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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 33 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 · 33 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.

Thoracic Radiotherapy Linked to 7.6% Pooled Incidence of Reported Atrial Fibrillation
Oncology Meta-analysis
Thoracic Radiotherapy Linked to 7.6% Pooled Incidence of Reported Atrial Fibrillation Thoracic radiation for cancer may increase risk of heart rhythm issues
This meta-analysis of 9 cohort-level estimates examines reported atrial fibrillation after thoracic radiotherapy in adults with thoracic mal…
New data shows that patients receiving radiation for chest cancers may face a higher risk of developing atrial fibrillation, a common heart …
Composite lipid and metabolic indices show more consistent associations with atrial fibrillation recurrence than individual measures
Cardiology Sys. Review
Composite lipid and metabolic indices show more consistent associations with atrial fibrillation recurrence than individual measures Lipid Profiles May Reflect Metabolic Burden in Atrial Fibrillation
This narrative review examines the relationship between circulating lipid profiles and atrial fibrillation risk or post-ablation recurrence.…
New research suggests that lipid levels in the blood may reflect overall metabolic health rather than acting as direct causes of heart rhyth…
Pulsed-field ablation shows shorter ablation times and lower phrenic nerve palsy than cryoballoon ablation
Cardiology Meta-analysis
Pulsed-field ablation shows shorter ablation times and lower phrenic nerve palsy than cryoballoon ablation Pulsed-field Ablation Shows Faster Times for Atrial Fibrillation Treatment
This meta-analysis of 2024 patients with atrial fibrillation undergoing pulmonary vein isolation compares pulsed-field ablation (PFA) to cry…
A new analysis suggests pulsed-field ablation may offer faster procedure times and lower nerve damage risks for patients with atrial fibrill…
Clinical risk factors including smoking and sleep apnea increase arrhythmia recurrence after atrial fibrillation ablation
Cardiology Meta-analysis
Clinical risk factors including smoking and sleep apnea increase arrhythmia recurrence after atrial fibrillation ablation Clinical risk factors linked to higher atrial fibrillation recurrence rates
This meta-analysis examined various clinical risk factors and their impact on arrhythmia recurrence in patients undergoing catheter ablation…
Specific health conditions like sleep apnea and gum disease are linked to a higher risk of heart rhythm issues returning after surgery.
Early oral anticoagulants show no significant difference in stroke risk compared to late initiation
Neurology Meta-analysis
Early oral anticoagulants show no significant difference in stroke risk compared to late initiation Early blood thinners show no extra risks for stroke patients
This meta-analysis of 6522 adults with atrial fibrillation and recent ischemic stroke found no significant difference in recurrent ischemic …
Starting blood thinners soon after a stroke does not increase the risk of bleeding or death compared to waiting.
DOACs reduce device-related thrombosis and bleeding risk compared to DAPT after left atrial appendage closure
Cardiology Meta-analysis
DOACs reduce device-related thrombosis and bleeding risk compared to DAPT after left atrial appendage closure DOACs Show Lower Risk of Blood Clots After Heart Procedure
This meta-analysis of 704 patients with atrial fibrillation undergoing percutaneous left atrial appendage closure found that DOACs significa…
Patients with atrial fibrillation may have a lower risk of blood clots and bleeding when using DOACs after a specific heart procedure.
DOACs reduce stroke, mortality, and major bleeding risk compared to vitamin K antagonists in hemodialysis
Cardiology Meta-analysis
DOACs reduce stroke, mortality, and major bleeding risk compared to vitamin K antagonists in hemodialysis DOACs Show Lower Stroke and Bleeding Risk in Dialysis Patients
This meta-analysis evaluated the efficacy and safety of direct oral anticoagulants (DOACs) compared to vitamin K antagonists in patients wit…
Patients with atrial fibrillation on hemodialysis may have lower risks of stroke and major bleeding when using DOACs instead of vitamin K an…
Digital recruitment strategy yielded 1,406 registrations from 1,319 potential individuals with atrial fibrillation
Cardiology Phase III
Digital recruitment strategy yielded 1,406 registrations from 1,319 potential individuals with atrial fibrillation Digital Ads Help Recruit Patients for Atrial Fibrillation Trials
This observational feasibility study evaluated digital recruitment strategies using online advertisements and a pre-screening website for at…
New data shows digital advertising can help find more diverse participants for atrial fibrillation clinical trials, though some gaps remain.
Double-chambered left ventricle in adulthood with severe mitral regurgitation and refractory heart failure
Cardiology Guideline
Double-chambered left ventricle in adulthood with severe mitral regurgitation and refractory heart failure Complex heart structure can cause severe heart failure in adults
This case report describes a 50-year-old man with longstanding atrial fibrillation and heart failure with reduced ejection fraction, found t…
A man with a rare double-chambered heart and chronic irregular heartbeat showed that complex anatomy can lead to severe heart failure.
Adding antiplatelet therapy to anticoagulation does not cut stroke risk but raises major bleeding
Cardiology Meta-analysis
Adding antiplatelet therapy to anticoagulation does not cut stroke risk but raises major bleeding Combined Anticoagulant and Antiplatelet Therapy Increases Bleeding Risk
This meta-analysis of 14,884 patients with recent ischemic stroke, nonvalvular atrial fibrillation, and large artery atherosclerosis found t…
Combining two types of blood thinners may increase bleeding risks without reducing the chance of a second stroke in patients with certain he…
Postoperative atrial fibrillation increases long-term thromboembolic risk following CABG and isolated valve surgery
Cardiology Meta-analysis
Postoperative atrial fibrillation increases long-term thromboembolic risk following CABG and isolated valve surgery Atrial Fibrillation After Heart Surgery Linked to Higher Blood Clot Risk
This meta-analysis of observational studies indicates that postoperative atrial fibrillation (POAF) is associated with increased long-term t…
New analysis suggests that patients who develop atrial fibrillation after heart surgery face a higher risk of long-term blood clots.
DOACs associated with lower risks of recurrent ICH, ischemic stroke, and mortality in atrial fibrillation
Cardiology Meta-analysis
DOACs associated with lower risks of recurrent ICH, ischemic stroke, and mortality in atrial fibrillation Trial Shows Direct Oral Anticoagulants Reduce Risks for Atrial Fibrillation
This meta-analysis evaluates the efficacy of direct oral anticoagulants (DOACs) compared to vitamin K antagonists (VKAs) in patients with at…
New data suggests that direct oral anticoagulants may lower the risk of stroke and bleeding for patients with atrial fibrillation.

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 →