Actively Recruiting

Age: 18Years - 100Years
All Genders
NCT06396299

COhort of antithrOmbotic Use and cLinical Outcomes in Patients With Atrial Fibrillation (COOL-AF) Phase 2

Led by Mahidol University · Updated on 2025-05-09

4000

Participants Needed

33

Research Sites

312 weeks

Total Duration

On this page

Sponsors

M

Mahidol University

Lead Sponsor

H

Health Systems Research Institute,Thailand

Collaborating Sponsor

AI-Summary

What this Trial Is About

Atrial fibrillation (AF) is a leading cause of cardiovascular mortality and morbidity. Asian patients with AF have a higher rate of major bleeding including intracranial hemorrhage (ICH) compared to non-Asians. Non-vitamin K antagonist oral anticoagulants (NOACs) are the safer drugs compared to warfarin due to a lower rate of ICH, but the rate of NOACs use in many Asian AF is much lower than non-Asian countries due to economic concerns. The purpose of the COhort of antithrOmbotic use and cLinical outcomes in patients with Atrial Fibrillation (COOL-AF) Phase 2 registry is to determine the changes in antithrombotic patterns and the impact on clinical outcomes. The COOL-AF Phase 2 study is a prospective observational multicenter study of patients with known or newly diagnosed non-valvular AF in Thailand. The aim is a sample size is 3680 patients from 33 centers within a 2-years enrollment timeline. Patients will be follow-up every 6 months until 3 years. The study outcomes were death, ischemic stroke/systemic embolism, major bleeding, myocardial infarction, heart failure, and quality of life.

CONDITIONS

Official Title

COhort of antithrOmbotic Use and cLinical Outcomes in Patients With Atrial Fibrillation (COOL-AF) Phase 2

Who Can Participate

Age: 18Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 18 years and older with atrial fibrillation diagnosed based on a 12-lead ECG or ECG tracing from ambulatory ECG monitoring.
Not Eligible

You will not qualify if you...

  • Ischemic stroke within the past 3 months before enrollment
  • Platelet count less than 100,000/mm3 or diagnosis of myeloproliferative disorders, hyperviscosity syndrome, chronic disseminated intravascular coagulation, or antiphospholipid syndrome
  • Mechanical prosthetic heart valve
  • Rheumatic mitral stenosis
  • Participation in research projects with concealed treatments
  • Expected life expectancy less than 3 years due to other diseases such as cancer or AIDS
  • Pregnancy
  • Unable to follow the treatment plan
  • No consent to participate
  • Hospitalized or discharged from hospital within the past 1 month

AI-Screening

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Trial Site Locations

Total: 33 locations

1

Faculty of Meddcine Siriraj Hospital, Mahidol University

Bangkok, Bangkok, Thailand, 10700

Actively Recruiting

2

Faculty of Medicine, Chulalongkorn University,

Bangkok, Bangkok, Thailand

Actively Recruiting

3

Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Bangkok, Bangkok, Thailand

Actively Recruiting

4

Faculty of Medicine, Vajira Hospital, Navamindradhiraj University

Bangkok, Bangkok, Thailand

Actively Recruiting

5

Phramongkutklao College of Medicine

Bangkok, Bangkok, Thailand

Not Yet Recruiting

6

Police General Hospital

Bangkok, Bangkok, Thailand

Not Yet Recruiting

7

Central Chest Institute of Thailand

Nonthaburi, Changwat Nonthaburi, Thailand

Actively Recruiting

8

Faculty of Medicine, Prince of Songkla University

Songkhla, Changwat Songkhla, Thailand

Actively Recruiting

9

Faculty of Medicine, Chiang Mai University,

Chiang Mai, Chiang Mai, Thailand

Actively Recruiting

10

Bhumibol Adulyadej Hospital

Bangkok, Thailand

Actively Recruiting

11

Charoen Krung Pracha Rak Hospital

Bangkok, Thailand

Actively Recruiting

12

Rajavithi Hospital

Bangkok, Thailand

Not Yet Recruiting

13

Prapokklao Hospital (Chanthaburi),

Chanthaburi, Thailand

Not Yet Recruiting

14

Nakornping Hospital

Chiang Mai, Thailand

Not Yet Recruiting

15

Chiangrai Prachanukroh Hospital

Chiang Rai, Thailand

Not Yet Recruiting

16

Chonburi Hospital

Chon Buri, Thailand

Actively Recruiting

17

Queen Savang Vadhana Memorial Hospital

Chon Buri, Thailand

Actively Recruiting

18

Faculty of Medicine, Khon Kaen University

Khon Kaen, Thailand

Actively Recruiting

19

Lampang Hospital

Lampang, Thailand

Not Yet Recruiting

20

Faculty of Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Srinakharinwirot University

Nakhon Nayok, Thailand

Not Yet Recruiting

21

Golden Jubilee Medical Center

Nakhon Pathom, Thailand

Not Yet Recruiting

22

Maharat Nakorn Ratchasima Hospital

Nakhon Ratchasima, Thailand

Actively Recruiting

23

Sawanpracharak Hospital

Nakhon Sawan, Thailand

Actively Recruiting

24

Faculty of Medicine, Thammasat University, Rangsit Campus

Pathum Thani, Thailand

Actively Recruiting

25

Buddhachinaraj Hospital

Phitsanulok, Thailand

Not Yet Recruiting

26

Faculty of Medicine, Naresuan University

Phitsanulok, Thailand

Not Yet Recruiting

27

Vachira Phuket Hospital

Phuket, Thailand

Actively Recruiting

28

Ratchaburi Hospital

Ratchaburi, Thailand

Actively Recruiting

29

Sakonnakhon Hospital

Sakon Nakhon, Thailand

Not Yet Recruiting

30

Suratthani Hospital

Surat Thani, Thailand

Actively Recruiting

31

Surin Hospital

Surin, Thailand

Actively Recruiting

32

Sunpasitthiprasong Hospital

Ubon Ratchathani, Thailand

Actively Recruiting

33

Udonthani Hospital

Udon Thani, Thailand

Actively Recruiting

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Research Team

P

Pontawee Kaewcomdee, B.N.S

CONTACT

R

Rungroj Krittayaphong, MD,FESC,FACC

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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