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  2. Keyword: Edoxaban
Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA)
ABC
Original Article

Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA)

Dalton Bertolim Précoma et al. Rafael Paletta da Silva Allyson Nakamoto Viviane Mariz Omar … Danilo Lopes José Francisco Kerr Saraiva

Abstract

Background:

Clinical trials showed the safety of Edoxaban, a non-vitamin K-dependent oral anticoagulant (NOAC), and its efficacy to prevent stroke and systemic embolism in non-valvular atrial fibrillation (NVAF) patients and also to prevent and treat venous thromboembolism. However, additional research is needed to evaluate the safety and effectiveness of Edoxaban in a real-world scenario in the Brazilian population.

Objective:

In order to understand the risks and benefits of Edoxaban use in routine clinical settings, the EdoBRA study is being conducted to gain insight into the safety and effectiveness of Edoxaban use in non-preselected patients with NVAF in Brazil.

Methods:

The EdoBRA study is a multicenter, prospective, observational study conducted in 36 sites in Brazil. NVAF patients ≥ 18 years treated with commercially available Edoxaban who initiated treatment for at least 14 days and no longer than 90 days prior to enrollment, and who are not simultaneously participating in any interventional study are eligible for this study. Seven hundred patients are planned to be enrolled and one-year of follow up, with data collections expected at baseline and 3, 6, and 12 months after the study enrollment. The primary safety objective is ISTH Clinically Relevant Bleeding, and the secondary effectiveness objective focuses on relevant cardiovascular outcomes related to NVAF.

Conclusion:

EdoBRA observational study will generate relevant additional information about NOAC Edoxaban on various aspects of patient management in routine care, such as its safety and effectiveness profile in patients with NVAF in Brazil.

  • Edoxaban
  • Efficacy
  • Observational Study
  • Oral Anticoagulants
  • Safety
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Creative Commons Attribution (CC BY) Creative Commons license
26/04/2024 DOI: 10.36660/abc.20230392i Views 1
ABC
Brief Communication

Thrombocytopenia-Related Problems in Patients with Concomitant Atrial Fibrillation Requiring Antithrombotic Prevention: A Retrospective Cohort Study

Renato De Vecchis et al. Andrea Paccone Silvia Soreca

Abstract

Low-dose edoxaban and enoxaparin sodium have been the subject of a retrospective comparison implemented with the propensity score technique in order to mitigate the effects of the differences in the basal clinical features of two cohorts and minimize the risk of bias.

Subsequently, using a Cox proportional-hazards model, the association of each type of therapy with the risk of the composite of all-cause death, stroke/transient ischemic attack, hospitalizations and major bleeding events was assessed. For this analysis, a p-value < 0.05 was considered statistically significant. Therapy with enoxaparin and liver cirrhosis as causing thrombocytopenia were associated with increased risk of the composite endpoint (enoxaparin: hazard ratio (HR): 3.31; 95% CI: 1.54 to 7.13; p = 0.0023; liver cirrhosis, HR: 1.04; 95% CI: 1.002 to 1.089; p = 0.0410). Conversely, edoxaban therapy was significantly associated with decreased risk of the composite endpoint (HR: 0.071; 95% CI: 0.013 to 0.373; p = 0.0019). Based on this retrospective analysis, edoxaban at low doses would appear as an effective and safe pharmacological tool for the prophylaxis of cardioembolic events in patients with AF and thrombocytopenia.

  • Anticoagulants
  • Atrial Fibrillation
  • Cohort Studies
  • Edoxaban
  • Enoxaparine
  • Hemorrhage
  • Heparin/therapeutic use
  • Liver Cirrhosis
  • Stroke
  • Thrombocytopenia
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Creative Commons Attribution (CC BY) Creative Commons license
23/10/2020 DOI: 10.36660/abc.20190599 Views 2

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Précoma DB, Silva RP, Nakamoto A, Omar VM, Lopes D, Saraiva JFK. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia 2024;121(3):e20230392.

Electronic Document Format (ABNT)

Précoma, Dalton Bertolim; Silva, Rafael Paletta da; Nakamoto, Allyson; Omar, Viviane Mariz; Lopes, Danilo; Saraiva, José Francisco Kerr. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia, v. 121, n. 3, e20230392, Apr. 2024.

Electronic Document Format (APA)

Précoma, D. B., Silva, R. P. , Nakamoto, A., Omar, V. M., Lopes, D., & Saraiva, J. F. K. (2024). Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia, 121(3), e20230392.

Electronic Document Format (ISO)

Précoma, Dalton Bertolim and Silva, Rafael Paletta da and Nakamoto, Allyson and Omar, Viviane Mariz and Lopes, Danilo and Saraiva, José Francisco Kerr. Study Design of a Brazilian Observational Study of Edoxaban in Patients with Atrial Fibrillation (EdoBRA). Arquivos Brasileiros de Cardiologia [online]. 2024, vol. 121, n. 3, [cited 2026-10-14], e20230392. Available from: <https://journals.cardiol.br/en/article/study-design-of-a-brazilian-observational-study-of-edoxaban-in-patients-with-atrial-fibrillation-edobra/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Vecchis RD, Paccone A, Soreca S. Thrombocytopenia-Related Problems in Patients with Concomitant Atrial Fibrillation Requiring Antithrombotic Prevention: A Retrospective Cohort Study. Arquivos Brasileiros de Cardiologia 2020;115(4):717-8.

Electronic Document Format (ABNT)

Vecchis, Renato De; Paccone, Andrea; Soreca, Silvia. Thrombocytopenia-Related Problems in Patients with Concomitant Atrial Fibrillation Requiring Antithrombotic Prevention: A Retrospective Cohort Study. Arquivos Brasileiros de Cardiologia, v. 115, n. 4, p. 717-718, Oct. 2020.

Electronic Document Format (APA)

Vecchis, R. D., Paccone, A., & Soreca, S. (2020). Thrombocytopenia-Related Problems in Patients with Concomitant Atrial Fibrillation Requiring Antithrombotic Prevention: A Retrospective Cohort Study. Arquivos Brasileiros de Cardiologia, 115(4), 717-718.

Electronic Document Format (ISO)

Vecchis, Renato De and Paccone, Andrea and Soreca, Silvia. Thrombocytopenia-Related Problems in Patients with Concomitant Atrial Fibrillation Requiring Antithrombotic Prevention: A Retrospective Cohort Study. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 115, n. 4, [cited 2026-10-14], pp. 717-718. Available from: <https://journals.cardiol.br/en/article/thrombocytopenia-related-problems-in-patients-with-concomitant-atrial-fibrillation-requiring-antithrombotic-prevention-a-retrospective-cohort-study/>. ISSN 0066-782X

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