A Study of Milvexian Versus Apixaban in Participants With Atrial Fibrillation (LIBREXIA-AF)
Atrial Fibrillation
About this trial
This is an interventional treatment trial for Atrial Fibrillation
Eligibility Criteria
Inclusion Criteria: Minimum age of 18 years Medically stable and appropriate for chronic antithrombotic treatment Atrial fibrillation eligible to receive anticoagulation Participant must satisfy one or both of the following categories of risk factors (a or b): a) one or more of the following risk factors: i) age greater than or equal to 75 years, ii) history of a clinical symptomatic stroke. b) two or more of the following risk factors: i) age between 65 and 74 years, ii) hypertension, iii) diabetes mellitus, iv) atherosclerotic vascular disease, v) heart failure Exclusion Criteria: Hemodynamically significant valve disease or those with valve disease that will potentially require surgical valve replacement during the study Any condition other than AF that requires chronic anticoagulation
Sites / Locations
- Advanced Cardiovascular, LLCRecruiting
- Ascension St. Vincent's Health SystemRecruiting
- SEC Clinical ResearchRecruiting
- CB Flock Research CorporationRecruiting
- Mercy Gilbert Medical CenterRecruiting
- Valleywise Health Medical CenterRecruiting
- Arizona Heart HospitalRecruiting
- Arkansas Heart HospitalRecruiting
- Vitality Clinical ResearchRecruiting
- Chula Vista Cardiac ClinicRecruiting
- Sharp Chula Vista Medical CenterRecruiting
- Mission Cardiovascular Research InstituteRecruiting
- Los Angeles Cardiology AssociatesRecruiting
- Radin Cardiovascular Medical GroupRecruiting
- California Medical Research Associates, Inc.Recruiting
- Valley Clinical Trials, Inc.Recruiting
- Desert Oasis Health CareRecruiting
- Havana Research Institute LLCRecruiting
- San Diego Cardiac CenterRecruiting
- Syrentis Clinical ResearchRecruiting
- Ramin Manshadi, MDRecruiting
- Cardiology Associates Medical GroupRecruiting
- North County Internal MedicineRecruiting
- Aurora Denver Cardiology AssociatesRecruiting
- Paradigm Clinical Research Centers, Inc.Recruiting
- Western Connecticut Health Network/Danbury HospitalRecruiting
- Cardiology Associates of Fairfield CountyRecruiting
- PriMed Physicians, A Member of NE Medical GroupRecruiting
- Cardiology PhysiciansRecruiting
- Orlando Heart SpecialistsRecruiting
- Bay Area Cardiology Associates, P.A. - Brandon OfficeRecruiting
- Clearwater Cardiovascular ConsultantsRecruiting
- Cardiology ConsultantsRecruiting
- Cardiology Associates Research CompanyRecruiting
- Accel Research SitesRecruiting
- The Cardiac & Vascular Institute Research FoundationRecruiting
- East Coast Institute for ResearchRecruiting
- Clearwater Cardiovascular ConsultantsRecruiting
- Miami Clinical ResearchRecruiting
- Reliant Medical ResearchRecruiting
- Suncoast Research Associates, LLCRecruiting
- Suncoast Clinical ResearchRecruiting
- Central Florida Medical AssociatesRecruiting
- Cardiology Partners Clinical Research InstituteRecruiting
- Cardiology ConsultantsRecruiting
- Charlotte Heart Group Research CenterRecruiting
- Coastal Cardiology ConsultantsRecruiting
- Heart and Vascular Institute of FloridaRecruiting
- Cardiovascular Center of SarasotaRecruiting
- Adtremed IncRecruiting
- Helping Hands Health Center dba Helping Hands Evolution ResearchRecruiting
- Cardiology Partners Clinical Research InstituteRecruiting
- Columbus Regional Research InstituteRecruiting
- Atlanta Heart SpecialistsRecruiting
- Northeast Georgia Heart CenterRecruiting
- Cardiology Consultants of South Georgia IncRecruiting
- Kootenai Medical CenterRecruiting
- Clinical Investigation SpecialistsRecruiting
- Chicago Medical Research, LLCRecruiting
- Midwest Cardiovascular InstituteRecruiting
- Methodist Medical Center of IllinoisRecruiting
- Bloomington HospitalRecruiting
- St. Vincent Medical Group, Inc.Recruiting
- Owensboro Medical PracticeRecruiting
- Cambridge Medical TrialsRecruiting
- Grace Research, LLC - Bossier CityRecruiting
- Medical Research SpecialistsRecruiting
- Cardiovascular Institute of the SouthRecruiting
- Louisiana State University Health Sciences CenterRecruiting
- Pierremont CardiologyRecruiting
- Luminis Health Anne Arundel Medical CenterRecruiting
- Shady Grove OfficeRecruiting
- Tidal Health Peninsula Regional Inc.Recruiting
- Sparrow Clinical Research InstituteRecruiting
- Michigan Heart & Vascular InstituteRecruiting
- Revival Research Institute, LLCRecruiting
- Oakland Medical ResearchRecruiting
- HealthPartners InstituteRecruiting
- Olive Branch Family Medical CenterRecruiting
- The Curators of the University of Missouri on behalf of University of Missouri Health CareRecruiting
- St. Louis Heart and VascularRecruiting
- Advanced Heart Care, LLCRecruiting
- Cardiac Care & Vascular Medicine, PLLCRecruiting
- Jamaica Hospital Medical CenterRecruiting
- Laurelton Heart Specialist, PCRecruiting
- Crystal Run Healthcare LLPRecruiting
- Weill Cornell Medical CollegeRecruiting
- Guilford Neurologic AssociatesRecruiting
- Pinehurst Medical Clinic IncRecruiting
- Sanford CardiologyRecruiting
- Wilmington Health AssociatesRecruiting
- Dayton Heart CenterRecruiting
- Advanced Medical ResearchRecruiting
- Ascension Medical Group - St. John Clinic Infectious DiseaseRecruiting
- Oklahoma Heart HospitalRecruiting
- South Oklahoma Heart ResearchRecruiting
- Capital Area ResearchRecruiting
- Donald Guthrie FoundationRecruiting
- Cardiology Consultants of PhiladelphiaRecruiting
- AnMed HealthRecruiting
- Internal Medicine Associates of AndersonRecruiting
- St. Francis Physician Services, Inc, DBA Upstate Cardiology ResearchRecruiting
- Black Hills Cardiovascular ResearchRecruiting
- Jackson ClinicRecruiting
- Jackson Madison County General HospitalRecruiting
- Holston Medical GroupRecruiting
- East Tennessee Heart ConsultantsRecruiting
- Saint Thomas HealthRecruiting
- Cardiovascular AssociatesRecruiting
- PharmaTex ResearchRecruiting
- Amarillo Heart Clinical Research InstituteRecruiting
- Texas Health DallasRecruiting
- East Texas Cardiology, PARecruiting
- Primecare Medical GroupRecruiting
- Novel Research LLCRecruiting
- West Houston Area Clinical Trial Consultants LLCRecruiting
- Texas Cardiology Research CenterRecruiting
- Odessa Heart InstituteRecruiting
- Sun Research InstituteRecruiting
- Southwest Medical ClinicRecruiting
- Northwest Houston Clinical ResearchRecruiting
- Alpine Research OrganizationRecruiting
- Burke Internal Medicine and ResearchRecruiting
- Roanoke Heart Institute PLCRecruiting
- Universal Research Group, LLCRecruiting
- Wausau HospitalRecruiting
- Allegiance Reserach Specialists, LLCRecruiting
- GenesisCare Joondalup-Shenton HouseRecruiting
- NovatrialsRecruiting
- GenesisCareRecruiting
- Brisbane Health ConnectRecruiting
- AZ Delta VZWRecruiting
- Medical Centre Asklepii OODRecruiting
- Multiprofile Hospital for Active Treatment - HaskovoRecruiting
- Medical center Rodopimed EOODRecruiting
- Medical Center Medconsult-PlevenRecruiting
- UMHAT 'Heart and Brain Center for Excellence'Recruiting
- MC Rusemed ltdRecruiting
- Medical Center Unimed EoodRecruiting
- Multiprofile Hospital For Active Treatment National Cardiology Hospital, EadRecruiting
- Medical Center -Medika PlusRecruiting
- Fraser Clinical Trials Inc.Recruiting
- Surrey Memorial HospitalRecruiting
- Brampton Research AssocRecruiting
- Dr. Saul Vizel Cardiac Research OfficeRecruiting
- One Heart CareRecruiting
- Dr. James ChaRecruiting
- Kawartha Cardiology Clinical TrialsRecruiting
- CPS ResearchRecruiting
- ViaCar Recherche Clinique IncRecruiting
- Sociedad Medica Cardiologica El LlanoRecruiting
- HUMANITAS spol. s r.o.Recruiting
- MEDICUS SERVICES s.r.o.Recruiting
- Ordinace pro choroby srdce s.r.o.Recruiting
- Lunacor s.r.o. - Ambulance kardiologie Centrum pro choroby srdce a cevRecruiting
- Kardio Interna s.r.o.Recruiting
- MUDr. Gregar s.r.o.Recruiting
- Cerebrovaskularni poradna s.r.o.Recruiting
- Nemocnice Na FrantiskuRecruiting
- Centrum klinickeho vyzkumuRecruiting
- Interni ambulanceRecruiting
- Interni ambulance Dr.Stanislav ZemekRecruiting
- Aarhus University HospitalRecruiting
- Amager HospitalRecruiting
- Gentofte Herlev HospitalRecruiting
- Herning Regional HospitalRecruiting
- Hvidovre HospitalRecruiting
- Dr. Arvo Rosenthal LLCRecruiting
- Hôpital Bichat - Claude BernardRecruiting
- Klinikum Altenburger Land GmbHRecruiting
- Augentagesklinik Spreebogen Berlin GbRRecruiting
- Medizinisches Versorgungszentrum (MVZ) DachauRecruiting
- GemeinschaftspraxisRecruiting
- Praxis-Dr. Frank MenzelRecruiting
- FAZ Dresden-Neustadt GbRRecruiting
- Hausärztlich-Kardiologisches MVZ Am Felsenkeller GmbHRecruiting
- Gemeinschaftspraxis Dres. Hagemann und BreiderhoffRecruiting
- Medizentrum Essen BorbeckRecruiting
- StudienzentrumRecruiting
- ClinPhenomics GmbH Co KG Studienzentrum FrankfurtRecruiting
- ClinPhenomics GmbH Co KG Studienzentrum FrankfurtRecruiting
- Praxis Dr. Cornelia SchieweRecruiting
- Katholisches Klinikum Mainz; Innere Medizin I- KardiologieRecruiting
- GP Dr. Haggenmiller PD Dr. Michael JeserichRecruiting
- Kardiologische PraxisRecruiting
- Stadtkrankenhaus WormsRecruiting
- Lausmed Egeszsegugyi es Szolg. Kft.Recruiting
- DRC Gyogyszervizsgalo Kozpont KftRecruiting
- Med-Tima KftRecruiting
- Uno Medical Trials Ltd.Recruiting
- Belinus Orvosi es Szamtech. Bt.Recruiting
- Debreceni EgyetemRecruiting
- BKS Research KftRecruiting
- TaNaMed Kft.Recruiting
- Borbanya Praxis Eu. Kft.Recruiting
- Dr. Nagy Laszlo Kardiologiai MaganrendelesRecruiting
- Coromed-Smo KftRecruiting
- Vita Verum Medical Egeszsegugyi Szolgaltato Bt.Recruiting
- Obudai Egeszsegugyi Centrum Kft.Recruiting
- Ospedale San Donato - ASL 8 ArezzoRecruiting
- Ospedale ManzoniRecruiting
- Istituto Clinico HumanitasRecruiting
- Kasugai Municipal HospitalRecruiting
- Saiseikai Futsukaichi HospitalRecruiting
- Steel Memorial Yawata HospitalRecruiting
- Nakamura Cardiovascular ClinicRecruiting
- Tokushukai Chiba Tokushukai HospitalRecruiting
- Gifu Prefectural General Medical CenterRecruiting
- National Hospital Organization Mito Medical CenterRecruiting
- Tomakomai City HospitalRecruiting
- National Hospital Organization Kanazawa Medical CenterRecruiting
- Public Central Hospital of Matto IshikawaRecruiting
- Fukuoka Tokushukai HospitalRecruiting
- Sekishinkai Second Kawasaki Saiwai ClinicRecruiting
- Kokura Memorial HospitalRecruiting
- Omi Medical CenterRecruiting
- Miyazaki Medical Association HospitalRecruiting
- Saiseikai Narashino HospitalRecruiting
- SAKURABASHi WATANABE HOSPITALRecruiting
- Kosekai Iwatsuki-minami HospitalRecruiting
- Matsuda HospitalRecruiting
- Miyanomori Memorial HospitalRecruiting
- Tokyo Medical University HospitalRecruiting
- Kenshinkai Minamino Cardiovascular HospitalRecruiting
- Uwajima City HospitalRecruiting
- Yokohama Rosai HospitalRecruiting
- Klinikiniai sprendimai JSCRecruiting
- Saules Seimos Medicinos Centras, JSCRecruiting
- Klaipeda Seamen's Hospital, Public InstitutionRecruiting
- Inlita, JSCRecruiting
- Deventer ZiekenhuisRecruiting
- Slingeland ZiekenhuisRecruiting
- Ziekenhuis Gelderse ValleiRecruiting
- Alrijne Ziekenhuis Leiden ; CardiologyRecruiting
- Ikazia ZiekenhuisRecruiting
- Auckland City HospitalRecruiting
- Waikato HospitalRecruiting
- Hawkes Bay HospitalRecruiting
- M2M Badania KliniczneRecruiting
- Poradnia Kardiologiczna Jaroslaw JurowieckiRecruiting
- Private Practice - Dr. Krzysztof CymermanRecruiting
- Silmedic sp. z o.oRecruiting
- B.Miklaszewicz&D.Dabrowski CARDIMED Spolka JawnaRecruiting
- Indywidualna Specjalistyczna Praktyka LekarskaRecruiting
- ETG LublinRecruiting
- Medicome Sp. Z O.O.Recruiting
- ETG SiedlceRecruiting
- ETG WarszawaRecruiting
- ETG ZamoscRecruiting
- Centro Hospitalar Cova da Beira, EPE - Hospital Pêro da CovilhãRecruiting
- Centro Hospitalar de Entre o Douro e Vouga, E.P.ERecruiting
- Centrul Medical Unirea SRLRecruiting
- Centrul Medical de Diagnostic si Tratament Ambulator NEOMEDRecruiting
- S.C Delta Health Care S.R.LRecruiting
- Cabinet Medical Cardiologie Cojocariu Titel RazvanRecruiting
- Alian s.r.o.Recruiting
- Kardio 1 S.R.O.Recruiting
- Kardiologicka ambulancia MEDI M&M s.r.o.Recruiting
- Cardioinvest s.r.o.Recruiting
- Medispol s.r.o Interna a kardiologicka ambulanciaRecruiting
- Interna SK s.r.o.Recruiting
- Johese Clinical ResearchRecruiting
- Garda, RARecruiting
- DJW ResearchRecruiting
- Into ResearchRecruiting
- Dr J.M. Engelbrecht Trial SiteRecruiting
- Helderberg Research InstituteRecruiting
- Mediclinic Victoria HospitalRecruiting
- Clinical Projects Research SA (PTY) LTDRecruiting
- Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
- E-DA HospitalRecruiting
- Far Eastern Memorial HospitalRecruiting
- Taipei Veterans General HospitalRecruiting
- National Taiwan University HospitalRecruiting
- Tri-Service General HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Milvexian
Apixaban
Participant will receive milvexian and placebo that matches apixaban beginning on Day 1 through end of treatment (EOT). Participants after the EOT visit may have an option to receive open-label apixaban at the appropriate dose, for which the sponsor provides a 30-day supply.
Participants will receive a placebo that matches milvexian and a capsule containing apixaban. Participants after the EOT visit may have an option to receive open-label apixaban at the appropriate dose, for which the sponsor provides a 30-day supply.