Table 3.
Outcome | Study | Follow-up (months) | Interventions | N | N with event | % with event | Comparison HR (LCI; UCI) | N/100 p-yrs |
---|---|---|---|---|---|---|---|---|
CV death/MI/stroke | CHARISMA, NCT00050817 [1] | Median: 28 | Clopidogrel 75 mg od+ASA 75-162 mg od | 7802 | 534 | 6.80 | 0.93 (0.83; 1.05) | 2.93‡ |
ASA 75-162 mg od | 7801 | 573 | 7.30 | Ref. | 3.15‡ | |||
COMPASS, NCT01776424 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 448 | 4.90 | 0.90 (0.79; 1.03) | 2.60^ | |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 379 | 4.10 | 0.76 (0.66; 0.86) | 2.18^ | |||
ASA 100 mg od | 9126 | 496 | 5.40 | Ref. | 2.88^ | |||
TRA 2°P–TIMI 50, NCT00526474 [20] | Median: 30 | Vorapaxar 2.5 mg od | 13225 | 1028 | 9.30† | 0.87 (0.80; 0.94) | 3.11‡ | |
Placebo | 13224 | 1176 | 10.50† | Ref. | 3.56‡ | |||
| ||||||||
CHD death/MI/IS/ALI | COMPASS, NCT01776424 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 397 | 4.40 | 0.88 (0.77; 1.01) | 2.31^ |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 329 | 3.60 | 0.72 (0.63; 0.83) | 1.89^ | |||
ASA 100 mg od | 9126 | 450 | 4.90 | Ref. | 2.62^ | |||
| ||||||||
CV death/MI/IS/ALI | COMPASS, NCT01776424 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 453 | 5.00 | 0.88 (0.77; 0.99) | 2.63^ |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 389 | 4.30 | 0.74 (0.65; 0.85) | 2.24^ | |||
ASA 100 mg od | 9126 | 516 | 5.70 | Ref. | 3.00^ | |||
| ||||||||
All-cause mortality | CAPRIE [19] | Mean: 22.9 | Clopidogrel 75 mg od | 9599 | 560 | 3.00† | 0.98 (0.87; 1.10)‡ | 3.18‡ |
ASA 325 mg od | 9586 | 571 | 3.10† | Ref. | 3.26‡ | |||
CHARISMA, NCT00050817 [1] | Median: 28 | Clopidogrel 75 mg od+ASA 75-162 mg od | 7802 | 371 | 4.80 | 0.99 (0.83; 1.14) | 2.04‡ | |
ASA 75-162 mg od | 7801 | 374 | 4.80 | Ref. | 2.05‡ | |||
COMPASS, NCT01776424 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 366 | 4.00 | 0.97 (0.84; 1.12) | 2.09^ | |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 313 | 3.40 | 0.82 (0.71; 0.96) | 1.78^ | |||
ASA 100 mg od | 9126 | 378 | 4.10 | Ref. | 2.16^ | |||
TRA 2°P–TIMI 50, NCT00526474 [20] | Median: 30 | Vorapaxar 2.5 mg od | 13225 | 540 | 5.00† | 0.95 (0.85; 1.07) | 1.63‡ | |
Placebo | 13224 | 565 | 5.30† | Ref. | 1.71‡ | |||
| ||||||||
CV death | CAPRIE [19] | Mean: 22.9 | Clopidogrel 75 mg od | 9599 | 350 | 1.90† | 0.92 (0.80; 1.07)‡ | 1.98‡ |
ASA 325 mg od | 9586 | 378 | 2.06† | Ref. | 2.16‡ | |||
CHARISMA, NCT00050817 [1] | Median: 28 | Clopidogrel 75 mg od+ASA 75-162 mg od | 7802 | 238 | 3.10 | 1.04 (0.87; 1.25) | 1.31‡ | |
ASA 75-162 mg od | 7801 | 229 | 2.90 | Ref. | 1.26‡ | |||
COMPASS, NCT0177642 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 195 | 2.10 | 0.96 (0.79; 1.17) | 1.11^ | |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 160 | 1.70 | 0.78 (0.64; 0.96) | 0.91^ | |||
ASA 100 mg od | 9126 | 203 | 2.20 | Ref. | 1.16^ | |||
TRA 2°P–TIMI 50, NCT00526474 [20] | Median: 30 | Vorapaxar 2.5 mg od | 13225 | 285 | 2.70† | 0.89 (0.76; 1.04) | 0.86‡ | |
Placebo | 13224 | 319 | 3.00† | Ref. | 0.96‡ | |||
| ||||||||
IS | CAPRIE [19] | Mean: 22.9 | Clopidogrel 75 mg od | 9553 | 315‡ | 3.30‡ | 0.95 (0.83; 1.08)‡ | 1.79‡ |
ASA 325 mg od | 9546 | 338‡ | 3.50‡ | Ref. | 1.93‡ | |||
COMPASS, NCT01776424 [15]^ | Mean: 23 | Rivaroxaban 5 mg BID | 9117 | 83 | 0.90 | 0.66 (0.50; 0.88) | 0.48^ | |
Rivaroxaban 2.5 mg BID+ASA 100 mg od | 9152 | 64 | 0.70 | 0.51 (0.38; 0.69) | 0.36^ | |||
ASA 100 mg od | 9126 | 125 | 1.40 | Ref. | 0.72^ | |||
TRA 2°P–TIMI 50, NCT00526474 [20] | Median: 30 | Vorapaxar 2.5 mg od | 13225 | 250 | 2.20† | 0.85 (0.72; 1.01) | 1.23‡ | |
Placebo | 13224 | 294 | 2.60† | Ref. | 1.79‡ | |||
| ||||||||
Major Adverse Limb Event (MALE) | COMPASS, NCT01776424 [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 41 | 0.40 | 0.64 (0.43; 0.95) | 0.23^ |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 34 | 0.40 | 0.53 (0.35; 0.80) | 0.19^ | |||
ASA 100 mg od | 9126 | 64 | 0.70 | Ref. | 0.37^ | |||
| ||||||||
Major bleedings | CAPRIE∗ [19] | Mean: 22.9 | Clopidogrel 75 mg od | 9599 | 132 | 1.38 | 0.88 (0.70;1.12)‡ | 0.75‡ |
ASA 325 mg od | 9586 | 149 | 1.55 | Ref. | 0.85‡ | |||
CHARISMA, NCT00050817∗∗ [1] | Median: 28 | Clopidogrel 75 mg od+ASA 75-162 mg od | 7802 | 130 | 1.70 | 1.25 (0.97; 1.61) | 0.71‡ | |
ASA 75-162 mg od | 7801 | 104 | 1.30 | Ref. | 0.57‡ | |||
COMPASS, NCT01776424∗∗∗ [15] | Mean: 23 | Rivaroxaban 5 mg bid | 9117 | 255 | 2.8 | 1.51 (1.25; 1.84) | 1.48^ | |
Rivaroxaban 2.5 mg bid+ASA 100 mg od | 9152 | 288 | 3.1 | 1.70 (1.40; 2.05) | 1.67^ | |||
ASA 100 mg od | 9126 | 170 | 1.9 | Ref. | 0.98^ | |||
TRA 2°P–TIMI 50, NCT00526474∗∗ [20] | Median: 30 | Vorapaxar 2.5 mg od | 13186 | 438 | 4.20† | 1.66 (1.43; 1.93) | 1.33‡ | |
Placebo | 13166 | 267 | 2.50† | Ref. | 0.81‡ | |||
TRA 2°P–TIMI 50, NCT00526474∗∗∗∗ [20] | Vorapaxar 2.5 mg od | 13186 | 298 | 2.90† | 1.44 (1.21; 1.72) | 0.90‡ | ||
Placebo | 13166 | 209 | 1.90† | Ref. | 0.63‡ | |||
TRA 2°P–TIMI 50, NCT00526474∗∗∗∗∗ [20] | Vorapaxar 2.5 mg od | 13186 | 624 | 5.90† | 1.57 (1.38; 1.78) | 1.89‡ | ||
Placebo | 13166 | 404 | 3.70† | Ref. | 1.23‡ |
∗Trial-specific criteria definition, ∗∗GUSTO severe definition, ∗∗∗Modified ISTH definition, ∗∗∗∗TIMI major bleeding, ∗∗∗∗∗ISTH definition, ‡Calculated on the basis of available data, ^Unpublished data extracted from CSR, †Kaplan-Meier estimate. ALI: acute limb ischaemia; ASA: acetylsalicylic acid; bid: bis in die = twice a day; CHD: coronary heart disease; CV: cardiovascular; GUSTO: Global Utilization of Streptokinase and Tpa for Occluded Arteries definition; HR: hazard ratio; IS: ischaemic stroke; ISTH: International Society on Thrombosis and Haemostasis classification; LCI: lower confidence interval; MI: myocardial infarction; od: once a day; p-yrs: Patients-years; Ref.: reference group; UCI: upper confidence interval.