Comparison of Anti-Thrombotic Treatments Between Aspirin and Warfarin During Initial Six Months After Bioprpsthetic Heart Valve Replacement

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age19+
SponsorAsan Medical Center

About this trial

This trial is a multinational, multicenter, randomized, open-label, active-controlled clinical trial comparing the safety of aspirin versus vitamin K antagonists (warfarin) as oral antithrombotic therapy during the initial 6 months following tissue valve replacement (aortic or mitral).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged ≥ 19 years with successful surgical bioprosthetic valve replacement

Bioprosthetic heart valve in aortic or mitral valve positions, for a day postoperatively

The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

Disqualifiers

Mechanical valve in any heart valve position

Previous hemorrhagic stroke within the last 3 months

Clinically overt stroke within the last 3 months

Current need for anticoagulation (i.e. atrial fibrillation, deep vein thrombosis)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Aspirin

    Drug

    100mg 1 tablet once daily for 6 months

  • Vitamin K antagonist(warfarin)

    Drug

    Maintain an INR of 2.0 to 3.0 for 6 months

Treatment groups

1,058 Participants
are divided into 2 treatment groups
Group A: AspirinExperimental treatment 1 intervention
Group B: wafarinActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

A composite endpoint is defined as a single outcome that combines multiple clinical events; the occurrence of any one of the component events is considered as meeting the endpoint.

Time frame
From registration to 6 months

Secondary outcomes

1

Rate of all-cause mortality within 6 months

Time frame
From registration to 6 months
2

Number of participants who experienced stroke within 6 months

Time frame
From registration to 6 months
3

Number of participants who experienced transient ischemic attack within 6 months

Time frame
From registration to 6 months
4

Number of participants who experienced systemic embolism within 6 months

Time frame
From registration to 6 months

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: