A Study of Milvexian Versus Apixaban in Participants With Atrial Fibrillation

Recruiting

Trial ID: NCT05757869

Purpose

The purpose of this study is to evaluate if milvexian is at least as effective as apixaban for reducing the risk of the composite stroke and non-central nervous system (CNS) systemic embolism.

Official Title

A Phase 3, Randomized, Double-Blind, Double-Dummy, Parallel Group, Active-Controlled Study to Evaluate the Efficacy and Safety of Milvexian, an Oral Factor XIa Inhibitor, Versus Apixaban in Participants With Atrial Fibrillation

Stanford Investigator(s)

Eligibility


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 any type of stroke including symptomatic stroke of any kind. 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

Intervention(s):

drug: Milvexian

drug: Apixaban

drug: Placebo

drug: Apixaban Placebo

Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305