Arrhythmias & electrophysiology

Efficacy and safety of low-dose rivaroxaban in elderly patients with atrial fibrillation for oral anticoagulation therapy: Rationale, design, and study protocol for a multicenter randomized controlled trial (SAFE-AF)

Am Heart JPublished Study protocol for a randomised controlled trial

Study context

Population
Patients aged ≥70 years with atrial fibrillation (AF)planned, randomised 1:1
Participants
4,374 patients
Planned comparison
Low-dose vs standard-dose rivaroxaban
Primary endpoint
Composite of CV death, MI, stroke and systemic embolic events (efficacy); composite of major and clinically relevant non-major bleeding (safety)
Methodological detailsinvestigator-initiated, multicentre, open-label, blind endpoint evaluation, non-inferiority
  • Investigator-initiated
  • Multicentre
  • Open-label
  • Blind endpoint evaluation
  • Non-inferiority

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Efficacy and safety of low-dose rivaroxaban in elderly patients with atrial fibrillation for oral anticoagulation therapy: Rationale, design, and study protocol for a multicenter randomized controlled trial (SAFE-AF). Am Heart J. Published 15 July 2025. doi:10.1016/j.ahj.2025.07.011

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