4-factor prothrombin complex concentrate is not inferior to andexanet alfa for the reversal or oral factor Xa inhibitors: An Eastern Association for the Surgery of Trauma multicenter study.

Jordan M Estroff, Joseph Devlin, Lara Hoteit, Adnan Hassoune, Matthew D Neal, Joshua B Brown, Liling Lu, Shannon Kotch, Joshua P Hazelton, Ashton B Christian, Eric O Yeates, Jeffry Nahmias, Lewis E Jacobson, Jamie Williams, Kevin M Schuster, Rick O'Connor, Gregory R Semon, Angela D Straughn, Daniel Cullinane, Tanya Egodage, Michelle Kincaid, Allison Rollins, Richard Amdur, Babak Sarani
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Abstract

Andexanet Alfa (AA) is the only FDA approved reversal agent for apixaban and rivaroxaban (DOAC). There are no studies comparing its efficacy with 4-Factor Prothrombin Complex Concentrate (PCC). This study aimed to compare PCC to AA for DOAC reversal, hypothesizing non-inferiority of PCC.
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在逆转或口服 Xa 因子抑制剂方面,4 因子凝血酶原复合物浓缩物并不比安达信α差:东部创伤外科协会的一项多中心研究。
Andexanet Alfa(AA)是美国食品及药物管理局批准的阿哌沙班和利伐沙班(DOAC)的唯一逆转剂。目前还没有研究比较其与 4 因子凝血酶原复合物浓缩物(PCC)的疗效。本研究旨在比较PCC和AA在DOAC逆转方面的疗效,假设PCC不具劣效。
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