Evidence map›Paper›PMID 32323192›Full record

Trial reportJournal of thrombosis and thrombolysis2020

Associations between model-predicted rivaroxaban exposure and patient characteristics and efficacy and safety outcomes in patients with non-valvular atrial fibrillation.

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

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of thrombosis and thrombolysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00403767 (A Prospective, Randomized, Double-Blind, Parallel-Group, Multicenter, Non-inferiority Study Comparing the Efficacy and Safety of Rivaroxaban), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% of its field
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.

NCT00403767 phase3completednot on this map

A Prospective, Randomized, Double-Blind, Parallel-Group, Multicenter, Non-inferiority Study Comparing the Efficacy and Safety of Rivaroxaban (BAY 59-7939) With Warfarin for the Prevention of Stroke and Non-Central Nervous System Systemic Embolism in Subjects With Non-Valvular Atrial Fibrillation

TypeinterventionalSponsorJohnson & Johnson Pharmaceutical Research & Development, L.L.C.Ran2006 to 2010Enrolled14,269ConditionsAtrial Fibrillation, Stroke, EmbolismArmsRivaroxaban, Warfarin, Matching placebo for Rivaroxaban arm (Warfarin placebo), Matching placebo for Warfarin arm (Rivaroxaban placebo)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Physiologically-based pharmacokinetic modeling to predict drug-drug interactions of dabigatran etexilate and rivaroxaban in the Chinese older adults.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Medications that interact with direct-acting oral anticoagulant exposure.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
    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 at 7 institutions in 4 countries.

Liping ZhangJanssen Research & Development, LLC, Raritan, NJ, USA. LZhang11@ITS.JNJ.com.ORCID http://orcid.org/0000-0002-1398-5641
Xiaoyu YanJanssen Research & Development, LLC, Raritan, NJ, USA.
Keith A A FoxCentre for Cardiovascular Science, The University of Edinburgh, Edinburgh, UK.
Stefan WillmannClinical Pharmacometrics, Bayer AG, Wuppertal, Germany.
Partha NandyJanssen Research & Development, LLC, Raritan, NJ, USA.
Scott D BerkowitzBayer U.S., LLC, Research & Development, Pharmaceuticals, Whippany, NJ, USA.
Anne Hermanowski-VosatkaJanssen Research & Development, LLC, Raritan, NJ, USA.
Jeffrey I WeitzThrombosis & Atherosclerosis Research Institute, McMaster University, Hamilton, ON, Canada.
Alexander SolmsClinical Pharmacometrics, Bayer AG, Berlin, Germany.
Stephan SchmidtCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, FL, USA.
Manesh PatelDuke Clinical Research Institute, Durham, NC, USA.
Gary PetersJanssen Research & Development, LLC, Raritan, NJ, USA.
Janssen (United States) · USBayer (Germany) · DEBayer (United States) · USClinical Research Institute · USThrombosis and Atherosclerosis Research Institute · CAUniversity of Edinburgh · GBUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rivaroxaban exposure and patient characteristics may affect the rivaroxaban benefit-risk balance. This study aimed to quantify associations between model-predicted rivaroxaban exposure and patient characteristics and efficacy and safety outcomes in patients with non-valvular atrial fibrillation (NVAF), using data from the phase 3 ROCKET AF trial (NCT00403767). In ROCKET AF, 14,264 patients with NVAF were randomized to rivaroxaban (20 mg once daily [OD], or 15 mg OD if creatinine clearance was 30-49 mL/min) or dose-adjusted warfarin (median follow-up: 707 days); rivaroxaban plasma concentration was measured in a subset of 161 patients. In this post hoc exposure-response analysis, a multivariate Cox model was used to correlate individual predicted rivaroxaban exposures and patient characteristics with time-to-event efficacy and safety outcomes in 7061 and 7111 patients, respectively. There was no significant association between model-predicted rivaroxaban trough plasma concentration (C

Indexed as

Atrial FibrillationDrug MonitoringHemorrhageRivaroxabanStrokeVenous ThromboembolismAnticoagulantsBiomarkers, PharmacologicalChemopreventionFemaleHumansMaleMiddle AgedModels, StatisticalPrognosisProthrombin TimeAnticoagulantsBiomarkers, PharmacologicalRivaroxabanAtrial fibrillationDrug monitoringPharmacokineticsRandomized controlled trialRivaroxaban

Identifiers

PMID32323192
PMCPMC7293978
OpenAlexW3018281068

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.