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. 2014 Jul 3;54(12):1407–1420. doi: 10.1002/jcph.352

Table 4.

Ratio of Geometric Mean AUC0–48h and Emax Data and Associated 90% Confidence Interval After the Administration of Rivaroxaban 10 mg with and without Erythromycin 500 mg tid in Participants with Normal and Impaired Renal Function (n = 8 per Test and Reference Groups)

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.

a

n = 4.