Andexanet alfa effectively reverses edoxaban anticoagulation effects and associated bleeding in a rabbit acute hemorrhage model.

Author: ConleyPamela B, CurnutteJohn T, DeGuzmanFrancis, HollenbachStanley J, LeedsJanet M, LinJoyce, LuGenmin, MalinowskiJohn, PinePolly, PratikhyaPratikhya

Paper Details 
Original Abstract of the Article :
INTRODUCTION: Increasing use of factor Xa (FXa) inhibitors necessitates effective reversal agents to manage bleeding. Andexanet alfa, a novel modified recombinant human FXa, rapidly reverses the anticoagulation effects of direct and indirect FXa inhibitors. OBJECTIVE: To evaluate the ability of and...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874076/

データ提供:米国国立医学図書館(NLM)

Reversing Edoxaban Anticoagulation: Andexanet Alfa's Potential in Hemorrhage Management

The increasing use of factor Xa (FXa) inhibitors for anticoagulation necessitates effective reversal agents to manage bleeding complications. Andexanet alfa, a modified recombinant human FXa, has shown promise in rapidly reversing the anticoagulation effects of both direct and indirect FXa inhibitors. This study investigates the ability of andexanet alfa to reverse edoxaban-mediated anticoagulation in vitro and reduce bleeding in a rabbit model of acute hemorrhage.

Andexanet Alfa: A Promising Reversal Agent for Edoxaban-Mediated Anticoagulation

This study demonstrates that andexanet alfa effectively reverses edoxaban-mediated anticoagulation in vitro and reduces bleeding in a rabbit model of acute hemorrhage. The study found that andexanet alfa rapidly and dose-dependently reversed edoxaban's effects on FXa activity and coagulation parameters. Furthermore, andexanet alfa significantly reduced blood loss in edoxaban-anticoagulated rabbits, suggesting its potential as a clinically valuable agent for managing acute bleeding associated with FXa inhibitors.

Improving Hemorrhage Management in Clinical Practice

The findings of this study highlight the potential of andexanet alfa as a valuable tool for managing bleeding complications associated with FXa inhibitors. The study's results provide a strong foundation for further clinical trials investigating the efficacy and safety of andexanet alfa in human patients. Just as a camel adapts to its desert environment, we must adapt our treatment strategies to address the complexities of anticoagulation and bleeding management.

Dr.Camel's Conclusion

This research provides compelling evidence for the efficacy of andexanet alfa in reversing edoxaban-mediated anticoagulation and reducing bleeding. The study's findings highlight the potential of andexanet alfa as a valuable tool for managing acute bleeding complications associated with FXa inhibitors.

Date :
  1. Date Completed 2018-07-24
  2. Date Revised 2018-11-14
Further Info :

Pubmed ID

29590221

DOI: Digital Object Identifier

PMC5874076

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English

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