Table 2.
Rivaroxaban plasma concentrations after therapeutic doses based on phase II data and simulated virtual data
| Dose | Clinical setting | Ctrough (μg/l) | Cmax (μg/l) |
|---|---|---|---|
| 2.5 mg bid |
Acute coronary syndrome |
16 (6–34)* |
44 (28–66)* |
| 10 mg od |
VTE prevention after total hip replacement |
9 (1–38)# |
125 (91–196)# |
| 15 mg od |
Stroke prevention in patients with AF (CrCl ≤50 ml/min) |
57 (18–136)‡ |
229 (178–313)‡ |
| 20 mg od |
DVT treatment (continued treatment) |
26 (6–87)§ |
270 (189–419)§ |
| 20 mg od | Stroke prevention in patients with AF (CrCl >50 ml/min) | 44 (12–137)‡ | 249 (184–343)‡ |
*Estimated parameters at steady state – median values (5th–95th percentile range) [18]. #Estimated parameters at steady state – median values (5th–95th percentile range) in patients undergoing hip replacement surgery [46]. ‡Estimated parameters at steady state – geometric means (5th–95th percentile range) in stroke prevention in patients with AF (Bayer HealthCare Pharmaceuticals and Janssen Research & Development, LLC: data on file). §Estimated parameters at steady state – geometric means (5th–95th percentile range) in phase II studies in the acute treatment of DVT [19].
Abbreviations: AF atrial fibrillation, bid: twice daily, Cmax maximum plasma concentration, CrCl creatinine clearance, Ctrough minimum plasma concentration, DVT deep vein thrombosis, od once daily, VTE venous thromboembolism.