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This entry refers to the sequential administration of dabigatran and rivaroxaban in a clinical trial context, specifically a Phase 4 crossover study (NCT01427608) conducted by the University Hospital, Grenoble. Dabigatran is a direct thrombin (Factor IIa) inhibitor, while rivaroxaban is a direct Factor Xa inhibitor. The study aimed to evaluate the ex-vivo reversal of their anticoagulant effects using various hemostatic agents, such as prothrombin complex concentrate (PCC), recombinant activated coagulation factor VII, and activated prothrombin-complex (FEIBA) for dabigatran, and a specific decoy (FXa-GLAless) for rivaroxaban. Both drugs are primarily indicated for the prevention and treatment of venous thromboembolism (VTE) and stroke prevention in patients with non-valvular atrial fibrillation.
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