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Net Clinical Benefit of Edoxaban Versus Apixaban in Patients With Atrial Fibrillation and Coronary Artery Disease

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 4
SUMMARY

Non-vitamin K antagonist oral anticoagulants(NOACs) are standard care for thromboembolism prevention in patients with Aterial Fibrillation(AF). However, evidence comparing edoxaban and apixaban remains limited in AF patients with coexisting coronary artery disease(CAD). This study aims to evaluate whether edoxaban-based therapy is non-interior to apixaban-based therapy with respect to Net Adverse Clinical Events(NACE) in AF patients with concomitant CAD.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 19
Healthy Volunteers: f
View:

• Patients must be at least 19 years of age

• Patients with AF requiring oral anticoagulation therapy (CHA2DS2-VaSc 2 or more)

• Documented coronary artery disease, defined as at least one of the following: history of percutaneous coronary intervention (PCI), history of coronary artery bypass grafting (CABG), major epicardial coronary artery stenosis ≥50% on coronary computed tomography angiography (CCTA) or invasive coronary angiography

• Patients who can understand risks, benefits and treatment alternatives and sign informed consent voluntarily.

Locations
Other Locations
Republic of Korea
Samsung Medical Center
RECRUITING
Seoul
Contact Information
Primary
Joo-Yong Hahn, MD, PhD
Jooyong.hahn@gmail.com
82-2-3410-6653
Backup
Ki-Hong Choi, MD, PhD
cardiokh@gmail.com
82-2-3410-6653
Time Frame
Start Date: 2026-07-20
Estimated Completion Date: 2031-12-31
Participants
Target number of participants: 3000
Treatments
Experimental: Edoxaban-based treatment group
Edoxaban 60mg once daily orally, continue until follow-up is complete.
Active_comparator: Apixaban-based treatment group
Apixaban 5mg twice a day orally, continue until follow-up is complete.
Sponsors
Leads: Samsung Medical Center

This content was sourced from clinicaltrials.gov

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