Evidence map›Paper›PMID 40164778›Full record

ReviewNature reviews. Cardiology2025

Factor XI inhibitors for the prevention and treatment of venous and arterial thromboembolism.

Davide Capodanno, John H Alexander, M Cecilia Bahit, John W Eikelboom, C Michael Gibson, Shaun G Goodman, Vijay Kunadian, Gregory Y H Lip, Renato D Lopes, Roxana Mehran and 8 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. The OCEANIC trial journey: from failure to breakthrough?European heart journal. Cardiovascular pharmacotherapy · 2026
    Article
  5. Review
  6. Article
  7. Inhibition of fibrinolysisResearch and practice in thrombosis and haemostasis · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Antithrombotic therapy for cancer-associated venous thromboembolism.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Cryptogenic stroke: definitions and management.Hematology. American Society of Hematology. Education Program · 2025
    Review
  17. Transforming atrial fibrillation management by targeting comorbidities and reducing atrial fibrillation burden: the 10th AFNET/EHRA consensus conference.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  18. Factor XI and Heart Failure.Arteriosclerosis, thrombosis, and vascular biology · 2025
    Article
  19. Article
  20. Abelacimab for Acute Pulmonary Embolism: Translating Dual FXI/XIa Inhibition from Mechanism to Clinical Prospects.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

18 authors.

Davide CapodannoDivision of Cardiology, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco", University of Catania, Catania, Italy.
John H AlexanderDuke University Medical Center, Durham, NC, USA.
M Cecilia BahitINECO Neurociencias, Rosario, Argentina.
John W EikelboomPopulation Health Research Institute, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-4126-1285
C Michael GibsonDivision of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-4857-9125
Shaun G GoodmanSt. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-8068-2440
Vijay KunadianTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University Medical School, Newcastle upon Tyne, UK.
Gregory Y H LipLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.ORCID 0000-0002-7566-1626
Renato D LopesDuke University Medical Center, Durham, NC, USA.ORCID 0000-0003-2999-4961
Roxana MehranIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-5546-262X
Shamir R MehtaPopulation Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Manesh R PatelDuke University Medical Center, Durham, NC, USA.
Jonathan P PicciniDuke University Medical Center, Durham, NC, USA.
Sunil V RaoNew York University School of Medicine, New York, NY, USA.
Christian T RuffTIMI Study Group, Division of Cardiovascular Medicine, Brigham & Women's Hospital, Boston, MA, USA.
P Gabriel StegUniversité Paris-Cité, INSERM-UMR1148, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, French Alliance for Cardiovascular Trials, Paris, France.
Jeffrey I WeitzPopulation Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Dominick J AngiolilloDivision of Cardiology, University of Florida College of Medicine, Jacksonville, FL, USA. dominick.angiolillo@jax.ufl.edu.ORCID 0000-0001-8451-2131

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapeutic anticoagulation is essential to prevent and treat venous and arterial thromboembolism. The available agents target coagulation factors involved in thrombus formation but are associated with an increased risk of bleeding. Factor XI plays a minor role in haemostasis but contributes substantially to thrombus expansion, making it an attractive target to mitigate bleeding while maintaining antithrombotic efficacy. Various novel inhibitors, including antisense oligonucleotides, monoclonal antibodies and small molecules, have been developed. Phase II trials in orthopaedic surgery showed dose-dependent reductions in venous thromboembolism without significantly increasing bleeding compared with enoxaparin. In the first phase III trial of a small-molecule inhibitor of activated factor XI in patients with atrial fibrillation, asundexian was associated with a reduction in bleeding but also a higher risk of stroke, compared with apixaban. Factor XI inhibitors appear safe and hold promise for secondary prevention in myocardial infarction and ischaemic stroke, with ongoing phase III trials assessing their broader efficacy and safety. This Review discusses the rationale, pharmacology, evidence and future directions of factor XI inhibitors across various clinical settings.

Indexed as

AnticoagulantsBlood CoagulationFactor XIThromboembolismVenous ThromboembolismHemorrhageHumansTreatment OutcomeAnticoagulantsFactor XI

Identifiers

What OpenQuestion holds

Textmetadata
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.