About this trial

To evaluate the efficacy and safety of low-dose versus standard-dose rivaroxaban anticoagulation therapy in elderly patients with atrial fibrillation.

Eligibility criteria

Qualifiers

Age ≥70 years

Patients with atrial fibrillation (atrial fibrillation rhythm of at least 30 seconds duration recorded by ECG or Holter within 1 year)

CHA2DS2-VASc score ≥2 in men and ≥3 in women

Able to cooperate in signing ICFs

Disqualifiers

Moderate-to-severe mitral stenosis, or prior mechanical valve replacement surgery, or unresected atrial myxoma, or known left ventricular thrombus

Prior biological valve replacement or valve repair surgery within 6 months

Left ventricular assist device implantation status

Severe stroke event within 3 months or any stroke within 14 days Major stroke events were defined as those with a Modified Rankin Scale score of 3-5.

Trial design

Treatments tested in this trial

  • low-dose rivaroxaban
  • Standard-dose rivaroxaban

Treatment groups

4,374 Participants
are divided into 2 treatment groups

Locations

1
National Clinical Research Center for Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College100037, BeijingBeijing Municipality, China

Sponsors and collaborators

China National Center for Cardiovascular Diseases

Lead sponsor