A multicenter, international, randomized, active comparator-controlled, double-blind, doubledummy,parallel-group, 2-arm, Phase 3 study to compare the efficacy and safety of the oralFXIa inhibitor asundexian (BAY 2433334) with apixaban for the prevention of stroke orsystemic embolism in male and female participants aged 18 years and older with atrialfibrillation at risk for stroke

R
Rolf Kreutz, MD

Primary Investigator

Not Recruiting
18 years - 100 years
All
Phase 3
10 participants needed
1 Location

Brief description of study

To demonstrate that asundexian is superior (at least non-inferior) when compared with
apixaban for prevention of stroke and systemic embolism in participants with atrial fibrillation at risk for stroke

To demonstrate that asundexian is superior to apixaban as assessed by ISTH major bleeding in participants with atrial fibrillation at risk for stroke

To demonstrate that asundexian is superior to apixaban with respect to benefit and risk

Detailed description of study

Participants will be randomized to 1 of the 2 arms
as follows:
 1 investigational study intervention arm (asundexian) or
 1 active comparator arm (apixaban)

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: atrial fibulation
  • Age: 18 years - 100 years
  • Gender: All

Patients will be eligible for the study based on their CHA2DS2-VASc risk score, among other
criteria. With a score of ≥ 3 if male or ≥ 4 if female, patients can get enrolled straight into the
study. Patients with a CHA2DS2-VASc score of 2 if male or 3 if female can participate in the
study by meeting at least one of the following enrichment criteria in addition:
 age ≥ 70
 previous stroke, transient ischemic attack, or systemic embolism
 renal dysfunction with eGFR < 50 ml/min within 14 days prior to randomization
 prior episode of non-traumatic major bleeding
 current single agent antiplatelet therapy planned to continue for at least 6 months after
randomization
 ≤ 6 consecutive weeks of treatment with oral anticoagulant prior to randomization

Updated on 01 Aug 2024. Study ID: ECRO-BAYER-OCEANIC-AF, 19876

Interested in the study?

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