Edoxaban: a review in nonvalvular atrial fibrillation.

Abstract

The factor Xa inhibitor edoxaban (Lixiana(®)) is a new direct oral anticoagulant recently approved in the EU for the prevention of stroke and systemic embolic events (SEE) in patients with nonvalvular atrial fibrillation and one or more risk factors. In the large, randomized, double-blind, double-dummy, ENGAGE AF-TIMI 48 trial, oral edoxaban dosages of 30 and 60 mg once daily for a median treatment duration of 907 days in patients with moderate-to-high-risk nonvalvular atrial fibrillation were noninferior to warfarin for the incidence of first stroke or SEE. Both high-dose and low-dose edoxaban were associated with significantly lower rates than warfarin of major bleeding, including intracranial haemorrhage, and death from cardiovascular causes. Edoxaban has a rapid onset of action, a short half-life, few drug interactions and offers the convenience of oral, once-daily, fixed-dose administration, without the need for coagulation monitoring and without regard to food. Therefore, edoxaban is an effective and well tolerated therapeutic option in patients with nonvalvular atrial fibrillation.

• Authors: Paul L McCormack
• Journal: American journal of cardiovascular drugs : drugs, devices, and other interventions (Am J Cardiovasc Drugs) Vol. 15 Issue 5 Pg. 351-61 (Oct 2015) ISSN: 1179-187X [Electronic] New Zealand
• PMID: 26369340 (Publication Type: Journal Article, Review)

Chemical References

• Anticoagulants
• Factor Xa Inhibitors
• Pyridines
• Thiazoles
• Warfarin
• edoxaban

Topics

• Anticoagulants (adverse effects, economics, pharmacology, therapeutic use)
• Atrial Fibrillation (complications, drug therapy)
• Clinical Trials as Topic
• Dose-Response Relationship, Drug
• Drug Interactions
• Factor Xa Inhibitors (adverse effects, economics, pharmacology, therapeutic use)
• Hemorrhage (chemically induced)
• Humans
• Pyridines (adverse effects, economics, pharmacology, therapeutic use)
• Risk Factors
• Stroke (etiology, prevention & control)
• Thiazoles (adverse effects, economics, pharmacology, therapeutic use)
• Warfarin (therapeutic use)