Inhibition of factor IXa by the pegnivacogin system during cardiopulmonary bypass: a potential substitute for heparin. A study in baboons
Author(s) -
Alain Bel,
Wasseem Borik,
Simon Davidson,
JeanMarie Héliès,
Lev Stimmer,
Stephen E. Fremes,
Steven L. Zelenkofske,
Christopher Rusconi,
John H. Alexander,
David N. Alexander,
Philippe Menasché,
John Pepper
Publication year - 2015
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezv159
Subject(s) - cardiopulmonary bypass , protamine , heparin , activated clotting time , factor ixa , baboon , medicine , anesthesia , coagulation , anticoagulant , pharmacology , thrombin , cardiology , platelet , factor x
Heparin and protamine are standard for anticoagulation and reversal for cardiopulmonary bypass (CPB). The REGADO biosciences protocol 1 (REG1) anticoagulant system, consisting of the Factor IXa (FIXa)-inhibitor pegnivacogin and its reversal agent (anivamersen), has been studied in patients undergoing coronary catheterization and in CPB in sheep and pigs. Prior to first human use in CPB, we wanted to test the safety and efficacy of REG1 in a primate model.
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