Research output: Contribution to journal › Letter › peer-review
Direct Oral Anticoagulants Use in Antiphospholipid Syndrome: Are These Drugs an Effective and Safe Alternative to Warfarin? A Systematic Review of the Literature : Comment. / Cohen, Hannah; Hunt, Beverley J.; Efthymiou, Maria et al.
In: Current Rheumatology Reports, Vol. 19, No. 8, 50, 08.2017.Research output: Contribution to journal › Letter › peer-review
}
TY - JOUR
T1 - Direct Oral Anticoagulants Use in Antiphospholipid Syndrome: Are These Drugs an Effective and Safe Alternative to Warfarin? A Systematic Review of the Literature
T2 - Comment
AU - Cohen, Hannah
AU - Hunt, Beverley J.
AU - Efthymiou, Maria
AU - Mackie, Ian J.
AU - Khamashta, Munther
AU - Isenberg, David A.
AU - RAPS Trial Investigators
PY - 2017/8
Y1 - 2017/8
N2 - We respond to comments by Dufrost et al. about the RAPS trial, in particular, showing that the trial did achieve its target sample size; pointing out that thrombin potential is not synonymous with overall thrombin generation; confirming that overall, no increased thrombotic risk was evident comparing rivaroxaban with warfarin; and that high-risk patients (28% were triple positive, representative of patients with venous thromboembolism requiring standard-intensity anticoagulation) were included; and clarifying our rationale for using a laboratory surrogate primary outcome measure instead of a clinical one.
AB - We respond to comments by Dufrost et al. about the RAPS trial, in particular, showing that the trial did achieve its target sample size; pointing out that thrombin potential is not synonymous with overall thrombin generation; confirming that overall, no increased thrombotic risk was evident comparing rivaroxaban with warfarin; and that high-risk patients (28% were triple positive, representative of patients with venous thromboembolism requiring standard-intensity anticoagulation) were included; and clarifying our rationale for using a laboratory surrogate primary outcome measure instead of a clinical one.
KW - Antiphospholipid syndrome
KW - Rivaroxaban
KW - Thrombin generation
KW - Venous thromboembolism
KW - Warfarin
UR - http://www.scopus.com/inward/record.url?scp=85025095227&partnerID=8YFLogxK
U2 - 10.1007/s11926-017-0675-3
DO - 10.1007/s11926-017-0675-3
M3 - Letter
AN - SCOPUS:85025095227
VL - 19
JO - Current Rheumatology Reports
JF - Current Rheumatology Reports
SN - 1523-3774
IS - 8
M1 - 50
ER -
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