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Rationale, Design and Baseline Characteristics of Participants in the Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) Trial
J. Bosch, JW. Eikelboom, SJ. Connolly, NC. Bruns, V. Lanius, F. Yuan, F. Misselwitz, E. Chen, R. Diaz, M. Alings, EM. Lonn, P. Widimsky, M. Hori, A. Avezum, LS. Piegas, DL. Bhatt, KRH. Branch, JL. Probstfield, Y. Liang, L. Liu, J. Zhu, AP....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, přehledy
Odkazy
PubMed
28754388
DOI
10.1016/j.cjca.2017.06.001
Knihovny.cz E-zdroje
- MeSH
- antikoagulancia terapeutické užití MeSH
- kardiovaskulární nemoci prevence a kontrola MeSH
- lidé MeSH
- randomizované kontrolované studie jako téma metody MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- trombolytická terapie normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND: Long-term aspirin prevents vascular events but is only modestly effective. Rivaroxaban alone or in combination with aspirin might be more effective than aspirin alone for vascular prevention in patients with stable coronary artery disease (CAD) or peripheral artery disease (PAD). Rivaroxaban as well as aspirin increase upper gastrointestinal (GI) bleeding and this might be prevented by proton pump inhibitor therapy. METHODS: Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) is a double-blind superiority trial comparing rivaroxaban 2.5 mg twice daily combined with aspirin 100 mg once daily or rivaroxaban 5 mg twice daily vs aspirin 100 mg once daily for prevention of myocardial infarction, stroke, or cardiovascular death in patients with stable CAD or PAD. Patients not taking a proton pump inhibitor were also randomized, using a partial factorial design, to pantoprazole 40 mg once daily or placebo. The trial was designed to have at least 90% power to detect a 20% reduction in each of the rivaroxaban treatment arms compared with aspirin and to detect a 50% reduction in upper GI complications with pantoprazole compared with placebo. RESULTS: Between February 2013 and May 2016, we recruited 27,395 participants from 602 centres in 33 countries; 17,598 participants were included in the pantoprazole vs placebo comparison. At baseline, the mean age was 68.2 years, 22.0% were female, 90.6% had CAD, and 27.3% had PAD. CONCLUSIONS: COMPASS will provide information on the efficacy and safety of rivaroxaban, alone or in combination with aspirin, in the long-term management of patients with stable CAD or PAD, and on the efficacy and safety of pantoprazole in preventing upper GI complications in patients receiving antithrombotic therapy.
Amphia Ziekenhuis and WCN Utrecht The Netherlands
ANMCO Research Center Florence Italy
Centre for Cardiovascular Science University of Edinburgh Edinburgh Scotland
Collegium Medicum Jagiellonian University Krakow Poland
Comprehensive Heart Failure Center University and University Hospital Würzburg Würzburg Germany
Division of Cardiology Department of Medicine University of Cape Town Temuco Chile
Dupuytren University Hospital Limoges France
Estudios Clínicos Latino América and Instituto Cardiovascular de Rosario Rosario Argentina
Facultad de Ciencias de la Salud Eugenio Espejo UTE Quito Ecuador
Institut Universitaire de Cardiologie et Pneumologie de Quebec Quebec City Quebec Canada
Institute of Cardiology Kiev Ukraine
Instituto Dante Pazzanese de Cardiologia Sao Paulo Brazil
Karolinska Institutet Stockholm Sweden
Lady Davis Carmel Medical Centre Haifa Israel
Monash University Melbourne Australia
National Research Centre for Preventative Medicine Moscow Russia
National University of Ireland Galway Ireland
Osaka International Cancer Institute Osaka Japan
Research Institute FOSCAL Bucaramanga Bucaramanga Colombia
School of Rehabilitation Science McMaster University Hamilton Ontario Canada
Semmelweis University Budapest Hungary
The Catholic University of Korea Seoul Korea
Turku University Central Hospital and Turku University Turku Finland
Universidad de La Frontera Temuco Chile
Universiti Teknologi Mara Selangor Malaysia
University College London Hospitals London United Kingdom
University of Aalborg Copenhagen Denmark
University of Glasgow Glasgow Scotland United Kingdom
University of Leuven Flanders Belgium
University of Philippines Manila Manila The Philippines
University of Sao Paulo Sao Paulo Brazil
University of Washington Medical Centre Seattle Washington USA
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- $a Rationale, Design and Baseline Characteristics of Participants in the Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) Trial / $c J. Bosch, JW. Eikelboom, SJ. Connolly, NC. Bruns, V. Lanius, F. Yuan, F. Misselwitz, E. Chen, R. Diaz, M. Alings, EM. Lonn, P. Widimsky, M. Hori, A. Avezum, LS. Piegas, DL. Bhatt, KRH. Branch, JL. Probstfield, Y. Liang, L. Liu, J. Zhu, AP. Maggioni, P. Lopez-Jaramillo, M. O'Donnell, KAA. Fox, A. Kakkar, AN. Parkhomenko, G. Ertl, S. Störk, K. Keltai, M. Keltai, L. Ryden, GR. Dagenais, N. Pogosova, AL. Dans, F. Lanas, PJ. Commerford, C. Torp-Pedersen, TJ. Guzik, PB. Verhamme, D. Vinereanu, JH. Kim, JW. Ha, AM. Tonkin, JD. Varigos, BS. Lewis, C. Felix, K. Yusoff, PG. Steg, V. Aboyans, KP. Metsarinne, SS. Anand, RG. Hart, A. Lamy, P. Moayyedi, DP. Leong, M. Sharma, S. Yusuf,
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- $a BACKGROUND: Long-term aspirin prevents vascular events but is only modestly effective. Rivaroxaban alone or in combination with aspirin might be more effective than aspirin alone for vascular prevention in patients with stable coronary artery disease (CAD) or peripheral artery disease (PAD). Rivaroxaban as well as aspirin increase upper gastrointestinal (GI) bleeding and this might be prevented by proton pump inhibitor therapy. METHODS: Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) is a double-blind superiority trial comparing rivaroxaban 2.5 mg twice daily combined with aspirin 100 mg once daily or rivaroxaban 5 mg twice daily vs aspirin 100 mg once daily for prevention of myocardial infarction, stroke, or cardiovascular death in patients with stable CAD or PAD. Patients not taking a proton pump inhibitor were also randomized, using a partial factorial design, to pantoprazole 40 mg once daily or placebo. The trial was designed to have at least 90% power to detect a 20% reduction in each of the rivaroxaban treatment arms compared with aspirin and to detect a 50% reduction in upper GI complications with pantoprazole compared with placebo. RESULTS: Between February 2013 and May 2016, we recruited 27,395 participants from 602 centres in 33 countries; 17,598 participants were included in the pantoprazole vs placebo comparison. At baseline, the mean age was 68.2 years, 22.0% were female, 90.6% had CAD, and 27.3% had PAD. CONCLUSIONS: COMPASS will provide information on the efficacy and safety of rivaroxaban, alone or in combination with aspirin, in the long-term management of patients with stable CAD or PAD, and on the efficacy and safety of pantoprazole in preventing upper GI complications in patients receiving antithrombotic therapy.
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