Evidence map›Paper›PMID 24931429›Full record

ArticleEuropean journal of clinical investigation2014

Measurement of rivaroxaban and apixaban in serum samples of patients.

Job Harenberg, Sandra Krämer, Shanshan Du, Shabnam Zolfaghari, Astrid Schulze, Roland Krämer, Christel Weiss, Martin Wehling, Gregory Y H Lip

Abstract readComparative Study
In one paragraph

Article in European journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Rivaroxaban and apixaban in orthopaedics: is there a difference in their plasma concentrations and anticoagulant effects?Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis · 2015
    Observational
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Job HarenbergDepartment of Clinical Pharmacology, Medical Faculty Mannheim, Ruprecht-Karls University Heidelberg, Mannheim, Germany.
Sandra Krämer
Shanshan Du
Shabnam Zolfaghari
Astrid Schulze
Roland Krämer
Christel Weiss
Martin Wehling
Gregory Y H Lip

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe determination of rivaroxaban and apixaban from serum samples of patients may be beneficial in specific clinical situations when additional blood sampling for plasma and thus the determination of factor Xa activity is not feasible or results are not plausible. MATERIALS AND

methodsThe primary aim of this study was to compare the concentrations of rivaroxaban and apixaban in serum with those measured in plasma. Secondary aims were the performance of three different chromogenic methods and concentrations in patients on treatment with rivaroxaban 10 mg od (n = 124) or 20 mg od (n = 94) or apixaban 5 mg bid (n = 52) measured at different time.

resultsConcentrations of rivaroxaban and apixaban in serum were about 20-25% higher compared with plasma samples with a high correlation (r = 0·79775-0·94662) using all assays (all P < 0·0001). The intraclass correlation coefficients were about 0·90 for rivaroxaban and 0·55 for apixaban. Mean rivaroxaban concentrations were higher at 2 and 3 h compared with 1 and 12 h after administration measured from plasma and serum samples (all P-values < 0·05) and were not different between 1 vs. 12 h (plasma and serum).

conclusionsThe results indicate that rivaroxaban and apixaban concentrations can be determined specifically from serum samples.

Indexed as

Administration, OralArthroplasty, Replacement, HipArthroplasty, Replacement, KneeAtrial FibrillationBiological AssayCase-Control StudiesChromogenic CompoundsFactor Xa InhibitorsHumansMorpholinesPostoperative ComplicationsPyrazolesPyridonesRivaroxabanSerumSpecimen HandlingapixabanChromogenic CompoundsFactor Xa InhibitorsMorpholinesPyrazolesPyridonesRivaroxabanThiophenesApixabanchromogenic substrate methodsdirect oral anticoagulantsplasmarivaroxabanserum

Identifiers

PMID24931429
PMCPMC4143952

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.