Does andexanet alfa improve hemostatic efficacy in patients with acute major bleeding associated with the use of a factor Xa inhibitor?
Andexanet alfa effectively reduces anti-factor Xa activity and provides excellent or good hemostatic efficacy in patients with acute major bleeding on factor Xa inhibitors.
In patients with acute major bleeding associated with the use of a factor Xa inhibitor, treatment with andexanet markedly reduced anti-factor Xa activity, and 82% of patients had excellent or good hemostatic efficacy at 12 hours, as adjudicated according to prespecified criteria. (Funded by Portola Pharmaceuticals; ANNEXA-4 ClinicalTrials.gov number, NCT02329327.).
Connolly et al. (Thu,) studied this question.