Table 2.
Risk of bleeding with DOACs versus Warfarin in RCTs and real-world studies on NVAF stroke prevention
| RCTs | ||||||
|---|---|---|---|---|---|---|
| Dabigatran | Rivaroxaban | Apixaban | Edoxaban | |||
| RE-LY [6] | ROCKET-AF [7] | ARISTOTLE [8] | ENGAGE- AF TIMI 48 [9] | |||
| 110 mg | 150 mg | 30 mg | 60 mg | |||
| Stroke or SE | = | ↓ | = | ↓ | = | = |
| MB or CRNMB | ↓ | ↓ | = | ↓ | ↓ | ↓ |
| MB | ↓ | = | = | ↓ | ↓ | ↓ |
| ICH | ↓ | ↓ | ↓ | ↓ | ↓ | ↓ |
| MGIB | = | ↑ | ↑ | = | ↓ | ↑ |
| Real-world data | ||||
|---|---|---|---|---|
| Dabigatran [10, 11] | Rivaroxaban [10, 11] | Apixaban [10, 11] | Edoxaban [12]a | |
| Stroke or SE | = | = | = | ↓ |
| MB | ↓ | = ↑ | ↓ | ↓ |
| ICH | ↓ | ↓ | ↓ | ↓ |
| GIB | ↑ | ↑ | ↓ | ↓b |
CRNMB clinically relevant non-major bleeding, GIB gastrointestinal bleeding, ICH intracerebral hemorrhage, MB major bleeding, MGIB major gastrointestinal bleeding, NVAF non-valvular atrial fibrillation, SE systemic embolism
Symbols: = , similar; ↓, minor; ↑ higher [hazard ratio (HR) of events with DOACs versus warfarin]
aOnly one study available
bMGIB