期刊
PATHOPHYSIOLOGY OF HAEMOSTASIS AND THROMBOSIS
卷 33, 期 1, 页码 16-22出版社
KARGER
DOI: 10.1159/000071637
关键词
FEIBA; factor VIIa; haemophilia A; inhibitor; thrombin generation; prothrombinase; activated prothrombin complex
类别
Factor VIII (FVIII)-bypassing agents have complex modes of action but all control bleeding in inhibitor patients by triggering the generation of thrombin. No routine test is available for monitoring this therapy in patients with inhibitors against FAIL We present an assay that records FEIBA- or FVIIa-mediated changes in thrombin generation (TG) in FVIII inhibitor plasma samples. In plasma samples spiked with FEIBA TG was normalized above 0.4 U/ml, while for recombinant FVIIa (rFVIIa) more than 12.5 mug/ml were required to induce TG in the absence of tissue factor (TF). Addition of TF increased the TG potential of rFVIIa in vitro. This assay seems suitable for monitoring the pharmacokinetics of inhibitor bypassing agents during treatment and possibly for predicting responses to treatment. Copyright (C) 2003 S. Karger AG, Basel.
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