Safety of Factor XI Inhibition With Abelacimab in Atrial Fibrillation by Kidney Function

In this secondary analysis of the AZALEA-TIMI 71 randomized clinical trial, abelacimab consistently reduced the risk of bleeding relative to rivaroxaban irrespective of kidney function. These findings suggest that abelacimab may offer a particularly favorable safety profile among those with chronic kidney disease; however, larger studies are necessary to characterize the efficacy of abelacimab for stroke prevention in AF.

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Publication Details

Journal
JAMA Cardiology
Published
2025-09-01
DOI
https://doi.org/10.1001/jamacardio.2025.3393
Primary Topic
Coagulation, Bradykinin, Polyphosphates, and Angioedema
Type
article
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article

Safety of Factor XI Inhibition With Abelacimab in Atrial Fibrillation by Kidney Function

Róbert Gábor Kiss, Christian T. Ruff, Wojciech Wojakowski, Erica L. Goodrich et al.
2 links
JAMA Cardiology
Coagulation, Bradykinin, Polyphosphates, and Angioedema
article

Safety of Factor XI Inhibition With Abelacimab in Atrial Fibrillation by Kidney Function

Róbert Gábor Kiss, Christian T. Ruff, Wojciech Wojakowski, Erica L. Goodrich, Marc S. Sabatine, Robert P. Giugliano, Boyoung Joung, Siddharth M. Patel, Bruce A. Hug, Sanobar Parkar, Dan Bloomfield, Andrew W. Murphy, David A. Morrow, Shih-Ann Chen, Jeffrey I. Weitz, Shaun G. Goodman
article en

Abstract

In this secondary analysis of the AZALEA-TIMI 71 randomized clinical trial, abelacimab consistently reduced the risk of bleeding relative to rivaroxaban irrespective of kidney function. These findings suggest that abelacimab may offer a particularly favorable safety profile among those with chronic kidney disease; however, larger studies are necessary to characterize the efficacy of abelacimab for stroke prevention in AF.

JAMA CardiologyVol. 10(11)
Semmelweis University (HU), Brigham and Women's Hospital (US), St. Michael's Hospital (CA), Harvard University (US), University of Alberta (CA), Medical University of Silesia (PL), Yonsei University (KR), Severance Hospital (KR), Taipei Veterans General Hospital (TW), DecImmune Therapeutics (United States) (US), Canadian VIGOUR Centre (CA), Sarepta Therapeutics (United States) (US), Thrombosis and Atherosclerosis Research Institute (CA), Thrombolysis in Myocardial Infarction Study Group (US), McMaster University (CA)
Openalex Percentile: Top 68%
Coagulation, Bradykinin, Polyphosphates, and Angioedema
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