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Nonvalvular Atrial Fibrillation

Part of Atrial Fibrillation

6 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Nonvalvular Atrial Fibrillation

9 trials tracked for Nonvalvular Atrial Fibrillation: 2 in phase 3 or 4 and 1 with published results. The most-cited published study has 31 citations.

9Trials tracked
2Phase 3 & 4
0Recruiting
1With published results
Phase distribution
Phase 4 1 Phase 3 1 Phase 2 1 Other / NA 6
  1. Phase 4 Assessment of an Education and Guidance Programme for Eliquis Adherence in Non-Valvular Atrial Fibrillation (AEGEAN) Completed · 31 cited
  2. Phase 3 Safety and Pharmacokinetics Study of DU-176b Administered to Non-valvular Atrial Fibrillation With Severe Renal Impairment Completed
  3. Phase 2 Prevention of Stroke and Systemic Embolic Events in Patients With Atrial Fibrillation Completed
  4. N/A Safety and Effectiveness of Apixaban Compared to Warfarin in Secondary Prevention in Patients With Atrial Fibrillation Completed
  5. N/A Safety and Effectiveness of Oral Anticoagulants in Patients With Non-valvular Atrial Fibrillation Completed
  6. N/A The Conformal Prague Study Completed
Show 3 more trials
  1. N/A Safety and Effectiveness of Apixaban in Very Elderly Patients With Non-valvular Atrial Fibrillation (NVAF) Compared to Warfarin Using Administrative Claims Data Completed
  2. N/A Safety and Effectiveness of Apixaban Compared to Warfarin in Patients With Non-valvular Atrial Fibrillation (a Type of Irregular Heart Rhythm) at Higher Chance of Bleeding Completed
  3. N/A Observe the Safety and Effectiveness of the WATCHMAN FLX™ for Subjects in Hong Kong Completed

Showing the 9 most-cited and recently-updated of 9 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Nonvalvular Atrial Fibrillation: what the trials found

Clinical data regarding apixaban in the management of nonvalvular atrial fibrillation indicates high rates of adherence to dosing regimens. Research shows that patients maintained a correct execution of the apixaban dosing regimen at approximately 91.64% to 91.88% during initial periods, with significant variations observed when comparing the 12-to-24-week period against the first 12 weeks (p<0.0001) 1.

In secondary prevention cohorts for nonvalvular atrial fibrillation, apixaban demonstrated stable outcomes regarding the incidence of composite recurrent stroke or systemic embolism (SE). The proportion of participants remaining free from these events remained high at 6 months (0.971; 0.967), 12 months (0.953; 0.948), and 18 months (0.942; 0.932) 8.

Recent results — preliminary, needs further review

  • AZD0837 was evaluated in a Phase 2 trial (N=1084) but results are not yet corroborated.
  • A large-scale study (N=120,722) showed significantly lower rates of major bleeding per 1000 participant-years in one cohort compared to another (16.788 vs 21.329; p<0.001), while ischemic stroke rates remained balanced between cohorts (p<0.001).
  • A study involving warfarin (N=77,814) showed significantly lower rates of composite stroke/systemic embolism and major bleeding in one cohort compared to another (p<0.001).
  • Data from a large trial (N=73,989) indicated significant differences in the event rates per 100 participant-years for stroke, systemic embolism, and various types of bleeding events across multiple comparison groups (p<0.0001; p=0.0127).

For the clinician treating this condition

  • Apixaban shows high rates of dosing regimen adherence in patients with nonvalvular atrial fibrillation 1.
  • Apixaban demonstrates consistent and stable results for the prevention of stroke and systemic embolism over an 18-month period in secondary prevention cohorts 8.

AI synthesis of 2 cited trials, updated Jun 27, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Atrial Fibrillation

Related studies from across the Atrial Fibrillation family.

Metabolic syndrome increases risk of incident atrial fibrillation by 1.4- to 1.9-fold
Cardiology Sys. Review
Metabolic syndrome increases risk of incident atrial fibrillation by 1.4- to 1.9-fold Metabolic Syndrome Increases Risk of Atrial Fibrillation in Patients
This narrative review examines the association between metabolic syndrome and atrial fibrillation incidence. The authors synthesize evidence…
Metabolic syndrome is linked to a higher risk of atrial fibrillation, with high blood pressure and abdominal obesity showing the strongest c…
Conscious or deep sedation reduces procedural time in pulsed field ablation for atrial fibrillation
Cardiology Meta-analysis
Conscious or deep sedation reduces procedural time in pulsed field ablation for atrial fibrillation Comparing Sedation and General Anesthesia for Pulsed Field Ablation of Atrial Fibrillation
This meta-analysis of 10 studies involving 3,692 patients found that conscious or deep sedation (CS/DS) significantly shortened overall proc…
Doctors are finding that using light sedation instead of full general anesthesia can speed up heart procedures without hurting safety.
Yangxin Dingji plus conventional therapy reduces 6-month atrial fibrillation recurrence and improves LVEF
Drug Pipeline Meta-analysis
Yangxin Dingji plus conventional therapy reduces 6-month atrial fibrillation recurrence and improves LVEF Yangxin Dingji Combined With Standard Care Shows Promise for Atrial Fibrillation
This meta-analysis of 872 patients evaluated Yangxin Dingji (YXDJ) as an adjunct to conventional therapy for atrial fibrillation. The study …
Adding Yangxin Dingji to standard treatment may improve symptoms and reduce the risk of heart rhythm recurrence in patients with atrial fibr…
Left atrial appendage occlusion reduces non-procedure-related bleeding but may increase ischemic stroke risk
Cardiology Meta-analysis
Left atrial appendage occlusion reduces non-procedure-related bleeding but may increase ischemic stroke risk LAAO Procedure Shows Mixed Results Compared to Oral Anticoagulants
This meta-analysis of 5,890 randomized patients evaluated left atrial appendage occlusion (LAAO) compared to oral anticoagulation for atrial…
A procedure called LAAO can reduce certain types of bleeding but may increase stroke risk compared to standard oral medications for heart pa…
Mortality Risk Factors in Atrial Fibrillation: Umbrella Review Findings
Cardiology Sys. Review
Mortality Risk Factors in Atrial Fibrillation: Umbrella Review Findings Specific risk factors linked to higher death rates in atrial fibrillation
An umbrella review found 86 of 216 risk factors significantly linked to mortality in atrial fibrillation, including several medications and …
New data identifies specific medications and health conditions that may increase the risk of death for people living with atrial fibrillatio…
Vascular closure devices reduce time to hemostasis by 5.63 minutes in atrial fibrillation ablation
Cardiology Meta-analysis
Vascular closure devices reduce time to hemostasis by 5.63 minutes in atrial fibrillation ablation Vascular closure devices speed up bleeding control in heart procedures
This meta-analysis of 30,560 patients undergoing atrial fibrillation ablation found that vascular closure devices (VCDs) significantly reduc…
New data shows that vascular closure devices help stop bleeding faster during atrial fibrillation procedures, though they do not change disc…
Empiric superior vena cava isolation reduces atrial tachyarrhythmia recurrence compared to pulmonary vein isolation alone
Cardiology Meta-analysis
Empiric superior vena cava isolation reduces atrial tachyarrhythmia recurrence compared to pulmonary vein isolation alone Adding a specific step can reduce heart rhythm issues
This meta-analysis of randomized controlled trials evaluated superior vena cava isolation (SVCI) as an adjunct to pulmonary vein isolation (…
Adding a technique called superior vena cava isolation can significantly lower the chances of heart rhythm issues returning after surgery.
Single transseptal puncture is a safe alternative to double puncture for atrial fibrillation ablation
Cardiology Meta-analysis
Single transseptal puncture is a safe alternative to double puncture for atrial fibrillation ablation Single Transseptal Puncture Is Safe for Atrial Fibrillation Ablation
This meta-analysis of 1811 patients evaluated single versus double transseptal puncture during atrial fibrillation ablation. The analysis fo…
A single transseptal puncture is a safe alternative to double puncture during atrial fibrillation procedures, despite taking more time to co…
Extended rhythm monitoring identifies 64% of asymptomatic atrial fibrillation in patients on BTKi therapy
Cardiology Meta-analysis
Extended rhythm monitoring identifies 64% of asymptomatic atrial fibrillation in patients on BTKi therapy BTK Inhibitors Linked to Hidden Heart Rhythm Problem in Cancer Patients
This meta-analysis of 2839 patients with hematologic malignancies treated with Bruton's tyrosine kinase inhibitors (BTKi) found an overall a…
A meta-analysis of 2,839 patients found that 14% of atrial fibrillation cases during BTK inhibitor therapy had no symptoms.
Remote ischemic preconditioning reduces postoperative atrial fibrillation in patients with specific genetic risk factors
Cardiology RCT
Remote ischemic preconditioning reduces postoperative atrial fibrillation in patients with specific genetic risk factors Trial Shows Remote Ischemic Preconditioning Reduces Heart Rhythm Issues
Researchers investigated the impact of remote ischemic preconditioning on patients with a specific genetic profile undergoing coronary arter…
A new trial shows that a specific preconditioning technique may reduce the risk of heart rhythm problems after heart bypass surgery.
Intracardiac echocardiography is a safe, non-inferior alternative to transesophageal echocardiography for atrial fibrillation ablation
Cardiology Meta-analysis
Intracardiac echocardiography is a safe, non-inferior alternative to transesophageal echocardiography for atrial fibrillation ablation Intracardiac echocardiography shows safety and efficiency in atrial fibrillation procedures
This meta-analysis of 7,671 patients undergoing catheter ablation for atrial fibrillation found no significant difference between intracardi…
New data shows that intracardiac echocardiography is a safe and effective alternative to traditional imaging during atrial fibrillation hear…
Atrial fibroblast metabolic reprogramming is a candidate mechanism for multicellular atrial cardiomyopathy in atrial fibrillation
Cardiology Sys. Review
Atrial fibroblast metabolic reprogramming is a candidate mechanism for multicellular atrial cardiomyopathy in atrial fibrillation Metabolic Changes in Heart Cells May Link to Atrial Fibrillation
This narrative review evaluates atrial fibroblast metabolic reprogramming as a potential mechanism for atrial cardiomyopathy. While studies …
New research explores how changes in cell metabolism might drive heart tissue scarring and irregular heartbeats in conditions like atrial fi…

Questions about Nonvalvular Atrial Fibrillation

Is left atrial appendage occlusion better than warfarin for Nonvalvular Atrial Fibrillation mortality?

Yes, left atrial appendage occlusion (LAAO) is associated with lower all-cause mortality compared to warfarin in patients with nonvalvular atrial fibrillation, based on network meta-analyses.

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Are there sex differences in stroke outcomes for people with Nonvalvular Atrial Fibrillation?

Yes, sex differences exist: women with NVAF-related stroke tend to have worse short-term outcomes, but after adjusting for age and other factors, their long-term mortality risk may be lower.

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Does left atrial appendage closure cause less bleeding than NOACs for Nonvalvular Atrial Fibrillation?

Yes, left atrial appendage closure (LAAC) causes significantly less non-procedural bleeding than NOACs in patients with nonvalvular atrial fibrillation, based on recent trials.

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Is Xarelto approved to prevent strokes in patients with Nonvalvular Atrial Fibrillation?

Yes, Xarelto (rivaroxaban) is FDA-approved for stroke prevention in nonvalvular atrial fibrillation, based on the ROCKET-AF trial showing it is noninferior to warfarin with a favorable benefit-risk profile.

Full answer →