of life is measured with EQ-5D at the initial visit and at each follow-up visit. Items are scored from 1 (no problems) to 5 (extreme problems) leading to a total score from 0 (worst imaginable health) to 100 (best imaginable health).

    Time frame: Up to 34 months

  2. Descriptive analysis of clinical characteristics of CAD participants

    Time frame: At baseline

  3. Descriptive analysis of clinical characteristics of PAD participants

    Time frame: At baseline

  4. Descriptive analysis of prior antithrombotic treatment

    Time frame: At baseline

  5. Descriptive analysis of concomitant antithrombotic treatment

    Time frame: Upto 34 months

  6. Descriptive analysis of prior secondary prevention therapies

    Time frame: At baseline

  7. Descriptive analysis of concomitant secondary prevention therapies

    Time frame: Up to 34 months

  8. Reason to start rivaroxaban

    Reasons include past ischemic events, co-morbidities and medical history.

    Time frame: At baseline

  9. Decision point to start rivaroxaban

    Time point of start of medication in relation to disease progress and/ or occurrence of ischemic events

    Time frame: At baseline

  10. Reasons for discontinuation of rivaroxaban

    Time frame: Up to 34 months

  11. Planned duration of treatment with rivaroxaban

    Time frame: At baseline

  12. Actual duration of treatment with rivaroxaban

    Time frame: Up to 34 months

  13. Planned duration of treatment with Acetylsalicylic acid (ASA)

    Time frame: At baseline

  14. Actual duration of treatment with ASA

    Time frame: Up to 34 months

Secondary outcomes

  1. Number of participants with major adverse cardiovascular events (MACE)

    Composite endpoint comprising of myocardial infarction, stroke, and cardiovascular death (and single components).

    Time frame: Up to 34 months

  2. Number of participants with major adverse limb events (MALE)

    Major adverse limb events comprise acute limb ischemia and vascular amputation, and antithrombotic treatment \[pattern\] after MALE.

    Time frame: Up to 34 months

  3. Number of participants with antithrombotic treatment after MALE

    Time frame: Up to 34 months

  4. Number of participants with MACE or MALE

    Composite endpoint comprising myocardial infarction, ischemic stroke, cardiovascular death, acute limb ischemia, major amputation of vascular etiology.

    Time frame: Up to 34 months

  5. Number of participants with thromboembolic events

    Thromboembolic events include e.g. systemic embolism and venous thromboembolism.

    Time frame: Up to 34 months

  6. Number of participants with haemorrhagic events and complications

    The major bleeding complications will be collected according to the International Society on Thrombosis and Haemostasis (ISTH) criteria, modified ISTH criteria, and Thrombolysis in Myocardial Infarction (TIMI) criteria.

    Time frame: Up to 34 months

  7. Number of deaths due to cardiovascular events

    Time frame: Up to 34 months

  8. Number of deaths due to any cause

    Time frame: Up to 34 months

  9. Number of participants with cardiac revascularization procedures

    Cardiac revascularization procedure includes Percutaneous Coronary Intervention (PCI), Coronary Artery Bypass Grafting (CABG)

    Time frame: Up to 34 months

  10. Number of participants with peripheral revascularization procedures

    Time frame: Up to 34 months

  11. Number of participants with lower limb revascularization procedures.

    Time frame: Up to 34 months

  12. Number of participants with carotid revascularization procedures

    Time frame: Up to 34 months

  13. Number of hospitalizations

    Number of hospitalizations due to stroke, cardiovascular reasons, MALE, or bleeding complications.

    Time frame: Up to 34 months

  14. Duration of hospitalizations

    Hospitalizations due to stroke, cardiovascular reasons, MALE, or bleeding complications.

    Time frame: Up to 34 months

  15. Total walking distance per individual for PAD participants

    Time frame: Up to 34 months

  16. Pain free walking distance per individual for PAD participants

    Time frame: Up to 34 months

  17. Patient-reported walking impairment by Walking Impairment Questionnaire (WIQ) for PAD participants

    The WIQ is a validated questionnaire that measures patient-reported walking limitations in distance, stair climbing and speed. Final score ranges from 0 (unable to walk) to 4 (no difficulty to walk).

    Time frame: Up to 34 months

07

Study locations

10 sites
  • Many Locations
    Multiple Locations, Belgium
  • Many Locations
    Multiple Locations, China
  • Many Locations
    Multiple Locations, Colombia
  • Many Locations
    Multiple Locations, Italy
  • Many Locations
    Multiple Locations, Russia
  • Many Locations
    Multiple Locations, Slovenia
  • Many Locations
    Multiple Locations, South Korea
  • Many Locations
    Multiple Locations, Spain
  • Many Locations
    Multiple Locations, Switzerland
  • Many Locations
    Multiple Locations, Taiwan
08

References and documents

Individual participant data

Plan to share: No — Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04401761
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
May 26, 2020
Start date
May 28, 2020
Primary completion
Jun 30, 2023
Completion
Sep 29, 2023
Last update
Oct 25, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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