Pulmonary vascular disease & thromboembolism

Early discharge and home treatment of patients with low-risk pulmonary embolism with the oral factor Xa inhibitor rivaroxaban: an international multicentre single-arm clinical trial

Eur Heart JPublished Single-arm management trial

Authors' conclusion

Early discharge and home treatment with rivaroxaban is effective and safe in carefully selected patients with acute low-risk PE.

Study context

Population
Patients with acute low-risk PE (no haemodynamic instability, RV dysfunction or intracardiac thrombi, or serious comorbidities)interim analysis
Participants
525 patients
Primary endpoint
Symptomatic recurrent VTE or PE-related death
Follow-up
Within 3 months of enrolment
Methodological detailsprospective, multicentre, investigator initiated, prespecified interim analysis, 7 countries, Enrolment May 2014 through June 2018, consecutive patients
  • Prospective
  • Multicentre
  • Investigator initiated
  • Prespecified interim analysis
  • 7 countries
  • Enrolment May 2014 through June 2018, consecutive patients

Primary result

As reported in the abstract

3 months

Symptomatic non-fatal venous thromboembolism (VTE) recurrence (525 patients in interim analysis)

3 (0.6%); one-sided upper 99.6% CI 2.1%

Further findings

Cancer-related deaths
2 (0.4%)

Safety

Major bleeding (safety population, n = 519)
6 (1.2%)

Original publication

Early discharge and home treatment of patients with low-risk pulmonary embolism with the oral factor Xa inhibitor rivaroxaban: an international multicentre single-arm clinical trial. Eur Heart J. Published 23 May 2019. doi:10.1093/eurheartj/ehz367

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.