Heart failure & cardiomyopathies

Rationale for and design of the REsolution of LEft VENTricular thrombus (RELEVENT) Trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with best-available imaging confirmed left ventricular (LV) thrombusplanned
Participants
216 patients
Planned comparison
DOAC vs warfarin
Primary endpoint
Resolution of LV thrombus without CV death, stroke, systemic embolism or major bleeding
Follow-up
3-month follow-up
Methodological detailsdesign paper, noninferiority, prospective, 1:1 randomisation, 16 centres in New Zealand and Australia, Follow-up 3 years for long-term management and outcomes, Recruitment underway, Secondary endpoints: components of primary outcome, change in thrombus diameter, days alive and out of hospital, disability free survival, quality of life
  • Design paper
  • Noninferiority
  • Prospective
  • 1:1 randomisation
  • 16 centres in New Zealand and Australia
  • Follow-up 3 years for long-term management and outcomes
  • Recruitment underway
  • Secondary endpoints: components of primary outcome, change in thrombus diameter, days alive and out of hospital, disability free survival, quality of life

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

Original publication

Rationale for and design of the REsolution of LEft VENTricular thrombus (RELEVENT) Trial. Am Heart J. Published 17 November 2025. doi:10.1016/j.ahj.2025.107301

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