Evidence map›Paper›PMID 42266552›Full record

ArticleDrugs in context2026

Clinical profile, management and outcomes of patients taking dual pathway inhibition for cardiovascular protection in clinical practice in Latin America. Data from the XATOA registry.

Juan Rene Cornejo-Avendaño, Carlos Novoa, Gerardo Peón, Carlos Rapallo, Alejandro Ricalde Alcocer, Nestor Alejandro Vita, Luis Ramón Virgen-Carrillo, Carlos Felipe Barrera-Ramírez, Eduardo Ramacciotti

Registry-linked trialAbstract read
In one paragraph

Article in Drugs in context, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03746275 (Xarelto + Acetylsalicylic Acid), which is not on this map. Not yet cited in PubMed.

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

NCT03746275 completednot on this map

Xarelto + Acetylsalicylic Acid: Treatment Patterns and Outcomes in Patients With Atherosclerosis. A Non-interventional Study

TypeobservationalSponsorBayerRan2018 to 2021Enrolled5,798ConditionsAtherosclerosisArmsRivaroxaban (BAY59-7939, Xarelto), Acetylsalicylic acid
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Juan Rene Cornejo-AvendañoDoctors Hospital Auna, Monterrey, Nuevo León, Mexico.
Carlos NovoaAngeles Acoxpa Hospital, Mexico City, Mexico.
Gerardo PeónDepartment of Vascular Surgery, Clínica de Mérida, Mérida, Yucatán, Mexico.
Carlos RapalloCardiovascular Disease Department, Sanatorio Anchorena Itoiz, Buenos Aires, Argentina.
Alejandro Ricalde AlcocerDepartamento de Cardiología Intervencionista, Centro Medico ABC Santa FE, Mexico City, Mexico.
Nestor Alejandro VitaDepartamento de Cardiología, Sanatorio de la Mujer, Rosario, Argentina.
Luis Ramón Virgen-CarrilloHospital Angeles Guadalajara, Guadalajara, Jalisco, Mexico.ORCID https://orcid.org/0009-0000-9522-5576
Carlos Felipe Barrera-RamírezCardiology and Interventional Cardiology, Hospital Universitario de Saltillo, Saltillo, Coahuila, Mexico.
Eduardo RamacciottiScience Valley Research Institute, Santo André, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COMPASS trial showed the benefits of dual pathway inhibition (DPI) in patients with atherosclerotic vascular disease. However, the characteristics of patients initiated on DPI have not been previously defined in clinical practice. This study aims to determine the clinical profile, management and outcomes of patients with coronary artery disease (CAD), peripheral artery disease (PAD) or both, initiating DPI using rivaroxaban 2.5 mg twice daily plus aspirin in clinical practice in Latin America. Methods: XATOA was an international, multicentre, prospective and single-arm registry that consecutively included adults with CAD, PAD or both, receiving DPI within 4 weeks before enrolment, according to clinical practice. Data from XATOA in Latin America are presented. Results: A total of 311 patients were included (mean age 67.74±11.63 years, 29.6% women, 74.3% with CAD, 40.5% with PAD and 14.8% with both conditions). The most frequently reported reason for initiating DPI was the presence of existing, worsening or newly diagnosed atherothrombotic risk characteristics (74.9%). Mean follow-up was 445.2±145.7 days. The incidence of major adverse cardiovascular events, cardiovascular death, major adverse limb events, and acute or severe limb ischaemia was 1.72 (95% CI 0.63-3.75), 1.15 (95% CI 0.31-2.94), 1.15 (95% CI 0.31-2.95) and 0.57 (95% CI 0.07-2.07) per 100 patient-years, respectively. Permanent discontinuation of rivaroxaban treatment was observed in 15.8% of patients, and serious adverse events related to rivaroxaban occurred in 0.3% of patients. Conclusion: Although patients with DPI in Latin America presented with a high vascular risk profile, the incidence of major adverse cardiovascular events and major adverse limb events, as well as the risk of major bleeding, remained low during follow-up. These results support the use of rivaroxaban 2.5 mg twice daily combined with aspirin in this population in clinical practice. Trial registration number: XATOA registry (NCT03746275).

Indexed as

aspirincardiovascular diseasescoronary artery diseaseperipheral arterial diseaserivaroxaban

Identifiers

PMID42266552
PMCPMC13245850

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Registered trials

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.