Janssen Files sNDA for Xarelto Plus Aspirin in PAD
Janssen Pharmaceutical Companies has submitted a supplemental NDA for a new indication to expand the use of Xarelto (rivaroxaban) in patients with peripheral artery disease (PAD). “If approved, this new indication for the Xarelto vascular dose (2.5 mg twice daily plus aspirin 75-100 mg once daily) would include reducing the risk of major thrombotic vascular events such as heart attack, stroke and amputation in patients after recent lower-extremity revascularization, a common procedure in which blood flow is restored to the legs and feet due to symptomatic PAD,” the company says.
The submission is based on data from the VOYAGER PAD study, which showed the drug plus aspirin was superior to aspirin alone in reducing the risk of major cardiovascular and limb events, with similar rates of thrombolysis in myocardial infarction major bleeding, Janssen says. The same combination was approved by FDA in 2018 to reduce the risk of major cardiovascular events in patients with chronic PAD and coronary artery disease, which Janssen says is the only direct oral anticoagulant approved for use in these populations.