Review Article

Management of the Bleeding Patient Receiving New Oral Anticoagulants: A Role for Prothrombin Complex Concentrates

Table 3

Summary of animal and human data for reversal of dabigatran, rivaroxaban, and apixaban using factor concentrates.

DabigatranRivaroxabanApixaban
AnimalHumanAnimalHumanAnimalHuman

3-factor PCCCase report +/−
4-factor PCCRats +/−
Rabbits +
Mice −
Mice ICH +
In vitro +
In vivo −
Case report −
Rats +
Rabbits +/−
In vitro +/−
In vivo +
In vitro +
aPCCRats +/−
Mice −
In vitro +Rat +
Primate +
In vitro +In vitro +
rfVIIaRats +/−
Mice +/−
Mice ICH −
In vitro +
Case report +/−
Rat +
Rabbits +/−
Primate +/−
In vitro +/−In vitro +

+: effective; −: ineffective; +/−: mixed results between studies or between coagulation testing and bleeding outcomes; PCC: prothrombin complex concentrate; aPCC: activated prothrombin complex concentrate; rfVIIa: recombinant factor VIIa.