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August 27, 2012British Journal of Clinical PharmacologyOpen Access

Edoxaban 60 mg administered 24 hours after the last dose of warfarin was safe and well tolerated in healthy subjects, with transient increases in INR (P<0.0001 vs placebo).

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Why the study?

Does edoxaban 60 mg once daily improve safety and tolerability compared to placebo in healthy subjects switching from warfarin?

Population

72 healthy subjects switching from warfarin (target INR 2.0 to 3.0)

Comparison

Edoxaban 60 mg oral once daily for 5 days… vs Matching placebo for 5 days, started 24 h after…

Design

RCT, randomized, matching placebo

Follow-up

5 days

Key result

Edoxaban 60 mg administered 24 hours after the last dose of warfarin was safe and well tolerated in healthy subjects, with transient increases in INR (P<0.0001 vs placebo).

Authors

JMJeanne MendellRNRobert J. NoveckMSMinggao Shi

Discussion

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Overview

Supports 24-hour edoxaban initiation after warfarin; extends healthy-volunteer data to guide patient switching trials.

Study Design

Type

RCT (n=72)

Blinding

Placebo-controlled

Randomization

Randomized

Structured PICO

Does edoxaban 60 mg once daily improve safety and tolerability compared to placebo in healthy subjects switching from warfarin?

P
Population
72 healthy subjects switching from warfarin (target INR 2.0-3.0) randomized to edoxaban or placebo for 5 days.
I
Intervention
Edoxaban 60 mg oral once daily for 5 days, started 24 h after the last dose of warfarin
C
Comparator
Matching placebo for 5 days, started 24 h after the last dose of warfarin
O
Outcome
Safety/tolerabilitysafety

Switching from warfarin to edoxaban 24 hours after the last warfarin dose is safe and well-tolerated in healthy subjects, with expected transient increases in coagulation assays.

Cite This Study

Mendell et al. (2012) conducted an RCT in Healthy subjects switching from warfarin (n=72). Edoxaban vs. Placebo was evaluated on Safety/tolerability. Edoxaban 60 mg administered 24 hours after the last dose of warfarin was safe and well tolerated in healthy subjects, with transient increases in INR (P<0.0001 vs placebo).

synapsesocial.com/papers/6a7c768c37e15e2b3326c10dhttps://doi.org/10.1111/j.1365-2125.2012.04409.x
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