» Articles » PMID: 24549975

Design of the Rivaroxaban for Heparin-induced Thrombocytopenia Study

Overview
Date 2014 Feb 20
PMID 24549975
Citations 8
Authors
Affiliations
Soon will be listed here.
Abstract

Rivaroxaban is an ideal potential candidate for treatment of heparin-induced thrombocytopenia (HIT) because it is administered orally by fixed dosing, requires no laboratory monitoring and is effective in the treatment of venous and arterial thromboembolism in other settings. The Rivaroxaban for HIT study is a prospective, multicentre, single-arm, cohort study evaluating the incidence of new symptomatic venous and arterial thromboembolism in patients with suspected or confirmed HIT who are treated with rivaroxaban. Methodological challenges faced in the design of this study include heterogeneity of the patient population, differences in the baseline risk of thrombosis and bleeding dependent on whether HIT is confirmed or just suspected, and heterogeneity in laboratory confirmation of HIT. The rationale for how these challenges were addressed and the final design of the Rivaroxaban for HIT study is reviewed.

Citing Articles

Apixaban for treatment of confirmed heparin-induced thrombocytopenia: a case report and review of literature.

Ezekwudo D, Chacko R, Gbadamosi B, Batool S, Gaikazian S, Warkentin T Exp Hematol Oncol. 2017; 6:21.

PMID: 28725494 PMC: 5513338. DOI: 10.1186/s40164-017-0080-7.


Dabigatran approaching the realm of heparin-induced thrombocytopenia.

Ho P, Siordia J Blood Res. 2016; 51(2):77-87.

PMID: 27382551 PMC: 4931941. DOI: 10.5045/br.2016.51.2.77.


Novel oral anticoagulants for heparin-induced thrombocytopenia.

Skelley J, Kyle J, Roberts R J Thromb Thrombolysis. 2016; 42(2):172-8.

PMID: 27102287 DOI: 10.1007/s11239-016-1365-0.


Effect of Heparin on Coagulation Tests: A Comparison of Continuous and Bolus Infusion in Haemodialysis Patients.

Nasiri A, Ahmadidarrehsima S, Balouchi A, Shahdadi H, Moghadam M J Clin Diagn Res. 2016; 10(2):OC18-21.

PMID: 27042496 PMC: 4800562. DOI: 10.7860/JCDR/2016/18476.7231.


Successful Treatment of Dual-Positive Anti-Myeloperoxidase and Anti-Glomerular Basement Membrane Antibody Vasculitis with Pulmonary-Renal Syndrome.

Huang J, Wu L, Huang X, Xie Y, Yu J, Yang J Case Rep Nephrol Dial. 2016; 6(1):1-7.

PMID: 26889474 PMC: 4748756. DOI: 10.1159/000443163.


References
1.
Warkentin T, Pai M, Sheppard J, Schulman S, Spyropoulos A, Eikelboom J . Fondaparinux treatment of acute heparin-induced thrombocytopenia confirmed by the serotonin-release assay: a 30-month, 16-patient case series. J Thromb Haemost. 2011; 9(12):2389-96. DOI: 10.1111/j.1538-7836.2011.04487.x. View

2.
Boyce S . Challenges to the design and execution of controlled clinical studies of anticoagulants in patients with heparin-induced thrombocytopenia: lessons learned. J Thromb Thrombolysis. 2011; 33(1):124-8. DOI: 10.1007/s11239-011-0634-1. View

3.
Linkins L, Warkentin T . Heparin-induced thrombocytopenia: real-world issues. Semin Thromb Hemost. 2011; 37(6):653-63. DOI: 10.1055/s-0031-1291375. View

4.
Krauel K, Hackbarth C, Furll B, Greinacher A . Heparin-induced thrombocytopenia: in vitro studies on the interaction of dabigatran, rivaroxaban, and low-sulfated heparin, with platelet factor 4 and anti-PF4/heparin antibodies. Blood. 2011; 119(5):1248-55. DOI: 10.1182/blood-2011-05-353391. View

5.
Cuker A . Heparin-induced thrombocytopenia (HIT) in 2011: an epidemic of overdiagnosis. Thromb Haemost. 2011; 106(6):993-4. DOI: 10.1160/TH11-09-0677. View