Xarelto (rivaroxaban) / J&J 
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  • ||||||||||  Comparative Effectiveness and Safety of Oral Anticoagulants across Baseline Kidney Function (Best of Specialty Conferences, Science and Technology Hall) -  Aug 21, 2019 - Abstract #AHA2019AHA_5330;    
    In practice, relative to warfarin, NOACs are progressively less commonly used with increasing degree of renal dysfunction. However, each NOAC was consistently associated with at least equivalent effectiveness and safety compared with warfarin across the range of kidney function.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, aspirin / Generic Mfg.
    Large Aortic Arch Plaques are Associated With CHADS 2 and CHA 2 DS 2 -VASc Scores: A Multicenter Registry Analysis (Best of Specialty Conferences, Science and Technology Hall) -  Aug 21, 2019 - Abstract #AHA2019AHA_5169;    
    Frequency of aortic arch plaques ≥ 4mm were significantly increased in correlation with the increases in CHADS 2 score (19%, 0 points; 33%, 1; 40%, 2; 49%, 3; 59%, 4 to 6, P <0.001, respectively), and CHA 2 DS 2 -VASc score (12%, 0 points; 19%, 1; 35%, 2; 39%, 3; 46%, 4; 55%, 5 to 8, P <0.001, respectively). On multiple logistic regression analysis, aortic arch plaques ≥ 4mm were independently associated with CHADS 2 score ≥ 2 points (odds ratio, 1.79; 95% confidence interval, 1.25-2.57; P =0.002) and CHA 2 DS 2 -VASc score ≥ 2 points (odds ratio, 3.04; 95% confidence interval, 1.77-5.24; P <0.001).
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, Pradaxa (dabigatran etexilate) / Boehringer Ingelheim, Eliquis (apixaban) / BMS
    Oral Anticoagulation Therapy in Patients Hospitalized With Non-Valvular Atrial Fibrillation: A Nationwide Cohort Study (Zone 3, Science and Technology Hall) -  Aug 21, 2019 - Abstract #AHA2019AHA_5024;    
    Since the introduction of DOACs, the proportion of patients hospitalized in Scotland with NVAF who were treated with oral anticoagulation therapy has increased by a third. Compared with VKAs, DOACs were associated with a similar risk of major adverse cardiovascular events, lower risk of mortality and a trend towards lower risk of bleeding.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, Pradaxa (dabigatran etexilate) / Boehringer Ingelheim, Eliquis (apixaban) / BMS
    EVALUATION OF NOVEL ORAL ANTICOAGULANT PRESCRIPTION PATTERNS IN A TERTIARY CARE CLINIC (Zone 2, Science and Technology Hall) -  Aug 21, 2019 - Abstract #AHA2019AHA_4618;    
    Age greater than 80 appears to be the main reason for undertreatment. This pattern is not driven by objectively higher risk of bleeding according to the patient's HAS-BLED score.
  • ||||||||||  rivaroxaban / Generic mfg.
    Journal:  Fatal or Irreversible Bleeding and Ischemic Events With Rivaroxaban in Acute Coronary Syndrome. (Pubmed Central) -  Aug 21, 2019   
    P3
    Rivaroxaban therapy at an oral dose of 2.5 mg twice daily in patients treated with aspirin and clopidogrel is associated with a net reduction in fatal or irreversible events. (Anti-Xa Therapy to Lower Cardiovascular Events in Addition to Standard Therapy in Subjects with Acute Coronary Syndrome-Thrombolysis In Myocardial Infarction [ATLAS ACS 2-TIMI 51]; NCT00809965).
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J
    Clinical, Journal:  Global Prospective Safety Analysis of Rivaroxaban. (Pubmed Central) -  Aug 21, 2019   
    P=N/A
    Results were broadly consistent across regions. (Xarelto for Prevention of Stroke in Patients With Atrial Fibrillation [XANTUS]; NCT01606995; Xarelto for Prevention of Stroke in Patients With Atrial Fibrillation in Latin America and EMEA Region [XANTUS-EL]; NCT01800006; and Xarelto for Prevention of Stroke in Patients With Atrial Fibrillation in Asia [XANAP]; NCT01750788).
  • ||||||||||  rivaroxaban / Generic mfg.
    Biomarker, Clinical, Journal:  D-Dimer Levels and Effect of Rivaroxaban on Those Levels and Outcomes in Patients With Acute Coronary Syndrome (An ATLAS ACS-TIMI 46 Trial Substudy). (Pubmed Central) -  Aug 21, 2019   
    Rivaroxaban administration lowered D-dimer levels compared wth placebo after administration of the first dose of study drug (p = 0.026), at day 30 (p < 0.001) and day 180 (p < 0.001). In conclusion, elevated baseline D-dimer was associated with an increased risk of the composite outcome within 6 months of the ACS event and administration of the Factor Xa inhibitor rivaroxaban was associated with lower D-dimer levels compared with placebo after the first dose, at day 30 and day 180.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, aspirin / Generic Mfg.
    Journal:  Anticoagulation in Atherosclerotic Disease. (Pubmed Central) -  Aug 21, 2019   
    ...However, the only available therapy so far in the primary and secondary prevention of stable patients is the platelet inhibitors aspirin and clopidogrel...The addition of 2 × 2.5 mg rivaroxaban to long-term aspirin therapy not only prevented cardiovascular death, myocardial infarction and stroke, but even reduced all-cause mortality by a relative 18% after a mean follow-up of 23 months...Interestingly, however, there was no increase in fatal or intracranial haemorrhages. Therefore, a new standard therapy for high-risk patients with atherosclerotic disease may become available in the near future.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J
    Journal:  Role of rivaroxaban in the prevention of atherosclerotic events. (Pubmed Central) -  Aug 21, 2019   
    Preclinical data strongly suggest that rivaroxaban exerts vascular protection through different mechanisms, including improvement of endothelial functionality and fibrinolytic activity at endothelium, anti-inflammatory properties, and platelet-dependent thrombin generation. All these data indicate that among patients with atherosclerotic vascular disease, the addition of rivaroxaban 2.5 mg may provide further vascular protection.
  • ||||||||||  rivaroxaban / Generic mfg.
    Trial completion date, Trial primary completion date:  Rivaroxaban Compared to Vitamin K Antagonist Upon Development of Cardiovascular Calcification (clinicaltrials.gov) -  Aug 21, 2019   
    P4,  N=192, Active, not recruiting, 
    All these data indicate that among patients with atherosclerotic vascular disease, the addition of rivaroxaban 2.5 mg may provide further vascular protection. Trial completion date: Dec 2019 --> Mar 2020 | Trial primary completion date: Mar 2019 --> Mar 2020
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, aspirin / Generic Mfg., warfarin / Generic Mfg.
    THE SAFETY OF COLD SNARE POLYPECTOMY FOR PATIENTS ON ANTITHROMBOTIC THERAPY (A1) -  Aug 18, 2019 - Abstract #UEGW2019UEGW_2958;    
    Thus, CSP can be performed with a high level of safety, even in patients receiving antithrombotic agents. In addition, there were no significant differences of rates of DPPB between the continuation group and the interruption group.
  • ||||||||||  DELAYED BLEEDING AFTER COLONOSCOPIC TREATMENT IN PATIENTS TAKING ANTICOAGULANTS (Poster Exhibition - Hall 7) -  Aug 18, 2019 - Abstract #UEGW2019UEGW_2313;    
    In DOACs, the possibility of rapid onset of anticoagulant effect after oral administration was considered. We have previously reported that there was less delayed bleeding rate after gastric ESD in patients taking dabigatran.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J
    Journal:  Anticoagulant effects of Rivaroxaban after surgical fixation of spinal fracture. (Pubmed Central) -  Aug 17, 2019   
    It significantly reduced the incidence of VTE after spinal fracture and nerve injury, and did not increase the risk of bleeding. It is an ideal type of prophylactic anticoagulant after the operation of spinal fracture, which is worthy of further clinical study.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, Pradaxa (dabigatran etexilate) / Boehringer Ingelheim, Eliquis (apixaban) / BMS
    Clinical, Journal:  Risk of Myocardial Infarction in Anticoagulated Patients With Atrial Fibrillation. (Pubmed Central) -  Aug 17, 2019   
    It is an ideal type of prophylactic anticoagulant after the operation of spinal fracture, which is worthy of further clinical study. No significant risk differences of MI were found in the direct comparisons of DOACs, and DOACs were all associated with a significant risk reduction of MI compared with VKA.
  • ||||||||||  fondaparinux / Generic Mfg.
    Journal:  Initial and Long-Term Treatment of Pulmonary Embolism: Current Approach and Future Perspectives. (Pubmed Central) -  Aug 17, 2019   
    Beyond this period, an individual re-evaluation of the risk-to-benefit ratio of anticoagulation should be performed, based on several factors, including the type of index event, age, sex, D-dimer and residual venous obstruction. Possibly safer strategies can be offered to higher risk patients requiring extended duration of treatment, including the DOACs apixaban and rivaroxaban at reduced dose.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, Pradaxa (dabigatran etexilate) / Boehringer Ingelheim, Eliquis (apixaban) / BMS
    Journal:  Direct Oral Anticoagulants and Myocardial Infarction: The Dust Is Settling. (Pubmed Central) -  Aug 17, 2019   
    Possibly safer strategies can be offered to higher risk patients requiring extended duration of treatment, including the DOACs apixaban and rivaroxaban at reduced dose. No abstract available
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J
    Clinical, Journal:  Venous thromboembolic complications in oncological patients: present-day possibilities of effective and safe anticoagulant therapy (Pubmed Central) -  Aug 16, 2019   
    There are also findings obtained in a separate randomized study, confirming efficacy and safety of rivaroxaban in treatment of patients with cancer-associated venous thromboembolic complications as compared with therapy with low-molecular-weight heparins. Namely these results formed the basis for the guidelines of the International Society on Thrombosis and Hemostasis (SSC ISTH), according to which rivaroxaban may be regarded as an alternative to low-molecular-weight heparins in certain clinical situations.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J, Cardilor (amiodarone) / Generic Mfg.
    Retrospective data, Journal:  Secondary Prevention of Nonvalvular Atrial Fibrillation: A Retrospective Cohort Study. (Pubmed Central) -  Aug 16, 2019   
    On the contrary, the amiodarone use has been associated with a decreased risk of AF recurrences and hospital admissions. Thus, amiodarone might be an efficacious tool for realizing a successful long-term AF secondary prevention.
  • ||||||||||  Clinical, Journal:  Severity of Gastrointestinal Bleeding in Patients Treated with Direct-Acting Oral Anticoagulants. (Pubmed Central) -  Aug 15, 2019   
    Although prior studies have shown a higher frequency of gastrointestinal bleeding in patients treated with DOACs compared to warfarin, our data suggest that gastrointestinal bleeding in patients taking DOACs may be less severe. These differences occurred despite significantly greater concomitant aspirin use in the DOAC group compared to warfarin users.
  • ||||||||||  Xarelto (rivaroxaban) / Bayer, J&J
    Journal:  Rivaroxaban for post-discharge thromboprophylaxis: the MARINER trial. (Pubmed Central) -  Aug 15, 2019   
    In conclusion, the use of rivaroxaban for 90 days in seven patients after replacement of mitral valve with the mechanical prosthesis did not present thromboembolic or bleeding events (NCT02894307). No abstract available