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Rivaroxaban

Generic Name
Rivaroxaban
Brand Names
Xarelto, Rivaroxaban Accord, Rivaroxaban Viatris (previously Rivaroxaban Mylan)
Drug Type
Small Molecule
Chemical Formula
C19H18ClN3O5S
CAS Number
366789-02-8
Unique Ingredient Identifier
9NDF7JZ4M3
Background

Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.

Indication

Rivaroxaban is indicated for the prevention of venous thromboembolic events (VTE) in patients who have undergone total hips replacements and total knee replacement surgery; prevention of stroke and systemic embolism in patients with nonvalvular atrial fibrillation; treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE); to reduce risk of recurrent DVT and/or PE. Rivaroxaban is also indicated, in combination with aspirin, for reducing the risk of major cardiovascular events in patients with chronic coronary artery disease or peripheral artery disease. Its use is also not recommended in those with severe renal impairment (<30mL/min).

Rivaroxaban is also indicated for the treatment and prevention of VTE in pediatric patients (from birth to 18 years of age) and for thromboprophylaxis in pediatric patients ≥2 years old with congenital heart disease following the Fontan procedure.

Associated Conditions
Cardiovascular Mortality, Deep Vein Thrombosis, Deep vein thrombosis recurrent, Major Adverse Cardiovascular Events, Myocardial Infarction, Pulmonary Embolism, Recurrent Pulmonary Embolism (Disorder), Recurrent Venous Thromboembolism, Stroke, Systemic Embolism, Thrombosis, Venous Thromboembolism

To Assess the Efficacy and Safety of Dual Anticoagulants i.e. Rivaroxaban Plus Aspirin and Clopidogrel Plus Aspirin in Patients Suffering From an Acute Coronary Syndrome

Phase 4
Not yet recruiting
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2022-10-10
Last Posted Date
2022-10-10
Lead Sponsor
Sarmad Zahoor
Target Recruit Count
90
Registration Number
NCT05573958

Assess Gastrointestinal Blood Loss After Receiving Aspirin or Aspirin Plus Rivaroxaban in Healthy Adult Participants

Not Applicable
Completed
Conditions
Healthy Volunteer
Interventions
First Posted Date
2022-09-21
Last Posted Date
2023-05-24
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
60
Registration Number
NCT05546957
Locations
🇬🇧

LabCorp CRU, Leeds, West Yorkshire, United Kingdom

Comparison of the Effect of Medication Therapy in Alleviating Migraine With Patent Foramen Ovale

Phase 4
Recruiting
Conditions
Patent Foramen Ovale
Migraine
Interventions
First Posted Date
2022-09-19
Last Posted Date
2023-01-11
Lead Sponsor
Chinese Academy of Medical Sciences, Fuwai Hospital
Target Recruit Count
1000
Registration Number
NCT05546320
Locations
🇨🇳

Fuwai Hospital, Beijing, Beijing, China

Rivaroxaban Plus Aspirin to Manage Recurrent Venous Thromboembolic Events

Phase 2
Completed
Conditions
Anticoagulant-induced Bleeding
Venous Thromboembolism
Venous Thromboses
Pulmonary Embolism
Interventions
First Posted Date
2022-08-25
Last Posted Date
2022-08-25
Lead Sponsor
Instituto Mexicano del Seguro Social
Target Recruit Count
58
Registration Number
NCT05515120
Locations
🇲🇽

Instituto Mexicano Del Seguro Social, Metepec, Estado De Mexico, Mexico

Pharmacokinetics and Point of Care Testing of Direct Oral Anticoagulants Subjects

First Posted Date
2022-08-08
Last Posted Date
2022-08-08
Lead Sponsor
Doasense GmbH
Target Recruit Count
24
Registration Number
NCT05491460
Locations
🇩🇪

Clincial Research Serivces, Mannheim, Germany

Rivaroxaban Versus Standard of Care for Patients With Excessive Atrial Ectopy or Short Atrial Runs and High Embolism Risk

Phase 4
Not yet recruiting
Conditions
Excessive Supraventricular Ectopies or Short Atrial Runs (ESVEA)
Interventions
First Posted Date
2022-08-04
Last Posted Date
2023-03-28
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
550
Registration Number
NCT05487950

An Observational Study Called H2H-OSCAR-US to Learn More About How Well Rivaroxaban Works and How Safe it is Compared to Apixaban Under Real World Conditions in People in the US With Cancer Who Have Problems Due to Formation of Blood Clots in the Veins (Venous Thromboembolism)

Completed
Conditions
Venous Thromboembolism
Cancer
Treatment of Venous Thromboembolism in Cancer Patients
Interventions
First Posted Date
2022-07-18
Last Posted Date
2022-10-26
Lead Sponsor
Bayer
Target Recruit Count
2437
Registration Number
NCT05461807
Locations
🇩🇪

Bayer, Wuppertal, Germany

Xarelto for Thromboprophylaxis After Total Hip and Total Knee Arthroplasty

Not Applicable
Recruiting
Conditions
Arthroplasty
Venous Thromboembolism
Interventions
First Posted Date
2022-07-08
Last Posted Date
2023-10-03
Lead Sponsor
Chiayi Christian Hospital
Target Recruit Count
178
Registration Number
NCT05449327
Locations
🇨🇳

Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan

Chronic Anticoagulation With a Reduced Dose Regimen of Rivaroxaban in End-stage Renal Disease Patients

Phase 3
Conditions
Chronic Hemodialysis Patients
Interventions
First Posted Date
2022-06-08
Last Posted Date
2022-06-08
Lead Sponsor
University Hospital, Tours
Target Recruit Count
10
Registration Number
NCT05410275

Rivaroxaban Post-Transradial Access for the Prevention of Radial Artery Occlusion (CAPITAL-RAPTOR)

Phase 3
Recruiting
Conditions
Radial Artery Occlusion
Interventions
First Posted Date
2022-06-01
Last Posted Date
2024-07-10
Lead Sponsor
Mayo Clinic
Target Recruit Count
700
Registration Number
NCT05399277
Locations
🇺🇸

Mayo Clinic Rochester, Rochester, Minnesota, United States

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