A short review of ciraparantag in perspective of the currently available anticoagulant reversal agents.


Journal

Drug discovery today
ISSN: 1878-5832
Titre abrégé: Drug Discov Today
Pays: England
ID NLM: 9604391

Informations de publication

Date de publication:
10 2022
Historique:
received: 18 07 2022
accepted: 29 07 2022
pubmed: 7 8 2022
medline: 5 10 2022
entrez: 6 8 2022
Statut: ppublish

Résumé

Despite the improved safety-profile of direct oral anticoagulants (DOACs), bleeding complications remain an important side effect of anticoagulant treatment. Although anticoagulant-specific antidotes are available, an universal anticoagulant reversal agent in case of life-threatening bleeding or emergency surgery is not yet available. Ciraparantag, a synthetic small molecule that inactivates heparins and DOAC, is a promising new reversal agent that has been investigated in phase 2 trials. In this short review we provide an overview of the preclinical and clinical evidence of ciraparantag, and compare strengths and weaknesses of ciraparantag and the currently available anticoagulant reversal strategies.

Identifiants

pubmed: 35933085
pii: S1359-6446(22)00302-6
doi: 10.1016/j.drudis.2022.07.017
pii:
doi:

Substances chimiques

Anticoagulant Reversal Agents 0
Anticoagulants 0
Antidotes 0
Piperazines 0
Recombinant Proteins 0
Heparin 9005-49-6
Arginine 94ZLA3W45F
PER977 U2R67KV65Q

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103332

Informations de copyright

Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Auteurs

J Leentjens (J)

Department of Internal Medicine & Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: Jenneke.leentjens@radboudumc.nl.

S Middeldorp (S)

Department of Internal Medicine & Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.

C Jung (C)

Heinrich-Heine-University Duesseldorf, Medical Faculty, Department of Cardiology, Pulmonology and Vascular Medicine, Duesseldorf, Germany.

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Classifications MeSH