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Clinical Information​Stroke Prevention in Atrial Fibrillation​Morbidity and Mortality​Efficacy​Aristophanes​Safety​Real-world Data​Guideline recommendations​Persistence and Adherence​Dosing​Summary​Venous Thromboembolism TreatmentEfficacySafety​Real-world Data​Guideline recommendationsDosing​Venous Thromboembolism PreventionEfficacy​Safety​Dosing​Eliquis Important Safety InformationEliquis Abbreviated Prescribing Information (2.5 mg)​Eliquis Abbreviated Prescribing Information (5 mg) Support & Services​ Support & Services​ Self-detail presentations​ Webinars​ MaterialsVideos​

Major Bleeding​

Overall Safety​

A favourable safety profile across components of major bleeding vs. warfarin2

Eliquis® safety profile vs. warfarin​

Aristotle trial2​

*Major bleeding was the primary safety endpoint of the ARISTOTLE trial. Intracranial bleeding and major bleeding at other locations including GI bleeding were components of the primary safety endpoint. The comparison of the primary safety outcome of bleeding according to the ISTH criteria is in the hierarchical sequence preserving a type I error.2​
†Fatal bleeding (including haemorrhagic stroke): The rate of death from noncardiovascular causes includes fatal bleeding other than that from haemorrhagic stroke.2​
No statistical analysis for HR/RRR is available on this endpoint.3​
‡Eliquis® was studied in a randomised, double-blind, double-dummy, non-inferiority trial in 18,201 patients.2 Stroke/ systemic embolism was the primary efficacy endpoint and​
major bleeding was the primary safety endpoint.2 Intracranial bleeding and major bleeding at other locations including GI bleeding were components of the primary safety endpoint.2 The endpoints presented were selected due to their frequency and severity: Intracranial bleeding, the most feared complication of anticoagulation therapy due to its high risk of death and disability4; and GI bleeding, whose incidence was increased with OACs like dabigatran 150mg and rivaroxaban.4​

CI: confidence interval; GI: gastrointestinal; HR: hazard ratio; ISTH: International Society on Thrombosis and Haemostasis; RRR: relative risk reduction. OAC: oral anticoagulant.​

References: 1. Eliquis 2.5 mg/ 5 mg Egyptian Drug Authority approved leaflet 17/08/2022. Revision Date: February 2022. 2. Granger CB, Alexander JH, McMurray JJ, et al. Apixaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2011;365(11):981-992. 3. Connolly SJ, Eikelboom J, Joyner C, et al. Apixaban in patients with atrial fibrillation. N Engl J Med. 2011;364(9):806-17. 4. Camm AJ, Lip GY, De Caterina R, et al. 2012 focused update of the ESC Guidelines for the for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Eur Heart J. 2012;33(21):2719-2747.​
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Apixaban was associated with a significantly lower risk of bleeding than Warfarin3* *no head to head trials were conducted.​
†“worst” risk estimate is still non-inferior to warfarin​
HR, hazard ratio; NOAC, Non-vitamin K antagonist oral anticoagulant; RR, relative risk; SE, systemic embolism.​

Reference: 1. Eliquis 2.5 mg/ 5 mg Egyptian Drug Authority approved leaflet 17/08/2022. Revision Date: February 2022. 2. Granger CB, Alexander JH, McMurray JJ, et al. Apixaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2011;365(11):981-992 3. Schulman S. New oral anticoagulant agents - general features and outcomes in subsets of patients. Thromb Haemost. 2014;111(4):575-582.
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Invalidation Date : 21/08/2024​
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