Evidence map›Paper›PMID 38738493›Full record

Trial reportClinical and translational science2024

Development of immediate-release formulation with reliable absorption of rivaroxaban in various meal regimes.

Jan Bosák, Martin Šíma, Tereza Krejčí, Iva Obadalová, Jaroslava Šmardová, Petr Kozlík, Tomáš Křížek, Josef Beránek, Tomáš Hauser, Ondřej Slanař

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and translational science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Jan BosákZentiva, k.s., Prague, Czech Republic.
Martin ŠímaInstitute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.ORCID 0000-0002-6541-738X
Tereza KrejčíZentiva, k.s., Prague, Czech Republic.
Iva ObadalováZentiva, k.s., Prague, Czech Republic.
Jaroslava ŠmardováInstitute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.ORCID 0000-0001-6003-6441
Petr KozlíkDepartment of Analytical Chemistry, Faculty of Science, Charles University, Prague, Czech Republic.
Tomáš KřížekDepartment of Analytical Chemistry, Faculty of Science, Charles University, Prague, Czech Republic.ORCID 0000-0002-1623-8844
Josef BeránekZentiva, k.s., Prague, Czech Republic.
Tomáš HauserZentiva, k.s., Prague, Czech Republic.
Ondřej SlanařInstitute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.ORCID 0000-0002-5357-7562

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bioavailability of rivaroxaban at the higher doses (15 and 20 mg) is considerably reduced when the drug is administered on an empty stomach. This can lead to inadequate anticoagulant effect, and therefore, it is recommended to use the higher doses at fed state. However, proper posology may represent a barrier for some patients. Therefore, the aim of this study was to evaluate innovative rivaroxaban-containing formulations designed to eliminate the food effect to ensure reliable absorption and thus to improve patient adherence with the treatment. Three prototypes (Cocrystal, HPMCP and Kollidon) with rivaroxaban were developed and their bioavailability and food effect in comparison to the reference product was tested in open label, randomized, single oral dose, crossover studies, where test products were administered under fasting and fed conditions and the reference product was administered under fed conditions. Comparable bioavailability for all tested prototypes both under fed and fasting conditions was demonstrated as the 90% confidence intervals of the geometric mean ratios for area under the concentration-time curve remained within the standard acceptance range of 80.00%-125.00%. An innovative immediate release form of rivaroxaban with no food effect on drug bioavailability has been developed, which may represent an important step toward increasing adherence, improving treatment outcome and reducing health care costs.

Indexed as

Biological AvailabilityCross-Over StudiesFastingFood-Drug InteractionsRivaroxabanAdministration, OralAdultDrug CompoundingFactor Xa InhibitorsFemaleHumansMaleMealsMiddle AgedYoung AdultFactor Xa InhibitorsRivaroxaban

Identifiers

PMID38738493
PMCPMC11089494

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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.