Blood Thinner's safety in frail hearts put to the test
NCT ID NCT05773222
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This observational study is evaluating the safety and effectiveness of apixaban, a blood thinner, in frail Korean patients with atrial fibrillation (an irregular heartbeat) who are at high risk for stroke and bleeding. The study will follow about 2,000 patients who are older, have low body weight, or have reduced kidney function, to see how well apixaban prevents strokes and blood clots without causing major bleeding. By observing real-world use, researchers hope to fill a gap in knowledge about this medication in a high-risk Asian population.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- apixaban
- What this could lead to
- If successful, this study could provide reassurance that apixaban is a safe and effective option for stroke prevention in frail, high-risk patients with atrial fibrillation, potentially guiding treatment decisions in this vulnerable population.
- What could go wrong
- As an observational study, it cannot prove cause and effect, and results may be influenced by confounding factors. The findings may not generalize beyond the specific Korean population studied.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
-
2,002 people
The number who actually took part.
- Started
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Aug 2019
- Finished
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May 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
A. Arm Label: prospective, multicenter, non-interventional observational study B. Arm type: no intervention
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient must be ≥19 years. 2. Patient has non-valvular atrial fibrillation necessitating the use of apixaban for stroke prevention. 3. Subjects satisfies single dose reduction criterion for apixaban; (1) age 80 years or older (2) body weight 60kg or lower (3) serum creatinine 1.5mg/dL or higher. Exclusion Criteria: 1. Patient is vulnerable (according to Korean Good Clinical Practice definition) or disagree with the study. 2. Patient had a history of clinical events, defined as primary and secondary outcomes of the study, prior to study registration after taking apixaban. 3. Patient satisfies two or more dose reduction criteria for apixaban.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Seoul National university Hostpital
Seoul, Jongno-gu, 03080, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- High-resolution Contrast-Enhanced MRI of atrial fibrillation patients prior to FIRM ablation
- Apple watch vs. medical monitor: which better detects hidden heart rhythm problems?
- Can a new ultrasound catheter give doctors a better view inside the heart?
- Can dropping one blood thinner cut bleeding without raising heart risks?
- Hidden heart rhythm problems after stroke: can longer monitoring prevent a second stroke?
- Can a blood test reveal why atrial fibrillation returns after cryoablation?