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  1. Book ; Conference proceedings: Low molecular weight heparins

    Samama, Meyer M.

    new insights ; a satellite symposium of the 11th International Congress on Thrombosis, Ljubljana, June 27, 1990

    (Thrombosis research : Supplement ; 14)

    1991  

    Event/congress International Congress on Thrombosis (11, 1990, Ljubljana)
    Author's details ed. by M. M. Samama
    Series title Thrombosis research : Supplement ; 14
    Thrombosis research
    Thrombosis research ; Supplement
    Collection Thrombosis research
    Thrombosis research ; Supplement
    Keywords Heparin, Low-Molecular-Weight / congresses
    Language English
    Size 62 S. : graph. Darst.
    Publisher Pergamon Pr
    Publishing place New York u.a.
    Publishing country United States
    Document type Book ; Conference proceedings
    HBZ-ID HT003888179
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care: Second update 2022.

    Kietaibl, Sibylle / Ahmed, Aamer / Afshari, Arash / Albaladejo, Pierre / Aldecoa, Cesar / Barauskas, Giedrius / De Robertis, Edoardo / Faraoni, David / Filipescu, Daniela C / Fries, Dietmar / Godier, Anne / Haas, Thorsten / Jacob, Matthias / Lancé, Marcus D / Llau, Juan V / Meier, Jens / Molnar, Zsolt / Mora, Lidia / Rahe-Meyer, Niels /
    Samama, Charles M / Scarlatescu, Ecaterina / Schlimp, Christoph / Wikkelsø, Anne J / Zacharowski, Kai

    European journal of anaesthesiology

    2023  Volume 40, Issue 4, Page(s) 226–304

    Abstract: Background: Management of peri-operative bleeding is complex and involves multiple assessment tools and strategies to ensure optimal patient care with the goal of reducing morbidity and mortality. These updated guidelines from the European Society of ... ...

    Abstract Background: Management of peri-operative bleeding is complex and involves multiple assessment tools and strategies to ensure optimal patient care with the goal of reducing morbidity and mortality. These updated guidelines from the European Society of Anaesthesiology and Intensive Care (ESAIC) aim to provide an evidence-based set of recommendations for healthcare professionals to help ensure improved clinical management.
    Design: A systematic literature search from 2015 to 2021 of several electronic databases was performed without language restrictions. Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to assess the methodological quality of the included studies and to formulate recommendations. A Delphi methodology was used to prepare a clinical practice guideline.
    Results: These searches identified 137 999 articles. All articles were assessed, and the existing 2017 guidelines were revised to incorporate new evidence. Sixteen recommendations derived from the systematic literature search, and four clinical guidances retained from previous ESAIC guidelines were formulated. Using the Delphi process on 253 sentences of guidance, strong consensus (>90% agreement) was achieved in 97% and consensus (75 to 90% agreement) in 3%.
    Discussion: Peri-operative bleeding management encompasses the patient's journey from the pre-operative state through the postoperative period. Along this journey, many features of the patient's pre-operative coagulation status, underlying comorbidities, general health and the procedures that they are undergoing need to be taken into account. Due to the many important aspects in peri-operative nontrauma bleeding management, guidance as to how best approach and treat each individual patient are key. Understanding which therapeutic approaches are most valuable at each timepoint can only enhance patient care, ensuring the best outcomes by reducing blood loss and, therefore, overall morbidity and mortality.
    Conclusion: All healthcare professionals involved in the management of patients at risk for surgical bleeding should be aware of the current therapeutic options and approaches that are available to them. These guidelines aim to provide specific guidance for bleeding management in a variety of clinical situations.
    MeSH term(s) Humans ; Anesthesiology ; Critical Care ; Blood Loss, Surgical ; Awareness ; Consensus
    Language English
    Publishing date 2023-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 605770-6
    ISSN 1365-2346 ; 0265-0215
    ISSN (online) 1365-2346
    ISSN 0265-0215
    DOI 10.1097/EJA.0000000000001803
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Les nouveaux antithrombotiques.

    Meyer Samama, M

    Presse medicale (Paris, France : 1983)

    2005  Volume 34, Issue 18, Page(s) 1309–1314

    Abstract: Current antithrombotic agents include anticoagulants (unfractionated and low-molecular-weight heparin, and antivitamin K) and platelet aggregation inhibitors (aspirin, ticlopidine, clopidogrel). Two areas are under particular investigation: specific ... ...

    Title translation The new antithrombotic agents.
    Abstract Current antithrombotic agents include anticoagulants (unfractionated and low-molecular-weight heparin, and antivitamin K) and platelet aggregation inhibitors (aspirin, ticlopidine, clopidogrel). Two areas are under particular investigation: specific inhibition, direct or indirect, of factor Xa and factor IIa. Pentasaccharide, an indirect anti-Xa, has proved effective in curing deep-vein thrombosis and more effective than enoxaparin for prophylactic treatment after orthopedic surgery. Administered in a single subcutaneous injection daily, it has no risk of thrombocytopenia; laboratory surveillance is based on anti-Xa activity. Hirudin and melagatran act by direct thrombin inhibition. Unlike hirudin (which requires monitoring of active coagulation time or ecarin clotting time), melagatran requires no laboratory monitoring. It is not associated with an increased risk of hemorrhage. But there is no true antidote at this time. If its efficacy is confirmed, ximelagatran, the orally active prodrug of melagatran, may facilitate the long-term treatment now reserved for antivitamin K. Three antagonists of the tissue factor-factor VIIa complex are also under development: rNAPc2 (Recombinant Nematode Anticoagulant Protein C2), ASIS (Active Site Inhibitor Factor Seven) and recombinant TFPI (Tissue Factor Pathway Inhibitor). Antiplatelet drugs are the reference antithrombotic agents for the prevention and treatment of arterial thrombosis. Aspirin remains in first place (75 to 300 mg/d) but the modest superiority of the thienopyridines (clopidogrel and ticlopidine) is established. Hemogram monitoring is no longer necessary for clopidogrel. Use of aspirin + a thienopyridine after placement of a coronary stent has been validated. Laboratory monitoring of antiplatelet treatments has not been codified.
    MeSH term(s) Administration, Oral ; Angioplasty, Balloon, Coronary ; Anticoagulants/administration & dosage ; Anticoagulants/pharmacology ; Anticoagulants/therapeutic use ; Aspirin/pharmacology ; Aspirin/therapeutic use ; Azetidines/administration & dosage ; Azetidines/pharmacology ; Azetidines/therapeutic use ; Benzylamines ; Clopidogrel ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/pharmacology ; Fibrinolytic Agents/therapeutic use ; Glycine/administration & dosage ; Glycine/analogs & derivatives ; Glycine/pharmacology ; Glycine/therapeutic use ; Hirudins/administration & dosage ; Hirudins/pharmacology ; Humans ; Injections, Subcutaneous ; Platelet Aggregation Inhibitors/administration & dosage ; Platelet Aggregation Inhibitors/pharmacology ; Platelet Aggregation Inhibitors/therapeutic use ; Polysaccharides/administration & dosage ; Polysaccharides/pharmacology ; Polysaccharides/therapeutic use ; Prodrugs ; Randomized Controlled Trials as Topic ; Stents ; Thrombosis/drug therapy ; Thrombosis/prevention & control ; Ticlopidine/administration & dosage ; Ticlopidine/analogs & derivatives ; Ticlopidine/pharmacology ; Ticlopidine/therapeutic use ; Time Factors ; Venous Thrombosis/drug therapy
    Chemical Substances Anticoagulants ; Azetidines ; Benzylamines ; Fibrinolytic Agents ; Hirudins ; Platelet Aggregation Inhibitors ; Polysaccharides ; Prodrugs ; melagatran (2A9QP32MD4) ; ximelagatran (49HFB70472) ; Clopidogrel (A74586SNO7) ; Ticlopidine (OM90ZUW7M1) ; Aspirin (R16CO5Y76E) ; Glycine (TE7660XO1C)
    Language French
    Publishing date 2005-10-15
    Publishing country France
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 120943-7
    ISSN 2213-0276 ; 0755-4982 ; 0032-7867 ; 0301-1518
    ISSN (online) 2213-0276
    ISSN 0755-4982 ; 0032-7867 ; 0301-1518
    DOI 10.1016/s0755-4982(05)84179-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Laboratory assessment of new anticoagulants.

    Samama, Meyer M / Guinet, Céline

    Clinical chemistry and laboratory medicine

    2011  Volume 49, Issue 5, Page(s) 761–772

    Abstract: With the introduction of new anticoagulant agents, there is a need for information on which coagulation tests are most suitable. These agents react differently to assays used to monitor older anticoagulant agents because they have alternative modes of ... ...

    Abstract With the introduction of new anticoagulant agents, there is a need for information on which coagulation tests are most suitable. These agents react differently to assays used to monitor older anticoagulant agents because they have alternative modes of action. Therefore, other tests, or modifications of existing tests which are more appropriate for newer agents, are needed. The prothrombin time test (with conversion to the international normalized ratio) is usually used to monitor warfarin. However, conversion to the international normalized ratio is not appropriate for measuring the effects of fondaparinux, dabigatran, rivaroxaban or apixaban. Instead, chromogenic assays, one-step prothrombinase-induced clotting time test and the HepTest with reduced incubation time, are among the different or modified tests that appear to give the most reproducible and accurate results. The tests show variations in response to anticoagulants - some of which have clinical relevance. Thus, it is important to be aware of the observed variations in order to prevent the misinterpretation of test results.
    MeSH term(s) Anticoagulants/pharmacology ; Blood Coagulation/drug effects ; Blood Coagulation Tests ; Clinical Laboratory Techniques ; Humans
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2011-05
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1418007-8
    ISSN 1437-4331 ; 1434-6621 ; 1437-8523
    ISSN (online) 1437-4331
    ISSN 1434-6621 ; 1437-8523
    DOI 10.1515/CCLM.2011.134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ex vivo reversal of the anticoagulant effects of edoxaban.

    Halim, Abdel-Baset / Samama, Meyer M / Mendell, Jeanne

    Thrombosis research

    2014  Volume 134, Issue 4, Page(s) 909–913

    Abstract: Introduction: Edoxaban is an oral, once-daily direct factor Xa (FXa) inhibitor. Although rapidly cleared, strategies to reverse edoxaban-mediated effects on anticoagulation are needed in cases of excessive bleeding or emergency. This study evaluated the ...

    Abstract Introduction: Edoxaban is an oral, once-daily direct factor Xa (FXa) inhibitor. Although rapidly cleared, strategies to reverse edoxaban-mediated effects on anticoagulation are needed in cases of excessive bleeding or emergency. This study evaluated the effect of two prohemostatic agents, recombinant factor VIIa (rFVIIa) and factor VIII inhibitor bypass activity (FEIBA), on the anticoagulatory effects of supratherapeutic concentrations of edoxaban in human whole blood ex vivo.
    Materials and methods: Blood samples were collected from six healthy volunteers. Edoxaban (500 or 1000 ng/mL), alone or followed by rFVIIa (0.8 or 1.8μg/mL) or FEIBA (0.75 or 1.5 U/mL), was added to an aliquot of each sample. Biomarkers, including prothrombin time (PT), activated partial thromboplastin time (aPTT), extrinsic FXa activity (anti-FXa), intrinsic factor X activity, and D-dimer, were assessed at 0.25, 0.5, 1, 2, and 4 hours after adding rFVIIa or FEIBA.
    Results: Decreases in measures of PT (p<0.0001), aPTT (p<0.0001), and anti-FXa (p<0.0001) were observed when rFVIIa or FEIBA was added to edoxaban-containing blood samples. Intrinsic FX activity was increased up to 20% and 31% of normal in the presence of edoxaban by rFVIIa and FEIBA, respectively. The impact of these agents on the anticoagulant effects of edoxaban were observed within 15 minutes and remained relatively unchanged at each timepoint thereafter.
    Conclusions: The findings of this ex vivo study suggest that rFVIIa and FEIBA rapidly reversed edoxaban-mediated anticoagulation effects based on PT and aPTT, but had minimal effect based on intrinsic FX activity. No dose response was observed for rFVIIa or FEIBA.
    MeSH term(s) Anticoagulants/pharmacology ; Blood Coagulation/drug effects ; Blood Coagulation Factors/pharmacology ; Factor VIIa/pharmacology ; Hemostatics/pharmacology ; Humans ; Partial Thromboplastin Time ; Prothrombin Time ; Pyridines/pharmacology ; Recombinant Proteins/pharmacology ; Thiazoles/pharmacology
    Chemical Substances Anticoagulants ; Blood Coagulation Factors ; Hemostatics ; Pyridines ; Recombinant Proteins ; Thiazoles ; recombinant FVIIa (AC71R787OV) ; anti-inhibitor coagulant complex (CS849DUN3M) ; Factor VIIa (EC 3.4.21.21) ; edoxaban (NDU3J18APO)
    Language English
    Publishing date 2014-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 121852-9
    ISSN 1879-2472 ; 0049-3848
    ISSN (online) 1879-2472
    ISSN 0049-3848
    DOI 10.1016/j.thromres.2014.07.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Extended Anticoagulant Treatment with Full- or Reduced-Dose Apixaban in Patients with Cancer-Associated Venous Thromboembolism: Rationale and Design of the API-CAT Study.

    Mahé, Isabelle / Agnelli, Giancarlo / Ay, Cihan / Bamias, Aristotelis / Becattini, Cecilia / Carrier, Marc / Chapelle, Céline / Cohen, Alexander T / Girard, Philippe / Huisman, Menno V / Klok, Frederikus A / López-Núñez, Juan J / Maraveyas, Anthony / Mayeur, Didier / Mir, Olivier / Monreal, Manuel / Righini, Marc / Samama, Charles M / Syrigos, Kostas /
    Szmit, Sebastian / Torbicki, Adam / Verhamme, Peter / Vicaut, Eric / Wang, Tzu-Fei / Meyer, Guy / Laporte, Silvy

    Thrombosis and haemostasis

    2021  Volume 122, Issue 4, Page(s) 646–656

    Abstract: Cancer-associated thrombosis (CT) is associated with a high risk of recurrent venous thromboembolic (VTE) events that require extended anticoagulation in patients with active cancer, putting them at risk of bleeding. The aim of the API-CAT study ( ... ...

    Abstract Cancer-associated thrombosis (CT) is associated with a high risk of recurrent venous thromboembolic (VTE) events that require extended anticoagulation in patients with active cancer, putting them at risk of bleeding. The aim of the API-CAT study (NCT03692065) is to assess whether a reduced-dose regimen of apixaban (2.5 mg twice daily [bid]) is noninferior to a full-dose regimen of apixaban (5 mg bid) for the prevention of recurrent VTE in patients with active cancer who have completed ≥6 months of anticoagulant therapy for a documented index event of proximal deep-vein thrombosis and/or pulmonary embolism. API-CAT is an international, randomized, parallel-group, double-blind, noninferiority trial with blinded adjudication of outcome events. Consecutive patients are randomized to receive apixaban 2.5 or 5 mg bid for 12 months. The primary efficacy outcome is a composite of recurrent symptomatic or incidental VTE during the treatment period. The principal safety endpoint is clinically relevant bleeding, defined as a composite of major bleeding or nonmajor clinically relevant bleeding. Assuming a 12-month incidence of the primary outcome of 4% with apixaban and an upper limit of the two-sided 95% confidence interval of the hazard ratio <2.0, 1,722 patients will be randomized, assuming an up to 10% loss in total patient-years (β = 80%; α one-sided = 0.025). This trial has the potential to demonstrate that a regimen of extended treatment for patients with CT beyond an initial 6 months, with a reduced apixaban dose, has an acceptable risk of recurrent VTE recurrence and decreases the risk of bleeding.
    MeSH term(s) Anticoagulants/adverse effects ; Hemorrhage/epidemiology ; Humans ; Neoplasms/drug therapy ; Pyrazoles ; Pyridones/adverse effects ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/drug therapy ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Pyrazoles ; Pyridones ; apixaban (3Z9Y7UWC1J)
    Language English
    Publishing date 2021-11-05
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 518294-3
    ISSN 2567-689X ; 0340-6245
    ISSN (online) 2567-689X
    ISSN 0340-6245
    DOI 10.1055/a-1647-9896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book: Hémorragies et thromboses

    Samama, Meyer M

    du diagnostic au traitement

    (Abrégés)

    2004  

    Author's details comité de coordination Hôtel-Dieu, M.M. Samama ... [et al.]
    Series title Abrégés
    MeSH term(s) Hemorrhagic Disorders ; Hematologic Diseases ; Thrombosis
    Language French
    Size xxv, 427 p. :, ill.
    Publisher Masson
    Publishing place Paris
    Document type Book
    ISBN 9782225856686 ; 2225856680
    Database Catalogue of the US National Library of Medicine (NLM)

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  8. Article ; Online: Risk assessment models for thromboprophylaxis of medical patients.

    Samama, Meyer M / Combe, Sophie / Conard, Jacqueline / Horellou, Marie-Helene

    Thrombosis research

    2012  Volume 129, Issue 2, Page(s) 127–132

    MeSH term(s) Humans ; Outcome Assessment (Health Care)/methods ; Prevalence ; Prognosis ; Proportional Hazards Models ; Risk Assessment/methods ; Risk Factors ; Thrombosis/epidemiology ; Thrombosis/prevention & control
    Language English
    Publishing date 2012-02
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 121852-9
    ISSN 1879-2472 ; 0049-3848
    ISSN (online) 1879-2472
    ISSN 0049-3848
    DOI 10.1016/j.thromres.2011.09.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Does ambulation modify venous thromboembolism risk in acutely ill medical patients?

    Amin, Alpesh N / Girard, Frederick / Samama, Meyer M

    Thrombosis and haemostasis

    2010  Volume 104, Issue 5, Page(s) 955–961

    Abstract: In the US, ambulatory status is often a criterion for stopping prophylaxis for venous thromboembolism (VTE). In an analysis of the prophylaxis in MEDical patients with ENOXaparin (MEDENOX) trial, ambulatory status was assessed as outcome and patients ... ...

    Abstract In the US, ambulatory status is often a criterion for stopping prophylaxis for venous thromboembolism (VTE). In an analysis of the prophylaxis in MEDical patients with ENOXaparin (MEDENOX) trial, ambulatory status was assessed as outcome and patients grouped accordingly for further analysis. Rates of VTE and bleeding were evaluated. Using multivariate logistic regression, the relationships between thromboprophylaxis, VTE risk, and ambulatory status were assessed. Ambulatory status was reached in 607/1,084 patients, in a mean time of 4.4 days. Thromboprophylaxis was provided for 7.3 and 7.7 days in the ambulatory and non-ambulatory groups. Although VTE rates were lower in ambulatory patients, enoxaparin 40 mg once daily significantly reduced the risk of VTE vs. placebo in ambulatory (3.3% vs. 10.6%; relative risk [RR] = 0.31; 95% confidence interval [CI], 0.13-0.78; p=0.008) and non-ambulatory patients (9.0% vs. 19.7%; RR = 0.46; 95% CI, 0.23-0.91; p=0.02). Major bleeding was not significantly different between enoxaparin and placebo in either group. By multivariate regression analysis, VTE risk in ambulatory patients was lower with enoxaparin vs. placebo (odds ratio [OR] = 0.28; 95% CI, 0.11-0.74; p=0.01), but higher in patients with a history of VTE (OR = 3.74; 95% CI, 1.59-8.84; p=0.003) or cancer (OR = 2.12; 95% CI, 1.00-4.48; p=0.049). Despite timely mobilisation, patients who become ambulatory are at VTE risk and experience a significant risk reduction with enoxaparin 40 mg. Therefore, it is essential that ambulatory patients receive recommended thromboprophylaxis.
    MeSH term(s) Acute Disease ; Anticoagulants/administration & dosage ; Anticoagulants/adverse effects ; Drug Administration Schedule ; Enoxaparin/administration & dosage ; Enoxaparin/adverse effects ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/adverse effects ; Guideline Adherence ; Hemorrhage/chemically induced ; Humans ; Logistic Models ; Odds Ratio ; Practice Guidelines as Topic ; Prospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Venous Thromboembolism/etiology ; Venous Thromboembolism/prevention & control ; Walking
    Chemical Substances Anticoagulants ; Enoxaparin ; Fibrinolytic Agents
    Language English
    Publishing date 2010-11
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 518294-3
    ISSN 0340-6245
    ISSN 0340-6245
    DOI 10.1160/TH10-04-0236
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Heterogeneity of synthetic factor Xa inhibitors.

    Gerotziafas, Grigoris T / Samama, Meyer M

    Current pharmaceutical design

    2004  Volume 11, Issue 30, Page(s) 3855–3876

    Abstract: Heparins and vitamin K antagonists are the landmarks of antithrombotic treatment. Both of them were discovered by serendipity; they are multi-targeted drugs and share several limitations. New molecules have been designed in order to be both more ... ...

    Abstract Heparins and vitamin K antagonists are the landmarks of antithrombotic treatment. Both of them were discovered by serendipity; they are multi-targeted drugs and share several limitations. New molecules have been designed in order to be both more selective concerning their biological target and more homogeneous in their biochemical structure aiming at an improved benefit/risk ratio in the treatment of thrombotic disease. In this article, we will review the pharmacological characteristics of the new synthetic direct or antithrombin dependent inhibitors of FXa in the light of the modern concept of blood coagulation process. We will also present the most recent data from the clinical trials with synthetic inhibitors of FXa. Among them, the synthetic pentasaccharide fondaparinux is the first synthetic and specific FXa inhibitor, which has been approved by health authorities in Europe and in the USA for the prophylaxis of venous thromboembolism in major orthopaedic surgery and is being approved for the treatment of pulmonary embolism and DVT as a single daily subcutaneous injection. The phase II dose-finding trial of the "meta-pentasaccharide" idraparinux administered subcutaneously once weekly in the secondary prevention of VTE has been completed. DX-9065a is the first direct synthetic inhibitor which has been studied in patients with coronary disease. Razaxaban, BAY59-7939, ZK-807834 and JTV-803 are orally active direct FXa inhibitors, which have been studied in phase II trials. Several other synthetic direct inhibitors of FXa (such as FXV673, YM60828, KFA-1411) are in a pre-clinical stage of research. From a clinical point of view, the results of recent trials with the synthetic specific FXa inhibitors clearly show that the inhibition of FXa is a critical point in the antithrombotic strategy.
    MeSH term(s) Animals ; Biological Products/pharmacology ; Blood Coagulation/drug effects ; Blood Coagulation/physiology ; Carbohydrate Sequence ; Factor Xa Inhibitors ; Fibrinolytic Agents/chemical synthesis ; Fibrinolytic Agents/chemistry ; Fibrinolytic Agents/pharmacology ; Humans ; Molecular Sequence Data ; Thrombin/antagonists & inhibitors
    Chemical Substances Biological Products ; Factor Xa Inhibitors ; Fibrinolytic Agents ; Thrombin (EC 3.4.21.5)
    Language English
    Publishing date 2004-05-27
    Publishing country United Arab Emirates
    Document type Journal Article ; Review
    ZDB-ID 1304236-1
    ISSN 1873-4286 ; 1381-6128
    ISSN (online) 1873-4286
    ISSN 1381-6128
    DOI 10.2174/138161205774580552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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