Anticoagulant therapy and incidence of bleeding

Patel, M. R. et al. (2011)

RCT (n = 14,264)

Rivaroxaban (Xarelto) 20mg or 15 mg daily for patients with a creatinine clearance of 30 to 49 mL per minute vs. dose adjusted (target international normalized ratio [INR], 2.0 to 3.0) Warfarin

71.2 + 9.42

Risk of major bleeding 1475 patients in the rivaroxaban group and 1449 patients in the warfarin group, respectively; hazard ratio in the rivaroxaban group, 1.03; 95% CI, 0.96 to 1.11; P = 0.442). Rates of major bleeding were similar in the rivaroxaban and warfarin groups (3.6% and 3.4%, respectively; P = 0.58) [18] .

Rutherford O.C W. et al. (2020)

Randomized cohort trial

(n = 20,504)

Dabigatranvsrivaroxaban

Dabigatran

70.9 + 10.95

Rivaroxaban

70.9 + 11.21

A major bleeding event occurred at a rate of 1.40/100 person-years in the dabigatran group, and 1.93 in the rivaroxaban group (HR 0.75; 95% CI 0.64 - 0.88).

Randomized cohort trial

(n = 27,298)

Rivaroxaban vs. apixaban

Rivaroxaban

72.7 + 11.08

Apixaban

72.7 + 11.66

The event rates of major bleeding were 1.76/100 person-years vs. 2.10/100 person-years in the apixaban- and rivaroxaban groups, respectively (HR 0.79; 95% CI 0.68 - 0.91) [13] .