Prospective, randomised trial of two doses of rFVIIa (NovoSeven) in haemophilia patients with inhibitors undergoing surgery.

Abstract:

:Recombinant factor VIIa (rFVIIa: NovoSeven; Novo Nordisk) has proven efficacy in the treatment of haemophilic patients with inhibitors. This prospective, double-blind study compared rFVIIa (35 vs. 90 microg/kg) in the initiation and maintenance of haemostasis during and after elective surgery. Patients with inhibitors (FVIII, n = 26; FIX, n = 3) received rFVIIa immediately prior to incision; intraoperatively as needed; every 2 h for the first 48 h; and every 2-6 h for the following 3 days. Haemostasis was evaluated during surgery, at 0, 8, 24 and 48 h and 3, 4 and 5 days after wound closure. After day 5, open-label rFVIIa (90 microg/kg) was available for maintenance. Intraoperative haemostasis was achieved in 28/29 patients. All high-dose patients and 12/15 low dose patients had satisfactory haemostasis during the first 48 h. Twenty-three patients (13/14 high dose) successfully completed the study. Although the 35 microg/kg dose is probably sub-optimal for post-operative management, at least in major procedures, rFVIIa 90 microg/kg is an effective first-line option in surgery for patients with inhibitors.

journal_name

Thromb Haemost

authors

Shapiro AD,Gilchrist GS,Hoots WK,Cooper HA,Gastineau DA

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

773-8

issue

5

eissn

0340-6245

issn

2567-689X

pii

98110773

journal_volume

80

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Cortelazzo S,Barbui T,Bassan R,Dini E

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    authors: Humphries S,Temple A,Lane A,Green F,Cooper J,Miller G

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  • Endurance training reduces circulating asymmetric dimethylarginine and myeloperoxidase levels in persons at risk of coronary events.

    abstract::Asymmetric dimethylarginine (ADMA), myeloperoxidase (MPO) and paraoxonase 1 (PON1) are directly involved in the pathogenesis of atherosclerosis by modulation of oxidative stress and/or NO bioavailability. We aimed to assess whether endurance exercise which is known to be cardioprotective could beneficially affect thes...

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  • Signaling through G proteins in platelets: to the integrins and beyond.

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    pub_type: 杂志文章,评审

    doi:

    authors: Brass LF,Manning DR,Cichowski K,Abrams CS

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    journal_title:Thrombosis and haemostasis

    pub_type: 杂志文章

    doi:

    authors: Nimpf J,Wurm H,Kostner GM

    更新日期:1985-08-30 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Bellucci S,Girma JP,Lozano M,Meyer D,Caen JP

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  • An association between oxygen desaturation and D-dimer in patients with obstructive sleep apnea syndrome.

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    pub_type: 杂志文章

    doi:

    authors: Shitrit D,Peled N,Shitrit AB,Meidan S,Bendayan D,Sahar G,Kramer MR

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    journal_title:Thrombosis and haemostasis

    pub_type: 杂志文章

    doi:

    authors: Tanaka H,Terasawa F,Ito T,Tokunaga S,Ishida F,Kitano K,Kiyosawa K,Okumura N

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    doi:10.1160/TH09-06-0341

    authors: Sand C,Grandoch M,Börgermann C,Oude Weernink PA,Mahlke Y,Schwindenhammer B,Weber AA,Fischer JW,Jakobs KH,Schmidt M

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    pub_type: 杂志文章,多中心研究

    doi:

    authors: Poller L,Keown M,Chauhan N,van den Besselaar AM,Tripodi A,Shiach C,Jespersen J,European Concerted Action on Anticoagulation Steering Group Members.

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    journal_title:Thrombosis and haemostasis

    pub_type: 杂志文章,评审

    doi:

    authors: Marder VJ

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    authors: Schulman S,Rehnberg AS,Hein M,Hegedus O,Lindmarker P,Hellström PM

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    authors: Mauray S,Sternberg C,Theveniaux J,Millet J,Sinquin C,Tapon-Bretaudière J,Fischer AM

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    pub_type: 杂志文章,评审

    doi:

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  • Influence of variability of interpretation of contrast venography for screening of postoperative deep venous thrombosis on the results of a thromboprophylactic study.

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    pub_type: 临床试验,杂志文章

    doi:

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  • Factor VII antigen levels in a healthy blood donor population.

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    pub_type: 杂志文章

    doi:

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  • Extracellular regulation of TGF-beta activity in wound repair: growth factor latency as a sensor mechanism for injury.

    abstract::The transforming growth factor-beta (TGFbeta) family of growth factors are major regulators of wound repair, scar formation, and fibrosis. One of the prominent features of TGFbeta biology is the fact that this growth factor is secreted as a latent precursor, which may be directed to and stored at specific sites in the...

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  • The role of monocytes in thrombotic disorders. Insights from tissue factor, monocyte-platelet aggregates and novel mechanisms.

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  • The effect of N-linked glycosylation on molecular weight, thrombin cleavage, and functional activity of human protein S.

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    pub_type: 杂志文章

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  • Palmitoylation at Cys595 is essential for PECAM-1 localisation into membrane microdomains and for efficient PECAM-1-mediated cytoprotection.

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    journal_title:Thrombosis and haemostasis

    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

    doi:

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    doi:10.1160/TH08-01-0009

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    pub_type: 杂志文章,meta分析

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    authors: Castellan RM,Steiner M

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