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A Study Evaluating Safety and Tolerability of YM150 Compared to Warfarin in Subjects With Atrial Fibrillation (OPAL-2)

Primary Purpose

Atrial Fibrillation

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
YM150
Warfarin
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Atrial Fibrillation focused on measuring Nonvalvular Atrial Fibrillation (NVAF), Factor Xa Inhibitor, Stroke, Thromboembolism, Transient Ischemic attack, Anticoagulants, Prevention, YM150, Warfarin

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject with paroxysmal, permanent or persistent Nonvalvular Atrial Fibrillation (NVAF)
  • Subject has prothrombin time international normalized ratio (INR) of 2.0 or below at the baseline visit

Exclusion Criteria:

  • Subject has current or recent (within 12 months prior to screening) history of stroke and/or systemic embolism (including TIA)
  • Subject has active bleeding or any condition associated with increased risk of bleeding
  • Subject has NVAF secondary to other reversible disorders (e.g. thyrotoxicosis)
  • Subject has an indication for warfarin other than AF (including planned cardioversion)
  • Subject has had a diagnosis of Acute Coronary Syndrome (ACS), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA) within previous 3 months of screening
  • Subject has a diagnosis of left ventricular aneurysm or atrial myxoma
  • Subject requires use of prohibited previous and concomitant medication (i.e., thrombolytics [such as tissue Plasminogen Activator (tPA), streptokinase], antiplatelet agents [such as cilostazol, clopidogrel, ticlopidine, dipyridamole], anticoagulants [such as vitamin K antagonists, heparin, unfractionated or low molecular weight heparin, fondaparinux, thrombin inhibitors] and chronic use of nonsteroidal anti-inflammatory drugs [NSAIDs] or acetylsalicylic acid use of >100 mg/day). (see Section 5.1.3 and Appendix 1 for details)
  • Subject has active infective endocarditis
  • Subject is planned for invasive procedures with potential for bleeding
  • Subject has participated in another clinical trial of an investigational drug (including placebo) or device within 30 days (or the limit set by national law, whichever is longer) of signing informed consent for the present study
  • Subject has participated in any YM150 clinical trials

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

1. YM150, Dose W, twice daily

2. YM150, Dose X, once daily

3. YM150, Dose X, twice daily

4. YM150, Dose Y once daily

5. YM150, Dose Y twice daily

6. YM150, Dose Z, once daily

7. Warfarin

Arm Description

Outcomes

Primary Outcome Measures

Incidence of major and clinically relevant non-major bleeding events

Secondary Outcome Measures

Composite and individual incidences of ischemic strokes, TIAs, systemic thrombolic events, ACS, all deaths
Incidence of bleeding events
Assessment of other safety variables
Assessment of PK/PD variables
Patient Reported Outcomes

Full Information

First Posted
July 1, 2009
Last Updated
January 18, 2011
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00938730
Brief Title
A Study Evaluating Safety and Tolerability of YM150 Compared to Warfarin in Subjects With Atrial Fibrillation
Acronym
OPAL-2
Official Title
A Phase 2, Double-Blind, Double-Dummy, Randomized, Parallel Group Dose Finding Study To Investigate the Safety and Tolerability of YM150 in Subjects With Non-Valvular Atrial Fibrillation and to Compare the Safety and Tolerability With Warfarin
Study Type
Interventional

2. Study Status

Record Verification Date
January 2011
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
September 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to investigate the optimal daily dose and dose regimen of YM150 in subjects with non-valvular atrial fibrillation (NVAF), primarily based on safety and tolerability data.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Fibrillation
Keywords
Nonvalvular Atrial Fibrillation (NVAF), Factor Xa Inhibitor, Stroke, Thromboembolism, Transient Ischemic attack, Anticoagulants, Prevention, YM150, Warfarin

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1280 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1. YM150, Dose W, twice daily
Arm Type
Experimental
Arm Title
2. YM150, Dose X, once daily
Arm Type
Experimental
Arm Title
3. YM150, Dose X, twice daily
Arm Type
Experimental
Arm Title
4. YM150, Dose Y once daily
Arm Type
Experimental
Arm Title
5. YM150, Dose Y twice daily
Arm Type
Experimental
Arm Title
6. YM150, Dose Z, once daily
Arm Type
Experimental
Arm Title
7. Warfarin
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
YM150
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
Warfarin
Intervention Description
oral
Primary Outcome Measure Information:
Title
Incidence of major and clinically relevant non-major bleeding events
Time Frame
Double-blind treatment period (variable, up to 16 months)
Secondary Outcome Measure Information:
Title
Composite and individual incidences of ischemic strokes, TIAs, systemic thrombolic events, ACS, all deaths
Time Frame
Double-blind treatment period (variable, up to 16 months)
Title
Incidence of bleeding events
Time Frame
Double-blind treatment period (variable, up to 16 months)
Title
Assessment of other safety variables
Time Frame
Double blind treatment period (variable, up to 16 months)
Title
Assessment of PK/PD variables
Time Frame
Double-blind treatment period (up to week 12)
Title
Patient Reported Outcomes
Time Frame
Double-blind treatment period (up to week 24)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject with paroxysmal, permanent or persistent Nonvalvular Atrial Fibrillation (NVAF) Subject has prothrombin time international normalized ratio (INR) of 2.0 or below at the baseline visit Exclusion Criteria: Subject has current or recent (within 12 months prior to screening) history of stroke and/or systemic embolism (including TIA) Subject has active bleeding or any condition associated with increased risk of bleeding Subject has NVAF secondary to other reversible disorders (e.g. thyrotoxicosis) Subject has an indication for warfarin other than AF (including planned cardioversion) Subject has had a diagnosis of Acute Coronary Syndrome (ACS), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA) within previous 3 months of screening Subject has a diagnosis of left ventricular aneurysm or atrial myxoma Subject requires use of prohibited previous and concomitant medication (i.e., thrombolytics [such as tissue Plasminogen Activator (tPA), streptokinase], antiplatelet agents [such as cilostazol, clopidogrel, ticlopidine, dipyridamole], anticoagulants [such as vitamin K antagonists, heparin, unfractionated or low molecular weight heparin, fondaparinux, thrombin inhibitors] and chronic use of nonsteroidal anti-inflammatory drugs [NSAIDs] or acetylsalicylic acid use of >100 mg/day). (see Section 5.1.3 and Appendix 1 for details) Subject has active infective endocarditis Subject is planned for invasive procedures with potential for bleeding Subject has participated in another clinical trial of an investigational drug (including placebo) or device within 30 days (or the limit set by national law, whichever is longer) of signing informed consent for the present study Subject has participated in any YM150 clinical trials
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Use Central Contact
Organizational Affiliation
Astellas Pharma Europe B.V.
Official's Role
Study Chair
Facility Information:
City
Auchenflower
ZIP/Postal Code
4066
Country
Australia
City
Caboolture
ZIP/Postal Code
4510
Country
Australia
City
Kippa Ring
ZIP/Postal Code
4021
Country
Australia
City
Victoria
ZIP/Postal Code
3181
Country
Australia
City
Wien
ZIP/Postal Code
1100
Country
Austria
City
Wien
ZIP/Postal Code
1160
Country
Austria
City
Dimitrovgrad
ZIP/Postal Code
6400
Country
Bulgaria
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1202
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1309
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1505
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
City
Besenov
ZIP/Postal Code
25630
Country
Czech Republic
City
Havirov-mesto
ZIP/Postal Code
73601
Country
Czech Republic
City
Prague
ZIP/Postal Code
13
Country
Czech Republic
City
Tabor
ZIP/Postal Code
2000
Country
Czech Republic
City
Usti Nad Labem
ZIP/Postal Code
40113
Country
Czech Republic
City
Narva
ZIP/Postal Code
20307
Country
Estonia
City
Tallinn
ZIP/Postal Code
10138
Country
Estonia
City
Tallinn
ZIP/Postal Code
10617
Country
Estonia
City
Tartu
ZIP/Postal Code
51014
Country
Estonia
City
Paris
ZIP/Postal Code
75015
Country
France
City
Bad Nauheim
ZIP/Postal Code
61231
Country
Germany
City
Berlin
ZIP/Postal Code
10115
Country
Germany
City
Berlin
ZIP/Postal Code
10117
Country
Germany
City
Berlin
ZIP/Postal Code
10367
Country
Germany
City
Darmstadt
ZIP/Postal Code
64283
Country
Germany
City
Dresden
ZIP/Postal Code
1307
Country
Germany
City
Hagen
ZIP/Postal Code
58099
Country
Germany
City
Kassel
ZIP/Postal Code
34121
Country
Germany
City
Mainz
ZIP/Postal Code
55116
Country
Germany
City
Mannheim
ZIP/Postal Code
68169
Country
Germany
City
Markkleeberg
ZIP/Postal Code
04416
Country
Germany
City
Balatonfured
ZIP/Postal Code
H-8230
Country
Hungary
City
Budapest
ZIP/Postal Code
H-1134
Country
Hungary
City
Debrecen
ZIP/Postal Code
H-4030
Country
Hungary
City
Mosonmagyarovar
ZIP/Postal Code
H-9200
Country
Hungary
City
Nyiregyhaza
ZIP/Postal Code
H-4400
Country
Hungary
City
Szekesfehervar
ZIP/Postal Code
H-8000
Country
Hungary
City
Ahmedabad
ZIP/Postal Code
380054
Country
India
City
Bangalore
ZIP/Postal Code
560034
Country
India
City
Bangalore
ZIP/Postal Code
560052
Country
India
City
Bangalore
ZIP/Postal Code
560053
Country
India
City
Hyderabaad
ZIP/Postal Code
500036
Country
India
City
Kolkatta
ZIP/Postal Code
700054
Country
India
City
Madurai
ZIP/Postal Code
625107
Country
India
City
Nagpur
ZIP/Postal Code
440012
Country
India
City
Nashik
ZIP/Postal Code
42202
Country
India
City
Nellore
ZIP/Postal Code
524003
Country
India
City
Pune
ZIP/Postal Code
411001
Country
India
City
Pune
ZIP/Postal Code
411004
Country
India
City
Nahariya
ZIP/Postal Code
22100
Country
Israel
City
Nazareth
ZIP/Postal Code
16100
Country
Israel
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
City
Asahikawa
ZIP/Postal Code
078-8214
Country
Japan
City
Atsugi
ZIP/Postal Code
243-8550
Country
Japan
City
Bunkyo-ku
ZIP/Postal Code
113-8603
Country
Japan
City
Daito
ZIP/Postal Code
574-0074
Country
Japan
City
Fujisawa
ZIP/Postal Code
251-8550
Country
Japan
City
Funabashi
ZIP/Postal Code
274-8503
Country
Japan
City
Hachioji
ZIP/Postal Code
193-0098
Country
Japan
City
Higashiibaraki-gun
ZIP/Postal Code
311 3193
Country
Japan
City
Hiroshima
Country
Japan
City
Kanazawa
ZIP/Postal Code
920 8650
Country
Japan
City
Kasaoka
ZIP/Postal Code
714-0043
Country
Japan
City
Kishiwada
ZIP/Postal Code
596-8522
Country
Japan
City
Kitamoto
ZIP/Postal Code
364-8501
Country
Japan
City
Kiyose
ZIP/Postal Code
204 8585
Country
Japan
City
Kobe
ZIP/Postal Code
651-1145
Country
Japan
City
Meguro-ku
ZIP/Postal Code
153-8515
Country
Japan
City
Morioka
ZIP/Postal Code
020-8505
Country
Japan
City
Nankoku
ZIP/Postal Code
783-8509
Country
Japan
City
Sapporo
ZIP/Postal Code
060-0011
Country
Japan
City
Sapporo
ZIP/Postal Code
063 0005
Country
Japan
City
Sendai
ZIP/Postal Code
983 8520
Country
Japan
City
Shimajiri-gun
ZIP/Postal Code
901-0496
Country
Japan
City
Shinjyuku-ku
ZIP/Postal Code
162-8543
Country
Japan
City
Shizuoka
ZIP/Postal Code
421-0117
Country
Japan
City
Toyama
ZIP/Postal Code
939-8511
Country
Japan
City
Wako
ZIP/Postal Code
351 0102
Country
Japan
City
Yokohama
ZIP/Postal Code
227-0046
Country
Japan
City
Busan
ZIP/Postal Code
603-175
Country
Korea, Republic of
City
Gwangju
ZIP/Postal Code
501-757
Country
Korea, Republic of
City
In Cheon
ZIP/Postal Code
405-760
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
120-752
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
158-710
Country
Korea, Republic of
City
Kuala Lumpur
ZIP/Postal Code
50586
Country
Malaysia
City
Selangor Darul Ehsan
ZIP/Postal Code
47500
Country
Malaysia
City
AD Delft
ZIP/Postal Code
2625
Country
Netherlands
City
AE Roosendaal
ZIP/Postal Code
4708
Country
Netherlands
City
BC Amsterdam
ZIP/Postal Code
1091
Country
Netherlands
City
Iloilo
ZIP/Postal Code
5000
Country
Philippines
City
Bytom
ZIP/Postal Code
41-902
Country
Poland
City
Gdynia
ZIP/Postal Code
81-423
Country
Poland
City
Gdynia
ZIP/Postal Code
81-472
Country
Poland
City
Katowice
ZIP/Postal Code
40-635
Country
Poland
City
Kielce
ZIP/Postal Code
25-735
Country
Poland
City
Krakow
ZIP/Postal Code
30-082
Country
Poland
City
Lodz
ZIP/Postal Code
91-425
Country
Poland
City
Lublin
ZIP/Postal Code
20-954
Country
Poland
City
Torun
ZIP/Postal Code
87-100
Country
Poland
City
Warsaw
ZIP/Postal Code
00-909
Country
Poland
City
Warsaw
ZIP/Postal Code
02-057
Country
Poland
City
Warsaw
ZIP/Postal Code
02-097
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-981
Country
Poland
City
Arkhangelsk
ZIP/Postal Code
163045
Country
Russian Federation
City
Chelyabinsk
ZIP/Postal Code
454021
Country
Russian Federation
City
Moscow
ZIP/Postal Code
101990
Country
Russian Federation
City
Moscow
ZIP/Postal Code
117485
Country
Russian Federation
City
Novosibirsk
ZIP/Postal Code
630008
Country
Russian Federation
City
Novosibirsk
ZIP/Postal Code
630012
Country
Russian Federation
City
Novosibirsk
ZIP/Postal Code
630117
Country
Russian Federation
City
Omsk
ZIP/Postal Code
644046
Country
Russian Federation
City
Saratov
ZIP/Postal Code
410028
Country
Russian Federation
City
Smolensk
ZIP/Postal Code
214018
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
194156
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
199106
Country
Russian Federation
City
Tomsk
ZIP/Postal Code
643063
Country
Russian Federation
City
Tula
ZIP/Postal Code
300035
Country
Russian Federation
City
Tyumen
ZIP/Postal Code
625026
Country
Russian Federation
City
Bardejov
ZIP/Postal Code
08501
Country
Slovakia
City
Dolny Kubin
ZIP/Postal Code
02601
Country
Slovakia
City
Komarno
ZIP/Postal Code
94501
Country
Slovakia
City
Kosice
ZIP/Postal Code
04022
Country
Slovakia
City
Liptovsky Hradok
ZIP/Postal Code
03301
Country
Slovakia
City
Martin
ZIP/Postal Code
03601
Country
Slovakia
City
Bellville
ZIP/Postal Code
7530
Country
South Africa
City
Benoni
ZIP/Postal Code
1500
Country
South Africa
City
Centurion
ZIP/Postal Code
0157
Country
South Africa
City
Chatsworth
ZIP/Postal Code
4092
Country
South Africa
City
Moreletta Park
ZIP/Postal Code
0044
Country
South Africa
City
Somerset West
ZIP/Postal Code
7130
Country
South Africa
City
Tongaat
ZIP/Postal Code
4400
Country
South Africa
City
Umhlanga
ZIP/Postal Code
4320
Country
South Africa
City
Worcester
ZIP/Postal Code
6850
Country
South Africa
City
Murcia
ZIP/Postal Code
30008
Country
Spain
City
Sevilla
ZIP/Postal Code
41009
Country
Spain
City
Viladecans
ZIP/Postal Code
08840
Country
Spain
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
City
Chiang Mai
ZIP/Postal Code
50200
Country
Thailand
City
Cherkassy
ZIP/Postal Code
18009
Country
Ukraine
City
Donetsk
ZIP/Postal Code
83114
Country
Ukraine
City
Ivano Frankivsk
ZIP/Postal Code
76075
Country
Ukraine
City
Kharkiv
ZIP/Postal Code
61002
Country
Ukraine
City
Kharkiv
ZIP/Postal Code
61018
Country
Ukraine
City
Kharkiv
ZIP/Postal Code
61037
Country
Ukraine
City
Kharkiv
ZIP/Postal Code
61039
Country
Ukraine
City
Kharkiv
ZIP/Postal Code
61178
Country
Ukraine
City
Kyiv
ZIP/Postal Code
02038
Country
Ukraine
City
Kyiv
ZIP/Postal Code
02660
Country
Ukraine
City
Kyiv
ZIP/Postal Code
03680
Country
Ukraine
City
Kyiv
ZIP/Postal Code
3680
Country
Ukraine
City
Kyiv
ZIP/Postal Code
4050
Country
Ukraine
City
Lutsk
ZIP/Postal Code
43024
Country
Ukraine
City
Lviv
ZIP/Postal Code
79013
Country
Ukraine
City
Odessa
ZIP/Postal Code
65059
Country
Ukraine
City
Ternopil
ZIP/Postal Code
46002
Country
Ukraine
City
Vinnytsya
ZIP/Postal Code
21005
Country
Ukraine
City
Zaporizhzhya
ZIP/Postal Code
69118
Country
Ukraine
City
Addlestone
ZIP/Postal Code
KT 15 2BH
Country
United Kingdom
City
Bath
ZIP/Postal Code
BA2 3HT
Country
United Kingdom
City
Birmingham
ZIP/Postal Code
B18 7QH
Country
United Kingdom
City
Dundee
ZIP/Postal Code
DD1 9SY
Country
United Kingdom
City
East Horsley
ZIP/Postal Code
KT24 6QT
Country
United Kingdom
City
London
ZIP/Postal Code
SE5 8AF
Country
United Kingdom
City
Soham
ZIP/Postal Code
CB7 5JD
Country
United Kingdom
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study Evaluating Safety and Tolerability of YM150 Compared to Warfarin in Subjects With Atrial Fibrillation

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