Dose Optimization of Rivaroxaban in Elderly Chinese Patients with Non-Valvular Atrial Fibrillation: Analysis of Populations Pharmacokinetics and Exposure-Response Relationships

For elderly Chinese NVAF patients, a reduced-dose rivaroxaban regimen, specifically 10 mg once daily with amiodarone, is recommended for all patients regardless of renal function, whereas 15 mg once daily is a more optimal option for those not taking amiodarone. Based on the risk-benefit assessment, maintaining AUC<sub>24,ss</sub> above 2840 ng·h/mL does not yield additional clinical benefit.

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Publication Details

Journal
Drug Design Development and Therapy
Published
2025-12-01
DOI
https://doi.org/10.2147/dddt.s563521
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.00

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article

Dose Optimization of Rivaroxaban in Elderly Chinese Patients with Non-Valvular Atrial Fibrillation: Analysis of Populations Pharmacokinetics and Exposure-Response Relationships

Wei Cai, Bijue Liu, Ya Su, T. Li et al.
Drug Design Development and Therapy
Atrial Fibrillation Management and Outcomes
article

Dose Optimization of Rivaroxaban in Elderly Chinese Patients with Non-Valvular Atrial Fibrillation: Analysis of Populations Pharmacokinetics and Exposure-Response Relationships

Wei Cai, Bijue Liu, Ya Su, T. Li, Xin Liu, Chun Liu, Jun Zhang, Chao Yu, Lian Tang, Yanxia Yu, Lisheng Jiang
article en

Abstract

For elderly Chinese NVAF patients, a reduced-dose rivaroxaban regimen, specifically 10 mg once daily with amiodarone, is recommended for all patients regardless of renal function, whereas 15 mg once daily is a more optimal option for those not taking amiodarone. Based on the risk-benefit assessment, maintaining AUC<sub>24,ss</sub> above 2840 ng·h/mL does not yield additional clinical benefit.

Drug Design Development and TherapyVol. Volume 19
Nantong University (CN), Fudan University (CN), Ruijin Hospital (CN), Suzhou Municipal Hospital (CN), The Affiliated Taizhou People's Hospital of Nanjing Medical University (CN), Wuxi People's Hospital (CN), Nanjing Medical University (CN)
Jiangsu Pharmaceutical Association
Openalex Percentile: Top 45%
Atrial Fibrillation Management and Outcomes
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Dose Optimization of Rivaroxaban in Elderly Chinese Patients with Non-Valvular Atrial Fibrillation: Analysis of Populations Pharmacokinetics and Exposure-Response Relationships — Wei Cai, Bijue Liu, et al. · Drug Design Development and Therapy (2025) | TGRS Research Map | TGRS