Study Aims to Collect Information in Routine Clinical Practice in Italy About the Number of Patients Suffering From Irregularly Heart Beats Which Are Not Caused by a Heart Valve Problem (Non-valvular Atrial Fibrillation, NVAF) Who Stopped or Changed Rivaroxaban Treatment

Study Overview
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Brief Summary
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While it is well known that stopping or changing medication with blood thinners in patients who suffer from non-valvular atrial fibrillation (NVAF) increases the risk of ischemic stroke (a condition which occurs when a vessel supplying blood to the brain is obstructed), bleeding or thromboembolism (a condition that happens when a blood clot forms elsewhere in the body and travels through the blood stream to plug another vessel), limited data are available on the number of NVAF patients and the reasons why NVAF patients in Italy stop or change their treatment with blood thinners to prevent stroke or thromboembolism. By following the NVAF patients in routine clinical practice in Italy who are treated with rivaroxaban to prevent stroke or systemic embolism researchers want to find out how many NVAF patients and for what reasons NVAF patients stopped or changed rivaroxaban treatment. Study data will be collected through patients' routine visits at their treating doctor over a period of 24 months for each patient.

Official Title
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Rivaroxaban Treatment Discontinuation Rates in Routine Clinical Practice in Italy in Patients With Non-valvular Atrial Fibrillation

Conditions
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Non-valvular Atrial Fibrillation

Intervention / Treatment
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* Drug: Rivaroxaban (Xarelto, BAY59-7939)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age >= 18 Patient with a diagnosis of NVAF New user to rivaroxaban, naïve or non naïve to treatment with oral anticoagulant Patient for whom the decision to initiate treatment with rivaroxaban was made as per physician's routine treatment practice for prevention of stroke and non-central nervous system (CNS) systemic embolism Signed an informed consent Exclusion Criteria: Patient with heart valve replacement Patient is participating in an investigational program with interventions outside of routine clinical practice

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| NVAF patients<br>Start treatment with rivaroxaban at the discretion of physician. | Drug: Rivaroxaban (Xarelto, BAY59-7939)<br>* Treatment dose is following the description of physicians.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Date of start of rivaroxaban treatment |  | 24 months | 
| Date of stop of rivaroxaban treatment |  | 24 months | 
| Number of patients who discontinue (i.e: number of discontinuation) from study initiation to end of observation/follow up. |  | 24 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reasons for discontinuation of rivaroxaban therapy | therapy discontinuation due to adverse event (AE) therapy discontinuation for non AE related reason physician decision patient lost to follow up, no remote contact patient decision (not related to AE) patient is in stable sinus rhythm patient decided to terminate study participation but agreed to further use of data collected so far. patient decided to terminate study participation and refused further use of collected data. Patient died Treatment switch | 24 months | 
| Reason for dose change of rivaroxaban therapy | Change in Creatinine Clearance (CrCL) Insufficient therapeutic effect Adverse event | 24 months | 
| Reason for switch to other therapy | Ischemic event Bleeding and site of bleeding Adverse drug reaction Drug interaction with other therapies New treatment after switch | 24 months | 
| Treatment adherence: Self-reported medication adherence measured by the MMAS-8 (Morinsky Scale score) |  | 24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Atrial Fibrillation (AF), NVAF