Status:

COMPLETED

The Greek AntiPlatElet Atrial Fibrillation Registry.

Lead Sponsor:

Attikon Hospital

Collaborating Sponsors:

Hellenic Cardiology Society

Conditions:

Atrial Fibrillation

Coronary Artery Disease

Eligibility:

All Genders

20-100 years

Brief Summary

Approximately 5% to 7% of patients undergoing percutaneous coronary intervention for the treatment of coronary artery disease, require chronic oral anticoagulation on top of aspirin and a P2Y12 recept...

Detailed Description

All consecutive patients undergoing percutaneous coronary intervention over 1 year period will be screened for participation. Discharge antithrombotic medication will be at the discretion of the treat...

Eligibility Criteria

Inclusion

  • Percutaneous coronary intervention with stent implantation Non-valvular atrial fibrillation (paroxysmal, persistent or permanent) with indication for anticoagulation Written informed consent

Exclusion

  • Any clinically significant bleeding (BARC ≥2) at the time of screening or within the previous month
  • Prior intracranial bleeding
  • Dialysis or calculated creatinine clearance \<30 mL/min at screening
  • Known significant liver disease (eg, acute hepatitis, chronic active hepatitis, cirrhosis), or liver function test abnormalities at screening (confirmed with repeat testing): alanine transaminase (ALT) \>5 times the upper limit of normal or ALT \>3 times the upper limit of normal plus total bilirubin \>2 times the upper limit of normal
  • A PT or INR test result that is higher than the upper limit of normal at the time of screening that suggests an underlying coagulation disorder (except for subjects taking VKA), or an INR that does not drop to 2.5 or below by 72 h after sheath removal following the index procedure.
  • Life expectancy of less than 12 months
  • Incomplete staged percutaneous coronary intervention procedure (once the completion of the staged procedure has occurred, the final percutaneous coronary intervention PCI may become the index event and is allowed)
  • Planned coronary artery bypass grafting
  • Contraindications to the use of clopidogrel or ticagrelor or NOAC, per prescribing information (e.gHypersensitivity to the active substance or to any of the excipients or co-administration with strong CYP3A4 inhibitors e.g. ketoconazole, clarithromycin, nefazodone, ritonavir, and atazanavir).
  • Estimated high risk of non-availability for follow-up visits

Key Trial Info

Start Date :

December 1 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 31 2020

Estimated Enrollment :

654 Patients enrolled

Trial Details

Trial ID

NCT03362788

Start Date

December 1 2017

End Date

December 31 2020

Last Update

July 26 2021

Active Locations (1)

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1

Attikon University Hospital

Athens, Attica, Greece, 12462