In the treatment of deep vein thrombosis, the EINSTEIN-PE and EINSTEIN-DVT trials demonstrated non-inferiority of which agent compared to conventional heparin–warfarin therapy?
- A Apixaban
- B Dabigatran
- C Edoxaban
- D Rivaroxaban ✓
Explanation
The EINSTEIN-DVT and EINSTEIN-PE trials specifically evaluated rivaroxaban (Factor Xa inhibitor) against enoxaparin–vitamin K antagonist for VTE treatment. Rivaroxaban was non-inferior for efficacy (recurrent VTE) with a significantly lower rate of major bleeding in PE. These trials established rivaroxaban as a single-drug oral regimen, obviating the need for initial parenteral anticoagulation.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
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