Evidence map›Paper›PMID 40470653›Full record

Observational studyJournal of the American Heart Association2025

Association of Genetic Variants With Rivaroxaban Pharmacokinetics and Pharmacodynamics and Hemorrhage Risk Factors in Patients With Venous Thromboembolism.

Hui Li, Xiaoshuang He, Yingyun Guan, Qiuya Lu, Jie Fang, Xiaolan Bian

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Research and practice in thrombosis and haemostasis · 2026
    Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hui LiDepartment of Pharmacy Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.ORCID 0000-0002-4692-4036
Xiaoshuang HeDepartment of Pharmacy Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
Yingyun GuanDepartment of Pharmacy Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.ORCID 0000-0003-2353-0605
Qiuya LuDepartment of Laboratory Medicine Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
Jie FangDepartment of Pharmacy Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
Xiaolan BianDepartment of Pharmacy Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.ORCID 0009-0001-1151-9057

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRivaroxaban is a first-line agent for venous thromboembolism prophylaxis and treatment. However, its pharmacokinetics, pharmacodynamics, and bleeding risk exhibit significant interindividual variability. Known nongenetic factors alone cannot fully explain this variability, and the impact of genetic polymorphisms remains debated.

methodsFrom December 29, 2021, to May 11, 2023, 310 patients with venous thromboembolism treated with rivaroxaban were enrolled in this observational study from a tertiary hospital in Shanghai, China, based on predefined criteria. We assessed relationships between rivaroxaban concentrations, anti-Factor Xa levels, and coagulation parameters; examined the impact of 12 genes on concentrations and anti-Factor Xa levels; and followed up for at least 3 months to identify bleeding risk factors.

resultsRivaroxaban plasma concentration was significantly related to anti-Factor Xa levels (R

conclusionsPharmacogenetic monitoring and hemorrhage risk assessment may contribute to optimize its efficacy and safety. Larger-scale, global multicenter clinical trials are required to validate the potential gene loci for testing, including

Indexed as

Factor Xa InhibitorsHemorrhagePharmacogenomic VariantsRivaroxabanVenous ThromboembolismAgedBlood CoagulationChinaCytochrome P-450 CYP3AFemaleHumansMaleMiddle AgedPolymorphism, Single NucleotideRisk AssessmentRisk FactorsCytochrome P-450 CYP3AFactor Xa InhibitorsRivaroxabananti‐FXa levelgene polymorphismshemorrhagepharmacokinetics and pharmacodynamicsrivaroxaban

Identifiers

PMID40470653
PMCPMC12229112

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.