Apixaban antithrombotics

Eliquis - BMS-562247 - BMS562247 - BMS 562247

Acute coronary syndrome

All ACS (including AMI):  4 trials  - APPRAISE-1 (10mg od) - APPRAISE-1 (2.5 mg bid) - APPRAISE 2 - APPRAISE japan

apixaban vs placebo

No demonstrated result

major or minor bleeding by 174% (harmful effect)

any bleedings by 121% (harmful effect)

major or clinically relevant non-major bleeding by 139% (harmful effect)

Major bleeding by 153% (harmful effect)

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All type of patients:  4 trials  - APPRAISE-1 (10mg od) - APPRAISE-1 (2.5 mg bid) - APPRAISE 2 - APPRAISE japan

apixaban vs placebo

No demonstrated result

major or minor bleeding by 174% (harmful effect)

any bleedings by 121% (harmful effect)

major or clinically relevant non-major bleeding by 139% (harmful effect)

Major bleeding by 153% (harmful effect)

Patients with a recent ACS:  4 trials  - APPRAISE-1 (10mg od) - APPRAISE-1 (2.5 mg bid) - APPRAISE 2 - APPRAISE japan

apixaban vs placebo

No demonstrated result

major or minor bleeding by 174% (harmful effect)

any bleedings by 121% (harmful effect)

major or clinically relevant non-major bleeding by 139% (harmful effect)

Major bleeding by 153% (harmful effect)

Atrial fibrillation

All type of patients :  3 trials  - ARISTOTLE - AVERROES - phase 2 apixaban

apixaban vs aspirin

No demonstrated result

suggested thrombo-embolic event (cerebral or systemic) by 54% (not demonstrated)

suggested ischemic stroke by 63% (not demonstrated)

suggested stroke (fatal and non fatal) by 54% (not demonstrated)

apixaban vs warfarin standard dose

thrombo-embolic event (cerebral or systemic) by 20% (fully demonstrated)

Major bleeding by 30% (fully demonstrated)

All cause death by 11% (fully demonstrated)

suggested major or clinically relevant non-major bleeding by 30% (not demonstrated)

suggested Haemmorhagic stroke by 49% (not demonstrated)

suggested stroke (fatal and non fatal) by 21% (not demonstrated)

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Patients ineligible for warfarin:  1 trials  - AVERROES

apixaban vs aspirin

No demonstrated result

suggested thrombo-embolic event (cerebral or systemic) by 54% (not demonstrated)

suggested ischemic stroke by 63% (not demonstrated)

suggested stroke (fatal and non fatal) by 54% (not demonstrated)

Primary prevention of thromboembolic events:  3 trials  - ARISTOTLE - AVERROES - phase 2 apixaban

apixaban vs aspirin

No demonstrated result

suggested thrombo-embolic event (cerebral or systemic) by 54% (not demonstrated)

suggested ischemic stroke by 63% (not demonstrated)

suggested stroke (fatal and non fatal) by 54% (not demonstrated)

apixaban vs warfarin standard dose

thrombo-embolic event (cerebral or systemic) by 20% (fully demonstrated)

Major bleeding by 30% (fully demonstrated)

All cause death by 11% (fully demonstrated)

suggested major or clinically relevant non-major bleeding by 30% (not demonstrated)

suggested Haemmorhagic stroke by 49% (not demonstrated)

suggested stroke (fatal and non fatal) by 21% (not demonstrated)

Pulmonary embolism

All type of patients:  3 trials  - AMPLIFY - AMPLIFY-EXT 2.5mg - AMPLIFY-EXT 5mg

apixaban (without LMWH) vs LMWH/VKA

No demonstrated result

suggested Major bleeding by 69% (not demonstrated)

apixaban 2.5mg vs discontinuation

No demonstrated result

suggested VTE by 67% (not demonstrated)

apixaban 5mg vs discontinuation

No demonstrated result

suggested VTE by 64% (not demonstrated)

Thrombosis prevention

elective major knee surgery :  3 trials  - APROPOS 2.5mg - ADVANCE-1 - ADVANCE 2

apixaban vs enoxaparin (europe regimen)

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 50% (not demonstrated)

suggested Deep vein thrombosis by 40% (not demonstrated)

suggested total VTE and all-cause mortality by 38% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (US regimen)

No demonstrated result

suggested major or clinically relevant non-major bleeding by 33% (not demonstrated)

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All type of patients :  4 trials  - APROPOS 2.5mg - ADVANCE-1 - ADVANCE 3 - ADVANCE 2

apixaban vs enoxaparin

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 60% (not demonstrated)

suggested Deep vein thrombosis by 68% (not demonstrated)

suggested total VTE and all-cause mortality by 64% (not demonstrated)

suggested asymptomatic DVT by 67% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (europe regimen)

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 50% (not demonstrated)

suggested Deep vein thrombosis by 40% (not demonstrated)

suggested total VTE and all-cause mortality by 38% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (US regimen)

No demonstrated result

suggested major or clinically relevant non-major bleeding by 33% (not demonstrated)

Elective hip replacement:  1 trials  - ADVANCE 3

apixaban vs enoxaparin

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 60% (not demonstrated)

suggested Deep vein thrombosis by 68% (not demonstrated)

suggested total VTE and all-cause mortality by 64% (not demonstrated)

suggested asymptomatic DVT by 67% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

Elective major knee surgery :  2 trials  - APROPOS 2.5mg - ADVANCE 2

apixaban vs enoxaparin (europe regimen)

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 50% (not demonstrated)

suggested Deep vein thrombosis by 40% (not demonstrated)

suggested total VTE and all-cause mortality by 38% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (US regimen)

No demonstrated result

Medical patients:  1 trials  - ADOPT

apixaban vs enoxaparin

No demonstrated result

suggested Symptomatic deep-vein thrombosis by 69% (not demonstrated)

Orthopaedic surgery:  4 trials  - APROPOS 2.5mg - ADVANCE-1 - ADVANCE 3 - ADVANCE 2

apixaban vs enoxaparin

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 60% (not demonstrated)

suggested Deep vein thrombosis by 68% (not demonstrated)

suggested total VTE and all-cause mortality by 64% (not demonstrated)

suggested asymptomatic DVT by 67% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (europe regimen)

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 50% (not demonstrated)

suggested Deep vein thrombosis by 40% (not demonstrated)

suggested total VTE and all-cause mortality by 38% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (US regimen)

No demonstrated result

suggested major or clinically relevant non-major bleeding by 33% (not demonstrated)

Orthopedic surgery :  4 trials  - APROPOS 2.5mg - ADVANCE-1 - ADVANCE 3 - ADVANCE 2

apixaban vs enoxaparin

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 60% (not demonstrated)

suggested Deep vein thrombosis by 68% (not demonstrated)

suggested total VTE and all-cause mortality by 64% (not demonstrated)

suggested asymptomatic DVT by 67% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (europe regimen)

No demonstrated result

suggested major VTE (fatal and non fatal DVT,PE) by 50% (not demonstrated)

suggested Deep vein thrombosis by 40% (not demonstrated)

suggested total VTE and all-cause mortality by 38% (not demonstrated)

suggested proximal DVT by 65% (not demonstrated)

apixaban vs enoxaparin (US regimen)

No demonstrated result

suggested major or clinically relevant non-major bleeding by 33% (not demonstrated)

Patients with cancer:  1 trials  - CV185-027

apixaban vs placebo

No demonstrated result

Venous thrombosis

secondary prevention of VTE :  2 trials  - AMPLIFY-EXT 2.5mg - AMPLIFY-EXT 5mg

apixaban 2.5mg vs discontinuation

No demonstrated result

suggested VTE by 67% (not demonstrated)

apixaban 5mg vs discontinuation

No demonstrated result

suggested VTE by 64% (not demonstrated)

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All type of patients:  4 trials  - Botticelli DVT - AMPLIFY - AMPLIFY-EXT 2.5mg - AMPLIFY-EXT 5mg

apixaban (without LMWH) vs LMWH/VKA

No demonstrated result

suggested Major bleeding by 69% (not demonstrated)

apixaban 2.5mg vs discontinuation

No demonstrated result

suggested VTE by 67% (not demonstrated)

apixaban 5mg vs discontinuation

No demonstrated result

suggested VTE by 64% (not demonstrated)

All types of patients:  4 trials  - Botticelli DVT - AMPLIFY - AMPLIFY-EXT 2.5mg - AMPLIFY-EXT 5mg

apixaban (without LMWH) vs LMWH/VKA

No demonstrated result

suggested Major bleeding by 69% (not demonstrated)

apixaban 2.5mg vs discontinuation

No demonstrated result

suggested VTE by 67% (not demonstrated)

apixaban 5mg vs discontinuation

No demonstrated result

suggested VTE by 64% (not demonstrated)

Patients with cancer:  2 trials  - CAP - CARAVAGGIO

apixaban vs

No demonstrated result

apixaban vs dalteparin

No demonstrated result