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Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery Results of the RECORD 3 Study. Rivaroxaban is a novel, oral, direct Factor Xa inhibitor. Background:. Lassen MR, et al. Presented at ISTH 2007 in Geneva, Switzerland, abstract
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1. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of Venous Thromboembolism in Total Knee Replacement Surgery – Results of the RECORD 3 Study M.R. Lassen, A.G. Turpie, N. Rosencher, L.C. Borris, W. Ageno, J.R. Lieberman, T.J. Bandel, F. Misselwitz
Presented at the XXIst Congress of International Society on Thrombosis and Haemostasis (ISTH) 2007 Meeting, July 6-12th in Geneva, Switzerland.
2. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery – Results of the RECORD 3 Study Rivaroxaban is a novel, oral, direct Factor Xa inhibitor
3. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery – Results of the RECORD 3 Study Double-blind trial
Randomized 2531 patients undergoing TKR to
rivaroxaban 10 mg
or enoxaparin 40 mg once daily
Enoxaparin was started before surgery, and rivaroxaban 6–8 hours after surgery
Both were continued for 10–14 days
4. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery – Results of the RECORD 3 Study Primary efficacy outcome:
Venous thromboembolism (VTE) diagnosed by mandatory venography
Symptomatic VTE
And all-cause mortality
Primary safety outcome:
Major bleeding
7. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery – Results of the RECORD 3 Study 1254 patients were randomized to rivaroxaban
824 were evaluable for primary efficacy outcome
1277 patients were randomized to enoxaparin
878 were evaluable for primary efficacy outcome
12. Rivaroxaban: An Oral, Direct Factor Xa Inhibitor for the Prevention of VTE in Total Knee Replacement Surgery – Results of the RECORD 3 Study Rivaroxaban was significantly more effective than enoxaparin in the prevention of VTE after TKR in this study
Bleeding was similarly low in both groups
This study with rivaroxaban is the first demonstration of the effectiveness and safety of a fixed, unmonitored regimen of an oral Factor Xa inhibitor in antithrombotic therapy