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1 ant activity of dabigatran, rivaroxaban, and apixaban.
2 or dabigatran, 15 for rivaroxaban, and 4 for apixaban.
3 chronically anticoagulated with warfarin or apixaban.
4 e oral Factor Xa inhibitors, rivaroxaban and apixaban.
5 ficantly lower with dabigatran 110 mg BID or apixaban.
6 ents between the dabigatran (both doses) and apixaban.
7 he two factor Xa inhibitors, rivaroxaban and apixaban.
8 nitiated on VKA compared with rivaroxaban or apixaban.
9 jor bleeding events (MBEs) on rivaroxaban or apixaban.
10 gement of MBEs in patients on rivaroxaban or apixaban.
11 (95% CI, 87 to 94) among patients receiving apixaban.
12 on who received the 5 mg twice daily dose of apixaban.
13 rivaroxaban and of 30% among those receiving apixaban.
14 or life-threatening bleeding associated with apixaban.
15 risk in comparison with VKA was observed for apixaban (0.63, 0.51-0.77), edoxaban 60 mg (0.81, 0.67-0
16 ear in the warfarin group (hazard ratio with apixaban, 0.79; 95% confidence interval [CI], 0.66 to 0.
17 primary efficacy outcome (relative risk with apixaban, 0.87; 95% confidence interval [CI], 0.62 to 1.
18 ts per 100 patient-years) (hazard ratio with apixaban, 0.95; 95% confidence interval [CI], 0.80 to 1.
20 7 patients; rivaroxaban, 54006 patients; and apixaban, 12886 patients), 4770 major bleeding events oc
21 279 of the 3705 patients (7.5%) assigned to apixaban (13.2 events per 100 patient-years) and in 293
22 2%), dabigatran (29%), rivaroxaban (13%), or apixaban (16%) were included with mean age (SD) 72.1 (11
27 nts (1.3%) who received at least one dose of apixaban (2.4 events per 100 patient-years) and in 18 of
28 double-blind study, we compared two doses of apixaban (2.5 mg and 5 mg, twice daily) with placebo in
30 months of placebo (n=611) or 1 of 4 doses of apixaban: 2.5 mg twice daily (n=317), 10 mg once daily (
31 g NOACs (dabigatran 87, rivaroxaban 129, and apixaban 35) before their stroke, 1500 were taking warfa
32 ad similar efficacy with decreased bleeding; apixaban 5 mg B.I.D. reduced stroke, systemic embolism,
33 compare 4 therapies: dabigatran 150 mg BID, apixaban 5 mg BID, rivaroxaban 20 mg QD, and warfarin th
36 al flutter were randomly assigned to receive apixaban 5 mg twice daily or warfarin (target internatio
37 18 201 patients with atrial fibrillation to apixaban 5 mg twice daily or warfarin for at least 12 mo
38 ith a CHADS(2) score >/=3 dabigatran 150 mg, apixaban 5 mg, and rivaroxaban 20 mg resulted in statist
39 ), rivaroxaban (20 or 15 mg once daily), and apixaban (5 mg twice daily), respectively, were approved
41 3 patients (1.7%) who were receiving 5 mg of apixaban (a difference of 7.0 percentage points; 95% CI,
42 patients (1.7%) who were receiving 2.5 mg of apixaban (a difference of 7.2 percentage points; 95% con
43 The PT is less sensitive (especially for apixaban); a normal PT may not exclude clinically releva
45 expected stay of at least 3 days to receive apixaban, administered orally at a dose of 2.5 mg twice
46 lood samples were collected before and after apixaban administration on days 1 and 8 (nondialysis day
53 1.01 per 100 patient-years of follow-up with apixaban and 1.23 with warfarin (HR 0.82, 95% CI 0.65 to
54 Total costs/patient were $3454 and $1805 for apixaban and aspirin in the trial-length and $44 232 and
56 here were no significant differences between apixaban and dabigatran 110 mg BID in safety endpoints.
58 significant differences in efficacy between apixaban and dabigatran etexilate (both doses) or rivaro
59 cacy differences among the 3 drugs, although apixaban and dabigatran were numerically superior to riv
60 for VTE treatment in the United States, and apixaban and edoxaban are under regulatory consideration
61 coagulants (such as dabigatran, rivaroxaban, apixaban and edoxaban) offer relative efficacy, safety a
62 ng occurred in 0.6% of patients who received apixaban and in 1.8% of those who received conventional
63 edian times to GI bleeding were <90 days for apixaban and rivaroxaban and <120 days for dabigatran.
65 xanet reversed the anticoagulant activity of apixaban and rivaroxaban in older healthy participants w
68 control and at a rate of 0.33% per year with apixaban and was associated with high short-term morbidi
69 overall, direct OAC (dabigatran/rivaroxaban/apixaban), and multivariable associations between clinic
70 ivaroxaban, 0.28% (95% CrI, 0.14%-0.50%) for apixaban, and 0.89% (95% CrI, 0.66%-1.16%) for the LMWH-
71 4 administering rivaroxaban, 2 administering apixaban, and 3 administering edoxaban) enrolling a tota
73 e effects of the anti-Xa NOACs (rivaroxaban, apixaban, and edoxaban), and a number of other anticoagu
74 ral anticoagulants (dabigatran, rivaroxaban, apixaban, and edoxaban), many have questioned the need f
75 ACs), which include dabigatran, rivaroxaban, apixaban, and edoxaban, are poised to replace warfarin f
76 ts (DOACs), such as dabigatran, rivaroxaban, apixaban, and edoxaban, provide potential advantages ove
79 major bleeding rates were low and similar in apixaban- and warfarin-treated patients, regardless of w
82 f Long-Term Anticoagulation Therapy [RELY]), apixaban (Apixaban for Reduction in Stroke and Other Thr
83 ate and factor Xa inhibitors rivaroxaban and apixaban are new oral anticoagulants that are at least a
84 mbin (dabigatran) or factor Xa (rivaroxaban, apixaban) are effective and safe alternatives to vitamin
85 ulants, such as dabigatran, rivaroxaban, and apixaban, are emerging, but their relatively short half-
86 ccurred in 74/4560 (1.62%) procedures in the apixaban arm and 86/4454 (1.93%) in the warfarin arm (OR
87 Data Monitoring Committee, the 2 higher-dose apixaban arms were discontinued because of excess total
90 daily, rivaroxaban at 20 mg once daily, and apixaban at 5 mg twice daily) and warfarin in patients w
91 daily, rivaroxaban at 20 mg once daily, and apixaban at 5 mg twice daily) compared with treatment wi
93 randomized, double-blind study, we compared apixaban (at a dose of 10 mg twice daily for 7 days, fol
94 randomized, double-blind trial, we compared apixaban (at a dose of 5 mg twice daily) with warfarin (
96 placebo-controlled clinical trial comparing apixaban, at a dose of 5 mg twice daily, with placebo, i
97 aspirin; however, as follow-up was extended, apixaban became cost-effective and eventually dominant.
98 Major bleeding was significantly lower with apixaban compared with dabigatran 150 mg BID (by 26%) an
100 f stroke or systemic embolism was reduced by apixaban compared with warfarin in patients with atrial
101 e aimed to assess the efficacy and safety of apixaban compared with warfarin in prespecified subgroup
103 rly, the benefit of 5 mg twice daily dose of apixaban compared with warfarin on major bleeding in pat
104 ts in Atrial Fibrillation (ARISTOTLE) trial, apixaban compared with warfarin reduced stroke and syste
108 cebo (9 participants) (P<0.001), and unbound apixaban concentration was reduced by 9.3 ng per millili
113 min K antagonist oral anticoagulants (NOACs) apixaban, dabigatran, edoxaban, and rivaroxaban are admi
114 tients with AF were identified who initiated apixaban, dabigatran, or rivaroxaban between October 1,
115 patients with atrial fibrillation evaluating apixaban, dabigatran, or rivaroxaban versus warfarin.
116 imed to compare 4 oral anticoagulant agents (apixaban, dabigatran, rivaroxaban, and warfarin) for the
117 bling of serum creatinine, and AKI; however, apixaban did not have a statistically significant relati
119 respectively, in Factor Xa-inhibited (250 nM apixaban), diluted platelet rich plasma that had been lo
120 administered 6-10 h after the surgery), and apixaban (dose of 2.5 mg twice daily, starting 12-24 h a
125 ree are being evaluated in phase III trials (apixaban, edoxaban, and rivaroxaban) for the prevention
126 ministering rivaroxaban, and 3 administering apixaban) enrolling a total of 57,491 patients were incl
128 initiating VKA, dabigatran, rivaroxaban, or apixaban for patients aged >/=85 years were 0.81 (95% CI
130 ata from 48286 participants in 4 trials: the Apixaban for Prevention of Acute Ischemic Events 2 (APPR
131 s with atrial fibrillation in the ARISTOTLE (Apixaban for Reduction in Stroke and Other Thromboemboli
132 with the use of amiodarone in the ARISTOTLE (Apixaban for Reduction in Stroke and Other Thromboemboli
134 n 14 821 atrial fibrillation patients in the Apixaban for Reduction in Stroke and Other Thromboemboli
135 ntricular systolic dysfunction (LVSD) in the Apixaban for Reduction in Stroke and Other Thromboemboli
138 m Anticoagulation Therapy [RELY]), apixaban (Apixaban for Reduction in Stroke and Other Thromboemboli
140 the overall trial population enrolled in the Apixaban for Reduction in Stroke and Other Thromboemboli
141 The prospective, randomized, double-blind Apixaban for Reduction in Stroke and Other Thromboemboli
143 with apixaban or warfarin in the ARISTOTLE (Apixaban for the Prevention of Stroke in Subjects With A
144 fibrillation (AF) enrolled in the ARISTOTLE (Apixaban for the Prevention of Stroke in Subjects With A
145 gatran etexilate (2 doses), rivaroxaban, and apixaban for their relative efficacy and safety against
146 prescription of dabigatran, rivaroxaban, or apixaban from January 1, 2012, through December 31, 2016
147 dent exposure to dabigatran, rivaroxaban, or apixaban from October 1, 2010 through February 28, 2015.
148 had occurred in 0.47% of the patients in the apixaban group (15 of 3184 patients) and in 0.19% of the
149 atients who could be evaluated, 2.71% in the apixaban group (60 patients) and 3.06% in the enoxaparin
150 o group, as compared with 0.8% in the 2.5-mg apixaban group and 0.5% in the 5-mg apixaban group.
151 ain type of stroke was 0.97% per year in the apixaban group and 1.05% per year in the warfarin group
153 46 per 100 patient-years of follow-up in the apixaban group and 3.24 in the warfarin group (hazard ra
154 te of major hemorrhage among patients in the apixaban group was 2.13% per year compared with 3.09% pe
155 .5% in the placebo group, 0.2% in the 2.5-mg apixaban group, and 0.1% in the 5-mg apixaban group.
156 .3% in the placebo group, 3.0% in the 2.5-mg apixaban group, and 4.2% in the 5-mg apixaban group.
157 hemorrhagic stroke was 0.24% per year in the apixaban group, as compared with 0.47% per year in the w
158 he primary outcome was 1.27% per year in the apixaban group, as compared with 1.60% per year in the w
159 of major bleeding was 2.13% per year in the apixaban group, as compared with 3.09% per year in the w
160 ccurred in 59 of 2609 patients (2.3%) in the apixaban group, as compared with 71 of 2635 (2.7%) in th
161 ding occurred in 4.3% of the patients in the apixaban group, as compared with 9.7% of those in the co
166 r rates of stroke and systemic embolism, but apixaban had a lower risk of major hemorrhage compared w
169 of patients receiving DOAC agents, we found apixaban had the most favorable GI safety profile and ri
171 he oral factor Xa inhibitors rivaroxaban and apixaban have entered late phase development for VTE thr
172 coagulants (NOACs) (rivaroxaban, dabigatran, apixaban) have been approved by international regulatory
173 s was significantly lower for treatment with apixaban (hazard ratio [HR], 0.35; 95% CI, 0.17-0.72) an
174 varoxaban (HR, 0.55; 95% CrI, 0.35-0.89) and apixaban (HR, 0.31; 95% CrI, 0.15-0.62) were associated
177 le is known about the efficacy and safety of apixaban in relation to renal function changes over time
178 of an increase in major bleeding events with apixaban in the absence of a counterbalancing reduction
179 e was less frequent in patients treated with apixaban: in all ARISTOTLE patients, the apixaban/warfar
180 , with only the trials testing dabigatran or apixaban including few patients with 1 stroke risk facto
181 d 6.87 and 6.51 in the 10-year model, making apixaban inferior in the first model but dominant in the
183 l Fibrillation (ARISTOTLE) trial showed that apixaban is better than warfarin at prevention of stroke
184 ement of MBEs associated with rivaroxaban or apixaban is effective in most cases and is associated wi
185 conclusion the initiation of rivaroxaban and apixaban is increasing significantly over time in patien
187 ajor extracranial hemorrhage associated with apixaban led to reduced hospitalization, medical or surg
191 effective strategy and that rivaroxaban and apixaban may be associated with the lowest risk for blee
194 rval [CI], 0.60 to 1.18; difference in risk [apixaban minus conventional therapy], -0.4 percentage po
196 The benefit of the 5 mg twice daily dose of apixaban (n = 8665) compared with warfarin (n = 8657) on
198 sess the effect of treatment with aspirin or apixaban on ischemic stroke and major bleeding, in relat
199 poral trends in initiation of rivaroxaban or apixaban or dabigatran versus vitamin K antagonists (VKA
200 ts with AF were randomized to treatment with apixaban or warfarin in the ARISTOTLE (Apixaban for the
201 gned to receive the 5 mg twice daily dose of apixaban or warfarin, 3966 had 1 dose-reduction criterio
205 h one of the NOACs (rivaroxaban, dabigatran, apixaban) or VKA were identified between February 2012 a
206 compared dabigatran etexilate, rivaroxaban, apixaban, or edoxaban with VKA therapy in patients with
207 oral anticoagulant (dabigatran, rivaroxaban, apixaban, or edoxaban) with warfarin, and recorded event
208 oral thrombin inhibitor, and rivaroxaban and apixaban, oral factor Xa inhibitors, have been found to
212 of $100 000 per quality-adjusted life year, apixaban provided the greatest absolute benefit while st
213 clinical relevance of reducing ICH by using apixaban rather than warfarin and avoiding concomitant a
220 enzymes thrombin (dabigatran) or factor Xa (apixaban, rivaroxaban, and edoxaban) and given in fixed
221 s of randomized trials of DOACs (dabigatran, apixaban, rivaroxaban, and edoxaban) for efficacy and bl
222 ratio [RR], 0.68 [95% CI, 0.21 to 2.23]) and apixaban (RR, 0.59 [CI, 0.26 to 1.33]) but increased maj
223 of $100 000 per quality-adjusted life year, apixaban seems to be the optimal anticoagulation strateg
226 , and mortality were consistently lower with apixaban than with warfarin across center average TTR an
227 m inhibitors of coagulation (rivaroxaban and apixaban) than dabigatran which is a direct thrombin inh
228 ing the study drug) of patients treated with apixaban therapy and warfarin therapy were not statistic
229 To assess the cost and cost-effectiveness of apixaban therapy compared with warfarin therapy in patie
231 OTLE outcomes, was significantly longer with apixaban therapy vs warfarin therapy (7.94 vs 7.54 quali
233 Fibrillation (ARISTOTLE) trial reported that apixaban therapy was superior to warfarin therapy in pre
234 tion in ischemic events with the addition of apixaban to antiplatelet therapy in patients with recent
235 ectively included patients on rivaroxaban or apixaban treated with PCCs for the management of MBEs.
237 urred after 16/4624 (0.35%) procedures among apixaban-treated patients and 26/4530 (0.57%) procedures
238 ity within 30 days occurred half as often in apixaban-treated patients than in those receiving warfar
239 e effectiveness with no benefit in safety in apixaban-treated patients with normal or mildly impaired
242 s might be less relevant when used to tailor apixaban treatment to individual patients than they are
246 ALYs), and incremental cost-effectiveness of apixaban versus aspirin from the Medicare perspective.
248 re was also no significant heterogeneity for apixaban versus aspirin with regard to major bleeding, w
250 There were no significant differences for apixaban versus dabigatran (both doses) or rivaroxaban;
251 ients with atrial fibrillation randomised to apixaban versus warfarin in the ARISTOTLE trial and exte
252 he rate of stroke and systemic embolism with apixaban versus warfarin was 0.77 per 100 patient-years
255 n vs dabigatran for 31,574 patients, data on apixaban vs dabigatran for 13,084 patients, and data on
258 t benefits with the 5 mg twice daily dose of apixaban vs warfarin compared with patients without thes
260 ith apixaban: in all ARISTOTLE patients, the apixaban/warfarin hazard ratio for SSE or death was 0.89
263 tion (ARISTOTLE) trial, the standard dose of apixaban was 5 mg twice daily; patients with at least 2
268 n extended course of thromboprophylaxis with apixaban was not superior to a shorter course with enoxa
274 or treatment efficacy on ischemic stroke for apixaban when subdivided by stroke risk strata, based on
275 We report a case of a patient receiving apixaban who developed a spontaneous subdural hematoma a
276 as associated with upstart of rivaroxaban or apixaban with reference to age <65 within the specific a
279 hypothesized that extended prophylaxis with apixaban would be safe and more effective than short-ter
280 Probabilistic sensitivity analysis suggested apixaban would only be a cost-effective alternative (<$5
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