Ireland
--:--IST
Active, not recruiting Not applicable

ABC-Scores for Reduction of Stroke and Mortality in Atrial Fibrillation - The ABC-AF Study

NCT03753490 · tracked via the Priya Life Science Sweden tracker
Phase
Not applicable
Started
2018-10-25
Last updated
2025-09-03

Condition(s) studied

Atrial Fibrillation

Investigational drug(s) / intervention(s)

ABC score guided therapyStandard care

ABC score guided therapy: In the ABC arm, individual treatment recommendations based on the ABC-scores for stroke and bleeding including non-vitamin K oral anticoagulant or no anticoagulant treatment, and other drugs and interventions, to improve stroke free survival.

Standard care: In the standard care arm, management according to local practice, national and international guidelines, including the potential use of traditional clinical risk scores for stroke and/or bleeding, anticoagulant treatment and other treatments and interventions.

Study summary

The primary study objective is to evaluate if personalized treatment by decision support, based on the biomarker-based risk prediction (ABC-scores) guided strategy, reduces the occurrence of the composite outcome of stroke or death in patients with atrial fibrillation. Approximately 6500 patients will be randomized 1:1 to ABC risk score guided therapy or standard care.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion criteria: 1. Patients with diagnosis of atrial fibrillation, including newly diagnosed, with or without current oral anticoagulant treatment 2. Signed informed consent Exclusion criteria: 1. Contraindication for any oral anticoagulant, according to the SmPC (in Sweden FASS) 2. Indication for oral anticoagulant treatment beyond atrial fibrillation, e.g. venous thromboembolism and/or mechanical heart valve prosthesis 3. Currently on treatment with a non-vitamin K antagonist oral anticoagulant (NOAC) and not eligible for change of NOAC drug e.g. drug-drug interactions 4. Concomitant dual antiplatelet treatment 5. Acute coronary syndrome (myocardial infarction or unstable angina) within the last 30 days 6. Participation in anti-thrombotic pharmaceutical trial 7. Planned for AF ablation or AF surgery 8. Haemoglobin \<90 g/L 9. Patients who, in the opinion of the investigator, cannot or will not comply with the requirements of the protocol

Primary outcome measure(s)

  • Composite of Stroke or Death — From the date of enrolment through study completion, minimum follow-up 2 years.

Trial sites (1)

FacilityCityRegionStatus
Uppsala University Hospital Uppsala Sweden
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT03753490 on ClinicalTrials.gov ↗ ← All trials in Sweden