Table 5.
Results of base-case mixed-treatment comparison analysis
Reference | Comparator | All strokes | Ischemic stroke | Myocardial infarction | Overall mortality | Major bleeding | Intracranial hemorrhage |
---|---|---|---|---|---|---|---|
Warfarin | ASA + C | 1.44 | 1.87 | 1.05 | 1.02 | 1.16 | 1.32 |
(1.15–1.8) | (1.45–2.42) | (0.75–1.47) | (0.88–1.18) | (0.92–1.45) | (0.81–2.19) | ||
Aspirin | 1.93 | 2.68 | 1.22 | 1.05 | 0.77 | 0.64 | |
(1.55–2.41) | (2.08–3.47) | (0.88–1.68) | (0.91–1.21) | (0.61–0.98) | (0.39–1.04) | ||
Placebo | 2.39 | 3.75 | 1.96 | 1.22 | 0.57 | 0.22 | |
(1.77–3.24) | (2.64–5.33) | (0.86–4.44) | (0.94–1.57) | (0.32–1) | (0.07–0.65) | ||
Apixaban | 0.82 | 0.97 | 0.87 | 0.89 | 0.71 | 0.42 | |
(0.69–0.97) | (0.79–1.19) | (0.67–1.13) | (0.8–0.98) | (0.62–0.81) | (0.31–0.57) | ||
Dabigatran 110 | 0.92 | 1.14 | 1.23 | 0.92 | 0.82 | 0.3 | |
(0.75–1.14) | (0.9–1.44) | (0.92–1.65) | (0.81–1.04) | (0.71–0.94) | (0.19–0.45) | ||
Dabigatran 150 | 0.65 | 0.76 | 1.2 | 0.89 | 0.94 | 0.41 | |
(0.52–0.82) | (0.59–0.99) | (0.9–1.61) | (0.79–1.01) | (0.82–1.08) | (0.28–0.6) | ||
Rivaroxaban | 0.85 | 0.95 | 0.82 | 0.94 | 1.03 | 0.65 | |
(0.7–1.03) | (0.76–1.18) | (0.64–1.07) | (0.84–1.05) | (0.9–1.19) | (0.46–0.91) | ||
Edoxaban HD | 0.89 | 1.01 | 0.94 | 0.92 | 0.8 | 0.46 | |
(0.76–1.04) | (0.84–1.21) | (0.74–1.18) | (0.84–1.02) | (0.71–0.91) | (0.34–0.62) | ||
Edoxaban LD | 1.12 | 1.4 | 1.17 | 0.87 | 0.48 | 0.3 | |
(0.96–1.3) | (1.18–1.65) | (0.94–1.46) | (0.78–0.96) | (0.41–0.56) | (0.21–0.43) | ||
ASA + C | Aspirin | 1.34 | 1.44 | 1.16 | 1.03 | 0.67 | 0.48 |
(1.17–1.55) | (1.23–1.68) | (0.91–1.48) | (0.94–1.13) | (0.56–0.8) | (0.32–0.72) | ||
Placebo | 1.66 | 2.01 | 1.87 | 1.2 | 0.49 | 0.17 | |
(1.29–2.15) | (1.5–2.69) | (0.84–4.07) | (0.95–1.51) | (0.28–0.85) | (0.05–0.47) | ||
Apixaban | 0.57 | 0.52 | 0.83 | 0.87 | 0.61 | 0.32 | |
(0.44–0.73) | (0.39–0.69) | (0.57–1.21) | (0.74–1.03) | (0.48–0.79) | (0.18–0.54) | ||
Dabigatran 110 | 0.64 | 0.61 | 1.17 | 0.90 | 0.71 | 0.22 | |
(0.47–0.87) | (0.43–0.86) | (0.76–1.82) | (0.74–1.1) | (0.54–0.93) | (0.11–0.43) | ||
Dabigatran 150 | 0.45 | 0.41 | 1.15 | 0.88 | 0.82 | 0.31 | |
(0.33–0.62) | (0.28–0.59) | (0.74–1.77) | (0.72–1.07) | (0.63–1.06) | (0.17–0.58) | ||
Rivaroxaban | 0.59 | 0.51 | 0.78 | 0.92 | 0.9 | 0.49 | |
(0.44–0.8) | (0.36–0.71) | (0.51–1.19) | (0.77–1.11) | (0.68–1.17) | (0.27–0.9) | ||
Edoxaban HD | 0.62 | 0.54 | 0.89 | 0.91 | 0.7 | 0.35 | |
(0.47–0.81) | (0.39–0.74) | (0.6–1.34) | (0.76–1.09) | (0.53–0.9) | (0.19–0.62) | ||
Edoxaban LD | 0.78 | 0.75 | 1.12 | 0.85 | 0.41 | 0.23 | |
(0.59–1.02) | (0.55–1.02) | (0.75–1.66) | (0.71–1.02) | (0.32–0.54) | (0.12–0.42) | ||
ASA | Placebo | 1.24 | 1.4 | 1.62 | 1.16 | 0.74 | 0.35 |
(1–1.54) | (1.09–1.8) | (0.75–3.36) | (0.94–1.44) | (0.42–1.25) | (0.11–0.91) | ||
Apixaban | 0.42 | 0.36 | 0.72 | 0.85 | 0.92 | 0.66 | |
(0.33–0.54) | (0.28–0.48) | (0.51–1.01) | (0.73–0.99) | (0.71–1.18) | (0.4–1.09) | ||
Dabigatran 110 | 0.48 | 0.42 | 1.01 | 0.88 | 1.06 | 0.46 | |
(0.35–0.64) | (0.3–0.6) | (0.66–1.55) | (0.72–1.06) | (0.8–1.4) | (0.24–0.88) | ||
Dabigatran 150 | 0.34 | 0.28 | 0.99 | 0.85 | 1.22 | 0.65 | |
(0.25–0.46) | (0.2–0.41) | (0.65–1.51) | (0.7–1.03) | (0.93–1.61) | (0.35–1.19) | ||
Rivaroxaban | 0.44 | 0.35 | 0.68 | 0.9 | 1.34 | 1.03 | |
(0.33–0.59) | (0.25–0.5) | (0.45–1.02) | (0.75–1.08) | (1.02–1.76) | (0.57–1.85) | ||
Edoxaban HD | 0.46 | 0.38 | 0.77 | 0.88 | 1.04 | 0.72 | |
(0.35–0.6) | (0.28–0.51) | (0.52–1.14) | (0.74–1.05) | (0.79–1.36) | (0.41–1.28) | ||
Edoxaban LD | 0.58 | 0.52 | 0.96 | 0.83 | 0.62 | 0.48 | |
(0.44–0.76) | (0.38–0.71) | (0.65–1.42) | (0.69–0.98) | (0.47–0.82) | (0.26–0.86) | ||
Placebo | Apixaban | 0.34 | 0.26 | 0.44 | 0.73 | 1.24 | 1.9 |
(0.25–0.47) | (0.18–0.37) | (0.2–1.03) | (0.56–0.95) | (0.7–2.26) | (0.64–6.49) | ||
Dabigatran 110 | 0.39 | 0.3 | 0.62 | 0.75 | 1.43 | 1.33 | |
(0.27–0.55) | (0.2–0.46) | (0.27–1.49) | (0.57–1) | (0.8–2.62) | (0.42–4.86) | ||
Dabigatran 150 | 0.27 | 0.2 | 0.61 | 0.73 | 1.66 | 1.87 | |
(0.19–0.4) | (0.13–0.31) | (0.26–1.47) | (0.55–0.97) | (0.93–3.02) | (0.59–6.69) | ||
Rivaroxaban | 0.36 | 0.25 | 0.42 | 0.77 | 1.81 | 2.96 | |
(0.25–0.51) | (0.17–0.38) | (0.18–1) | (0.58–1.02) | (1.02–3.32) | (0.95–10.4) | ||
Edoxaban HD | 0.37 | 0.27 | 0.48 | 0.76 | 1.41 | 2.08 | |
(0.26–0.52) | (0.18–0.4) | (0.21–1.12) | (0.58–1) | (0.79–2.57) | (0.68–7.3) | ||
Edoxaban LD | 0.47 | 0.37 | 0.60 | 0.71 | 0.84 | 1.37 | |
(0.33–0.66) | (0.25–0.55) | (0.26–1.4) | (0.54–0.93) | (0.47–1.54) | (0.44–4.86) | ||
Apixaban | Dabigatran 110 | 1.13 | 1.17 | 1.41 | 1.03 | 1.16 | 0.7 |
(0.86–1.47) | (0.86–1.6) | (0.96–2.07) | (0.88–1.22) | (0.95–1.41) | (0.41–1.18) | ||
Dabigatran 150 | 0.8 | 0.78 | 1.38 | 1 | 1.33 | 0.98 | |
(0.6–1.06) | (0.56–1.09) | (0.95–2.02) | (0.85–1.19) | (1.1–1.62) | (0.6–1.58) | ||
Rivaroxaban | 1.04 | 0.97 | 0.95 | 1.06 | 1.46 | 1.55 | |
(0.8–1.35) | (0.72–1.32) | (0.65–1.36) | (0.91–1.23) | (1.2–1.78) | (0.98–2.46) | ||
Edoxaban HD | 1.09 | 1.04 | 1.08 | 1.04 | 1.13 | 1.1 | |
(0.86–1.37) | (0.79–1.36) | (0.76–1.52) | (0.9–1.2) | (0.94–1.37) | (0.71–1.68) | ||
Edoxaban LD | 1.37 | 1.44 | 1.35 | 0.97 | 0.68 | 0.72 | |
(1.09–1.72) | (1.11–1.88) | (0.96–1.88) | (0.84–1.12) | (0.55–0.83) | (0.45–1.14) | ||
Dabigatran 110 | Dabigatran 150 | 0.71 | 0.67 | 0.98 | 0.97 | 1.15 | 1.4 |
(0.56–0.89) | (0.52–0.86) | (0.74–1.3) | (0.85–1.11) | (1–1.33) | (0.85–2.32) | ||
Rivaroxaban | 0.92 | 0.83 | 0.67 | 1.02 | 1.27 | 2.21 | |
(0.69–1.22) | (0.6–1.15) | (0.45–0.99) | (0.86–1.22) | (1.04–1.55) | (1.29–3.85) | ||
Edoxaban HD | 0.97 | 0.89 | 0.76 | 1.01 | 0.98 | 1.56 | |
(0.74–1.25) | (0.66–1.19) | (0.53–1.11) | (0.86–1.18) | (0.81–1.19) | (0.93–2.67) | ||
Edoxaban LD | 1.21 | 1.23 | 0.96 | 0.94 | 0.59 | 1.02 | |
(0.94–1.56) | (0.92–1.64) | (0.66–1.37) | (0.8–1.11) | (0.48–0.72) | (0.59–1.8) | ||
Dabigatran 150 | Rivaroxaban | 1.31 | 1.24 | 0.68 | 1.05 | 1.1 | 1.58 |
(0.97–1.77) | (0.88–1.75) | (0.46–1.01) | (0.89–1.25) | (0.9–1.33) | (0.96–2.64) | ||
Edoxaban HD | 1.37 | 1.32 | 0.78 | 1.04 | 0.85 | 1.12 | |
(1.04–1.81) | (0.96–1.82) | (0.54–1.13) | (0.88–1.22) | (0.71–1.02) | (0.69–1.83) | ||
Edoxaban LD | 1.72 | 1.83 | 0.97 | 0.97 | 0.51 | 0.73 | |
(1.31–2.26) | (1.35–2.5) | (0.68–1.4) | (0.82–1.14) | (0.41–0.62) | (0.44–1.23) | ||
Rivaroxaban | Edoxaban HD | 1.05 | 1.07 | 1.14 | 0.98 | 0.78 | 0.71 |
(0.81–1.35) | (0.8–1.42) | (0.8–1.62) | (0.85–1.14) | (0.64–0.94) | (0.45–1.11) | ||
Edoxaban LD | 1.31 | 1.48 | 1.42 | 0.92 | 0.46 | 0.46 | |
(1.03–1.68) | (1.12–1.95) | (1.01–2) | (0.79–1.07) | (0.38–0.57) | (0.29–0.75) | ||
Edoxaban HD | Edoxaban LD | 1.26 | 1.38 | 1.25 | 0.94 | 0.60 | 0.66 |
(1.08–1.47) | (1.17–1.64) | (0.99–1.57) | (0.85–1.03) | (0.51–0.7) | (0.44–0.97) |
Notes: Results presented as rate ratios, with 95% credible intervals in parentheses below. Significant results are in bold.
Abbreviations: ASA, acetylsalicylic acid (aspirin); C, clopidogrel; HD, high dose; LD, low dose.