Synergistic influence of rivaroxaban on inflammation and coagulation biomarkers in patients with coronary artery disease and peripheral artery disease on aspirin therapy

被引:4
作者
Tantry, Udaya [1 ]
Cummings, Charles [1 ]
Mackrell, Peter [1 ]
Gonze, Mark [1 ]
Ulloa, Kristian [1 ]
Bafford, Richard [1 ]
Rout, Amit [1 ]
Sukhi, Ajaypaul [1 ]
Gurbel, Paul [1 ]
机构
[1] Sinai Hosp Baltimore, Sinai Ctr Thrombosis Res, Baltimore, MD 21215 USA
基金
美国国家卫生研究院;
关键词
bleeding; coagulation; coronary artery disease; FXa inhibitor; inflammation; peripheral artery disease; platelet; platelet aggregation; FACTOR-XA; DOUBLE-BLIND; GEMINI-ACS-1; ANTIPLATELET; CLOPIDOGREL; OUTCOMES;
D O I
10.2217/fca-2019-0091
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
COMPASS study demonstrated efficacy of dual pathway inhibition with 2.5 mg twice daily rivaroxaban and aspirin in patients with polyvascular disease (coronary artery disease, peripheral arterial disease or both), the underlying mechanism of which is not clearly understood. In this Phase IV, prospective, open-label and randomized study, we hypothesize that treatment with rivaroxaban is associated with a reduction in platelet activation and aggregation, inflammation and coagulation markers. 30 patients will be randomly treated with aspirin (81 mg q.d.) or aspirin plus rivaroxaban (2.5 mg b.i.d.) for 12 weeks. Platelet aggregation, platelet activation and inflammation markers, thrombin generation kinetics and tissue factor-induced platelet-fibrin clot strength will be measured at baseline, and 4 and 12 weeks after randomization.
引用
收藏
页码:69 / 75
页数:7
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