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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

Manesh Patel, ACC 2022: PACIFIC-AF: Multicenter, randomized, active comparator-controlled, double-blind, dose-finding phase 2 study comparing the safety of the oral FXIa inhibitor asundexian with apixaban in patients with atrial fibrillation

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Published Online: May 3rd 2022

PACIFIC-AF is a multicenter, randomized, active comparator-controlled, double-blind, double-dummy, parallel group, dose-finding phase 2 study comparing the safety of the oral FXIa inhibitor asundexian with apixaban in patients with atrial fibrillation. It was a pleasure to speak with Prof. Manesh Patel (Duke University, Durham, NC) who gives an overview on asendexian; its future in the treating paradigm for atrial fibrillation (AF) and also the benefits of this drug. In addition, he also discusses the PACIFIC-AF study.

Questions:

  1. Could you tell us a little about asundexian and its potential advantages compared to the currently available non-vitamin K oral anticoagulants? (00:17)
  2. What were the aims and design of the PACIFIC-AF study? (02:17)
  3. How did the efficacy and safety of asundexian compare with that of apixaban? (03:44)
  4. What will be the next steps in the clinical development of asundexian? (05:08)
  5. Where do you see asundexian sitting in the treatment paradigm for AF? (05:58)

Disclosures: Manesh Patel is a consultant for Bayer, Hearflow, Janssen and Novartis and discloses grant/research support from Bayer, Heartflow, Janssen and NIH.

Support: Interview and filming supported by Touch Medical Media Ltd. Interview conducted by Shanice Allen.

Filmed in coverage of the American College of Cardiology Annual Meeting 2022

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