BEIJING, Sept. 17 (Xinhuanet) --Swedish researcher
performing a head-to-head trial report a pill named dabigatran etexilate (DE) is
as effective as an injected drug, enoxaparin, in reducing the risk of blood
clots after total hip replacement surgery.
The study, reported in this week's
issue of The Lancet, included almost 3,500 hip replacement patients who
received either oral DE at 220 milligrams daily, DE at 150 milligrams daily, or
an injection of enoxaparin at 40 milligrams once daily, for 28 to 35 days.
Blood clots or death from all causes occurred in 53
of 880 (6 percent) of patients on 220 milligrams DE, in 75 of 874 (8.6 percent)
of patients on 150 milligrams DE, and in 60 of 897 (6.7 percent) of patients in
the enoxaparin group.
The researchers could uncover no significant
differences in bleeding rates, frequency of coronary events, or increases in
liver enzyme concentrations between the three groups of patients.
There were also no differences between the groups in
terms of "reducing the risk of total venous thromboembolism, and all-cause
mortality after total hip replacement," wrote the researchers from Sahlgrenska
University Hospital in Gothenburg.
The study was funded by Boehringer Ingelheim, the
company that makes DE.
In an accompanying editorial, Dr. John Norrie of the
Centre for Healthcare Randomised Trials at the University of Aberdeen in
Scotland, also notes that the study did have methodological flaws, linked to
missing data.
(Agencies)