Evidence map›Paper›PMID 31364490›Full record

ArticleTherapeutic advances in cardiovascular disease

Influence of model-predicted rivaroxaban exposure and patient characteristics on efficacy and safety outcomes in patients with acute coronary syndrome.

Liping Zhang, Xiaoyu Yan, Partha Nandy, Stefan Willmann, Keith A A Fox, Scott D Berkowitz, Amarnath Sharma, Anne Hermanowski-Vosatka, Stephan Schmidt, Jeffrey I Weitz and 2 more

Abstract read
In one paragraph

Article in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Practical recommendations to combine small-molecule inhibitors and direct oral anticoagulants in patients with nonsmall cell lung cancer.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  5. Pharmacogenomics and personalized medicine · 2020
    Article
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

12 authors.

Liping ZhangGlobal Clinical Pharmacology, Janssen Research and Development, LLC, 5 Pauma Valley Ct, Raritan, NJ 08558, USA.ORCID https://orcid.org/0000-0002-1398-5641
Xiaoyu YanJanssen Research & Development, LLC, Raritan, NJ, USA.
Partha NandyJanssen Research & Development, LLC, Raritan, NJ, USA.
Stefan WillmannBayer AG, Wuppertal, Germany.
Keith A A FoxCentre for Cardiovascular Sciences, The University of Edinburgh, Edinburgh, UK.
Scott D BerkowitzBayer US LLC, Whippany, NJ, USA.ORCID https://orcid.org/0000-0002-9428-4408
Amarnath SharmaJanssen Research & Development, LLC, Raritan, NJ, USA.
Anne Hermanowski-VosatkaJanssen Research & Development, LLC, Raritan, NJ, USA.
Stephan SchmidtDepartment of Pharmaceutics, University of Florida, Orlando, FL, USA.
Jeffrey I WeitzMcMaster University and the Thrombosis & Atherosclerosis Research Institute, Hamilton, ON, Canada.
Dirk GarmannBayer AG, Wuppertal, Germany.
Gary PetersJanssen Research & Development, LLC, Raritan, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis analysis aimed to evaluate the impact of rivaroxaban exposure and patient characteristics on efficacy and safety outcomes in patients with acute coronary syndrome (ACS) and to determine whether therapeutic drug monitoring might provide additional information regarding rivaroxaban dose, beyond what patient characteristics provide.

methodsA

resultsFor the incidence of myocardial infarction (MI), ischemic stroke, or nonhemorrhagic cardiovascular death, hazard ratios (HRs) for steady-state maximum plasma concentration (C

conclusionsThe shallow slopes of the exposure-response relationships and the lack of a clear therapeutic window render it unlikely that therapeutic drug monitoring in patients with ACS would provide additional information regarding rivaroxaban dose beyond that provided by patient characteristics.

Indexed as

Models, BiologicalAcute Coronary SyndromeAgedBrain IschemiaClinical Decision-MakingClinical Trials, Phase III as TopicDose-Response Relationship, DrugDrug Dosage CalculationsDrug MonitoringFactor Xa InhibitorsFemaleHemorrhageHumansMaleMiddle AgedMyocardial InfarctionFactor Xa InhibitorsRivaroxabanacute coronary syndromesbleedingexposure–response analysismonitoringpopulation pharmacokineticsrivaroxaban

Identifiers

PMID31364490
PMCPMC6669848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.