Table 4.
Assessing the effects of renal function and concomitant erythromycin on rivaroxaban PD (comparisons across renal function groups) | ||||
---|---|---|---|---|
Factor Xa inhibition | ||||
Test | Reference | |||
Mild RI | ||||
Rivaroxaban 10 mg + erythromycin 500 mg tid | Normal RF Rivaroxaban 10 mg | Geometric mean ratio (%) with 90% CI | Inter-subject CV (%) | |
AUC0–48h | 708.5a | 593.43 | 119.4 (75.39–189.07) | 27 |
Emax | 46.74a | 39.38 | 118.7 (97.71–144.16) | 15 |
Moderate RI | ||||
Rivaroxaban 10 mg + erythromycin 500 mg tid | Normal RF Rivaroxaban 10 mg | Geometric mean ratio (%) with 90% CI | Inter-subject CV (%) | |
AUC0–48h | 842.3 | 593.43 | 141.9 (97.52–206.59) | 27 |
Emax | 53.61 | 39.38 | 136.1 (116.13–159.54) | 15 |
Prothrombin Time | ||||
---|---|---|---|---|
Test | Reference | |||
Mild RI | ||||
Rivaroxaban 10 mg + erythromycin 500 mg tid | Normal RF Rivaroxaban 10 mg | Geometric mean ratio (%) with 90% CI | Inter-subject CV (%) | |
AUC0–48h | 118.7 | 67.82 | 175 (115.32–265.42) | 31 |
Emax | 9.85 | 8.24 | 119.5 (79.73–179.18) | 41 |
Moderate RI | ||||
Rivaroxaban 10 mg + erythromycin 500 mg tid | Normal RF Rivaroxaban 10 mg | Geometric mean ratio (%) with 90% CI | Inter-subject CV (%) | |
AUC0–48h | 115.1 | 67.82 | 169.8 (111.9–257.55) | 31 |
Emax | 10.02 | 8.24 | 121.6 (81.11–182.28) | 41 |
AUC0–48h, area under the pharmacodynamic–time curve from time 0 to 48 hours; CI, confidence interval; CV, coefficient of variation; Emax, maximum pharmacodynamic change; PD, pharmacodynamics; RF, renal function; RI, renal impairment; tid, three times daily.
n = 4.