Evidence map›Paper›PMID 41243623›Full record

ArticleClinical pharmacology and therapeutics2026

Real-World Edoxaban Concentrations in Older Patients Receiving Reduced-Dose Regimens.

Sung-Chun Tang, Shin-Yi Lin, Chih-Hao Chen, Yen-Bin Liu, Li-Ting Ho, Ching-Hua Kuo, Yu-Fong Peng, Chih-Fen Huang, Jiann-Shing Jeng

Abstract readMulticenter Study
In one paragraph

Article in Clinical pharmacology and therapeutics, 2026. 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. 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

9 authors.

Sung-Chun TangStroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-3731-5973
Shin-Yi LinDepartment of Pharmacy, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-7319-6644
Chih-Hao ChenStroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-1258-8775
Yen-Bin LiuDivision of Cardiovascular Center, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-0623-9146
Li-Ting HoDivision of Cardiovascular Center, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2095-4410
Ching-Hua KuoSchool of Pharmacy, National Taiwan University, Taipei, Taiwan.ORCID 0000-0001-5722-0360
Yu-Fong PengSchool of Pharmacy, National Taiwan University, Taipei, Taiwan.
Chih-Fen HuangSchool of Pharmacy, National Taiwan University, Taipei, Taiwan.ORCID 0000-0003-1311-8828
Jiann-Shing JengSchool of Pharmacy, National Taiwan University, Taipei, Taiwan.ORCID 0000-0002-1456-3686

Funding

Ministry of Education for financial assistance, TaiwanNational Science and Technology Council, Taiwan 112-2314-B-002-313National Taiwan University Hospital 114-S0112
6 · The paper itself

Abstract

This study investigated real-world edoxaban concentrations across different dosing regimens, with a specific focus on patients who met the inclusion criteria of low-dose edoxaban for the Elder Care Atrial Fibrillation (ELDERCARE-AF) trial. Patients with atrial fibrillation receiving edoxaban were enrolled to measure trough concentrations. The levels were compared with the expected therapeutic range (12-43 ng/mL) to define low or high concentrations. Data on ischemic stroke and systemic thromboembolism (SSE), and major bleeding, were collected prospectively. In total, 402 patients (77.2 ± 10.6 years; 52.2% men) were included. The SSE incidence was 1.22 (0.56-2.31) per 100 person years and was significantly associated with low edoxaban concentration (aHR, 4.13 [1.08-15.82]). Among patients meeting the ELDERCARE-AF criteria (n = 160), the use of the 15-mg regimen (ELDER-15 mg, n = 46) vs. the 30-mg regimen (ELDER-30 mg, n = 114) (aOR, 7.65 [2.92-20.09]), higher creatinine clearance (CrCL) (aOR, 1.05 [1.01-1.08]) and lower CHA

Indexed as

Atrial FibrillationFactor Xa InhibitorsIschemic StrokePyridinesThiazolesThromboembolismAgedAged, 80 and overDose-Response Relationship, DrugDrug MonitoringDrug TaperingFemaleHemorrhageHumansIncidenceMaleedoxabanFactor Xa InhibitorsPyridinesThiazoles

Identifiers

PMID41243623
PMCPMC12882752

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Registered trials

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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.