The Direct Oral Anticoagulation Versus Vitamin K Antagonist After Cardiac Surgery Trial

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorPopulation Health Research Institute

About this trial

The DANCE Trial is a multi-centre, randomized controlled trial comparing the safety of direct oral anticoagulants (DOAC) versus vitamin K antagonists (VKA) in the early period (30 days) after cardiac surgery in patients with atrial fibrillation requiring oral anticoagulation.

Eligibility criteria

Qualifiers

Age ≥18 years at the time of enrolment,

Open heart surgery in the last 10 days,

Atrial fibrillation requiring anticoagulation (including pre-existing or post-operative atrial fibrillation),

Informed consent from either the patient or a substitute decision-maker.

Disqualifiers

Mechanical valve replacement,

Antiphospholipid syndrome (triple positive),

Severe renal failure (Cockcroft-Gault equation; creatinine clearance <15 ml/min),

Known significant liver disease (Child-Pugh classification B and C),

Trial design

Treatments tested in this trial

  • DOAC
  • VKA

Treatment groups

3,500 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Population Health Research Institute

Lead sponsor

Hamilton Health Sciences Corporation

Collaborator