Table 2.

AUB rates in adult studies of rivaroxaban and apixaban for the treatment of VTE

Reference (duration)Study design/populationStudy drug/comparator (maintenance dose)Number of womenUterine CRNMB,* n (%)
AMPLIFY-EXT (12 mo) Randomized, double-blind comparison of 2 doses of apixaban vs placebo for extended (beyond 6-12 mo) therapy in patients with VTE Apixaban 5 mg twice daily 334 3 (0.9%) 
Apixaban 2.5 mg twice daily 353 4 (1.1%) 
Placebo 361 2 (0.6%) 
EINSTEIN CHOICE (12 mo) Randomized, double-blind comparison of 2 doses of rivaroxaban vs aspirin for extended (beyond 6-12 mo) therapy in patients with VTE Rivaroxaban 20 mg daily 505 6 (1.2%) 
Rivaroxaban 10 mg daily 507 4 (0.8%) 
Aspirin 100 mg daily 488 1 (0.2%) 
SELECT-D (6 mo) Randomized, open-label pilot in patients with cancer and VTE Rivaroxaban 20 mg daily 87 1 (1.1%) 
Dalteparin 150 IU/kg/d 105 0 (0.0%) 
Caravaggio (6 mo) Randomized, open-label, noninferiority trial in patients with cancer and VTE Apixaban 5 mg twice daily 284 4 (1.4%) 
Dalteparin 150 IU/kg/d 303 3 (1.0%) 
Schastlivtsev et al (3-6 mo) Single-center prospective observational study on patients with upper extremity DVT Rivaroxaban 20 mg daily 17 1 (5.9%) 
Rusin et al (3-6 mo) Single-center prospective case series on patients with CSVT treated with DOACs Dabigatran 150 mg twice daily 18 0 (0.0%) 
Rivaroxaban 20 mg daily 10 2 (20.0%) 
Apixaban 5 mg twice daily 0 (0.0%) 
Christen et al10  (variable) Prospective cohort study of patients with sickle cell disease undergoing VTE treatment with DOACs Rivaroxaban 20 mg daily 4 (50%) 
Reference (duration)Study design/populationStudy drug/comparator (maintenance dose)Number of womenUterine CRNMB,* n (%)
AMPLIFY-EXT (12 mo) Randomized, double-blind comparison of 2 doses of apixaban vs placebo for extended (beyond 6-12 mo) therapy in patients with VTE Apixaban 5 mg twice daily 334 3 (0.9%) 
Apixaban 2.5 mg twice daily 353 4 (1.1%) 
Placebo 361 2 (0.6%) 
EINSTEIN CHOICE (12 mo) Randomized, double-blind comparison of 2 doses of rivaroxaban vs aspirin for extended (beyond 6-12 mo) therapy in patients with VTE Rivaroxaban 20 mg daily 505 6 (1.2%) 
Rivaroxaban 10 mg daily 507 4 (0.8%) 
Aspirin 100 mg daily 488 1 (0.2%) 
SELECT-D (6 mo) Randomized, open-label pilot in patients with cancer and VTE Rivaroxaban 20 mg daily 87 1 (1.1%) 
Dalteparin 150 IU/kg/d 105 0 (0.0%) 
Caravaggio (6 mo) Randomized, open-label, noninferiority trial in patients with cancer and VTE Apixaban 5 mg twice daily 284 4 (1.4%) 
Dalteparin 150 IU/kg/d 303 3 (1.0%) 
Schastlivtsev et al (3-6 mo) Single-center prospective observational study on patients with upper extremity DVT Rivaroxaban 20 mg daily 17 1 (5.9%) 
Rusin et al (3-6 mo) Single-center prospective case series on patients with CSVT treated with DOACs Dabigatran 150 mg twice daily 18 0 (0.0%) 
Rivaroxaban 20 mg daily 10 2 (20.0%) 
Apixaban 5 mg twice daily 0 (0.0%) 
Christen et al10  (variable) Prospective cohort study of patients with sickle cell disease undergoing VTE treatment with DOACs Rivaroxaban 20 mg daily 4 (50%) 

CSVT, cerebral sinus venous thrombosis; DVT, deep vein thrombosis.

*

No major uterine bleeding was reported in any of the studies.

Bleeding was menorrhagia, which was classified as MB and not CRNMB.

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