Jean Terrier: COBRRA Trial – Comparing Bleeding Risks Between DOACs
Jean Terrier, Clinical Pharmacologist and Toxicologist at University of Rhode Island, shared a post on LinkedIn about a recent article he and his colleagues co-authored, published in European Heart Journal – Cardiovascular Pharmacotherapy, adding:
“New Viewpoint in European Heart Journal – Cardiovascular Pharmacotherapy
COBRRA showed 54% less clinically relevant bleeding with apixaban vs. rivaroxaban in acute VTE. Same target, so why the difference?
We discuss:
- The acute regimen for VTE
- Treatment adherence
- PK/PD differences, as exploratory hypotheses
- What should clinicians do ?
This is an exciting time for direct oral anticoagulant and clinical pharmacology. Work remains on efficacy and long-term VTE treatment, and we look forward to the COBRRA-AF trial (COmparison of Bleeding Risk Between Rivaroxaban and Apixaban in Patients With Atrial Fibrillation).
Warm thanks to my coauthors Jean-Luc Reny, Youssef Daali and Pierre Fontana.”
Title: Same target but different bleeding outcomes: insights from a randomized apixaban-rivaroxaban comparison in patients with acute venous thromboembolism
Authors: Jean-Luc Reny, Youssef Daali, Jean Terrier

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