Blood thinner levels under microscope to prevent clots and bleeding
NCT ID NCT07654634
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This observational study tracks 5,000 people taking common blood thinners (like rivaroxaban or apixaban) or antiplatelet drugs (like aspirin). Researchers regularly measure drug levels in the blood to see how they relate to clots or bleeding events. The goal is to find the best dose range for each person and build a model to predict outcomes, improving personalized treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors personalize blood thinner doses to prevent clots and bleeding more effectively.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly test a new drug or cure. Results may not lead to immediate changes in care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 5,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- 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
The study enrolls two distinct patient populations: Thrombotic Disease Patients (4,000 subjects): Age ≥ 8 years Diagnosed with one of the following conditions requiring long-term anticoagulation: Non-valvular atrial fibrillation (CHA₂DS₂-VA score ≥ 1) Venous thromboembolism (deep vein thrombosis or pulmonary embolism) Other indications for NOACs in thrombotic disease prevention/treatment Currently receiving NOAC therapy (rivaroxaban, apixaban, dabigatran, or edoxaban) Willing and able to comply with study protocol and follow-up schedule Signed informed consent Ischemic Stroke Patients (1,000 subjects): Age ≥ 18 years Assessed as high bleeding risk within 72 hours after symptom onset First-time treatment with indobufen after hospital admission Willing and able to comply with study protocol and follow-up schedule Signed informed consent
- Ages
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8 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Age ≥ 8 years old; * Diagnosed with one of the following diseases and in need of long - term anticoagulant therapy: non - valvular atrial fibrillation (CHA₂DS₂ - VA score ≥ 1); venous thromboembolism (deep vein thrombosis or pulmonary embolism); having other indications for using NOACs to prevent and treat thrombotic diseases; * Currently receiving NOAC treatment (rivaroxaban, apixaban, dabigatran etexilate, edoxaban); * Willing and able to comply with the requirements of the research protocol and the follow - up plan; * Signed the informed consent form. * Age ≥ 18 years old; * Assessed as patients at high risk of bleeding within 72 hours after the onset of symptoms; * Receiving indobufen treatment for the first time after admission; * Willing and able to comply with the requirements of the research protocol and the follow - up plan; * Signed the informed consent form. Exclusion criteria: * Having contraindications to the use of NOACs or being allergic to NOACs; * Having been enrolled in other clinical trials. * Being allergic to or having contraindications to indobufen; * Needing to change antithrombotic drugs or combine with other antiplatelet/anticoagulant therapies (such as clopidogrel, ticagrelor, warfarin, heparin, etc.) during the study; * Cardiogenic stroke or stroke induced by angioplasty/vascular surgery; * Having a history of aneurysm (intracranial or peripheral); * Severe abnormal liver and kidney functions; * Pregnant, lactating women or women of childbearing age who are unwilling to take effective contraceptive measures; * Life expectancy \< 1 year; * Mental or emotional disorders preventing cooperation with follow - up; * Participating in other clinical trials within 30 days before enrollment; * Unable to complete blood concentration detection (such as difficulty in establishing venous access).
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Xiangya Third Hospital of Central South University
Changsha, Hunan, 410000, China
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Other studies related to the condition(s) this trial covers.
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