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Review
. 2018 Dec;24(9_suppl):340S-349S.
doi: 10.1177/1076029618812955. Epub 2018 Nov 28.

Edoxaban for Venous Thromboembolism Treatment-The New Kid on The Block for Latin America. A Practical Guide

Affiliations
Review

Edoxaban for Venous Thromboembolism Treatment-The New Kid on The Block for Latin America. A Practical Guide

Eduardo Ramacciotti et al. Clin Appl Thromb Hemost. 2018 Dec.

Abstract

Edoxaban, a direct factor Xa inhibitor (FXa), is the fourth direct oral anticoagulant (DOAC) approved for clinical use in the treatment of venous thromboembolism (VTE) in Latin America, following global approvals for this indication. Edoxaban features some particular characteristics when compared to the previously approved DOACs. This review summarizes the main properties of edoxaban, the outcomes results of its pivotal global clinical trials and the peculiar clinical features of this compound. This practical guide aims to help Latin America clinicians understand edoxaban, its proper indication and its use for the appropriate patients with VTE.

Keywords: edoxaban; non-vitamin K antagonist oral anticoagulants; oral anticoagulants; venous thromboembolism; vitamin K antagonists.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Chemical structure of edoxaban: N-(5-chloropyridin-2-yl)-N′-[(1S,2R,4S)-4-(N, N-dimethylcarbamoyl)-2-(5-methyl-4,5,6,7-tetrahydrothiazol-o[5,4-c]pyridine-2-carboxamido)-cyclohexyl] ethanediamide p-toluenesulfonate monohydrate. Adapted from Furugohri, T. et al.
Figure 2.
Figure 2.
Geometric mean plasma concentrations of edoxaban (ng/mL) after oral dosing. Note that the x-axes are not continuous. Data from the single-administration study. Adapted from Ogata, K. et al.
Figure 3.
Figure 3.
Practical guide for the treatment of special populations with edoxaban. Adapted from Brazilian label recommendations.

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