Evidence map›Paper›PMID 41257208›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Rivaroxaban in Chinese children with giant coronary artery aneurysms after Kawasaki disease.

Guangan Dai, Bijue Liu, Xuecun Liang, Yixiang Lin, Lan He, Feng Wang, Qingfeng He, Quming Zhao, Lu Zhao, Yuanzheng Zheng and 6 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. 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

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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. 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

16 authors.

Guangan DaiPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Bijue LiuPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Xuecun LiangPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Yixiang LinPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Lan HePediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Feng WangPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Qingfeng HeDepartment of Clinical Pharmacy and Pharmacy Administration, School of Pharmacy, Fudan University, Shanghai, People's Republic of China.
Quming ZhaoPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Lu ZhaoPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Yuanzheng ZhengPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Chen ChuPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Shuna SunPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Leonardo R BrandãoDivision of Haematology/Oncology, Department of Pediatrics, The Hospital for Sick Children, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Guoying HuangPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.
Xiao ZhuDepartment of Clinical Pharmacy and Pharmacy Administration, School of Pharmacy, Fudan University, Shanghai, People's Republic of China.
Fang LiuPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Data on the use of rivaroxaban in children with giant coronary artery aneurysm (GCAA) after Kawasaki disease (KD) remain limited. Objectives: This study evaluated the feasibility of rivaroxaban in Chinese children with GCAA after KD. Methods: This study was conducted at the Children's Hospital of Fudan University. Children aged 1 month to 18 years with persistent GCAA (diameter ≥ 8 mm or Z-score ≥ 10) during the postacute period of KD were included and followed up for at least 6 months. The study consisted of 2 stages. During the first stage (January-December 2023), patients received rivaroxaban following the 20-mg-equivalent regimen. In the second stage (January-November 2024), a pharmacometric model-informed rivaroxaban regimen was implemented. The primary outcome was a composite of GCAA thrombosis and major adverse cardiovascular event within 6 months. The secondary outcome included major bleeding and clinically relevant nonmajor (CRNM) bleeding. Results: In the first stage, 6 patients were enrolled (median age, 14.6 months; range, 4.7-130.8 months; median weight, 9.9; range, 6.6-33 kg; Z-score, 14.9; range, 10.6-28.0). No primary outcome or major bleeding occurred. Four CRNM bleedings were documented, leading to 6 dose adjustments. Two patients discontinued rivaroxaban due to improved coronary status. In the second stage, 14 patients received the 15-mg-equivalent rivaroxaban regimen (median age, 69.7 months; range, 16.4-143.1 months; median weight, 19.5 kg; range, 12.5-57.5 kg; Z-score, 14.7; range, 10.6-39.1). No primary or secondary outcome occurred. Two patient important bleeding no intervention events were documented. All patients remained on rivaroxaban beyond 6 months. External validation supported the predictive performance of model extrapolation. Conclusion: The 15-mg-equivalent rivaroxaban regimen appeared feasible in Chinese children with GCAA after KD, with no GCAA thrombosis, major bleeding or CRNM bleeding observed within 6 months. Larger studies are required to confirm these preliminary findings.

Indexed as

giant coronary artery aneurysmKawasaki diseasemodel-informed study designpopulation pharmacokineticsrivaroxaban

Identifiers

PMID41257208
PMCPMC12621564

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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.