Safety and effectiveness of dabigatran at 2 years: Final outcomes from Phase II of the GLORIA-AF registry program

被引:22
作者
Mazurek, Michal [1 ]
Teutsch, Christine [2 ]
Diener, Hans-Christoph [3 ]
Dubner, Sergio J. [4 ]
Halperin, Jonathan L. [5 ]
Ma, Chang-Sheng [6 ]
Rothman, Kenneth J. [7 ]
Paquette, Miney [8 ]
Zint, Kristina [9 ]
Franca, Lionel Riou [10 ]
Lu, Shihai [11 ]
Bartels, Dorothee B. [12 ]
Huisman, Menno V. [13 ]
Lip, Gregory Y. H. [14 ,15 ]
机构
[1] Silesian Med Univ, Congenital Heart Dis & Electrotherapy, Dept Cardiol, Silesian Ctr Heart Dis, Zabrze, Poland
[2] Boehringer Ingelheim Int GmbH, Therapeut Area Cardiometab, Dept Clin Dev & Med Affairs, Ingelheim, Germany
[3] Univ Duisburg Essen, Dept Neurol, Essen, Germany
[4] Clin & Maternidad Suizo Argentina, Buenos Aires, DF, Argentina
[5] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
[6] Capital Med Univ, Beijing AnZhen Hosp, Atrial Fibrillat Ctr, Cardiol Dept, Beijing, Peoples R China
[7] RTI Hlth Solut, Res Triangle Pk, NC USA
[8] Boehringer Ingelheim GmbH & Co KG, Dept Med, Burlington, ON, Canada
[9] Boehringer Ingelheim Int GmbH, Global Epidemiol Dept, Ingelheim, Germany
[10] Sanofi Aventis, Chilly Mazarin, France
[11] Boehringer Ingelheim Pharmaceut Inc, Biostat & Data Sci Dept, 90 E Ridge POB 368, Ridgefield, CT 06877 USA
[12] Hannover Med Sch, Hannover, Germany
[13] Leiden Univ, Med Ctr, Dept Thrombosis & Hemostasis, Leiden, Netherlands
[14] Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
[15] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
关键词
ATRIAL-FIBRILLATION; MORTALITY RISKS; WARFARIN; STROKE; EVENTS;
D O I
10.1016/j.ahj.2019.08.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
GLORIA-AF is a large, ongoing, prospective, global registry program run in 3 phases, assessing long-term safety and effectiveness of dabigatran etexilate (dabigatran) in patients with newly diagnosed atrial fibrillation (AF) in clinical practice. This report provides the final analysis of 2-year clinical outcomes of the full cohort of 4873 patients prescribed dabigatran and followed for a mean of 18.0 +/- 9.4 months out of the 15,308 eligible patients enrolled in Phase II (2011-2014). The overall incidence rates per 100 person-years were: stroke 0.65 (95% CI 0.48-0.87), major bleeding 0.97 (0.76-1.23) and myocardial infarction (MI) 0.50 (0.35.0.69), with observed event rates broadly consistent in all study regions, which confirms the sustained safety and effectiveness of dabigatran over 2 years of observation in clinical practice.
引用
收藏
页码:123 / 127
页数:5
相关论文
共 12 条
[1]   Additional Events in the RE-LY Trial [J].
Connolly, Stuart J. ;
Wallentin, Lars ;
Yusuf, Salim .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (15) :1464-1465
[2]   Dabigatran versus Warfarin in Patients with Atrial Fibrillation. [J].
Connolly, Stuart J. ;
Ezekowitz, Michael D. ;
Yusuf, Salim ;
Eikelboom, John ;
Oldgren, Jonas ;
Parekh, Amit ;
Pogue, Janice ;
Reilly, Paul A. ;
Themeles, Ellison ;
Varrone, Jeanne ;
Wang, Susan ;
Alings, Marco ;
Xavier, Denis ;
Zhu, Jun ;
Diaz, Rafael ;
Lewis, Basil S. ;
Darius, Harald ;
Diener, Hans-Christoph ;
Joyner, Campbell D. ;
Wallentin, Lars .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (12) :1139-1151
[3]   STANDARD DISTANCE IN UNIVARIATE AND MULTIVARIATE-ANALYSIS [J].
FLURY, BK ;
RIEDWYL, H .
AMERICAN STATISTICIAN, 1986, 40 (03) :249-251
[4]   Stroke, Bleeding, and Mortality Risks in Elderly Medicare Beneficiaries Treated With Dabigatran or Rivaroxaban for Nonvalvular Atrial Fibrillation [J].
Graham, David J. ;
Reichman, Marsha E. ;
Wernecke, Michael ;
Hsueh, Hui ;
Izem, Rima ;
Southworth, Mary Ross ;
Wei, Yuqin ;
Liao, Jiemin ;
Goulding, Margie R. ;
Mott, Katrina ;
Chillarige, Yoganand ;
MaCurdy, Thomas E. ;
Worrall, Chris ;
Kelman, Jeffrey A. .
JAMA INTERNAL MEDICINE, 2016, 176 (11) :1662-1671
[5]   Cardiovascular, Bleeding, and Mortality Risks in Elderly Medicare Patients Treated With Dabigatran or Warfarin for Nonvalvular Atrial Fibrillation [J].
Graham, David J. ;
Reichman, Marsha E. ;
Wernecke, Michael ;
Zhang, Rongmei ;
Southworth, Mary Ross ;
Levenson, Mark ;
Sheu, Ting-Chang ;
Mott, Katrina ;
Goulding, Margie R. ;
Houstoun, Monika ;
MaCurdy, Thomas E. ;
Worrall, Chris ;
Kelman, Jeffrey A. .
CIRCULATION, 2015, 131 (02) :157-164
[6]   Design and rationale of Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation: A global registry program on long-term oral antithrombotic treatment in patients with atrial fibrillation [J].
Huisman, Menno V. ;
Lip, Gregory Y. H. ;
Diener, Hans C. ;
Dubner, Sergio J. ;
Halperin, Jonathan L. ;
Ma, Chang S. ;
Rothman, Kenneth J. ;
Teutsch, Christine ;
Zint, Kristina ;
Ackermann, Diana ;
Clemens, Andreas ;
Bartels, Dorothee B. .
AMERICAN HEART JOURNAL, 2014, 167 (03) :329-334
[7]   Bleeding Events Among New Starters and Switchers to Dabigatran Compared with Warfarin in Atrial Fibrillation [J].
Larsen, Torben Bjerregaard ;
Gorst-Rasmussen, Anders ;
Rasmussen, Lars Hvilsted ;
Skjoth, Flemming ;
Rosenzweig, Mary ;
Lip, Gregory Y. H. .
AMERICAN JOURNAL OF MEDICINE, 2014, 127 (07) :650-+
[8]   Myocardial Ischemic Events in 'Real World' Patients with Atrial Fibrillation Treated with Dabigatran or Warfarin [J].
Larsen, Torben Bjerregaard ;
Rasmussen, Lars Hvilsted ;
Gorst-Rasmussen, Anders ;
Skjoth, Flemming ;
Rosenzweig, Mary ;
Lane, Deirdre A. ;
Lip, Gregory Y. H. .
AMERICAN JOURNAL OF MEDICINE, 2014, 127 (04) :329-+
[9]  
Lash T.L., 2010, Applying Quantitative Bias Analysis to Epidemiologic Data
[10]   Patient outcomes using the European label for dabigatran A post-hoc analysis from the RE-LY database [J].
Lip, Gregory Y. H. ;
Clemens, Andreas ;
Noack, Herbert ;
Ferreira, Jorge ;
Connolly, Stuart J. ;
Yusuf, Salim .
THROMBOSIS AND HAEMOSTASIS, 2014, 111 (05) :933-942