ConductScience.org, home

Trial · NCT02943785

Edoxaban Compared to Standard Care After Heart Valve Replacement Using a Catheter in Patients With Atrial Fibrillation (ENVISAGE-TAVI AF)

NCT02943785, Phase 3, Completed, Daiichi Sankyo; results first posted 2022-03-24

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. Edoxaban Compared to Standard Care After Heart Valve Replacement Using a Catheter in Patients With Atrial Fibrillation (ENVISAGE-TAVI AF). Trials, record NCT02943785. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02943785

On this page

Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Edoxaban Compared to Standard Care After Heart Valve Replacement Using a Catheter in Patients With Atrial Fibrillation (ENVISAGE-TAVI AF)
NCT number
NCT02943785
Status
Completed
Phases
Phase 3
Enrollment
1,426 participants, actual
Lead sponsor
Daiichi Sankyo
Conditions
Atrial Fibrillation
Interventions
Edoxaban-based Regimen, VKA-based Regimen
First posted
2016-10-25
Last updated
2022-03-24
Other registries' IDs
eudract:2016-003930-26
Results first posted
2022-03-24

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-dose
The composite endpoint net adverse clinical events (NACE) included all-cause death, myocardial infarction (MI), ischemic stroke, systemic embolic events (SEE), valve thrombosis, and major bleeding per definition of the International Society on Thrombosis and Haemostasis (ISTH\].
PrimaryNumber of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-dose
ISTH Bleeding Criteria for Major Bleeding are defined as clinically overt bleeding that is associated with: a fall in hemoglobin of 2 g/dL (1.24 mmol/L) or more, or a transfusion of 2 or more units of whole blood or packed red blood cells, or symptomatic bleeding into a critical site or organ such as intracranial, intraspinal, intraocular, retroperitoneal, pericardial, intra-articular, or intramuscular with compartment syndrome, or a fatal outcome.
SecondaryNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-dose
The composite endpoint of net adverse event clinical events (NACE) included all-cause death, myocardial infarction (MI), ischemic stroke, systemic embolic events (SEE), valve thrombosis, and major bleeding based on Thrombolysis in Myocardial Infarction (TIMI) criteria. Bleeding by TIMI criteria was defined as the following: (1) Major, any intracranial hemorrhage or any clinically overt bleeding, (including bleeding evident in imaging studies) associated with a fall of hemoglobin (Hb) of ≥ 5g/dL or fatal bleeding and (2) Minor, any clinically overt bleeding associated with a fall in Hb ≥ 3g/dL but \< 5 g/dL.
SecondaryNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on BARC Type 3 or 5 Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-dose
The composite endpoint of net adverse event clinical events (NACE) included all-cause death, MI, ischemic stroke, SEE, valve thrombosis, and major bleeding based on Bleeding Academic Research Consortium (BARC) Type 3 or 5 criteria. Major bleeding by BARC criteria was defined as Type 3: clinical, laboratory, and/or imaging evidence of bleeding with provider responses; Type 3a: any transfusion with overt bleeding; overt bleeding plus Hb drop of 3 to \< 5 g/dL; Type 3b: overt bleeding plus Hb drop ≥ 5 g/dL; cardiac tamponade; bleeding requiring surgical intervention; bleeding requiring intravenous vasoactive drugs; Type 3c: intracranial hemorrhage; subcategories confirmed by autopsy, imaging, or lumbar puncture; intraocular bleed compromising vision; Type 5: fatal bleeding; Type 5a: probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious; Type 5b: definite fatal bleeding; overt bleeding or autopsy or imaging confirmation
SecondaryNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on GUSTO Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-dose
The composite endpoint of net adverse event clinical events (NACE) included all-cause death, MI, ischemic stroke, SEE, valve thrombosis, and major bleeding based on Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries (GUSTO). GUSTO criteria was defined as the following: severe or life threatening: intracerebral hemorrhage or resulting in substantial hemodynamic compromise requiring treatment and moderate: requiring blood transfusion but not resulting in hemodynamic compromise.
SecondaryNumber of Participants Who Experienced Major Adverse Cardiac Events (MACE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseMajor adverse cardiac events (MACE) is defined as the composite of all-cause death (excluding adjudicated non-cardiac death), MI, or repeat coronary revascularization of the target lesion.
SecondaryNumber of Participants Who Experienced Major Adverse Cardiac and Cerebrovascular Events (MACCE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-dose
Major adverse cardiac and cerebrovascular events (MACCE) is defined as the composite of all-cause death (excluding adjudicated non-cardiac death), MI, stroke (ischemic, hemorrhagic, or undetermined), or repeat coronary revascularization of the target lesion
SecondaryNumber of Participants Who Experienced a Composite of Adverse Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseA composite of clinical adverse events included cardiovascular death, MI ischemic stroke, SEE, valve thrombosis, and major bleeding as defined by ISTH criteria.
SecondaryNumber of Participants Who Experienced Stroke Events (Ischemic, Hemorrhagic, Undetermined) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseStroke events are categorized as any stroke, fatal stroke, and non-fatal stroke.
SecondaryNumber of Participants Who Experienced Systemic Embolic Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-dose
Systemic thromboembolism \[non-central nervous system\] is defined as abrupt vascular insufficiency of an extremity or organ associated with clinical or radiological evidence of arterial occlusion in the absence of other likely mechanisms, (e.g., trauma, atherosclerosis, instrumentation).

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-doseNet adverse clinical events were assessed in the Intent-to-Treat (ITT) Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-doseBleeding events were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-doseNet adverse clinical events were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on BARC Type 3 or 5 Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-doseNet adverse clinical events were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on GUSTO Criteria in Participants Taking Edoxaban vs VKABaseline through study completion, up to 36 months post-doseNet adverse clinical events were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Major Adverse Cardiac Events (MACE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseMACE were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Major Adverse Cardiac and Cerebrovascular Events (MACCE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseMACE were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced a Composite of Adverse Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseA composite of adverse events was assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Stroke Events (Ischemic, Hemorrhagic, Undetermined) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseStroke events were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Experienced Systemic Embolic Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Baseline through study completion, up to 36 months post-doseSystemic embolic events (SEE) were assessed in the ITT Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group34

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKAEdoxaban170Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKAVitamin K Antagonist (VKA)157Participants
Number of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKAEdoxaban98Participants
Number of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKAVitamin K Antagonist (VKA)68Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKAEdoxabanComposite endpoint NACE (TIMI)154Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKAVitamin K Antagonist (VKA)Composite endpoint NACE (TIMI)141Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKAEdoxabanComposite of major and minor bleeding (TIMI)72Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on TIMI Criteria in Participants Taking Edoxaban vs VKAVitamin K Antagonist (VKA)Composite of major and minor bleeding (TIMI)42Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on BARC Type 3 or 5 Criteria in Participants Taking Edoxaban vs VKAEdoxabanComposite endpoint NACE (BARC Type 3 or 5)164Participants
Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on BARC Type 3 or 5 Criteria in Participants Taking Edoxaban vs VKAVitamin K Antagonist (VKA)Composite endpoint NACE (BARC Type 3 or 5)151Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEdoxaban713
Overall StudySTARTEDVitamin K Antagonist (VKA)713
Overall StudyCOMPLETEDEdoxaban431
Overall StudyCOMPLETEDVitamin K Antagonist (VKA)350
Overall StudyNOT COMPLETEDEdoxaban282
Overall StudyNOT COMPLETEDVitamin K Antagonist (VKA)363

Adverse events1,054

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUrinary tract infectionInfections and infestationsEdoxaban63693
otherUrinary tract infectionInfections and infestationsVitamin K Antagonist (VKA)45684
otherPneumoniaInfections and infestationsEdoxaban45693
otherPneumoniaInfections and infestationsVitamin K Antagonist (VKA)43684
otherAnaemiaBlood and lymphatic system disordersEdoxaban62693
otherAnaemiaBlood and lymphatic system disordersVitamin K Antagonist (VKA)40684
otherDizzinessNervous system disordersEdoxaban47693
otherDizzinessNervous system disordersVitamin K Antagonist (VKA)33684
otherCardiac failureCardiac disordersEdoxaban78693
otherCardiac failureCardiac disordersVitamin K Antagonist (VKA)85684

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEdoxaban83693
Total, all-cause mortalityVitamin K Antagonist (VKA)78684
Total, other adverse eventsEdoxaban522693
Total, other adverse eventsVitamin K Antagonist (VKA)429684
Total, serious adverse eventsEdoxaban388693
Total, serious adverse eventsVitamin K Antagonist (VKA)372684

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30172099DERIVEDPubMed
34274293DERIVEDPubMed
34449183DERIVEDPubMed
40371611DERIVEDPubMed
41263742DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons10

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Major Bleeding (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKATrial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Myocardial Infarctions (MI) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Major Adverse Cardiac Events (MACE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Major Adverse Cardiac and Cerebrovascular Events (MACCE) in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Systemic Embolic Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Valve Thrombosis in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced Net Adverse Clinical Events (Adjudicated Data) Based on ISTH Criteria in Participants Taking Edoxaban vs VKATrial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): deaths from any causeTrial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): Number of Participants Who Experienced a Composite of Adverse Events in Participants Taking Edoxaban vs VKA (Adjudicated Data)Trial comparisons
Edoxaban vs Vitamin K Antagonist (VKA): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02943785

GET https://conductscience.org/api/trials/v1/NCT02943785/results?page=2