Evidence map›Paper›PMID 33954979›Full record

Trial reportBritish journal of haematology2021

A universal anti-Xa assay for rivaroxaban, apixaban, and edoxaban measurements: method validation, diagnostic accuracy and external validation.

Guido Willekens, Jan-Dirk Studt, Adriana Mendez, Lorenzo Alberio, Pierre Fontana, Walter A Wuillemin, Adrian Schmidt, Lukas Graf, Bernhard Gerber, Cedric Bovet and 2 more

Open access · hybridAbstract readClinical TrialMulticenter StudyValidation Study
In one paragraph

Trial report in British journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Viscoelastic monitoring of direct oral anticoagulants (DOAC).Blood transfusion = Trasfusione del sangue · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 9 institutions in 2 countries.

Guido WillekensDepartment of Epidemiology, Maastricht University, Maastricht, the Netherlands.
Jan-Dirk StudtDivision of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland.
Adriana MendezDepartment of Laboratory Medicine, Kantonsspital Aarau, Aarau, Switzerland.
Lorenzo AlberioService and Central Laboratory of Hematology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Pierre FontanaDivision of Angiology and Hemostasis, Geneva University Hospital, Geneva, Switzerland.
Walter A WuilleminDivision of Hematology and Central Hematology Laboratory, Cantonal Hospital of Lucerne, University of Bern, Bern, Switzerland.
Adrian SchmidtInstitute of Laboratory Medicine and Clinic of Medical Oncology and Hematology, City Hospital Waid and Triemli, Zurich, Switzerland.
Lukas GrafCantonal Hospital of St Gallen, St Gallen, Switzerland.ORCID 0000-0002-5556-4351
Bernhard GerberClinic of Hematology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.ORCID 0000-0001-5418-0949
Cedric BovetDepartment of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Thomas C SauterDepartment of Emergency Medicine, Inselspital, Bern University Hospital, Bern, Switzerland.
Michael NaglerDepartment of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0003-4319-2367
University of Bern · CHInstitute of Oncology Research · CHKantonsspital Aarau · CHTriemli Hospital · CHUniversity Hospital of Bern · CHUniversity Hospital of Geneva · CHUniversity Hospital of Zurich · CHUniversity of Lausanne · CHUniversity of St.Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A universal anti-Xa assay for the determination of rivaroxaban, apixaban and edoxaban drug concentrations would simplify laboratory procedures and facilitate widespread implementation. Following two pilot studies analysing spiked samples and material from 698 patients, we conducted a prospective multicentre cross-sectional study, including 867 patients treated with rivaroxaban, apixaban or edoxaban in clinical practice to comprehensively evaluate a simple, readily available anti-Xa assay that would accurately measure drug concentrations and correctly predict relevant levels in clinical practice. Anti-Xa activity was measured by an assay calibrated with low-molecular-weight heparin (LMWH) in addition to ultra-high performance liquid chromatography-tandem mass spectrometry (LC-MS/MS). As an external validation, LMWH-calibrated anti-Xa activity was also determined in nine external laboratories. The LMWH-calibrated anti-Xa activity correlated strongly with rivaroxaban, apixaban or edoxaban drug levels [r

Indexed as

Drug MonitoringAdolescentAdultAgedAged, 80 and overChromatography, High Pressure LiquidCross-Sectional StudiesCyclophosphamideFactor Xa InhibitorsFemaleHumansMaleMiddle AgedPilot ProjectsPyrazolesPyridonesapixabanCyclophosphamideFactor Xa InhibitorsPyrazolesPyridonesRivaroxabanapixabandrug monitoringedoxabanfactor Xa inhibitorsheparinlow-molecular-weightrivaroxaban

Identifiers

PMID33954979
PMCPMC8252105
OpenAlexW3158131828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.