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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT01830543




Registration number
NCT01830543
Ethics application status
Date submitted
19/03/2013
Date registered
12/04/2013
Date last updated
19/09/2017

Titles & IDs
Public title
A Study Exploring Two Strategies of Rivaroxaban (JNJ39039039; BAY-59-7939) and One of Oral Vitamin K Antagonist in Patients With Atrial Fibrillation Who Undergo Percutaneous Coronary Intervention
Scientific title
An Open-label, Randomized, Controlled, Multicenter Study Exploring Two Treatment Strategies of Rivaroxaban and a Dose-Adjusted Oral Vitamin K Antagonist Treatment Strategy in Subjects With Atrial Fibrillation Who Undergo Percutaneous Coronary Intervention
Secondary ID [1] 0 0
RIVAROXAFL3003
Secondary ID [2] 0 0
CR100758
Universal Trial Number (UTN)
Trial acronym
PIONEER AF-PCI
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Atrial Fibrillation 0 0
Percutaneous Coronary Intervention 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Other cardiovascular diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - rivaroxaban 2.5 mg
Treatment: Drugs - rivaroxaban 15 mg
Treatment: Drugs - rivaroxaban 10 mg
Treatment: Drugs - aspirin (ASA)
Treatment: Drugs - vitamin K antagonist (VKA)
Treatment: Drugs - clopidogrel
Treatment: Drugs - prasugrel
Treatment: Drugs - ticagrelor

Experimental: rivaroxaban 2.5 mg twice daily - rivaroxaban 2.5 mg tablet twice daily plus low-dose aspirin (ASA) 75 to 100 mg once daily and clopidogrel 75 mg tablet once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) followed by rivaroxaban 15 mg tablet (or 10 mg for subjects with moderate renal impairment) once daily plus low-dose ASA for 12 months

Experimental: vitamin K antagonist (VKA) - dose-adjusted vitamin K antagonist (VKA) once daily (target International Normalized Ratio (INR) 2.0 to 3.0) plus low-dose ASA, 75 to 100 mg per day, and clopidogrel 75 mg once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) followed by dose-adjusted VKA once daily (target INR 2.0 to 3.0 or 2.0 to 2.5 at the investigator discretion) plus low-dose ASA for 12 months

Experimental: rivaroxaban 15 mg once daily - rivaroxaban 15 mg (or 10 mg for subjects with moderate renal impairment) once daily plus clopidogrel 75 mg tablet once daily (or prasugrel 10 mg tablet once daily or ticagrelor 90 mg tablet twice daily) for 12 months


Treatment: Drugs: rivaroxaban 2.5 mg
One 2.5 mg tablet twice daily for up to twelve months

Treatment: Drugs: rivaroxaban 15 mg
One 15 mg tablet once daily for up to twelve months

Treatment: Drugs: rivaroxaban 10 mg
One 10 mg tablet once daily for up to twelve months

Treatment: Drugs: aspirin (ASA)
Low-dose aspirin tablet once daily for twelve months

Treatment: Drugs: vitamin K antagonist (VKA)
Dose-adjusted VKA tablet (target International Normalized Ratio (INR) 2.0 to 3.0) once daily for twelve months

Treatment: Drugs: clopidogrel
One 75 mg tablet once daily for up to twelve months

Treatment: Drugs: prasugrel
One 10 mg tablet once daily for up to twelve months

Treatment: Drugs: ticagrelor
One 90 mg tablet twice daily for up to twelve months

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants With Clinically Significant Bleeding
Timepoint [1] 0 0
Up to Month 12
Secondary outcome [1] 0 0
Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding
Timepoint [1] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [2] 0 0
Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Minor Bleeding
Timepoint [2] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [3] 0 0
Percentage of Participants With Bleeding Requiring Medical Attention (BRMA)
Timepoint [3] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [4] 0 0
Percentage of Participants With Composite of Adverse Cardiovascular Events (Cardiovascular Death, Myocardial Infarction (MI) and Stroke)
Timepoint [4] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [5] 0 0
Percentage of Participants With Cardiovascular Death
Timepoint [5] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [6] 0 0
Percentage of Participants With Myocardial Infarction
Timepoint [6] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [7] 0 0
Percentage of Participants With Stroke
Timepoint [7] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12
Secondary outcome [8] 0 0
Percentage of Participants With Stent Thrombosis
Timepoint [8] 0 0
Up to Month 12 and end of DAPT-Month 1, 6 and 12

Eligibility
Key inclusion criteria
* Have a documented medical history of paroxysmal, persistent, or permanent non-valvular atrial fibrillation (AF)
* Have undergone percutaneous coronary intervention (PCI) procedure (with stent placement) for primary atherosclerotic disease
* Must have an international normalized ratio (INR) of 2.5 or below to be randomized
* Women must be postmenopausal before entry or practicing a highly effective method of birth control when heterosexually active
* Be willing and able to adhere to the prohibitions and restrictions specified in the study protocol
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Have any condition that contraindicates anticoagulant or antiplatelet therapy or would have an unacceptable risk of bleeding, such as, but not limited to: platelet count <90,000/microliter at screening, history of intracranial hemorrhage, 12 month history of clinically significant gastrointestinal bleeding, non-VKA induced elevated prothrombin time (PT) at screening
* Have anemia of unknown cause with a hemoglobin level <10 g/dL (<6.21 mmol/L)
* Have a history of stroke or Transient Ischemic Attack (TIA)
* Have a calculated Creatinine Clearance (CrCl) <30 mL/min at screening
* Have known significant liver disease or liver function test (LFT) abnormalities
* Have any severe condition that would limit life expectancy to less than 12 months

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
- Chermside N/A
Recruitment hospital [2] 0 0
- Epping
Recruitment hospital [3] 0 0
- Hobart
Recruitment hospital [4] 0 0
- Kogarah
Recruitment hospital [5] 0 0
- Liverpool
Recruitment hospital [6] 0 0
- New Lambton
Recruitment hospital [7] 0 0
- Wollongong
Recruitment postcode(s) [1] 0 0
- Chermside N/A
Recruitment postcode(s) [2] 0 0
- Epping
Recruitment postcode(s) [3] 0 0
- Hobart
Recruitment postcode(s) [4] 0 0
- Kogarah
Recruitment postcode(s) [5] 0 0
- Liverpool
Recruitment postcode(s) [6] 0 0
- New Lambton
Recruitment postcode(s) [7] 0 0
- Wollongong
Recruitment outside Australia
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Alabama
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Illinois
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Indiana
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Louisiana
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Maine
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Maryland
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Michigan
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Missouri
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Utah
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Washington
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Wisconsin
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Resistencia
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Rosario
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Santa Fe
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Vicente Lopez
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Liège
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Concepcion
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Kladno
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Litomysl
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Olomouc
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Czechia
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Plzen
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Praha 10 N/A
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Czechia
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Czechia
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Praha
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Slany
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Aalborg
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Copenhagen
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Esbjerg
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Herlev
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Herning
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Hvidovre
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Koege
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Naestved
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Odense
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Roskilde
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Svendborg N/A
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Denmark
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Vejle
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Besancon Cedex Franche-Comté
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France
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Caen Cedex 9
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France
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Centres
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France
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Chartres
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France
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France
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Marseille Cedex 05
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France
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Montfermeil
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France
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Nantes Cedex 1
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France
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Nimes
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France
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Paris 75
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France
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Paris
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France
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Pau
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France
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Pessac
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France
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Poitiers
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France
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Toulouse
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Germany
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Bad Friedrichshall
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Germany
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Bad Nauheim
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Germany
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Berlin
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Germany
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Dresden
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Germany
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Esslingen
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Germany
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Frankfurt Am Main
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Germany
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Freiburg
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Germany
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Greifswald
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Germany
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Göttingen
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Hamburg
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Heidelberg
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Köln
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Limburg
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Mannheim
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Germany
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Ulm
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Germany
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Witten
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Korea, Republic of
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Busan
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Daejeon
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Kajang
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Leon
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Queretaro
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Delft
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Den Bosch
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Gorinchem
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Leiden
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Maastricht
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Nieuwegein
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Sneek
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Netherlands
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Uden
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Bedzin
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Bielsko-Biala
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Gdynia
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Katowice
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Krakow
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Lodz
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Mielec
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Nowy Targ
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Ostrowiec Swietokrzyski
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Poland
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Oswiecim
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Plock
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Rzeszow Poland
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Starachowice
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Starogard Gdanski
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Szczecin
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Torun
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Tychy
Country [201] 0 0
Poland
State/province [201] 0 0
Ustron
Country [202] 0 0
Poland
State/province [202] 0 0
Warszawa
Country [203] 0 0
Poland
State/province [203] 0 0
Zamosc
Country [204] 0 0
Romania
State/province [204] 0 0
Bucharest
Country [205] 0 0
Romania
State/province [205] 0 0
Bucuresti
Country [206] 0 0
Romania
State/province [206] 0 0
Cluj Napoca
Country [207] 0 0
Romania
State/province [207] 0 0
Targu-Mures
Country [208] 0 0
Romania
State/province [208] 0 0
Tg Mures
Country [209] 0 0
Russian Federation
State/province [209] 0 0
Arkhangelsk
Country [210] 0 0
Russian Federation
State/province [210] 0 0
Barnaul
Country [211] 0 0
Russian Federation
State/province [211] 0 0
Chita
Country [212] 0 0
Russian Federation
State/province [212] 0 0
Ekaterinburg
Country [213] 0 0
Russian Federation
State/province [213] 0 0
Kemerovo
Country [214] 0 0
Russian Federation
State/province [214] 0 0
Krasnodar
Country [215] 0 0
Russian Federation
State/province [215] 0 0
Krasnoyarsk
Country [216] 0 0
Russian Federation
State/province [216] 0 0
Moscow
Country [217] 0 0
Russian Federation
State/province [217] 0 0
Nizhny Novgorod
Country [218] 0 0
Russian Federation
State/province [218] 0 0
Perm
Country [219] 0 0
Russian Federation
State/province [219] 0 0
Rostov On Don
Country [220] 0 0
Russian Federation
State/province [220] 0 0
Samara
Country [221] 0 0
Russian Federation
State/province [221] 0 0
Saratov
Country [222] 0 0
Russian Federation
State/province [222] 0 0
St. Petersburg
Country [223] 0 0
Russian Federation
State/province [223] 0 0
Syktyvkar
Country [224] 0 0
Russian Federation
State/province [224] 0 0
Tumen
Country [225] 0 0
Russian Federation
State/province [225] 0 0
Tyumen
Country [226] 0 0
South Africa
State/province [226] 0 0
Cape Town
Country [227] 0 0
South Africa
State/province [227] 0 0
Centurion
Country [228] 0 0
South Africa
State/province [228] 0 0
Linksfield West, Johannesburg
Country [229] 0 0
South Africa
State/province [229] 0 0
Somerset West
Country [230] 0 0
Sweden
State/province [230] 0 0
Falun
Country [231] 0 0
Sweden
State/province [231] 0 0
Göteborg
Country [232] 0 0
Sweden
State/province [232] 0 0
Jönköping
Country [233] 0 0
Sweden
State/province [233] 0 0
Lund
Country [234] 0 0
Sweden
State/province [234] 0 0
Malmö
Country [235] 0 0
Sweden
State/province [235] 0 0
Stockholm N/A
Country [236] 0 0
Sweden
State/province [236] 0 0
Stockholm
Country [237] 0 0
Sweden
State/province [237] 0 0
Umeå
Country [238] 0 0
Sweden
State/province [238] 0 0
Örebro
Country [239] 0 0
Taiwan
State/province [239] 0 0
Kaohsiung
Country [240] 0 0
Taiwan
State/province [240] 0 0
Taichung
Country [241] 0 0
Taiwan
State/province [241] 0 0
Tainan
Country [242] 0 0
Taiwan
State/province [242] 0 0
Taipei
Country [243] 0 0
Taiwan
State/province [243] 0 0
Taoyuan
Country [244] 0 0
Turkey
State/province [244] 0 0
Ankara
Country [245] 0 0
Turkey
State/province [245] 0 0
Antalya
Country [246] 0 0
Turkey
State/province [246] 0 0
Bursa
Country [247] 0 0
Turkey
State/province [247] 0 0
Gaziantep
Country [248] 0 0
Turkey
State/province [248] 0 0
Istanbul Nap
Country [249] 0 0
Turkey
State/province [249] 0 0
Istanbul
Country [250] 0 0
Turkey
State/province [250] 0 0
Izmir
Country [251] 0 0
Turkey
State/province [251] 0 0
Kayseri
Country [252] 0 0
Turkey
State/province [252] 0 0
Sivas
Country [253] 0 0
Ukraine
State/province [253] 0 0
Cherkassy
Country [254] 0 0
Ukraine
State/province [254] 0 0
Dnepropetrovsk
Country [255] 0 0
Ukraine
State/province [255] 0 0
Ivano-Frankivsk
Country [256] 0 0
Ukraine
State/province [256] 0 0
Kharkiv
Country [257] 0 0
Ukraine
State/province [257] 0 0
Kharkov
Country [258] 0 0
Ukraine
State/province [258] 0 0
Khemelnitskiy
Country [259] 0 0
Ukraine
State/province [259] 0 0
Kyiv
Country [260] 0 0
Ukraine
State/province [260] 0 0
Lviv
Country [261] 0 0
Ukraine
State/province [261] 0 0
Odessa
Country [262] 0 0
Ukraine
State/province [262] 0 0
Rivne
Country [263] 0 0
Ukraine
State/province [263] 0 0
Uzhgorod
Country [264] 0 0
Ukraine
State/province [264] 0 0
Zaporizhzhya
Country [265] 0 0
United Kingdom
State/province [265] 0 0
Bath
Country [266] 0 0
United Kingdom
State/province [266] 0 0
Birmingham
Country [267] 0 0
United Kingdom
State/province [267] 0 0
Blackburn
Country [268] 0 0
United Kingdom
State/province [268] 0 0
Bradford
Country [269] 0 0
United Kingdom
State/province [269] 0 0
Clydebank
Country [270] 0 0
United Kingdom
State/province [270] 0 0
Cottingham
Country [271] 0 0
United Kingdom
State/province [271] 0 0
Coventry
Country [272] 0 0
United Kingdom
State/province [272] 0 0
Dorchester
Country [273] 0 0
United Kingdom
State/province [273] 0 0
Dundee
Country [274] 0 0
United Kingdom
State/province [274] 0 0
Edinburgh
Country [275] 0 0
United Kingdom
State/province [275] 0 0
Exeter
Country [276] 0 0
United Kingdom
State/province [276] 0 0
Hampshire
Country [277] 0 0
United Kingdom
State/province [277] 0 0
Harrow
Country [278] 0 0
United Kingdom
State/province [278] 0 0
High Wycombe
Country [279] 0 0
United Kingdom
State/province [279] 0 0
London
Country [280] 0 0
United Kingdom
State/province [280] 0 0
Middlesbrough N/A
Country [281] 0 0
United Kingdom
State/province [281] 0 0
Norwich
Country [282] 0 0
United Kingdom
State/province [282] 0 0
Nottingham
Country [283] 0 0
United Kingdom
State/province [283] 0 0
Plymouth
Country [284] 0 0
United Kingdom
State/province [284] 0 0
Portsmouth
Country [285] 0 0
United Kingdom
State/province [285] 0 0
Torquay
Country [286] 0 0
United Kingdom
State/province [286] 0 0
Truro
Country [287] 0 0
United Kingdom
State/province [287] 0 0
Worcester

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Janssen Scientific Affairs, LLC
Address
Country
Other collaborator category [1] 0 0
Commercial sector/industry
Name [1] 0 0
Bayer
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Janssen Scientific Affairs, LLC Clinical Trial
Address 0 0
Janssen Scientific Affairs, LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

No information has been provided regarding IPD availability


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.