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. 2014 Mar 10;28(4):353–363. doi: 10.1111/fcp.12063

Table 1.

ATLAS ACS 2 TIMI 51 trial – efficacy and safety outcomesa 43.

Endpoint, n (%)b Rivaroxaban 2.5 mg bid Rivaroxaban 5 mg bid Placebo Rivaroxaban 2.5 mg bid vs. Placebo Rivaroxaban 5 mg bid vs. Placebo
HR (95% CI)c P-valued HR (95% CI)c P-valued
Efficacy outcomese N = 5114 N = 5115 N = 5113
Primary endpointf 313 (9.1) 313 (8.8) 376 (10.7) 0.84 (0.72–0.97) = 0.02 0.85 (0.73–0.98) = 0.03
Death from CV causes 94 (2.7) 132 (4.0) 143 (4.1) 0.66 (0.51–0.86) = 0.002 0.94 (0.75–1.20) = 0.63
MI 205 (6.1) 179 (4.9) 229 (6.6) 0.90 (0.75–1.09) = 0.27 0.79 (0.65–0.97) = 0.02
Stroke
 Any 46 (1.4) 54 (1.7) 41 (1.2) 1.13 (0.74–1.73) = 0.56 1.34 (0.90–2.02) = 0.15
 Ischaemic 30 (1.0) 35 (0.9) 34 (1.0) 0.89 (0.55–1.45) = 0.64 1.05 (0.65–1.68) = 0.84
All-cause death 103 (2.9) 142 (4.4) 153 (4.5) 0.68 (0.53–0.87) = 0.002 0.95 (0.76–1.19) = 0.66
Stent thrombosis 47 (2.2) 51 (2.3) 72 (2.9) 0.65 (0.45–0.94) = 0.02 0.73 (0.51–1.04) = 0.08
Safety outcomesf N = 5115 N = 5110 N = 5125
TIMI major bleeding not related to CABG 65 (1.8) 82 (2.4) 19 (0.6) 3.46 (2.08–5.77) < 0.001 4.47 (2.71–7.36) < 0.001
TIMI minor bleeding 32 (0.9) 49 (1.6) 20 (0.5) 1.62 (0.92–2.82) = 0.09 2.52 (1.50–4.24) < 0.001
Intracranial haemorrhage 14 (0.4) 18 (0.7) 5 (0.2) 2.83 (1.02–7.86) = 0.04 3.74 (1.39–10.07) = 0.005
Fatal bleeding 6 (0.1) 15 (0.4) 9 (0.2) 0.67 (0.24–1.89) = 0.45 1.72 (0.75–3.92) = 0.20

bid, twice-daily; CABG, coronary artery bypass graft; CI, confidence interval; CV, cardiovascular; HR, hazard ratio; MI, myocardial infarction; PCI, percutaneous coronary intervention; TIA, transient ischaemic attack.

a

Event rates are reported as Kaplan–Meier estimates through 24 months and so are not presented as numerical percentages.

b

n (%): n is the number of subjects with event, % = hazard rate in the corresponding treatment group based on a stratified Cox proportional hazards model.

c

HR (95% CI): Hazard ratios (95% confidence interval) as compared to placebo arm are based on the stratified (by standard of care with ASA or ASA + thienopyridine) Cox proportional hazards model.

d

P-values (two-sided) as compared to placebo arm are based on the stratified (by standard of care with ASA or ASA + thienopyridine) log rank test.

e

= number of subjects at risk; for efficacy events the mITT (excluding three potentially noncompliant study sites) Analysis Set was used; for safety events the treatment-emergent Safety Analysis Set was used.

f

Primary efficacy endpoint as adjudicated by the CEC: first occurrence of CV death, MI or stroke.