Table 1. Main characteristics of NOACs.
Dabigatran | Apixaban | Edoxaban | Rivaroxaban | |
Elimination half-life | 12–17 h | 12 h | 9–11 h | 5–9 h (young) |
11–13 h (elderly) | ||||
Bioavailability | ∼6.5% | ∼50% | ∼62% | ∼66% (w/o food) |
∼100% (with food) | ||||
Pro-drug | Yes | No | No | No |
Clearance: non-renal/renal of absorbed dose if normal renal function | 20%/80% | 73%/27% | 50%/50% | 65%/35% |
Liver metabolism: CYP450 | No | Yes (CYP3A4/5, CYP1A2, 2C8, 2C9, 2C19, 2J2) | Yes (CYP3A4/5) | Yes (CYP3A4, CYP2J2, and CYP-independent mechanisms) |
Absorption with food | No effect | No effect | 6%–22% more | +39% |
Intake with food? | No | No | No official recommendation yet | Mandatory |
NOACs, novel oral anticoagulants.