Table 1. Efficacy and risk profile of DOACs versus VKAs.
Direct oral anticoagulant (DOAC) | RCTs comparing DOAC to warfarin for DVT | Difference in efficacy | Increased risk (DOAC vs. VKA) | Decreased risk (DOAC vs. VKA) |
---|---|---|---|---|
Dabigatran | RE-COVER, RE-COVER-II, RE-LY, REMEDY, RESONATE | – | GI bleeding, MI, ACS* | – |
Rivaroxaban | EINSTEIN DVT | – | GI bleeding** | – |
Apixaban | AMPLIFY | – | – | Major bleeding, non-major bleeding |
Edoxaban | HOKUSAI-VTE | – | – | Non-major bleeding |
*, RE-LY trial studied patients with atrial fibrillation; **, increased risk of ACS and MI demonstrated in several additional studies when used for reasons other than DVT. VKA, vitamin K-antagonist; MI, myocardial infarction; ACS, acute coronary syndrome; GI, gastrointestinal; RCTs, randomized controlled trials; DVT, deep vein thrombosis.