About: Anticoagulation with Otamixaban and Ischemic Events in Non-ST-Segment Elevation Acute Coronary Syndromes the TAO Randomized Clinical Trial     Goto   Sponge   NotDistinct   Permalink

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  • The optimal anticoagulant for patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) managed with an invasive strategy remains controversial. To compare the clinical efficacy and safety of otamixaban, a novel intravenous direct factor Xa inhibitor, with that of unfractionated heparin plus downstream eptifibatide in patients with NSTE-ACS undergoing a planned early invasive strategy. Randomized, double-blind, active-controlled superiority trial that enrolled 13 229 patients with NSTE-ACS and a planned early invasive strategy, at 568 active sites in 55 countries and conducted between April 2010 and February 2013. A planned interim analysis was conducted for otamixaban dose selection. Eligible participants were randomized to otamixaban (bolus and infusion, at 1 of 2 doses) or unfractionated heparin plus, at the time of percutaneous coronary intervention, eptifibatide. The otamixaban dose selected at interim analysis was an intravenous bolus of 0.080 mg/kg followed by an infusion of 0.140 mg/kg per hour. The primary efficacy outcome was the composite of all-cause death or new myocardial infarction through day 7. Rates of the primary efficacy outcome were 5.5% (279 of 5105 patients) randomized to receive otamixaban and 5.7% (310 of 5466 patients) randomized to receive unfractionated heparin plus eptifibatide. There were no differences for the secondary end points, including procedural thrombotic complications. The primary safety outcome of Thrombosis in Myocardial Infarction major or minor bleeding through day 7 was increased by otamixaban. Results were consistent across prespecified subgroups. Otamixaban did not reduce the rate of ischemic events relative to unfractionated heparin plus eptifibatide but did increase bleeding. These findings do not support the use of otamixaban for patients with NSTE-ACS undergoing planned early percutaneous coronary intervention.
  • The optimal anticoagulant for patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) managed with an invasive strategy remains controversial. To compare the clinical efficacy and safety of otamixaban, a novel intravenous direct factor Xa inhibitor, with that of unfractionated heparin plus downstream eptifibatide in patients with NSTE-ACS undergoing a planned early invasive strategy. Randomized, double-blind, active-controlled superiority trial that enrolled 13 229 patients with NSTE-ACS and a planned early invasive strategy, at 568 active sites in 55 countries and conducted between April 2010 and February 2013. A planned interim analysis was conducted for otamixaban dose selection. Eligible participants were randomized to otamixaban (bolus and infusion, at 1 of 2 doses) or unfractionated heparin plus, at the time of percutaneous coronary intervention, eptifibatide. The otamixaban dose selected at interim analysis was an intravenous bolus of 0.080 mg/kg followed by an infusion of 0.140 mg/kg per hour. The primary efficacy outcome was the composite of all-cause death or new myocardial infarction through day 7. Rates of the primary efficacy outcome were 5.5% (279 of 5105 patients) randomized to receive otamixaban and 5.7% (310 of 5466 patients) randomized to receive unfractionated heparin plus eptifibatide. There were no differences for the secondary end points, including procedural thrombotic complications. The primary safety outcome of Thrombosis in Myocardial Infarction major or minor bleeding through day 7 was increased by otamixaban. Results were consistent across prespecified subgroups. Otamixaban did not reduce the rate of ischemic events relative to unfractionated heparin plus eptifibatide but did increase bleeding. These findings do not support the use of otamixaban for patients with NSTE-ACS undergoing planned early percutaneous coronary intervention. (en)
Title
  • Anticoagulation with Otamixaban and Ischemic Events in Non-ST-Segment Elevation Acute Coronary Syndromes the TAO Randomized Clinical Trial
  • Anticoagulation with Otamixaban and Ischemic Events in Non-ST-Segment Elevation Acute Coronary Syndromes the TAO Randomized Clinical Trial (en)
skos:prefLabel
  • Anticoagulation with Otamixaban and Ischemic Events in Non-ST-Segment Elevation Acute Coronary Syndromes the TAO Randomized Clinical Trial
  • Anticoagulation with Otamixaban and Ischemic Events in Non-ST-Segment Elevation Acute Coronary Syndromes the TAO Randomized Clinical Trial (en)
skos:notation
  • RIV/00216208:11120/13:43907648!RIV14-MSM-11120___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 11
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 61388
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/13:43907648
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • fondaparinux; global registry; antiplatelet therapies; unfractionated heparin; myocardial-infarction; factor xa inhibitor (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [64E6B91CC3DA]
http://linked.open...i/riv/nazevZdroje
  • JAMA-Journal of the American Medical Association
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 310
http://linked.open...iv/tvurceVysledku
  • Widimský, Petr
http://linked.open...ain/vavai/riv/wos
  • 000324500300021
issn
  • 0098-7484
number of pages
http://bibframe.org/vocab/doi
  • 10.1001/jama.2013.277165
http://localhost/t...ganizacniJednotka
  • 11120
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