Prevention and Rehabilitation of Cardiovascular Diseases
Rivaroxaban with aspirin for the secondary prevention of cardiovascular events in Chinese patients with stable cardiovascular diseases: subgroup analysis of COMPASS
Liang Yan, Gong Zebin, Lou Kejia, Liu Lisheng, Zhu Jun, on behalf of COMPASS Chinese investigators
Published 2021-09-24
Cite as Chin J Cardiol, 2021, 49(9): 873-879. DOI: 10.3760/cma.j.cn112148-20210319-00247
Abstract
ObjectiveThis analysis was performed to evaluate the efficacy and the safety of rivaroxaban-aspirin combination therapy in secondary prevention of major adverse cardiovascular events in Chinese patients enrolled in the COMPASS trial.
MethodsCOMPASS was a prospective, international multi-center and randomized controlled trial. From September 2014 to February 2017, 1 086 patients with stable coronary artery disease and peripheral artery diseases were recruited from 31 centers in China. Patients were randomly assigned to separately receive the therapy of rivaroxaban (2.5 mg twice a day) plus aspirin (100 mg once a day,) group (n=366), rivaroxaban (5 mg twice a day) alone group (n=365), and aspirin (100 mg once a day) alone group (n=355). Baseline information such as age, sex, etc. of all three groups was collected. Finally, 1 081 patients were followed up successfully, with the follow-up rate 99.5% and the average follow-up time was 19 months. The primary efficacy endpoint was the composite of cardiovascular death, myocardial infarction and stroke. The primary safety endpoint was major bleeding evaluated by modified International Society on Thrombosis and Haemostasis criteria.
ResultsAge of patients was (64.2±8.3) years and there were 293 male in rivaroxaban plus aspirin group. Age of patients was (63.8±9.0) years, and there were 301 male patients in rivaroxaban alone group. Age of patients was (63.6±8.8) years, and there were 282 male patients in the aspirin alone group. The incidences of primary efficacy endpoint occurred in 9 cases (1.5%) in rivaroxaban with aspirin group, 21 cases (3.7%) in rivaroxaban alone group and 14 cases (2.5%) in aspirin alone group. Meanwhile, the incidences of primary safety endpoint occurred in 6 cases (1.0%) in rivaroxaban with aspirin group, 9 cases (1.6%) in rivaroxaban alone group and 7 cases (1.2%) in aspirin alone group. The net clinical benefit events were 10 cases (1.7%) in rivaroxaban with aspirin group, 22 cases (3.9%) in rivaroxaban alone group and 15 cases (2.7%) in aspirin alone group (P>0.5%).
ConclusionsThe combination of rivaroxaban with aspirin can be safe and effectively used for the secondary prevention in Chinese patients with stable coronary artery disease and peripheral artery diseases.
Key words:
Coronary artery disease; Peripheral artery disease; Rivaroxaban; Aspirin
Contributor Information
Liang Yan
Emergency and Intensive Care Center, Cardiovascular Department, Fuwai Hospital, Chinses Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
Gong Zebin
Emergency and Intensive Care Center, Cardiovascular Department, Fuwai Hospital, Chinses Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
Lou Kejia
Emergency and Intensive Care Center, Cardiovascular Department, Fuwai Hospital, Chinses Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
Liu Lisheng
Emergency and Intensive Care Center, Cardiovascular Department, Fuwai Hospital, Chinses Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
Zhu Jun
Emergency and Intensive Care Center, Cardiovascular Department, Fuwai Hospital, Chinses Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
on behalf of COMPASS Chinese investigators
