CardioSource WorldNews December 2014 | Page 8

For patients with nonvalvular atrial fibrillation (NVAF), ONLY ELIQUIS DELIVERS BOTH The ONLY anticoagulant that demonstrated superiority in BOTH stroke/systemic embolism and major bleeding vs warfarin.1 SUPERIOR SUPERIOR Based on fewer major bleeding* events vs warfarin1 Risk reduction in stroke/systemic embolism vs warfarin1 1.27%/year vs 1.60%/year; P=0.01 HR†=0.79 (95% CI,‡ 0.66, 0.95); 21% RRR§ PRIMARY EFFICACY OUTCOME 2.13%/year vs 3.09%/year; P<0.0001 HR=0.69 (95% CI, 0.60, 0.80); 31% RRR PRIMARY SAFETY OUTCOME Superiority to warfarin was primarily attributable to a reduction in hemorrhagic stroke and ischemic strokes with hemorrhagic conversion compared to warfarin. Purely ischemic strokes occurred with similar rates on both drugs.1 In another clinical trial, AVERROES®, ELIQUIS was associated with an increase in major bleeding compared to aspirin that was not statistically significant (1.41%/year vs O.92%/ year, HR=1.54 [95% CI, 0.96, 2.45]; P=0.07).1 The most common reason for treatment discontinuation in both studies was for bleeding-related adverse reactions; in ARISTOTLE, this occurred in 1.7% and 2.5% of patients treated with ELIQUIS and warfarin, respectively, and in AVERROES, in 1.5% and 1.3% on ELIQUIS and aspirin, respectively. *Major bleeding was defined as clinically overt bleeding accompanied by one or more of the following: bleeding that was fatal; bleeding that occurred in at least one critical site (critical hcp.eliquis.com sites included intracranial, intraspinal, intraocular, pericardial, intra-articular, intramuscular with compartment syndrome, retroperitoneal); a transfusion of 2 or more units of packed red blood cells; or a decrease in hemoglobin of 2 g/dL or more. Connect with us to learn more about † HR=hazard ratio; ‡CI=confidence interval; §RRR=relative risk reduction. ELIQUIS and our NVAF clinical trial program. ELIQUIS® and the ELIQUIS logo are trademarks of Bristol-Myers Squibb Company. © 2014 Bristol-Myers Squibb Company. All rights reserved. 432US14BR01934-03-01 09/14