Can a blood thinner prevent strokes in brain bleed survivors?

NCT ID NCT03907046

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study compares two medicines—apixaban (a blood thinner) and aspirin—in people who have had a brain bleed (intracerebral hemorrhage) and also have an irregular heartbeat (atrial fibrillation). The goal is to see which drug better prevents future strokes or death. About 700 participants will be randomly assigned to take either apixaban or aspirin for up to several years.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Apixaban (Eliquis) and aspirin
What this could lead to
If apixaban works better than aspirin, it could become the preferred treatment to prevent strokes in people who have had a brain bleed and have atrial fibrillation.
What could go wrong
This is a large phase 3 trial, but results may not apply to all patients. Apixaban could increase the risk of another brain bleed, and the benefit over aspirin is not yet proven.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Abbott Northwestern Hospital

    RECRUITING

    Minneapolis, Minnesota, 55407, United States

  • Albany Medical Center

    RECRUITING

    Albany, New York, 12208, United States

  • Arrowhead Regional Medical Center

    RECRUITING

    Colton, California, 92324, United States

  • Ascension Sacred Heart Pensacola

    RECRUITING

    Pensacola, Florida, 32504, United States

  • Ascension St. John Medical Center

    RECRUITING

    Tulsa, Oklahoma, 74104, United States

  • Augusta University Medical Center

    RECRUITING

    Augusta, Georgia, 30912, United States

  • Avera Research Institute

    RECRUITING

    Sioux Falls, South Dakota, 57108, United States

  • Banner University Medical Center

    RECRUITING

    Tucson, Arizona, 85719, United States

  • Baptist Health Lexington

    RECRUITING

    Lexington, Kentucky, 40503, United States

  • Barnes Jewish Hospital

    RECRUITING

    St Louis, Missouri, 63110, United States

  • Baylor College of Medicine Medical Center

    WITHDRAWN

    Houston, Texas, 77030, United States

  • Baystate Medical Center

    RECRUITING

    Springfield, Massachusetts, 01199, United States

  • Beth Israel Deaconess Medical Center

    RECRUITING

    Boston, Massachusetts, 02215, United States

  • Bon Secours St. Mary's Hospital

    RECRUITING

    Richmond, Virginia, 23226, United States

  • Boston Medical Center

    RECRUITING

    Boston, Massachusetts, 02118, United States

  • Broward Health Medical Center

    RECRUITING

    Fort Lauderdale, Florida, 33316, United States

  • Buffalo General Medical Center

    ACTIVE_NOT_RECRUITING

    Buffalo, New York, 14202, United States

  • Burke Rehabilitation Center

    RECRUITING

    White Plains, New York, 10605, United States

  • Capital Health Regional Medical Center

    WITHDRAWN

    Trenton, New Jersey, 08638, United States

  • Carolinas Medical Center

    WITHDRAWN

    Charlotte, North Carolina, 28204, United States

  • Cedars-Sinai Medical Center

    RECRUITING

    Los Angeles, California, 90048, United States

  • Central DuPage Hospital

    RECRUITING

    Winfield, Illinois, 60190, United States

  • Chandler Regional Medical Center

    WITHDRAWN

    Chandler, Arizona, 85224, United States

  • Cleveland Clinic

    RECRUITING

    Cleveland, Ohio, 44195, United States

  • Cleveland Clinic Akron General

    RECRUITING

    Akron, Ohio, 44307, United States

  • Cleveland Clinic Tradition Hospital

    RECRUITING

    Port Saint Lucie, Florida, 34987, United States

  • Community Regional Medical Center of Fresno

    RECRUITING

    Fresno, California, 93720, United States

  • Cooperman Barnabas Medical Center

    RECRUITING

    Livingston, New Jersey, 07052, United States

  • Cox Medical Center South

    RECRUITING

    Springfield, Missouri, 65807, United States

  • Danbury Hospital

    SUSPENDED

    Danbury, Connecticut, 06810, United States

  • Desert Regional Medical Center

    RECRUITING

    Palm Springs, California, 92262, United States

  • Doctors Medical Center Modesto, Modesto, CA

    RECRUITING

    Modesto, California, 95350, United States

  • Duke University Hospital

    RECRUITING

    Durham, North Carolina, 27710, United States

  • ECU Health Medical Center

    RECRUITING

    Greenville, North Carolina, 27834, United States

  • Eastern Maine Medical Center

    WITHDRAWN

    Bangor, Maine, 04401, United States

  • Eden Medical Center, Castro Valley

    WITHDRAWN

    Castro Valley, California, 94546, United States

  • Emory University Hospital

    RECRUITING

    Atlanta, Georgia, 30322, United States

  • Erlanger Health System

    WITHDRAWN

    Chattanooga, Tennessee, 37403, United States

  • Evanston Hospital

    RECRUITING

    Evanston, Illinois, 60201, United States

  • Forsyth Medical Center

    RECRUITING

    Winston-Salem, North Carolina, 27103, United States

  • Fort Sanders Regional Medical Center

    RECRUITING

    Knoxville, Tennessee, 37916, United States

  • Froedtert Hospital

    WITHDRAWN

    Milwaukee, Wisconsin, 53226, United States

  • Geisinger Medical Center

    WITHDRAWN

    Danville, Pennsylvania, 17822, United States

  • George Washington University Hospital

    RECRUITING

    Washington D.C., District of Columbia, 20037, United States

  • Good Samaritan Hospital

    RECRUITING

    Cincinnati, Ohio, 45220, United States

  • Grady Memorial Hospital

    RECRUITING

    Atlanta, Georgia, 30303, United States

  • Greenville Hospital System

    RECRUITING

    Greenville, South Carolina, 29605, United States

  • Hackensack University Medical Center

    RECRUITING

    Hackensack, New Jersey, 07601, United States

  • Harborview Medical Center

    RECRUITING

    Seattle, Washington, 98104, United States

  • Hartford Hospital

    RECRUITING

    Hartford, Connecticut, 06102, United States

  • HealthPartners Methodist Hospital

    ACTIVE_NOT_RECRUITING

    Saint Louis Park, Minnesota, 55426, United States

  • Henry Ford Hospital

    WITHDRAWN

    Detroit, Michigan, 48202, United States

  • Hoag Hospital Newport Beach

    WITHDRAWN

    Newport Beach, California, 92663, United States

  • Hospital of the University of Pennsylvania

    RECRUITING

    Philadelphia, Pennsylvania, 19104, United States

  • Houston Methodist Hospital

    RECRUITING

    Houston, Texas, 77030, United States

  • Huntington Memorial Hospital

    WITHDRAWN

    Pasadena, California, 91105, United States

  • IU Health Methodist Hospital

    RECRUITING

    Indianapolis, Indiana, 46202, United States

  • Inova Fairfax Hospital

    RECRUITING

    Falls Church, Virginia, 22042, United States

  • J.W. Ruby Memorial Hospital

    RECRUITING

    Morgantown, West Virginia, 26506, United States

  • JFK Medical Center

    RECRUITING

    Edison, New Jersey, 08820, United States

  • Jackson Memorial Hospital

    RECRUITING

    Miami, Florida, 33136, United States

  • Javon Bea Hospital - Riverside

    WITHDRAWN

    Rockford, Illinois, 61114, United States

  • Jefferson Abington Hospital

    RECRUITING

    Abington, Pennsylvania, 19001, United States

  • Jersey Shore University Medical Center

    RECRUITING

    Neptune City, New Jersey, 07753, United States

  • Kaiser Permanente Fontana Medical Center

    RECRUITING

    Fontana, California, 92335, United States

  • Kaiser Permanente Los Angeles Medical Center

    RECRUITING

    Los Angeles, California, 90027, United States

  • Kaiser Permanente Redwood City Medical Center, Redwood City, CA

    RECRUITING

    Redwood City, California, 94063, United States

  • Kaiser Permanente Sacramento Medical Center

    RECRUITING

    Sacramento, California, 95825, United States

  • Kings County Hospital Center

    RECRUITING

    Brooklyn, New York, 11203, United States

  • Lahey Hospital & Medical Center

    RECRUITING

    Burlington, Massachusetts, 01805, United States

  • Lehigh Valley Hospital - Cedar Crest

    WITHDRAWN

    Allentown, Pennsylvania, 18103, United States

  • Long Beach Memorial Medical Center

    WITHDRAWN

    Long Beach, California, 90806, United States

  • Los Alamitos Medical Center

    RECRUITING

    Los Alamitos, California, 90720, United States

  • Loyola University Medical Center

    RECRUITING

    Maywood, Illinois, 60153, United States

  • M Health Fairview University of Minnesota Medical Center

    RECRUITING

    Minneapolis, Minnesota, 55455, United States

  • Maimonides Medical Center

    TERMINATED

    Brooklyn, New York, 11219, United States

  • Maine Medical Center

    RECRUITING

    Portland, Maine, 04102, United States

  • Massachusetts General Hospital

    RECRUITING

    Boston, Massachusetts, 02114, United States

  • Mayo Clinic

    TERMINATED

    Jacksonville, Florida, 32224, United States

  • McLaren Flint

    WITHDRAWN

    Flint, Michigan, 48532, United States

  • McLaren Macomb

    TERMINATED

    Mount Clemens, Michigan, 48043, United States

  • MedStar Georgetown University Hospital

    RECRUITING

    Washington D.C., District of Columbia, 20007, United States

  • MedStar Washington Hospital Center

    WITHDRAWN

    Washington D.C., District of Columbia, 20010, United States

  • Medical University of South Carolina University Hospital

    RECRUITING

    Charleston, South Carolina, 29425, United States

  • Memorial Hermann Texas Medical Center

    RECRUITING

    Houston, Texas, 77030, United States

  • Mercy Hospital Oklahoma City

    RECRUITING

    Oklahoma City, Oklahoma, 73120, United States

  • Mercy Hospital South

    RECRUITING

    St Louis, Missouri, 63128, United States

  • Mercy Hospital Springfield

    RECRUITING

    Springfield, Missouri, 65804, United States

  • Mercy Hospital St. Louis

    RECRUITING

    St Louis, Missouri, 63141, United States

  • Mercy San Juan Medical Center

    RECRUITING

    Carmichael, California, 95608, United States

  • Methodist University Hospital

    RECRUITING

    Memphis, Tennessee, 38104, United States

  • Metro Health Hospital

    WITHDRAWN

    Wyoming, Michigan, 49519, United States

  • MetroHealth Medical Center

    RECRUITING

    Cleveland, Ohio, 44109, United States

  • Montefiore Medical Center

    RECRUITING

    The Bronx, New York, 10467, United States

  • Morton Plant Hospital

    RECRUITING

    Clearwater, Florida, 33756, United States

  • Moses H. Cone Memorial Hospital

    RECRUITING

    Greensboro, North Carolina, 27401, United States

  • Mount Sinai West

    RECRUITING

    New York, New York, 10019, United States

  • Munson Medical Center

    RECRUITING

    Traverse City, Michigan, 49684, United States

  • NCH Hospital, Arlington Heights

    RECRUITING

    Arlington Heights, Illinois, 60005, United States

  • NYC Health + Hospitals/Elmhurst

    RECRUITING

    Elmhurst, New York, 11373, United States

  • NYP Columbia University Medical Center

    RECRUITING

    New York, New York, 10032, United States

  • NYP Weill Cornell Medical Center

    RECRUITING

    New York, New York, 10065, United States

  • NYU Langone Hospital - Brooklyn

    RECRUITING

    Brooklyn, New York, 11220, United States

  • New Hanover Regional Medical Center

    RECRUITING

    Wilmington, Delaware, 28403, United States

  • New Hanover Regional Medical Center

    RECRUITING

    Wilmington, North Carolina, 28403, United States

  • NewYork-Presbyterian Brooklyn Methodist Hospital

    WITHDRAWN

    Brooklyn, New York, 11215, United States

  • North Shore University Hospital

    RECRUITING

    Manhasset, New York, 11030, United States

  • OSF St. Francis Medical Center

    RECRUITING

    Peoria, Illinois, 61637, United States

  • OSU Wexner Medical Center

    RECRUITING

    Columbus, Ohio, 43210, United States

  • OU Medical Center

    RECRUITING

    Oklahoma City, Oklahoma, 73104, United States

  • Ochsner Medical Center - Main Campus

    RECRUITING

    New Orleans, Louisiana, 70121, United States

  • Oregon Health & Science University Hospital

    RECRUITING

    Portland, Oregon, 92739, United States

  • Overlook Medical Center

    RECRUITING

    Summit, New Jersey, 07901, United States

  • PIH Health Hospital - Whittier

    RECRUITING

    Whittier, California, 90602, United States

  • PeaceHealth Sacred Heart Medical Center - RiverBend

    RECRUITING

    Springfield, Oregon, 97477, United States

  • Penn State Hershey Medical Center

    RECRUITING

    Hershey, Pennsylvania, 17033, United States

  • Presbyterian Medical Center

    RECRUITING

    Charlotte, North Carolina, 28204, United States

  • Providence St. Vincent Medical Center

    RECRUITING

    Portland, Oregon, 97213, United States

  • Rancho Los Amigos National Rehabilitation Center

    SUSPENDED

    Downey, California, 90242, United States

  • Regions Hospital

    TERMINATED

    Saint Paul, Minnesota, 55101, United States

  • Rhode Island Hospital

    TERMINATED

    Providence, Rhode Island, 02903, United States

  • Riverside Methodist Hospital

    RECRUITING

    Columbus, Ohio, 43214, United States

  • Ronald Reagan UCLA Medical Center

    RECRUITING

    Los Angeles, California, 90095, United States

  • Rush University Medical Center

    RECRUITING

    Chicago, Illinois, 60612, United States

  • SUNY Upstate Medical University

    RECRUITING

    Syracuse, New York, 13210, United States

  • Saint Alphonsus Regional Medical Center - Boise

    RECRUITING

    Boise, Idaho, 83706, United States

  • San Francisco General Hospital

    RECRUITING

    San Francisco, California, 94110, United States

  • Santa Barbara Cottage Hospital

    RECRUITING

    Santa Barbara, California, 93105, United States

  • Semmes Murphey Main Campus

    RECRUITING

    Memphis, Tennessee, 38120, United States

  • St. Cloud Hospital

    RECRUITING

    Saint Cloud, Minnesota, 56303, United States

  • St. David's Medical Center

    WITHDRAWN

    Austin, Texas, 78705, United States

  • St. John Medical Center

    RECRUITING

    Tulsa, Oklahoma, 74104, United States

  • St. John's Hospital

    WITHDRAWN

    Springfield, Illinois, 62769, United States

  • St. Joseph's Hospital

    RECRUITING

    Tampa, Florida, 33607, United States

  • St. Joseph's Hospital and Medical Center

    WITHDRAWN

    Phoenix, Arizona, 85013, United States

  • St. Jude Medical Center

    RECRUITING

    Fullerton, California, 92835, United States

  • St. Mary's Medical Center

    WITHDRAWN

    Grand Junction, Colorado, 81501, United States

  • Stanford University Medical Center

    RECRUITING

    Stanford, California, 94304, United States

  • Staten Island University Hospital - North Campus

    WITHDRAWN

    Staten Island, New York, 10305, United States

  • Stony Brook University Hospital

    RECRUITING

    Stony Brook, New York, 11794, United States

  • Strong Memorial Hospital

    RECRUITING

    Rochester, New York, 14642, United States

  • Swedish Medical Center - Cherry Hill Campus

    WITHDRAWN

    Seattle, Washington, 98122, United States

  • Tampa General Hospital

    RECRUITING

    Tampa, Florida, 33606, United States

  • Temple University Hospital

    RECRUITING

    Philadelphia, Pennsylvania, 19140, United States

  • The Mount Sinai Hospital

    RECRUITING

    New York, New York, 10029, United States

  • The Queen's Medical Center

    RECRUITING

    Honolulu, Hawaii, 96813, United States

  • The University of Vermont Medical Center

    RECRUITING

    Burlington, Vermont, 05401, United States

  • Thomas Jefferson University Hospital

    WITHDRAWN

    Philadelphia, Pennsylvania, 19107, United States

  • Trinity Health Saint Mary's

    WITHDRAWN

    Grand Rapids, Michigan, 49503, United States

  • Trinity Health Saint Mary's

    RECRUITING

    Grand Rapids, Michigan, 49503, United States

  • Tufts Medical Center

    RECRUITING

    Boston, Massachusetts, 02111, United States

  • UAMS Medical Center

    WITHDRAWN

    Little Rock, Arkansas, 77205, United States

  • UC Davis Medical Center

    RECRUITING

    Sacramento, California, 95817, United States

  • UC Irvine Medical Center

    RECRUITING

    Orange, California, 92868, United States

  • UF Health Jacksonville

    RECRUITING

    Jacksonville, Florida, 32209, United States

  • UH Cleveland Medical Center

    RECRUITING

    Cleveland, Ohio, 44106, United States

  • UMass Memorial Medical Center

    RECRUITING

    Worcester, Massachusetts, 01655, United States

  • UPMC Presbyterian Hospital

    RECRUITING

    Pittsburgh, Pennsylvania, 15213, United States

  • UT Southwestern Medical Center

    WITHDRAWN

    Dallas, Texas, 75390, United States

  • UVA Medical Center

    RECRUITING

    Charlottesville, Virginia, 22908, United States

  • United Hospital, St. Paul

    WITHDRAWN

    Saint Paul, Minnesota, 55102, United States

  • University of Alabama Hospital

    RECRUITING

    Birmingham, Alabama, 35294, United States

  • University of Chicago Medical Center

    RECRUITING

    Chicago, Illinois, 60637, United States

  • University of Cincinnati Medical Center

    RECRUITING

    Cincinnati, Ohio, 45219, United States

  • University of Colorado Hospital

    RECRUITING

    Aurora, Colorado, 80045, United States

  • University of Illinois Hospital

    RECRUITING

    Chicago, Illinois, 60612, United States

  • University of Iowa Medical Center

    RECRUITING

    Iowa City, Iowa, 52242, United States

  • University of Kansas Hospital

    RECRUITING

    Kansas City, Kansas, 66160, United States

  • University of Kentucky Hospital

    RECRUITING

    Lexington, Kentucky, 40536, United States

  • University of Louisville Hospital

    RECRUITING

    Louisville, Kentucky, 40202, United States

  • University of Michigan University Hospital

    WITHDRAWN

    Ann Arbor, Michigan, 48109, United States

  • University of Mississippi Medical Center

    WITHDRAWN

    Jackson, Mississippi, 39216, United States

  • University of Missouri Health Care

    RECRUITING

    Columbia, Missouri, 65212, United States

  • University of Nebraska Medical Center

    RECRUITING

    Omaha, Nebraska, 68105, United States

  • University of New Mexico Hospital

    SUSPENDED

    Albuquerque, New Mexico, 87106, United States

  • University of North Carolina Medical Center

    RECRUITING

    Chapel Hill, North Carolina, 27514, United States

  • University of South Alabama University Hospital

    RECRUITING

    Mobile, Alabama, 36604, United States

  • University of Texas Health Science Center San Antonio

    RECRUITING

    San Antonio, Texas, 78229, United States

  • University of Utah Healthcare

    RECRUITING

    Salt Lake City, Utah, 84112, United States

  • VCU Medical Center

    SUSPENDED

    Richmond, Virginia, 23298, United States

  • Vanderbilt University Hospital

    RECRUITING

    Nashville, Tennessee, 37232, United States

  • Vassar Brothers Medical Center

    TERMINATED

    Poughkeepsie, New York, 12601, United States

  • Virginia Mason Medical Center

    WITHDRAWN

    Seattle, Washington, 98101, United States

  • Wake Forest Baptist Medical Center

    RECRUITING

    Winston-Salem, North Carolina, 27157, United States

  • WellStar Kennestone Hospital

    RECRUITING

    Marietta, Georgia, 30060, United States

  • Westchester Medical Center

    RECRUITING

    Valhalla, New York, 10595, United States

  • Yale New Haven Hospital

    RECRUITING

    New Haven, Connecticut, 06511, United States

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