Rivaroxaban 2.5 mg Tablets, co-administered with acetylsalicylic acid (ASA) alone or with ASA plus clopidogrel or ticlopidine, is indicated for the prevention of atherothrombotic events in adult patients after an acute coronary syndrome (ACS) with elevated cardiac biomarkers (see sections 4.3, 4.4 and 5.1). Rivaroxaban 2.5 mg Tablets, co-administered with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) at high risk of ischaemic events.

Posology The recommended dose is 2.5 mg twice daily. • ACS Patients taking rivaroxaban 2.5 mg twice daily should also take a daily dose of 75 - 100 mg ASA or a daily dose of 75 - 100 mg ASA in addition to either a daily dose of 75 mg clopidogrel or a standard daily dose of ticlopidine. Treatment should be regularly evaluated in the individual patient weighing the risk for ischaemic events against the bleeding risks. Extension of treatment beyond 12 months should be done on an individual patient basis as experience up to 24 months is limited (see section 5.1). Treatment with rivaroxaban should be started as soon as possible after stabilisation of the ACS event (including revascularisation procedures); at the earliest 24 hours after admission to hospital and at the time when parenteral anticoagulation therapy would normally be discontinued. • CAD/PAD Patients taking rivaroxaban 2.5 mg twice daily should also take a daily dose of 75 - 100 mg ASA. In patients after a successful revascularisation procedure of the lower limb (surgical or endovascular including hybrid procedures) due to symptomatic PAD, treatment should not be started until haemostasis is achieved (see section 5.1). Duration of treatment should be determined for each individual patient based on regular evaluations and should consider the risk for thrombotic events versus the bleeding risks. • ACS, CAD/PAD Co-administration with antiplatelet therapy In patients with an acute thrombotic event or vascular procedure and a need for dual antiplatelet therapy, the continuation of rivaroxaban 2.5 mg twice daily should be evaluated depending on the type of event or procedure and antiplatelet regimen. Safety and efficacy of rivaroxaban 2.5 mg twice daily in combination with dual antiplatelet therapy have been studied in patients • with recent ACS in combination with ASA plus clopidogrel/ticlopidine (see section 4.1), and • after recent revascularisation procedure of the lower limb due to symptomatic PAD in combination with ASA and, if applicable, short-term clopidogrel use (see sections 4.4 and 5.1) Missed dose If a dose is missed the patient should continue with the regular dose as recommended at the next scheduled time. The dose should not be doubled to make up for a missed dose. Converting from Vitamin K Antagonists (VKA) to rivaroxaban When converting patients from VKAs to rivaroxaban, International Normalised Ratio (INR) values could be falsely elevated after the intake of rivaroxaban. The INR is not valid to measure the anticoagulant activity of rivaroxaban, and therefore should not be used (see section 4.5). Converting from rivaroxaban to Vitamin K antagonists (VKA) There is a potential for inadequate anticoagulation during the transition from rivaroxaban to VKA. Continuous adequate anticoagulation should be ensured during any transition to an alternate anticoagulant. It should be noted that rivaroxaban can contribute to an elevated INR. In patients converting from rivaroxaban to VKA, VKA should be given concurrently until the INR is = 2.0. For the first two days of the conversion period, standard initial dosing of VKA should be used followed by VKA dosing, as guided by INR testing. While patients are on both rivaroxaban and VKA the INR should not be tested earlier than 24 hours after the previous dose but prior to the next dose of rivaroxaban. Once rivaroxaban is discontinued INR testing may be done reliably at least 24 hours after the last dose (see sections 4.5 and 5.2). Converting from parenteral anticoagulants to rivaroxaban For patients currently receiving a parenteral anticoagulant, discontinue the parenteral anticoagulant and start rivaroxaban 0 to 2 hours before the time that the next scheduled administration of the parenteral medicinal product (e.g. low molecular weight heparins) would be due or at the time of discontinuation of a continuously administered parenteral medicinal product (e.g. intravenous unfractionated heparin). Converting from rivaroxaban to parenteral anticoagulants Give the first dose of parenteral anticoagulant at the time the next rivaroxaban dose would be taken. Special populations Renal impairment Limited clinical data for patients with severe renal impairment (creatinine clearance 15 - 29 ml/min) indicate that rivaroxaban plasma concentrations are significantly increased. Therefore, rivaroxaban is to be used with caution in these patients. Use is not recommended in patients with creatinine clearance < 15 ml/min (see sections 4.4 and 5.2). No dose adjustment is necessary in patients with mild renal impairment (creatinine clearance 50 - 80 ml/min) or moderate renal impairment (creatinine clearance 30 - 49 ml/min) (see section 5.2). Hepatic impairment Rivaroxaban is contraindicated in patients with hepatic disease associated with coagulopathy and clinically relevant bleeding risk including cirrhotic patients with Child Pugh B and C (see sections 4.3 and 5.2). Elderly population No dose adjustment (see sections 4.4 and 5.2) The risk of bleeding increases with increasing age (see section 4.4). Body weight No dose adjustment (see sections 4.4 and 5.2) Gender No dose adjustment (see section 5.2) Paediatric population The safety and efficacy of rivaroxaban 2.5 mg Tablets in children aged 0 to 18 years have not been established. No data are available. Therefore, rivaroxaban 2.5 mg tablets are not recommended for use in children below 18 years of age. Method of administration Rivaroxaban 2.5 mg Tablets are for oral use. The tablets can be taken with or without food (see sections 4.5 and 5.2). Crushing of tablets For patients who are unable to swallow whole tablets, Rivaroxaban Tablets may be crushed and mixed with water or apple puree immediately prior to use and administered orally. The crushed tablet may also be given through gastric tubes (see sections 5.2 and 6.6).

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1. Active clinically significant bleeding. Lesion or condition, if considered to be a significant risk for major bleeding. This may include current or recent gastrointestinal ulceration, presence of malignant neoplasms at high risk of bleeding, recent brain or spinal injury, recent brain, spinal or ophthalmic surgery, recent intracranial haemorrhage, known or suspected oesophageal varices, arteriovenous malformations, vascular aneurysms or major intraspinal or intracerebral vascular abnormalities. Concomitant treatment with any other anticoagulants, e.g. unfractionated heparin (UFH), low molecular weight heparins (enoxaparin, dalteparin, etc.), heparin derivatives (fondaparinux, etc.), oral anticoagulants (warfarin, dabigatran etexilate, apixaban, etc.) except under specific circumstances of switching anticoagulant therapy (see section 4.2) or when UFH is given at doses necessary to maintain an open central venous or arterial catheter (see section 4.5). Concomitant treatment of ACS with antiplatelet therapy in patients with a prior stroke or a transient ischaemic attack (TIA) (see section 4.4). Concomitant treatment of CAD/PAD with ASA in patients with previous haemorrhagic or lacunar stroke, or any stroke within a month (see section 4.4). Hepatic disease associated with coagulopathy and clinically relevant bleeding risk including cirrhotic patients with Child Pugh B and C (see section 5.2). Pregnancy and breast-feeding (see section 4.6).

In ACS patients, efficacy and safety of rivaroxaban 2.5 mg twice daily have been investigated in combination with the antiplatelet agents ASA alone or ASA plus clopidogrel/ticlopidine. In patients at high risk of ischaemic events with CAD/PAD, efficacy and safety of rivaroxaban 2.5 mg twice daily have been investigated in combination with ASA. In patients after recent revascularisation procedure of the lower limb due to symptomatic PAD, efficacy and safety of rivaroxaban 2.5 mg twice daily have been investigated in combination with the antiplatelet agent ASA alone or ASA plus short- term clopidogrel. If required, dual antiplatelet therapy with clopidogrel should be short-term; long-term dual antiplatelet therapy should be avoided (see section 5.1). Treatment in combination with other antiplatelet agents, e.g. prasugrel or ticagrelor, has not been studied and is not recommended. Clinical surveillance in line with anticoagulation practice is recommended throughout the treatment period. Haemorrhagic risk As with other anticoagulants, patients taking rivaroxaban are to be carefully observed for signs of bleeding. It is recommended to be used with caution in conditions with increased risk of haemorrhage. Rivaroxaban administration should be discontinued if severe haemorrhage occurs (see section 4.9). In the clinical studies mucosal bleedings (i.e. epistaxis, gingival, gastrointestinal, genito urinary including abnormal vaginal or increased menstrual bleeding) and anaemia were seen more frequently during long term rivaroxaban treatment on top of single or dual anti-platelet therapy. Thus, in addition to adequate clinical surveillance, laboratory testing of haemoglobin/haematocrit could be of value to detect occult bleeding and quantify the clinical relevance of overt bleeding, as judged to be appropriate. Several sub-groups of patients, as detailed below, are at increased risk of bleeding. Therefore, the use of rivaroxaban in combination with dual antiplatelet therapy in patients at known increased risk for bleeding should be balanced against the benefit in terms of prevention of atherothrombotic events. In addition these patients are to be carefully monitored for signs and symptoms of bleeding complications and anaemia after initiation of treatment (see section 4.8). Any unexplained fall in haemoglobin or blood pressure should lead to a search for a bleeding site. Although treatment with rivaroxaban does not require routine monitoring of exposure, rivaroxaban levels measured with a calibrated quantitative anti-factor Xa assay may be useful in exceptional situations where knowledge of rivaroxaban exposure may help to inform clinical decisions, e.g. overdose and emergency surgery (see sections 5.1 and 5.2). Renal impairment In patients with severe renal impairment (creatinine clearance < 30 ml/min) rivaroxaban plasma levels may be significantly increased (1.6 fold on average) which may lead to an increased bleeding risk. Rivaroxaban is to be used with caution in patients with creatinine clearance 15 - 29 ml/min. Use is not recommended in patients with creatinine clearance < 15 ml/min (see sections 4.2 and 5.2). In patients with moderate renal impairment (creatinine clearance 30 - 49 ml/min) concomitantly receiving other medicinal products which increase rivaroxaban plasma concentrations rivaroxaban is to be used with caution (see section 4.5).

CYP3A4 and P-gp inhibitors Co-administration of rivaroxaban with ketoconazole (400 mg once a day) or ritonavir (600 mg twice a day) led to a 2.6 fold / 2.5 fold increase in mean rivaroxaban AUC and a 1.7 fold / 1.6 fold increase in mean rivaroxaban Cmax, with significant increases in pharmacodynamic effects which may lead to an increased bleeding risk. Therefore, the use of rivaroxaban is not recommended in patients receiving concomitant systemic treatment with azole-antimycotics such as ketoconazole, itraconazole, voriconazole and posaconazole or HIV protease inhibitors. These active substances are strong inhibitors of both CYP3A4 and P-gp (see section 4.4). Active substances strongly inhibiting only one of the rivaroxaban elimination pathways, either CYP3A4 or P-gp, are expected to increase rivaroxaban plasma concentrations to a lesser extent. Clarithromycin (500 mg twice a day), for instance, considered as a strong CYP3A4 inhibitor and moderate P-gp inhibitor, led to a 1.5 fold increase in mean rivaroxaban AUC and a 1.4 fold increase in Cmax. The

Pregnancy Safety and efficacy of rivaroxaban have not been established in pregnant women. Studies in animals have shown reproductive toxicity (see section 5.3). Due to the potential reproductive toxicity, the intrinsic risk of bleeding and the evidence that rivaroxaban passes the placenta, rivaroxaban is contraindicated during pregnancy (see section 4.3). Women of child-bearing potential should avoid becoming pregnant during treatment with rivaroxaban. Breast-feeding Safety and efficacy of rivaroxaban have not been established in breast-feeding women. Data from animals indicate that rivaroxaban is secreted into milk. Therefore rivaroxaban is contraindicated during breast- feeding (see section 4.3). A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from therapy. Fertility No specific studies with rivaroxaban in humans have been conducted to evaluate effects on fertility. In a study on male and female fertility in rats no effects were seen (see section 5.3).

Rivaroxaban has minor influence on the ability to drive and use machines. Adverse reactions like syncope (frequency: uncommon) and dizziness (frequency: common) have been reported (see section 4.8). Patients experiencing these adverse reactions should not drive or use machines.

Summary of the safety profile The safety of rivaroxaban has been evaluated in thirteen pivotal phase III studies (see Table 1). Overall, 69,608 adult patients in nineteen phase III studies and 488 paediatric patients in two phase II and two phase III studies were exposed to rivaroxaban. Table 1: Number of patients studied, total daily dose and maximum treatment duration in adult and paediatric phase III studies Indication Number of patients* Total daily dose Maximum treatment duration Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or knee replacement surgery 6,097 10 mg 39 days Prevention of VTE in medically ill patients 3,997 10 mg 39 days Treatment of deep vein thrombosis (DVT), pulmonary embolism (PE) and prevention of recurrence 6,790 Day 1 - 21: 30 mg Day 22 and onwards: 20 mg After at least 6 months: 10 mg or 20 mg 21 months Treatment of VTE and prevention of VTE recurrence in term neonates and children aged less than 18 years following initiation of standard anticoagulation treatment 329 Body weight-adjusted dose to achieve a similar exposure as that observed in adults treated for DVT with 20 mg rivaroxaban once daily 12 months Prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation 7,750 20 mg 41 months Prevention of atherothrombotic events in patients after an ACS 10,225 5 mg or 10 mg respectively, co- administered with either ASA or ASA plus clopidogrel or 31 months ticlopidine 18,244 5 mg co-administered with ASA or 10 mg alone 47 months Prevention of atherothrombotic events in patients with CAD/PAD 3,256** 5 mg co-administered with ASA 42 months * Patients exposed to at least one dose of rivaroxaban ** From the VOYAGER PAD study The most commonly reported adverse reactions in patients receiving rivaroxaban were bleedings (see section 4.4. and ‘Description of selected adverse reactions’ below) (Table 2). The most commonly reported bleedings were epistaxis (4.5 %) and gastrointestinal tract haemorrhage (3.8 %). Table 2: Bleeding* and anaemia events rates in patients exposed to rivaroxaban across the completed adult and paediatric phase III studies Indication Any bleeding Anaemia Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or knee replacement surgery 6.8% of patients 5.9% of patients Prevention of venous thromboembolism in medically ill patients 12.6% of patients 2.1% of patients Treatment of DVT, PE and prevention of recurrence 23% of patients 1.6% of patients Treatment of VTE and prevention of VTE recurrence in term neonates and children aged less than 18 years following initiation of standard anticoagulation treatment 39.5% of patients 4.6% of patients Prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation 28 per 100 patient years 2.5 per 100 patient years Prevention of atherothrombotic events in patients after an ACS 22 per 100 patient years 1.4 per 100 patient years 6.7 per 100 patient years 0.15 per 100 patient years** Prevention of atherothrombotic events in patients with CAD/PAD 8.38 per 100 patient years # 0.74 per 100 patient years***# * For all rivaroxaban studies all bleeding events are collected, reported and adjudicated. ** In the COMPASS study, there is a low anaemia incidence as a selective approach to adverse event collection was applied *** A selective approach to adverse event collection was applied # From the VOYAGER PAD study Tabulated list of adverse reactions The frequencies of adverse reactions reported with rivaroxaban in adult and paediatric patients are summarised in Table 3 below by system organ class (in MedDRA) and by frequency. Frequencies are defined as: very common (= 1/10) common (= 1/100 to < 1/10) uncommon (= 1/1,000 to < 1/100) rare (= 1/10,000 to < 1/1,000) very rare (< 1/10,000) not known (cannot be estimated from the available data) Table 3: All adverse reactions reported in adult patients in phase III clinical studies or through post-marketing use* and in two phase II and two phase III studies in paediatric patients Common Uncommon Rare Very rare Not known Blood and lymphatic system disorders Anaemia (incl. respective laboratory parameters) Thrombocytosis (incl. platelet count increased)A, thrombocytopenia Immune system disorders Allergic reaction, dermatitis allergic, angioedema and allergic oedema Anaphylactic reactions including anaphylactic shock Nervous system disorders Dizziness, headache Cerebral and intracranial haemorrhage, syncope Eye disorders Eye haemorrhage (incl. conjunctival haemorrhage) Cardiac disorders Tachycardia Vascular disorders Hypotension, haematoma Respiratory, thoracic and mediastinal disorders Epistaxis, haemoptysis Eosinophilic pneumonia Gastrointestinal disorders Gingival bleeding, gastrointestinal tract haemorrhage (incl. rectal haemorrhage), gastrointestinal and abdominal pains, dyspepsia, nausea, constipationA, diarrhoea, vomitingA Dry mouth Hepatobiliary disorders Increase in transaminases Hepatic impairment, increased bilirubin, increased blood alkaline phosphataseA, increased GGTA Jaundice, bilirubin conjugated increased (with or without concomitant increase of ALT), cholestasis, hepatitis (incl. hepatocellular injury) Skin and subcutaneous tissue disorders Pruritus (incl. uncommon cases of generalised pruritus), rash, ecchymosis, cutaneous and subcutaneous haemorrhage Urticaria Stevens- Johnson syndrome/Toxic Epidermal Necrolysis, DRESS syndrome Musculoskeletal and connective tissue disorders Pain in extremityA Haemarthrosis Muscle haemorrhage Compartment syndrome secondary to a bleeding Renal and urinary disorders Urogenital tract haemorrhage (incl. haematuria and menorrhagiaB), renal impairment (incl. blood creatinine increased, blood urea increased) Renal failure/acute renal failure secondary to a bleeding sufficient to cause hypoperfusion, Anticoagulant- related nephropathy General disorders and administration site conditions FeverA, peripheral oedema, decreased Feeling unwell (incl. malaise) Localised oedemaA general strength and energy (incl. fatigue and asthenia) Investigations Increased LDHA, increased lipaseA, increased amylaseA Injury, poisoning and procedural complications Postprocedural haemorrhage (incl. postoperative anaemia, and wound haemorrhage), contusion, wound secretionA Vascular pseudoaneurys mC A: observed in prevention of VTE in adult patients undergoing elective hip or knee replacement surgery B: observed in treatment of DVT, PE and prevention of recurrence as very common in women < 55 years C: observed as uncommon in prevention of atherothrombotic events in patients after an ACS (following percutaneous coronary intervention) * A pre-specified selective approach to adverse event collection was applied in selected phase III studies. The incidence of adverse reactions did not increase and no new adverse drug reaction was identified after analysis of these studies. Description of selected adverse reactions Due to the pharmacological mode of action, the use of rivaroxaban may be associated with an increased risk of occult or overt bleeding from any tissue or organ which may result in post haemorrhagic anaemia. The signs, symptoms, and severity (including fatal outcome) will vary according to the location and degree or extent of the bleeding and/or anaemia (see section 4.9 “Management of bleeding”). In the clinical studies mucosal bleedings (i.e. epistaxis, gingival, gastrointestinal, genito urinary including abnormal vaginal or increased menstrual bleeding) and anaemia were seen more frequently during long term rivaroxaban treatment compared with VKA treatment. Thus, in addition to adequate clinical surveillance, laboratory testing of haemoglobin/haematocrit could be of value to detect occult bleeding and quantify the clinical relevance of overt bleeding, as judged to be appropriate. The risk of bleedings may be increased in certain patient groups, e.g. those patients with uncontrolled severe arterial hypertension and/or on concomitant treatment affecting haemostasis (see section 4.4 “Haemorrhagic risk”). Menstrual bleeding may be intensified and/or prolonged. Haemorrhagic complications may present as weakness, paleness, dizziness, headache or unexplained swelling, dyspnoea and unexplained shock. In some cases as a consequence of anaemia, symptoms of cardiac ischaemia like chest pain or angina pectoris have been observed. Known complications secondary to severe bleeding such as compartment syndrome and renal failure due to hypoperfusion, or anticoagulant-related nephropathy have been reported for rivaroxaban. Therefore, the possibility of haemorrhage is to be considered in evaluating the condition in any anticoagulated patient. Paediatric population Treatment of VTE and prevention of VTE recurrence The safety assessment in children and adolescents is based on the safety data from two phase II and one phase III open-label active controlled studies in paediatric patients aged birth to less than 18 years. The safety findings were generally similar between rivaroxaban and comparator in the various paediatric age groups. Overall, the safety profile in the 412 children and adolescents treated with rivaroxaban was similar to that observed in the adult population and consistent across age subgroups, although assessment is limited by the small number of patients. In paediatric patients, headache (very common, 16.7%), fever (very common, 11.7%), epistaxis (very common, 11.2%), vomiting (very common, 10.7%), tachycardia (common, 1.5%), increase in bilirubin (common, 1.5%) and bilirubin conjugated increased (uncommon, 0.7%) were reported more frequently as compared to adults. Consistent with adult population, menorrhagia was observed in 6.6% (common) of female adolescents after menarche. Thrombocytopenia as observed in the post- marketing experience in adult population was common (4.6%) in paediatric clinical studies. The adverse drug reactions in paediatric patients were primarily mild to moderate in severity. Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

Rare cases of up to 1,960 mg have been reported. In case of , the patient should be observed carefully for bleeding complications or other adverse reactions (see section “Management of bleeding”). Due to limited absorption a ceiling effect with no further increase in average plasma exposure is expected at supratherapeutic doses of 50 mg rivaroxaban or above. A specific reversal agent (andexanet alfa) antagonising the pharmacodynamic effect of rivaroxaban is available (refer to the Summary of Product Characteristics of andexanet alfa). The use of activated charcoal to reduce absorption in case of rivaroxaban may be considered. Management of bleeding Should a bleeding complication arise in a patient receiving rivaroxaban, the next rivaroxaban administration should be delayed or treatment should be discontinued as appropriate. Rivaroxaban has a half-life of approximately 5 to 13 hours (see section 5.2). Management should be individualised according to the severity and location of the haemorrhage. Appropriate symptomatic treatment could be used as needed, such as mechanical compression (e.g. for severe epistaxis), surgical haemostasis with bleeding control procedures, fluid replacement and haemodynamic support, blood products (packed red cells or fresh frozen plasma, depending on associated anaemia or coagulopathy) or platelets. If bleeding cannot be controlled by the above measures, either the administration of a specific factor Xa inhibitor reversal agent (andexanet alfa), which antagonises the pharmacodynamic effect of rivaroxaban, or a specific procoagulant agent, such as prothrombin complex concentrate (PCC), activated prothrombin complex concentrate (APCC) or recombinant factor VIIa (r-FVIIa), should be considered. However, there is currently very limited clinical experience with the use of these medicinal products in individuals receiving rivaroxaban. The recommendation is also based on limited non-clinical data. Re-dosing of recombinant factor VIIa shall be considered and titrated depending on improvement of bleeding. Depending on local availability, a consultation with a coagulation expert should be considered in case of major bleedings (see section 5.1). Protamine sulphate and vitamin K are not expected to affect the anticoagulant activity of rivaroxaban. There is limited experience with tranexamic acid and no experience with aminocaproic acid and aprotinin in individuals receiving rivaroxaban. There is neither scientific rationale for benefit nor experience with the use of the systemic haemostatic desmopressin in individuals receiving rivaroxaban. Due to the high plasma protein binding rivaroxaban is not expected to be dialysable.

Pharmacotherapeutic group: Antithrombotic agents, direct factor Xa inhibitors, ATC code: B01AF01 Mechanism of action Rivaroxaban is a highly selective direct factor Xa inhibitor with oral bioavailability. Inhibition of factor Xa interrupts the intrinsic and extrinsic pathway of the blood coagulation cascade, inhibiting both thrombin formation and development of thrombi. Rivaroxaban does not inhibit thrombin (activated factor II) and no effects on platelets have been demonstrated. Pharmacodynamic effects Dose-dependent inhibition of factor Xa activity was observed in humans. Prothrombin time (PT) is influenced by rivaroxaban in a dose dependent way with a close correlation to plasma concentrations (r value equals 0.98) if Neoplastin is used for the assay. Other reagents would provide different results. The readout for PT is to be done in seconds, because the INR is only calibrated and validated for coumarins and cannot be used for any other anticoagulant. In a clinical pharmacology study on the reversal of rivaroxaban pharmacodynamics in healthy adult subjects (n=22), the effects of single doses (50 IU/kg) of two different types of PCCs, a 3-factor PCC (Factors II, IX and X) and a 4-factor PCC (Factors II, VII, IX and X) were assessed. The 3-factor PCC reduced mean Neoplastin PT values by approximately 1.0 second within 30 minutes, compared to reductions of approximately 3.5 seconds observed with the 4-factor PCC. In contrast, the 3-factor PCC had a greater and more rapid overall effect on reversing changes in endogenous thrombin generation than the 4-factor PCC (see section 4.9). The activated partial thomboplastin time (aPTT) and HepTest are also prolonged dose-dependently; however, they are not recommended to assess the pharmacodynamic effect of rivaroxaban. There is no need for monitoring of coagulation parameters during treatment with rivaroxaban in clinical routine. However, if clinically indicated, rivaroxaban levels can be measured by calibrated quantitative anti- factor-Xa tests (see section 5.2). Clinical efficacy and safety ACS The rivaroxaban clinical programme was designed to demonstrate the efficacy of rivaroxaban for the prevention of cardiovascular (CV) death, myocardial infarction (MI) or stroke in subjects with a recent ACS (ST-elevation myocardial infarction [STEMI], non- ST-elevation myocardial infarction [NSTEMI] or unstable angina [UA]). In the pivotal double-blind ATLAS ACS 2 TIMI 51 study, 15,526 patients were randomly assigned in a 1:1:1 fashion to one of three treatment groups: rivaroxaban 2.5 mg orally twice daily, 5 mg orally twice daily or to placebo twice daily co-administered with ASA alone or with ASA plus a thienopyridine (clopidogrel or ticlopidine). Patients with an ACS under the age of 55 had to have either diabetes mellitus or a previous MI. The median time on treatment was 13 months and overall treatment duration was up to almost 3 years. 93.2% of patients received ASA concomitantly plus thienopyridine treatment and 6.8% ASA only. Among patients receiving dual anti-platelets therapy 98.8% received clopidogrel, 0.9% received ticlopidine and 0.3% received prasugrel. Patients received the first dose of rivaroxaban at a minimum of 24 hours and up to 7 days (mean 4.7 days) after admission to the hospital, but as soon as possible after stabilisation of the ACS event, including revascularisation procedures and when parenteral anticoagulation therapy would normally be discontinued. Both the 2.5 mg twice daily and the 5 mg twice daily regimens of rivaroxaban were effective in further reducing the incidence of CV events on a background of standard antiplatelet care. The 2.5 mg twice daily regimen reduced mortality, and there is evidence that the lower dose had lower bleeding risks, therefore rivaroxaban 2.5 mg twice daily co-administered with acetylsalicylic acid (ASA) alone or with ASA plus clopidogrel or ticlopidine is recommended for the prevention of atherothrombotic events in adult patients after an ACS with elevated cardiac biomarkers. Relative to placebo, rivaroxaban significantly reduced the primary composite endpoint of CV death, MI or stroke. The benefit was driven by a reduction in CV death and MI and appeared early with a constant treatment effect over the entire treatment period (see Table 4 and Figure 1). Also the first secondary endpoint (all- cause death, MI or stroke) was reduced significantly. An additional retrospective analysis showed a nominally significant reduction in the incidence rates of stent thrombosis compared with placebo (see Table 4). The incidence rates for the principal safety outcome (non-coronary artery bypass graft (CABG) TIMI major bleeding events) were higher in patients treated with rivaroxaban than in patients who received placebo (see Table 6). However the incidence rates were balanced between rivaroxaban and placebo for the components of fatal bleeding events, hypotension requiring treatment with intravenous inotropic agents and surgical intervention for ongoing bleeding. In Table 5 the efficacy results of patients undergoing percutaneous coronary intervention (PCI) are presented. The safety results in this subgroup of patients undergoing PCI were comparable to the overall safety results. Patients with elevated biomarkers (troponin or CK-MB) and without a prior stroke/TIA constituted 80% of the study population. The results of this patient population were also consistent with the overall efficacy and safety results. Table 4: Efficacy results from phase III ATLAS ACS 2 TIMI 51 Study population Patients with a recent acute coronary syndromea) Treatment dose Rivaroxaban 2.5 mg, twice daily, N=5,114 n (%) Hazard Ratio (HR) (95% CI) p- valueb) Placebo N=5,113 n (%) Cardiovascular death, MI or stroke 313 (6.1%) 0.84 (0.72, 0.97) p = 0.020* 376 (7.4%) All-cause death, MI or stroke 320 (6.3%) 0.83 (0.72, 0.97) p = 0.016* 386 (7.5%) Cardiovascular death 94 (1.8%) 0.66 (0.51, 0.86) p = 0.002** 143 (2.8%) All-cause death 103 (2.0%) 0.68 (0.53, 0.87) p = 0.002** 153 (3.0%) MI 205 (4.0%) 0.90 (0.75, 1.09) p = 0.270 229 (4.5%) Stroke 46 (0.9%) 1.13 (0.74, 1.73) p = 0.562 41 (0.8%) Stent thrombosis 61 (1.2%) 0.70 (0.51, 0.97) p = 0.033** 87 (1.7%) a) modified intent to treat analysis set (intent to treat total analysis set for stent thrombosis) b) vs placebo; Log-Rank p-value * statistically superior ** nominally significant Table 5: Efficacy results from phase III ATLAS ACS 2 TIMI 51 in patients undergoing PCI Study population Patients with recent acute coronary syndrome undergoing PCI a) Treatment dose Rivaroxaban 2.5 mg, twice daily, N=3114 n (%) HR (95% CI) p-value b) Placebo N=3096 n (%) Cardiovascular death, MI or stroke 153 (4.9%) 0.94 (0.75, 1.17) p = 0.572 165 (5.3%) Cardiovascular death 24 (0.8%) 0.54 (0.33, 0.89) p = 0.013** 45 (1.5%) All-cause death 31 (1.0%) 0.64 (0.41, 1.01) p = 0.053 49 (1.6%) MI 115 (3.7%) 1.03 (0.79, 1.33) p = 0.829 113 (3.6%) Stroke 27 (0.9%) 1.30 (0.74, 2.31) p = 0.360 21 (0.7%) Stent thrombosis 47 (1.5%) 0.66 (0.46, 0.95) p = 0.026** 71 (2.3%) a) modified intent to treat analysis set (intent to treat total analysis set for stent thrombosis) b) vs placebo; Log-Rank p-value ** nominally significant Table 6: Safety results from phase III ATLAS ACS 2 TIMI 51 Study population Patients with recent acute coronary syndrome a) Treatment dose Rivaroxaban 2.5 mg, twice daily, N=5,115 n (%) HR (95% CI) p-value b) Placebo N=5,125 n(%) Non-CABG TIMI major bleeding event 65 (1.3%) 3.46 (2.08, 5.77) p = < 0.001* 19 (0.4%) Fatal bleeding event 6 (0.1%) 0.67 (0.24, 1.89) p = 0.450 9 (0.2%) Symptomatic intracranial haemorrhage 14 (0.3%) 2.83 (1.02, 7.86) p = 0.037 5 (0.1%) Hypotension requiring treatment with intravenous inotropic agents 3 (0.1%) 3 (0.1%) Surgical intervention for ongoing bleeding 7 (0.1%) 9 (0.2%) Transfusion of 4 or more units of blood over a 48 hour period 19 (0.4%) 6 (0.1%) a) safety population, on treatment b) vs placebo; Log-Rank p-value * statistically significant Figure 1: Time to first occurrence of primary efficacy endpoint (CV death, MI or stroke) 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 0 90 180 270 360 450 540 630 720 810 Relative Days from the Randomization No. of Patients at Risk Rivaroxaban 5114 4431 3943 3199 2609 2005 1425 878 415 89 Placebo 5113 4437 3974 3253 2664 2059 1460 878 421 87 CAD/PAD The phase III COMPASS study (27,395 patients, 78.0% male, 22.0% female) demonstrated the efficacy and safety of rivaroxaban for the prevention of a composite of CV death, MI, stroke in patients with CAD or symptomatic PAD at high risk of ischaemic events. Patients were followed for a median of 23 months and maximum of 3.9 years. Subjects without a continuous need for treatment with a proton pump inhibitor were randomised to pantoprazole or placebo. All patients were then randomised 1:1:1 to rivaroxaban 2.5 mg twice daily/ASA 100 mg once daily, to rivaroxaban 5 mg twice daily, or ASA 100 mg once daily alone, and their matching placebos. CAD patients had multivessel CAD and/or prior MI. For patients < 65 years of age atherosclerosis involving at least two vascular beds or at least two additional cardiovascular risk factors were required. PAD patients had previous interventions such as bypass surgery or percutaneous transluminal angioplasty or limb or foot amputation for arterial vascular disease or intermittent claudication with ankle/arm blood pressure ratio < 0.90 and/ or significant peripheral artery stenosis or previous carotid revascularisation or asymptomatic carotid artery stenosis = 50%. Exclusion criteria included the need for dual antiplatelet or other non-ASA antiplatelet or oral anticoagulant therapy and patients with high bleeding risk, or heart failure with ejection fraction < 30% or New York Heart Association class III or IV, or any ischaemic, non-lacunar stroke within 1 month or any history of haemorrhagic or lacunar stroke. Cumulative Event Rate (%) Rivaroxaban 2.5 mg twice daily Placebo Hazard Ratio: 0.84 95% CI: (0.72, 0.97) P-value=0.020* ---------------- Rivaroxaban 2.5 mg twice daily in combination with ASA 100 mg once daily was superior to ASA 100 mg, in the reduction of the primary composite outcome of CV death, MI, stroke (see Table 7 and Figure 2). There was a significant increase of the primary safety outcome (modified ISTH major bleeding events) in patients treated with rivaroxaban 2.5 mg twice daily in combination with ASA 100 mg once daily compared to patients who received ASA 100 mg (see Table 8). For the primary efficacy outcome, the observed benefit of rivaroxaban 2.5 mg twice daily plus ASA 100 mg once daily compared with ASA 100 mg once daily was HR=0.89 (95% CI 0.7-1.1) in patients =75 years (incidence: 6.3% vs 7.0%) and HR=0.70 (95% CI 0.6-0.8) in patients < 75 years (3.6% vs 5.0%). For modified ISTH major bleeding, the observed risk increase was HR=2.12 (95% CI 1.5-3.0) in patients =75 years (5.2% vs 2.5%) and HR=1.53 (95% CI 1.2-1.9) in patients < 75 years (2.6% vs 1.7%). The use of pantoprazole 40 mg once daily in addition to antithrombotic study medication in patients with no clinical need for a proton pump inhibitor showed no benefit in the prevention of upper gastrointestinal events (i.e. composite of upper gastrointestinal bleeding, upper gastrointestinal ulceration, or upper gastrointestinal obstruction or perforation); the incidence rate of upper gastrointestinal events was 0.39/100 patient-years in the pantoprazole 40 mg once daily group and 0.44/100 patient-years in the placebo once daily group. Table 7: Efficacy results from phase III COMPASS Study population Patients with CAD/PAD a) P Treatment dose Rivaroxaban 2.5 mg bid in combination with ASA 100 mg od N=9152 ASA 100 mg od N=9126 Patients with events KM % Patients with events KM % HR (95% CI) p-value b) P Stroke, MI or CV death 379 (4.1%) 5.20% 496 (5.4%) 7.17% 0.76 (0.66;0.86) p = 0.00004* - Stroke 83 (0.9%) 1.17% 142 (1.6%) 2.23% 0.58 (0.44;0.76) p = 0.00006 - MI 178 (1.9%) 2.46% 205 (2.2%) 2.94% 0.86 (0.70;1.05) p = 0.14458 - CV death 160 (1.7%) 2.19% 203 (2.2%) 2.88% 0.78 (0.64;0.96) p = 0.02053 All-cause mortality 313 (3.4%) 4.50% 378 (4.1%) 5.57% 0.82 (0.71;0.96) Acute limb ischaemia 22 (0.2%) 0.27% 40 (0.4%) 0.60% 0.55 (0.32;0.92) a) intention to treat analysis set, primary analyses b) vs ASA 100 mg; Log-Rank p-value * The reduction in the primary efficacy outcome was statistically superior. bid: twice daily; CI: confidence interval; KM %: Kaplan-Meier estimates of cumulative incidence risk calculated at 900 days; CV: cardiovascular; MI: myocardial infarction; od: once daily Table 8: Safety results from phase III COMPASS Study population Patients with CAD/PAD a) P Treatment dose Rivaroxaban 2.5 mg bid in combination with ASA 100 mg od, N=9152 n (Cum. risk %) ASA 100 mg od N=9126 n (Cum.risk %) Hazard Ratio (95 % CI) p-value b) P Modified ISTH major bleeding 288 (3.9%) 170 (2.5%) 1.70 (1.40;2.05) p < 0.00001 - Fatal bleeding event 15 (0.2%) 10 (0.2%) 1.49 (0.67;3.33) p = 0.32164 - Symptomatic bleeding in critical organ (non-fatal) 63 (0.9%) 49 (0.7%) 1.28 (0.88;1.86) p = 0.19679 - Bleeding into the surgical site requiring reoperation (non- fatal, not in critical organ) 10 (0.1%) 8 (0.1%) 1.24 (0.49;3.14) p = 0.65119 - Bleeding leading to hospitalisation (non-fatal, not in critical organ, not requiring reoperation) 208 (2.9%) 109 (1.6%) 1.91 (1.51;2.41) p < 0.00001 -With overnight stay 172 (2.3%) 90 (1.3%) 1.91 (1.48;2.46) p < 0.00001 -Without overnight stay 36 (0.5%) 21 (0.3%) 1.70 (0.99;2.92) p = 0.04983 Major gastrointestinal bleeding 140 (2.0%) 65 (1.1%) 2.15 (1.60;2.89) p < 0.00001 Major intracranial bleeding 28 (0.4%) 24 (0.3%) 1.16 (0.67;2.00) p = 0.59858 a) intention-to-treat analysis set, primary analyses b) vs ASA 100 mg; Log-Rank p-value bid: twice daily; CI: confidence interval; Cum. Risk: Cumulative incidence risk (Kaplan-Meier estimates) at 30 months; ISTH: International Society on Thrombosis and Haemostasis; od: once daily Figure 2: Time to first occurrence of primary efficacy outcome (stroke, myocardial infarction, cardiovascular death) in COMPASS bid: twice daily; od: once daily; CI: confidence interval Patients after recent revascularisation procedure of the lower limb due to symptomatic PAD In the pivotal phase III double-blind VOYAGER PAD trial, 6,564 patients after recent successful revascularisation procedure of the lower limb (surgical or endovascular including hybrid procedures) due to symptomatic PAD were randomly assigned to one of two antithrombotic treatment groups: rivaroxaban 2.5 mg twice daily in combination with ASA 100 mg once daily, or to ASA 100 mg once daily, in a 1:1 fashion. Patients were allowed to additionally receive standard dose of clopidogrel once daily for up to 6 months. The objective of the study was to demonstrate the efficacy and safety of rivaroxaban plus ASA for the prevention of myocardial infarction, ischaemic stroke, CV death, acute limb ischaemia, or major amputation of a vascular etiology in patients after recent successful lower limb revascularisation procedures due to symptomatic PAD. Patients aged = 50 years with documented moderate to severe symptomatic lower extremity atherosclerotic PAD evidenced by all of the following: clinically (i.e. functional limitations), anatomically (i.e. imaging evidence of PAD distal to external iliac artery) and haemodynamically (ankle-brachial-index [ABI] = 0.80 or toe- brachial-index [TBI] = 0.60 for patients without a prior history of limb revascularisation or ABI = 0.85 or TBI = 0.65 for patients with a prior history of limb revascularisation) were included. Patients in need of dual antiplatelet therapy for > 6 months, or any additional antiplatelet therapy other than ASA and clopidogrel, or oral anticoagulant therapy, as well as patients with a history of intracranial haemorrhage, stroke, or TIA, or patients with eGFR < 15 mL/min were excluded. The mean duration of follow-up was 24 months and the maximum follow-up was 4.1 years. The mean age of the enrolled patients was 67 years and 17% of the patient population were > 75 years. The median time from index revascularisation procedure to start of study treatment was 5 days in the overall population (6 days after surgical and 4 days after endovascular revascularisation including hybrid procedures). Overall, 53.0% of patients received short term background clopidogrel therapy with a median duration of 31 days. According to study protocol study treatment could be commenced as soon as possible but no later than 10 days after a successful qualifying revascularisation procedure and once hemostasis had been assured. Rivaroxaban 2.5 mg twice daily in combination with ASA 100 mg once daily was superior in the reduction of the primary composite outcome of myocardial infarction, ischaemic stroke, CV death, acute limb ischaemia and major amputation of vascular etiology compared to ASA alone (see Table 9). The primary safety outcome of TIMI major bleeding events was increased in patients treated with rivaroxaban and ASA, with no increase in fatal or intracranial bleeding (see Table 10). The secondary efficacy outcomes were tested in a prespecified, hierarchical order (see Table 9). Table 9: Efficacy results from phase III VOYAGER PAD Study Population Patients after recent revascularisation procedures of the lower limb due to symptomatic PAD a) Treatment Dosage Rivaroxaban 2.5 mg bid in combination with ASA 100 mg od N=3,286 n (Cum. risk %) c) ASA 100 mg od N=3,278 n (Cum. risk %) c) Hazard Ratio (95% CI) d) Primary efficacy outcome b) 508 (15.5%) 584 (17.8%) 0.85 (0.76;0.96) p = 0.0043 e)* - MI 131 (4.0%) 148 (4.5%) 0.88 (0.70;1.12) - Ischaemic stroke 71 (2.2%) 82 (2.5%) 0.87 (0.63;1.19) - CV death 199 (6.1%) 174 (5.3%) 1.14 (0.93;1.40) - Acute limb ischaemia f) 155 (4.7%) 227 (6.9%) 0.67 (0.55;0.82) - Major amputation of vascularetiology 103 (3.1%) 115 (3.5%) 0.89 (0.68;1.16) Secondary efficacy outcome Unplanned index limb revascularisation for recurrent limb ischaemia 584 (17.8%) 655 (20.0%) 0.88 (0.79;0.99) p = 0.0140 e)* Hospitalisation for a coronary or peripheral cause (either lower limb) of a thrombotic nature 262 (8.0%) 356 (10.9%) 0.72 (0.62;0.85) p < 0.0001e)* All-cause mortality 321 (9.8%) 297 (9.1%) 1.08 (0.92;1.27) VTE events 25 (0.8%) 41 (1.3%) 0.61 (0.37;1.00) a) intention to treat analysis set, primary analyses; ICAC adjudicated b) composite of MI, ischaemic stroke, CV death (CV death and unknown cause of death), ALI, and major amputation of vascular etiology c) only the first occurrence of the outcome event under analysis within the data scope from a subject is considered d) HR (95% CI) is based on the Cox proportional hazards model stratified by type of procedure and clopidogrel use withtreatment as the only covariate. e) One sided p-value is based on the log-rank test stratified by type of procedure and clopidogrel use with treatment asfactor. f) acute limb ischaemia is defined as sudden significant worsening of limb perfusion, either with new pulse deficit orrequiring therapeutic intervention (i.e. thrombolysis or thrombectomy, or urgent revascularisation), and leading tohospitalisation * The reduction in the efficacy outcome was statistically superior. ALI: acute limb ischaemia; bid: twice daily; od: once daily; CI: confidence interval; MI: myocardial infarction; CV:cardiovascular; ICAC: Independent Clinical Adjudication Committee Table 10: Safety results from phase III VOYAGER PAD Study Population Patients after recent revascularisation procedures of the lower limb due to symptomatic PAD a) Treatment Dosage Rivaroxaban 2.5 mg bid in combination with ASA 100 mg od N=3,256 n (Cum. risk %) b) ASA 100 mg od N=3,248 n (Cum. risk %) b) Hazard Ratio (95% CI) c) p-value d) TIMI major bleeding (CABG / non-CABG) 62 (1.9%) 44 (1.4%) 1.43 (0.97;2.10) p = 0.0695 - Fatal bleeding 6 (0.2%) 6 (0.2%) 1.02 (0.33;3.15) - Intracranial bleeding 13 (0.4%) 17 (0.5%) 0.78 (0.38;1.61) - Overt bleeding associated with drop Hb = 5g/dL / Hct = 15% 46 (1.4%) 24 (0.7%) 1.94 (1.18;3.17) ISTH major bleeding 140 (4.3%) 100 (3.1%) 1.42 (1.10;1.84) p = 0.0068 - Fatal bleeding 6 (0.2%) 8 (0.2%) 0.76 (0.26;2.19) - Non-fatal critical organ bleeding 29 (0.9%) 26 (0.8%) 1.14 (0.67;1.93) ISTH clinically relevant non- major bleeding 246 (7.6%) 139 (4.3%) 1.81 (1.47;2.23) a) Safety analysis set (all randomised subjects with at least one dose of study drug), ICAC: Independent Clinical Adjudication Committee b) n = number of subjects with events, N = number of subjects at risk, % = 100 * n/N, n/100p-yrs = ratio of number of subjects with incident events / cumulative at-risk time c) HR (95% CI) is based on the Cox proportional hazards model stratified by type of procedure and clopidogrel use with treatment as the only covariate d) Two sided p-value is based on the log rank-test stratified by type of procedure and clopidogrel use with treatment as a factor CAD with heart failure The COMMANDER HF study included 5,022 patients with heart failure and significant coronary artery disease (CAD) following a hospitalisation of decompensated heart failure (HF) which were randomly assigned into one of the two treatment groups: rivaroxaban 2.5 mg twice daily (N=2,507) or matching placebo (N=2,515), respectively. The overall median study treatment duration was 504 days. Patients must have had symptomatic HF for at least 3 months and left ventricular ejection fraction (LVEF) of =40% within one year of enrollment. At baseline, the median ejection fraction was 34% (IQR: 28%-38%) and 53% of subjects were NYHA Class III or IV. The primary efficacy analysis (i.e. composite of all-cause mortality, MI, or stroke) showed no statistically significant difference between the rivaroxaban 2.5 mg twice daily group and the placebo group with a HR=0.94 (95% CI 0.84 - 1.05), p=0.270. For all-cause mortality, there was no difference between rivaroxaban and placebo in the number of events (event rate per 100 patient-years; 11.41 vs 11.63, HR: 0.98; 95% CI: 0.87 to 1.10; p=0.743). The event rates for MI per 100 patient-years (rivaroxaban vs placebo) were 2.08 vs 2.52 (HR 0.83; 95% CI: 0.63 to 1.08; p=0.165) and for stroke the event rates per 100 patient-years were 1.08 vs 1.62 (HR: 0.66; 95% CI: 0.47 to 0.95; p=0.023). The principal safety outcome (i.e. composite of fatal bleeding or bleeding into a critical space with a potential for permanent disability), occurred in 18 (0.7%) patients in the rivaroxaban 2.5 mg twice daily treatment group and in 23 (0.9%) patients in the placebo group, respectively (HR=0.80; 95% CI 0.43 - 1.49; p=0.484). There was a statistically significant increase in ISTH major bleeding in the rivaroxaban group compared with placebo (event rate per 100 patient-years: 2.04 vs 1.21, HR 1.68; 95% CI: 1.18 to 2.39; p=0.003). In patients with mild and moderate heart failure the treatment effects for the COMPASS study subgroup were similar to those of the entire study population (see section CAD/PAD). Patients with high risk triple positive antiphospholipid syndrome In an investigator sponsored, randomised open-label multicentre study with blinded endpoint adjudication, rivaroxaban was compared to warfarin in patients with a history of thrombosis, diagnosed with antiphospholipid syndrome and at high risk for thromboembolic events (positive for all 3 antiphospholipid tests: lupus anticoagulant, anticardiolipin antibodies, and anti-beta 2-glycoprotein I antibodies). The study was terminated prematurely after the enrolment of 120 patients due to an excess of events among patients in the rivaroxaban arm. Mean follow-up was 569 days. 59 patients were randomised to rivaroxaban 20 mg (15 mg for patients with creatinine clearance (CrCl) < 50 mL/min) and 61 to warfarin (INR 2.0-3.0). Thromboembolic events occurred in 12% of patients randomised to rivaroxaban (4 ischaemic strokes and 3 myocardial infarctions). No events were reported in patients randomised to warfarin. Major bleeding occurred in 4 patients (7%) of the rivaroxaban group and 2 patients (3%) of the warfarin group. Paediatric population The European Medicines Agency has waived the obligation to submit the results of studies with rivaroxaban in all subsets of the paediatric population in the prevention of thromboembolic events (see section 4.2 for information on paediatric use).

Absorption Rivaroxaban is rapidly absorbed with maximum concentrations (Cmax) appearing 2 - 4 hours after tablet intake. Oral absorption of rivaroxaban is almost complete and oral bioavailability is high (80 - 100%) for the 2.5 mg and 10 mg tablet dose, irrespective of fasting/fed conditions. Intake with food does not affect rivaroxaban AUC or Cmax at the 2.5 mg and 10 mg dose. Rivaroxaban 2.5 mg and 10 mg Tablets can be taken with or without food. Rivaroxaban pharmacokinetics are approximately linear up to about 15 mg once daily. At higher doses rivaroxaban displays dissolution limited absorption with decreased bioavailability and decreased absorption rate with increased dose. This is more marked in fasting state than in fed state. Variability in rivaroxaban pharmacokinetics is moderate with inter-individual variability (CV%) ranging from 30% to 40%. Absorption of rivaroxaban is dependent on the site of its release in the gastrointestinal tract. A 29% and 56% decrease in AUC and Cmax compared to tablet was reported when rivaroxaban granulate is released in the proximal small intestine. Exposure is further reduced when rivaroxaban is released in the distal small intestine, or ascending colon. Therefore, administration of rivaroxaban distal to the stomach should be avoided since this can result in reduced absorption and related rivaroxaban exposure. Bioavailability (AUC and Cmax) was comparable for 20 mg rivaroxaban administered orally as a crushed tablet mixed in apple puree, or suspended in water and administered via a gastric tube followed by a liquid meal, compared to a whole tablet. Given the predictable, dose-proportional pharmacokinetic profile of rivaroxaban, the bioavailability results from this study are likely applicable to lower rivaroxaban doses. Distribution Plasma protein binding in humans is high at approximately 92% to 95%, with serum albumin being the main binding component. The volume of distribution is moderate with Vss being approximately 50 litres. Biotransformation and elimination Of the administered rivaroxaban dose, approximately 2/3 undergoes metabolic degradation, with half then being eliminated renally and the other half eliminated by the faecal route. The final 1/3 of the administered dose undergoes direct renal excretion as unchanged active substance in the urine, mainly via active renal secretion. Rivaroxaban is metabolised via CYP3A4, CYP2J2 and CYP-independent mechanisms. Oxidative degradation of the morpholinone moiety and hydrolysis of the amide bonds are the major sites of biotransformation. Based on in vitro investigations rivaroxaban is a substrate of the transporter proteins P-gp (P-glycoprotein) and Bcrp (breast cancer resistance protein). Unchanged rivaroxaban is the most important compound in human plasma, with no major or active circulating metabolites being present. With a systemic clearance of about 10 l/h, rivaroxaban can be classified as a low-clearance substance. After intravenous administration of a 1 mg dose the elimination half-life is about 4.5 hours. After oral administration the elimination becomes absorption rate limited. Elimination of rivaroxaban from plasma occurs with terminal half-lives of 5 to 9 hours in young individuals, and with terminal half-lives of 11 to 13 hours in the elderly. Special populations Gender There were no clinically relevant differences in pharmacokinetics and pharmacodynamics between male and female patients. Elderly population Elderly patients exhibited higher plasma concentrations than younger patients, with mean AUC values being approximately 1.5 fold higher, mainly due to reduced (apparent) total and renal clearance. No dose adjustment is necessary. Different weight categories Extremes in body weight (< 50 kg or > 120 kg) had only a small influence on rivaroxaban plasma concentrations (less than 25%). No dose adjustment is necessary. Inter-ethnic differences No clinically relevant inter-ethnic differences among Caucasian, African-American, Hispanic, Japanese or Chinese patients were observed regarding rivaroxaban pharmacokinetics and pharmacodynamics. Hepatic impairment Cirrhotic patients with mild hepatic impairment (classified as Child Pugh A) exhibited only minor changes in rivaroxaban pharmacokinetics (1.2 fold increase in rivaroxaban AUC on average), nearly comparable to their matched healthy control group. In cirrhotic patients with moderate hepatic impairment (classified as Child Pugh B), rivaroxaban mean AUC was significantly increased by 2.3 fold compared to healthy volunteers. Unbound AUC was increased 2.6 fold. These patients also had reduced renal elimination of rivaroxaban, similar to patients with moderate renal impairment. There are no data in patients with severe hepatic impairment. The inhibition of factor Xa activity was increased by a factor of 2.6 in patients with moderate hepatic impairment as compared to healthy volunteers; prolongation of PT was similarly increased by a factor of 2.1. Patients with moderate hepatic impairment were more sensitive to rivaroxaban resulting in a steeper PK/PD relationship between concentration and PT. Rivaroxaban is contraindicated in patients with hepatic disease associated with coagulopathy and clinically relevant bleeding risk, including cirrhotic patients with Child Pugh B and C (see section 4.3). Renal impairment There was an increase in rivaroxaban exposure correlated to decrease in renal function, as assessed via creatinine clearance measurements. In individuals with mild (creatinine clearance 50 - 80 ml/min), moderate (creatinine clearance 30 - 49 ml/min) and severe (creatinine clearance 15 - 29 ml/min) renal impairment, rivaroxaban plasma concentrations (AUC) were increased 1.4, 1.5 and 1.6 fold respectively. Corresponding increases in pharmacodynamic effects were more pronounced. In individuals with mild, moderate and severe renal impairment the overall inhibition of factor Xa activity was increased by a factor of 1.5, 1.9 and 2.0 respectively as compared to healthy volunteers; prolongation of PT was similarly increased by a factor of 1.3, 2.2 and 2.4 respectively. There are no data in patients with creatinine clearance < 15 ml/min. Due to the high plasma protein binding rivaroxaban is not expected to be dialysable. Use is not recommended in patients with creatinine clearance < 15 ml/min. Rivaroxaban is to be used with caution in patients with creatinine clearance 15 - 29 ml/min (see section 4.4). Pharmacokinetic data in patients In patients receiving rivaroxaban 2.5 mg twice daily for the prevention of atherothrombotic events in patients with ACS the geometric mean concentration (90% prediction interval) 2 - 4 h and about 12 h after dose (roughly representing maximum and minimum concentrations during the dose interval) was 47 (13 - 123) and 9.2 (4.4 - 18) mcg/l, respectively. Pharmacokinetic/pharmacodynamic relationship The pharmacokinetic/pharmacodynamic (PK/PD) relationship between rivaroxaban plasma concentration and several PD endpoints (factor-Xa inhibition, PT, aPTT, Heptest) has been evaluated after administration of a wide range of doses (5 - 30 mg twice a day). The relationship between rivaroxaban concentration and factor-Xa activity was best described by an Emax model. For PT, the linear intercept model generally described the data better. Depending on the different PT reagents used, the slope differed considerably. When Neoplastin PT was used, baseline PT was about 13 s and the slope was around 3 to 4 s/(100 mcg/l). The results of the PK/PD analyses in Phase II and III were consistent with the data established in healthy subjects. Paediatric population Safety and efficacy have not been established in the indications ACS and CAD/PAD for children and adolescents up to 18 years.

Non-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, single dose toxicity, phototoxicity, genotoxicity, carcinogenic potential and juvenile toxicity. Effects observed in repeat-dose toxicity studies were mainly due to the exaggerated pharmacodynamic activity of rivaroxaban. In rats, increased IgG and IgA plasma levels were seen at clinically relevant exposure levels. In rats, no effects on male or female fertility were seen. Animal studies have shown reproductive toxicity related to the pharmacological mode of action of rivaroxaban (e.g. haemorrhagic complications). Embryo-foetal toxicity (post-implantation loss, retarded/progressed ossification, hepatic multiple light coloured spots) and an increased incidence of common malformations as well as placental changes were observed at clinically relevant plasma concentrations. In the pre- and post- natal study in rats, reduced viability of the offspring was observed at doses that were toxic to the dams.

Tablet core Microcrystalline cellulose Lactose monohydrate Croscarmellose sodium Hypromellose Sodium lauryl sulfate Colloidal anhydrous silica Magnesium stearate Film-coating Hypromellose Iron oxide yellow Titanium dioxide Macrogol

Not applicable.

3 years Crushed tablets Crushed rivaroxaban tablets are stable in water and in apple puree for up to 4 hours.

This medicinal product does not require any special storage conditions.

Cartons containing 14, 20, 28, 30, 56, 60, 98, 168 or 196 film-coated tablets in clear PVC/PVDC film – Aluminium blister pack. HDPE bottles with polypropylene caps containing 30, 100 or 500 film-coated tablets. Not all pack sizes may be marketed.

and other handling Any unused medicinal product or waste material should be disposed of in accordance with local requirements. Crushing of tablets Rivaroxaban tablets may be crushed and suspended in 50 mL of water and administered via a nasogastric tube or gastric feeding tube after confirming gastric placement of the tube. Afterwards, the tube should be flushed with water. Since rivaroxaban absorption is dependent on the site of active substance release, administration of rivaroxaban distal to the stomach should be avoided, as this can result in reduced absorption and thereby, reduced active substance exposure. Enteral feeding is not required immediately after administration of the 2.5 mg tablets.

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