NCT06953726RecruitingPhase 4
Comparing the Safety and Efficacy of Apixaban and Rivaroxaban
CSP #2037T - Veterans Affairs Learning Health System Initiative to Assess Novel Screening vs. Usual Care and Treatment With Apixaban vs. Rivaroxaban in Veterans With Atrial Fibrillation (VALIANT-AF-T) Trial
Source: ClinicalTrials.gov · Last updated 23 Sept 2026
Brief summary (registry, in English)
* The trial will compare two anticoagulants ("blood thinners") that are currently used in the VA and are considered standard care to prevent strokes in patients with atrial fibrillation. The two most commonly-used anticoagulants will be compared: apixaban (Eliquis) and rivaroxaban (Xarelto). They are considered by many doctors to have similar benefits and risks, but no one knows for sure. * The trial only enrolls patients with a diagnosis of atrial fibrillation ("A Fib") or atrial flutter. Most participants will be age 65 or older, and should already be taking apixaban or rivaroxaban. * The investigators will measure, in about 10,000 VA patients nationally, whether the rates of stroke, major bleeding, or death differ between these two drugs. * The trial will last about 7 years, but after the first prescription, all information will be collected from electronic medical records.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 4
- Study type
- Interventional
- Enrollment
- 10000 (estimated)
- First submitted
- 23 Apr 2025
- Start date
- 1 Jun 2026
- Primary completion date
- 4 Oct 2032
- Lead sponsor
- VA Office of Research and Development
- Diseases
- Stroke, Atrial fibrillation
- NCT number
- NCT06953726
What you commit to
- Study type: Interventional · Phase 4
- Planned participants: 10000
- From 1 Jun 2026 to the primary completion date, 4 Oct 2032
- 9 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- An individual who meets any of the following criteria will be excluded from participation in this study; notably use of antiplatelet agents or prior OAC use will not be an exclusion criterion:
- Current use of oral or injectable anticoagulation, without ability to switch to the assigned study medication
Other illness
- Known bleeding diathesis
- Known allergic reactions or intolerance to apixaban or rivaroxaban
- Known mechanical heart valve
- Known history of left atrial occlusion, excision, or ligation
- Cardiac or thoracic surgery in the past 3 months
Lab values
- Most recent estimated glomerular filtration rate (eGFR) is \< 30 mL/minute/1.73m2. An eGFR result must have been obtained within 18 months before randomization.
Other
- Another indication for anticoagulation, such as pulmonary embolism
- Contraindication to oral anticoagulation
- Documented current pregnancy or lactation in the EHR or self-reported current pregnancy or lactation
- Known moderate-severe mitral stenosis
- Current or planned use of systemic ritonavir, itraconazole, or ketoconazole (topical use of ketoconazole only is allowed)
Who the study is looking for
- In order to be eligible to participate in this study, an individual must meet all of the following criteria:
- Male or female Veteran
- Diagnosis of atrial fibrillation (AF) or atrial flutter (AFL) and currently taking either apixaban or rivaroxaban.
- CHA2DS2-Vasc of 3 or more
- Ability to take oral medication and self-reported willingness to adhere to the prespecified apixaban or rivaroxaban regimen
Age in the registry: 22 years to - · Sex: All · Does not accept healthy volunteers
Sites (9)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Boston VA CSP Coordinating Center Coordinator of this site? Confirm its status | Boston | United States | Recruiting |
| VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA Coordinator of this site? Confirm its status | Boston | United States | Not yet recruiting |
| Louis Stokes VA Medical Center, Cleveland, OH Coordinator of this site? Confirm its status | Cleveland | United States | Active, not recruiting |
| Miami VA Healthcare System, Miami, FL Coordinator of this site? Confirm its status | Miami | United States | Recruiting |
| - Coordinator of this site? Confirm its status | Minneapolis | United States | Recruiting |
| Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA Coordinator of this site? Confirm its status | Philadelphia | United States | Active, not recruiting |
| VA Portland Health Care System, Portland, OR Coordinator of this site? Confirm its status | Portland | United States | Recruiting |
| VA Salt Lake City Health Care System, Salt Lake City, UT Coordinator of this site? Confirm its status | Salt Lake City | United States | Recruiting |
| VA Greater Los Angeles Healthcare System, West Los Angeles, CA Coordinator of this site? Confirm its status | West Los Angeles | United States | Active, not recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.