Clinical development of rivaroxaban: emerging new clinical evidences?

Future Cardiol. 2015 Sep;11(5):565-83. doi: 10.2217/fca.15.31. Epub 2015 Jun 25.

Abstract

Rivaroxaban has proven efficacious in a variety of conditions. In fact, rivaroxaban has been approved for the prevention of venous thromboembolism after elective hip or knee replacement surgery, for the prevention and treatment of deep vein thrombosis and pulmonary embolism, for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the prevention of atherothrombotic events after acute coronary syndrome with elevated cardiac biomarkers. However, clinical development of rivaroxaban is ongoing. Considering published and on-going randomized clinical trials, noninterventional studies and registries, over 275,000 patients are being analyzed. The aim of this review was to update the clinical development of rivaroxaban, including completed and ongoing studies not only randomized clinical trials, but also clinical practice studies.

Keywords: acute coronary syndrome; deep vein thrombosis; direct oral anticoagulant; new oral anticoagulant; nonvalvular atrial fibrillation; pulmonary embolism; rivaroxaban; venous thromboembolism.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Atrial Fibrillation / complications
  • Factor Xa Inhibitors / pharmacokinetics
  • Humans
  • Rivaroxaban / pharmacokinetics*
  • Stroke / etiology
  • Stroke / prevention & control*
  • Treatment Outcome
  • Venous Thromboembolism / complications
  • Venous Thromboembolism / drug therapy*
  • Venous Thromboembolism / metabolism

Substances

  • Factor Xa Inhibitors
  • Rivaroxaban