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. 2017 Aug;12(1):40–45. doi: 10.15420/ecr.2017:11:2

Table 2: Effect of Direct Oral Anticoagulants on Haemostasis Tests and Drug Concentration Quantification[36,37].

NOAC Quantification PT aPTT TT
Dabigatran Dilute TT (DTI assay), ECT, chromogenic anti-IIa assay Variable depending on reagent If normal, excludes supratherapeutic concentration If normal, excludes clinically-relevant concentration
Rivaroxaban Anti-Xa concentration (calibrated for rivaroxaban) If normal, excludes supratherapeutic concentration; can be used for crude estimation Less sensitive than PT Insensitive
Apixaban Anti-Xa concentration (calibrated for apixaban) Insensitive; might have normal PT, despite therapeutic concentration Insensitive; might have normal aPTT, despite therapeutic concentration Insensitive
Edoxaban Anti-Xa concentration (calibrated for edoxaban) If normal, excludes clinically-relevant concentration If normal, excludes clinically-relevant concentration Insensitive

aPTT = activated partial thromboplastin time; DTI = direct thrombin inhibitor; ECT = ecarin clotting time; NOAC = new/novel oral anticoagulant; PT = prothrombin time; TT = thrombin time.