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About ENSURE-AF<\/strong><\/p>\r\n

ENSURE-AF is a P<\/strong>rospective, R<\/strong>andomized, O<\/strong>pen-Label, B<\/strong>linded E<\/strong>ndpont evaluation (PROBE), parallel group study, evaluating the efficacy and safety of once-daily edoxaban for the prevention of stroke, systemic embolic event, myocardial infarction and cardiovascular mortality versus enoxaparin\/warfarin in patients with NVAF undergoing electrical cardioversion. More than 2,200 NVAF patients undergoing electrical cardioversion are expected to be enrolled at approximately 250 clinical sites across North America and Europe. Patients will be randomized to receive edoxaban 60 mg (or a patient specific dose of edoxaban 30 mg for patients with renal impairment or low body weight or p-glycoprotein inhibitor use) or enoxaparin\/warfarin for 28-49 days.1<\/p>\r\n

For more information please visit: http:\/\/clinicaltrials.gov\/show\/NCT02072434<\/a>.<\/p>\r\n

About Atrial Fibrillation and Cardioversion<\/strong><\/p>\r\n

Atrial fibrillation (AF) is a condition in which the heartbeat is rapid and irregular, and can potentially lead to a stroke. AF is a common condition, affecting approximately 2.3-3.4% of people in developed nations.5 Stroke is the second most common cause of death worldwide, responsible for approximately 6.2 million deaths each year.6 Compared to those without AF, people with the arrhythmia have a 3-5 times higher risk of stroke.5 Strokes due to AF are nearly twice as likely to be fatal than strokes in patients without AF at 30 days7 and have poorer prognosis than non-AF related strokes, with a 50% increased risk of remaining disabled at three months.8 Cardioversion is a procedure that can restore a fast or irregular heartbeat to a normal rhythm, but is associated with a risk of thromboembolic events, including stroke, in patients who do not receive anticoagulation therapy.2,9<\/p>\r\n

About Edoxaban<\/strong><\/p>\r\n

Edoxaban is an investigational, oral, once-daily anticoagulant that specifically inhibits factor Xa, which is an important factor in the coagulation system that leads to blood clotting.10 The global edoxaban clinical trial program includes two phase 3 clinical studies, Hokusai-VTE and ENGAGE AF-TIMI 48 (E<\/strong>ffective aN<\/strong>ticoaG<\/strong>ulation with factor xA <\/strong>next GE<\/strong>neration in A<\/strong>trial F<\/strong>ibrillation), which included nearly 30,000 patients combined. The results from these trials form the basis of regulatory filings for edoxaban for symptomatic venous thromboembolism (VTE) in patients with deep vein thrombosis and\/or pulmonary embolism, and for the prevention of stroke in NVAF, respectively.11,12 Edoxaban is currently under regulatory review in Japan, the U.S. and EU for these indications.<\/p>\r\n

Edoxaban is currently approved only in Japan, since April 2011, for the prevention of VTE after major orthopedic surgery, and was launched in July 2011 under the brand name Lixiana®. Elsewhere, including Europe and the U.S., edoxaban has not been approved in any indication.13<\/p>\r\n

About Daiichi Sankyo <\/strong><\/p>\r\n

Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical products to address the diversified, unmet medical needs of patients in both mature and emerging markets. While maintaining its portfolio of marketed pharmaceuticals for hypertension, hyperlipidemia, and bacterial infections, the Group is engaged in the development of treatments for thrombotic disorders and focused on the discovery of novel oncology and cardiovascular-metabolic therapies. Furthermore, the Daiichi Sankyo Group has created a \"Hybrid Business Model,\" which will respond to market and customer diversity and optimize growth opportunities across the value chain. For more information, please visit: www.daiichisankyo.com<\/a>.<\/p>\r\n

Forward-looking statements<\/strong><\/p>\r\n

This press release contains forward-looking statements and information about future developments in the sector, and the legal and business conditions of DAIICHI SANKYO, Co., Ltd. Such forward-looking statements are uncertain and are subject at all times to the risks of change, particularly to the usual risks faced by a global pharmaceutical company, including the impact of the prices for products and raw materials, medication safety, changes in exchange rates, government regulations, employee relations, taxes, political instability and terrorism as well as the results of independent demands and governmental inquiries that affect the affairs of the company. All forward-looking statements contained in this release hold true as of the date of publication. They do not represent any guarantee of future performance. Actual events and developments could differ materially from the forward-looking statements that are explicitly expressed or implied in these statements. DAIICHI SANKYO, Co., Ltd. assume no responsibility for the updating of such forward-looking statements about future developments of the sector, legal and business conditions and the company.<\/p>\r\n

References<\/strong><\/p>\r\n

    \r\n
  1. Goette, A. Edoxaban vs. Warfarin in Subjects Undergoing Cardioversion of Atrial Fibrillation (ENSURE IN AF). In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-2014. Available from http:\/\/clinicaltrials.gov\/show\/NCT02072434<\/a>. NLM Identifier: NCT02072434. <\/li>\r\n
  2. National Heart, Lung, and Blood Institute. What is Cardioversion. 2012. Available at: https:\/\/www.nhlbi.nih.gov\/health\/health-topics\/topics\/crv\/<\/a>. [Last accessed: March 2014]. <\/li>\r\n
  3. American College of Cardiology Foundation and American Heart Association. ACCF\/AHA pocket guideline: management of patients with atrial fibrillation. 2011. Available at: http:\/\/www.cardiosource.org\/~\/media\/Files\/Science%20and%20Quality\/Guidelines\/Pocket%20Guides\/AFIB_PocketGuide.ashx<\/a>. [Last accessed: March 2014]. <\/li>\r\n
  4. Camm, J et al. Guidelines for the management of atrial fibrillation. Eur Heart J<\/em> 2010;31:2369-2429. <\/li>\r\n
  5. Ball, J et al. Atrial fibrillation: Profile and burden of an evolving epidemic in the 21st century. Int J Card<\/em> 2013; 167:1807-1824. <\/li>\r\n
  6. World Health Organization. The top 10 causes of death. July 2013. Available at: who.int\/mediacentre\/factsheets\/fs310\/en\/. [Last accessed: March 2014]. <\/li>\r\n
  7. Lin H et al. Stroke severity in atrial fibrillation. Stroke<\/em> 1996; 27:1760-1764. <\/li>\r\n
  8. Lamassa A et al. Characteristics, outcome, and care of stroke associated with atrial fibrillation in Europe. Stroke<\/em> 2001; 32:392-398. <\/li>\r\n
  9. Fuster, V et al. ACC\/AHA\/ESC guidelines for the management of patients with atrial fibrillation: executive summary; A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences. Circulation<\/em> 2001;104:2118-2150. <\/li>\r\n
  10. Ogata, K et al. Clinical safety, tolerability, pharmacokinetics, and pharmacodynamics of the novel factor Xa inhibitor edoxaban in healthy volunteers. J Clin Pharmacol<\/em> 2010;50:743-753. <\/li>\r\n
  11. Giugliano, R et al. Edoxaban versus Warfarin in patients with atrial fibrillation. N Engl J Med<\/em> 2013;369:2093-2104. <\/li>\r\n
  12. Büller, H et al. Edoxaban versus warfarin for the treatment of symptomatic venous thromboembolism. N Engl J Med<\/em> 2013; 369:1406-1415. <\/li>\r\n
  13. Daiichi Sankyo press release - Daiichi Sankyo launches LIXIANA® (edoxaban), a direct oral factor Xa inhibitor, in Japan for the prevention of venous thromboembolism after major orthopaedic surgery. 19 July 2011. Available at: http:\/\/www.daiichisankyo.com\/media_investors\/media_relations\/press_releases\/detail\/005784.html<\/a>. [Last accessed: March 2014]. <\/li>\r\n<\/ol>\r\n

    Contact<\/p>\r\n

    Global Media
    Michaela Paudler-Debus, PhD
    michaela.paudler-debus@daiichi-sankyo.eu
    +49 89 7808 685 (office)
    +49 176 1178 0966 (mobile)<\/p>\r\n

    US Media
    Alyssa Dargento
    adargento@dsi.com<\/a>
    +1 973 944 2913 (office)
    +1 973 727 1604 (mobile)<\/p>\r\n

    EU Media
    Daria Munsel
    daria.munsel@daiichi-sankyo.eu<\/a>
    +49 89 7808728 (office)
    +49 176 11780826 (mobile)<\/p>"]; $("#dvExtra").html(content_array[0]);})();