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James A. Reiffel, MD - Novel Oral Anticoagulants - Figure 53

Primary Efficacy Endpoints

This Figure reports the efficacy endpoints by ITT analysis in tabular form.  It appears that the magnitude of superiority favors dabigatran, although it is necessary to stress again that this is not a statistically valid direct comparison, because the populations are not identical.  Importantly, whereas the mean CHADS2 score in ROCKET AF was 3.5 (meaning these patients were a high-risk group),[97] only about a third of the patients in RE-LY[96] and ARISTOTLE[99] had CHADS2 scores ≥3, and so those two subgroups are reported separately in the lower part of the table.

 Reiffel JA. Am J Med 2013; 126: 00-00.

Complete references for all slides

References

[96] Connolly SJ, Ezekowitz MD, Yusuf S, et al; RE-LY Steering Committee and Investigators. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;361:1139-1151.

[97] Patel MR, Mahaffey KW, Garg J, et al; the ROCKET AF Steering Committee, for the ROCKET AF Investigators. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med. 2011;365:883-891.

[99] Granger CB, Alexander JH, McMurray JV, et al; the ARISTOTLE Committees and Investigators. Apixaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2011;365:981-992.

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