Comparison of Anti-Thrombotic Treatments Between Aspirin and Warfarin During Initial Six Months After Bioprosthetic Heart Valve Replacement
Recruiting
Phase 4Interventional Study
Valve Replacement Surgery
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
19 and older
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
1,058 (estimated)
Sponsor
Asan Medical Center · Other
Who this trial is looking for
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This trial is a multinational, multicenter, randomized, open-label, active-controlled clinical trial comparing the safety of aspirin versus vitamin K antagonists (warfarin) as oral antithrombotic therapy during the initial 6 months following tissue valve replacement (aortic or mitral).
Trial Locations
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Status
Eligibility Criteria
Inclusion Criteria:
1. Aged ≥ 19 years with successful surgical bioprosthetic valve replacement
2. Bioprosthetic heart valve in aortic or mitral valve positions, for a day postoperatively
3. The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides in…
Inclusion Criteria:
1. Aged ≥ 19 years with successful surgical bioprosthetic valve replacement
2. Bioprosthetic heart valve in aortic or mitral valve positions, for a day postoperatively
3. The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.
Exclusion Criteria:
1. Mechanical valve in any heart valve position
2. Previous hemorrhagic stroke within the last 3 months
3. Clinically overt stroke within the last 3 months
4. Current need for anticoagulation (i.e. atrial fibrillation, deep vein thrombosis)
5. Unstable postoperative conditions at index point (i.e. requirement mechanical hemodynamic support, disabling complications, stroke \[ischemic, embolic\], hemorrhagic stroke)
6. Hypersensitivity to the main component or constituents of aspirin or vitamin K antagonist
7. Pregnant or lactating women
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