• 1. Which statement best describes the pharmacologic rationale for targeting factor XIa (FXIa) rather than factor Xa or thrombin in stroke prevention for atrial fibrillation (SPAF)?*
  • 2. What was the key finding in the phase 3 OCEANIC-AF trial (asundexian vs. apixaban in AF) that led to early termination?*
  • 3. Which patient profile would most likely be considered a favorable candidate for an FXIa inhibitor over a DOAC for SPAF, should one become available with an appropriate efficacy/safety profile?*
  • 4. Which patient characteristic profile most strongly supports considering an FXIa inhibitor once available, based on data such as AZALEA-TIMI 71 (62-69% reduction in major/CRNM bleeding vs. rivaroxaban)?*
  • 5. A 79-year-old woman with AF, CHA2DS2-VASc score of 5 (CHA2DS2-VA=4), HAS-BLED score of 4, and a prior intracranial hemorrhage on warfarin has gone untreated for a year due to bleeding concerns. Which statement best reflects an evidence-based application of current data to her care?
  • 6. Based on the totality of phase 3 evidence (OCEANIC-AF, LIBREXIA-AF pending, AZALEA-TIMI 71, LILAC-TIMI 76), how should emerging FXIa inhibitor data currently inform the new paradigm discussion for SPAF?
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