- |||||||||| Avastin (bevacizumab) / Roche
Journal: Bleeding and thrombotic events in bevacizumab-treated patients with colorectal cancer on novel oral anticoagulants and antiplatelet medications. (Pubmed Central) - Mar 21, 2024 Bevacizumab is a humanized monoclonal anti-VEGF antibody often given in combination with fluorouracil-based chemotherapy as therapy for metastatic colorectal cancer (mCRC)...21 patients were identified who received bevacizumab and either apixaban or rivaroxaban for mCRC treatment...No patient experienced adverse thrombotic events. Patients with mCRC treated with bevacizumab and apixaban with no history of aspirin use within three years have a relatively low risk of bleeding that warrants treatment discontinuation.
- |||||||||| Jakafi (ruxolitinib) / Incyte, Soliris (eculizumab) / AstraZeneca
Medical management of portal vein thrombosis in patients without cirrhosis (Gold Room) - Mar 16, 2024 - Abstract #EASLILC2024EASL_ILC_23; Preliminary data with ruxolitinib or pegylated-interferon in small series is promising. In patients with splanchnic vein thrombosis (including Budd-Chiari syndrome) associated with paroxysmal nocturnal haemoglobinuria (PNH), treatment with eculizumab significantly improved survival, and recurrent thrombosis in and outside the splanchnic veins.7 In one case series, in 18 patients treated with C5 inhibition alone without therapeutic anticoagulation (interrupted in 12), two had recurrent thrombosis suggesting that discontinuation of anticoagulation in PNH patients well-controlled on terminal complement inhibition may be safe.8 Other data in Beh
- |||||||||| PREDICTING MAJOR BLEEDING IN PATIENTS RECEIVING ANTICOAGULANT THERAPY (Hall A, Poster Hall - Walter E. Washington Convention Center) - Mar 14, 2024 - Abstract #DDW2024DDW_7131;
Our results clearly demonstrate that certain variables are associated with major bleeding in patients on OACs, but none of these are decisively predictive. Further studies should focus on identifying reliable risk factors for MB before attempting to develop further risk scores.
- |||||||||| Savaysa (edoxaban) / Daiichi Sankyo
OPTIMAL DIRECT ORAL ANTICOAGULANT IN UPPER GASTROINTESTINAL ENDOSCOPIC SUBMUCOSAL DISSECTION (150AB - Walter E. Washington Convention Center) - Mar 14, 2024 - Abstract #DDW2024DDW_6587; [Conclusions] In this large-scale database study, we first found the risk of ischemic stroke and delayed bleeding in upper GI ESD in patients with each DOAC. Based on the priority of risk of ischemic stroke compared with the risk of delayed bleeding and lower risk of both ischemic stroke and delayed bleeding, rivaroxaban might be optimal among the four DOACs in upper GI ESD.
- |||||||||| Savaysa (edoxaban) / Daiichi Sankyo
ASSOCIATION OF DIRECT ORAL ANTICOAGULANT AND DELAYED BLEEDING WITH PHARMACOKINETICS AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION (Hall A, Poster Hall - Walter E. Washington Convention Center) - Mar 14, 2024 - Abstract #DDW2024DDW_4979; The incidence of post-ESD bleeding was significantly higher in patients with higher age (P = 0.028), concomitant antiplatelet drugs (P <0.001), aspirin (P = 0.003), and thienopyridine (P <0.001) compared with respective non-bleeding patients. Although plasma DOAC concentration and plasma level/dose ratio at trough and T max varied widely among individuals, a significant correlation with plasma concentration and FXa activity was observed (apixaban: correlation coefficient, -0.893, p <0.001).
- |||||||||| rivaroxaban / Generic mfg.
Journal: Twice-daily rivaroxaban after percutaneous left atrial appendage closure for atrial fibrillation. (Pubmed Central) - Mar 8, 2024 There were no statistically significant differences between the two groups in terms of DRT (1.4% vs. 2.7%, p = 0.60), minor bleeding (8.2% vs. 11.0%, p = 0.39), thromboembolic events (1.0% vs. 0.8%, p = 1.00), major bleeding (0.5% vs. 0.8%, p = 1.00), or death. A short course of twice-daily rivaroxaban following LAAC is a feasible alternative regimen with a low rate of major bleeding events, DRT, and thromboembolic events for patients with AF.
- |||||||||| AndexXa (coagulation factor Xa (recombinant), inactivated -zhzo) / Daiichi Sankyo, AstraZeneca
Clinical, Journal, Real-world evidence, Real-world: Andexanet Alfa: What We Have Learned from Clinical Trials and Real-World Data. (Pubmed Central) - Mar 8, 2024 Finally, management of patients at high risk of thrombosis or recent arterial/venous thrombotic events needs to be further explored. In this current opinion, we address these urgent questions in the light of recent literature and clinical trial data.
- |||||||||| Fatal Outcomes from Drug Interactions: Insights from the FDA Adverse Event Reporting System () - Mar 8, 2024 - Abstract #ISPOR2024ISPOR_378;
Despite the high frequency of reports involving specific drug families, it's important to recognize that not all fatal adverse reactions due to drug interactions may be identified. This study underscores the complexity of assessing drug interaction harms and the necessity for further research in this critical area.
- |||||||||| Rituxan (rituximab) / Roche
Recurrent Ischemic Strokes in a Patient With ITP: A Case Report and Literature Review (Colorado Convention Center | Exhibit Hall B-E) - Mar 8, 2024 - Abstract #AAN2024AAN_3704; Thrombocytopenia in ITP is not protective against thrombosis but certainly increases risk of bleeding in patients receiving anticoagulation, therefore management can be challenging. Additional research is required to guide stroke management particularly in those without conventional stroke risk factors.
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