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Trial · NCT03795298

Comparison of Anticoagulation With Left Atrial Appendage Closure After AF Ablation

NCT03795298, Not applicable, Completed, Boston Scientific Corporation; results first posted 2025-09-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Comparison of Anticoagulation With Left Atrial Appendage Closure After AF Ablation. Trials, record NCT03795298. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03795298

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Trial

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

Title
Comparison of Anticoagulation With Left Atrial Appendage Closure After AF Ablation
NCT number
NCT03795298
Status
Completed
Phases
Not applicable
Enrollment
1,600 participants, actual
Lead sponsor
Boston Scientific Corporation
Conditions
Atrial Fibrillation
Interventions
WATCHMAN FLX Implant, Market-approved OAC
First posted
2019-01-07
Last updated
2025-09-18
Results first posted
2025-09-18
Limitations and caveats
The study had several exclusion criteria and results may not be applicable to the excluded populations. Pulsed field ablation was not available at the time of the trial. Although type of ablation technology used is unlikely to affect antithrombotic strategy, any unique considerations for this ablation method could not be investigated in the present study.

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryPrimary Effectiveness Endpoint: Stroke, All Cause Death, and Systemic EmbolismFrom randomization to 1095 days post randomizationOccurrence of stroke (including ischemic and/or hemorrhagic), all cause death, and systemic embolism events adjudicated by an Independent Clinical Event Committee
PrimaryPrimary Safety Endpoint: Non-procedural BleedingNon-procedural events are those occurring after 3 days, calculated from implant or attempted implant date for Device patients and from date of randomization for Control patientsOccurrence of non-procedural bleeding (ISTH major bleeding and clinically relevant non-major bleeding) events adjudicated by an Independent Clinical Event Committee
SecondaryISTH Major BleedingFrom randomization to 1095 days post randomizationOccurence of ISTH major bleeding (including procedural bleeding) events adjudicated by an Independent Clinical Event Committee

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPrimary Effectiveness Endpoint: Stroke, All Cause Death, and Systemic EmbolismFrom randomization to 1095 days post randomization
The primary analysis for the primary effectiveness endpoint was performed on an intent-to-treat basis, with all randomized subjects analyzed as part of their randomized group regardless of the actual treatment received.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPrimary Safety Endpoint: Non-procedural BleedingNon-procedural events are those occurring after 3 days, calculated from implant or attempted implant date for Device patients and from date of randomization for Control patients
The primary analysis for the primary safety endpoint was performed on an intent-to-treat basis, with all randomized subjects analyzed as part of their randomized group regardless of the actual treatment received
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYISTH Major BleedingFrom randomization to 1095 days post randomization
The primary analysis for the secondary endpoint was performed on an intent-to-treat basis, with all randomized subjects analyzed as part of their randomized group regardless of the actual treatment received
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group6

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

OutcomeGroupCategoryValueSpreadUnits
Primary Effectiveness Endpoint: Stroke, All Cause Death, and Systemic EmbolismOral Anticoagulant (Control)44Participants
Primary Effectiveness Endpoint: Stroke, All Cause Death, and Systemic EmbolismWATCHMAN FLX DEVICE41Participants
Primary Safety Endpoint: Non-procedural BleedingOral Anticoagulant (Control)137Participants
Primary Safety Endpoint: Non-procedural BleedingWATCHMAN FLX DEVICE65Participants
ISTH Major BleedingOral Anticoagulant (Control)38Participants
ISTH Major BleedingWATCHMAN FLX DEVICE30Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOral Anticoagulant (Control)797
Overall StudySTARTEDWATCHMAN FLX DEVICE803
Overall StudyCOMPLETEDOral Anticoagulant (Control)679
Overall StudyCOMPLETEDWATCHMAN FLX DEVICE714
Overall StudyNOT COMPLETEDOral Anticoagulant (Control)118
Overall StudyNOT COMPLETEDWATCHMAN FLX DEVICE89

Adverse events1,466

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersOral Anticoagulant (Control)47974
otherAnaemiaBlood and lymphatic system disordersWATCHMAN FLX DEVICE18031
otherHaemorrhagic anaemiaBlood and lymphatic system disordersOral Anticoagulant (Control)17971
otherHaemorrhagic anaemiaBlood and lymphatic system disordersWATCHMAN FLX DEVICE18031
otherHaemorrhagic disorderBlood and lymphatic system disordersOral Anticoagulant (Control)17971
otherHaemorrhagic disorderBlood and lymphatic system disordersWATCHMAN FLX DEVICE08030
otherIncreased tendency to bruiseBlood and lymphatic system disordersOral Anticoagulant (Control)27972
otherIncreased tendency to bruiseBlood and lymphatic system disordersWATCHMAN FLX DEVICE08030
otherIron deficiency anaemiaBlood and lymphatic system disordersOral Anticoagulant (Control)07970
otherIron deficiency anaemiaBlood and lymphatic system disordersWATCHMAN FLX DEVICE28032

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOral Anticoagulant (Control)35797
Total, all-cause mortalityWATCHMAN FLX DEVICE31803
Total, other adverse eventsOral Anticoagulant (Control)248797
Total, other adverse eventsWATCHMAN FLX DEVICE254803
Total, serious adverse eventsOral Anticoagulant (Control)797797
Total, serious adverse eventsWATCHMAN FLX DEVICE803803

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39555822DERIVEDPubMed
42225271DERIVEDPubMed

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 comparisons5

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

ComparisonSource
Oral Anticoagulant (Control) vs WATCHMAN FLX DEVICE: ISTH Major BleedingTrial comparisons
Oral Anticoagulant (Control) vs WATCHMAN FLX DEVICE: Primary Safety Endpoint: Non-procedural BleedingTrial comparisons
Oral Anticoagulant (Control) vs WATCHMAN FLX DEVICE: deaths from any causeTrial comparisons
Oral Anticoagulant (Control) vs WATCHMAN FLX DEVICE: Primary Effectiveness Endpoint: Stroke, All Cause Death, and Systemic EmbolismTrial comparisons
Oral Anticoagulant (Control) vs WATCHMAN FLX DEVICE: 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/NCT03795298

GET https://conductscience.org/api/trials/v1/NCT03795298/events?page=2