The anti-Xa activity of edoxaban was measured using (i) TestzymⓇHeparin S (Sekisui Medical Co., Ltd., Tokyo, Japan) on the CoagrexⓇ 800 System (Sekisui; assay A) [15 (link), 19 (link)]; (ii) STA®-Liquid Anti-Xa (Stago, Asnières-sur-Sreine, France) on STAⓇ-R Evolution® coagulometer (Stago; assay B) with a dedicated test set-up [21 (link)]; and (iii) HemosIL® Liquid Heparin (Instrumentation Laboratory; Bedford, MA, USA) on ACL-TOP® (Instrumentation Laboratory; assay C) [21 (link), 22 (link)].
Assay A was calibrated using a fondaparinux-specific standard and results were expressed in fondaparinux mg/L. Assay B was calibrated using a edoxaban-specific calibrator set (STA®Edoxaban calibrator) and verified using an edoxaban-specific control set (STA®Edoxaban Control), both developed by Stago. Assay C was calibrated using the HemosIL Liquid Heparin Calibrator (Instrumentation Laboratory). Results for assay C were expressed in heparin international units (IU)/mL. Assay A contains additional antithrombin (AT) in the assay system, while assays B and C do not.