Novel antiplatelet agents: ALX-0081, a Nanobody directed towards von Willebrand factor.

Abstract:

:This manuscript reviews the studies performed with ALX-0081 (INN: caplacizumab), a Nanobody targeting von Willebrand factor, in the context of current antithrombotic therapy in coronary artery disease. ALX-0081 specifically inhibits platelet adhesion to the vessel wall, and may control platelet aggregation and subsequent clot formation without increasing bleeding risk. A substantial number of antithrombotics are aimed at this cascade; however, their generally indiscriminative mode of action can result in a narrow therapeutic window, defined by the risk for bleeding complications, and thrombotic events. Nonclinically, ALX-0081 compared favorably to several antithrombotics. In Phase I studies in healthy subjects and stable angina patients undergoing percutaneous coronary intervention (PCI), ALX-0081 was well tolerated, and effectively inhibited pharmacodynamic markers. Following these results, a phase II study was initiated in high-risk acute coronary syndrome patients undergoing PCI. Based on its mechanism of action, ALX-0081 is also being developed for acquired thrombotic thrombocytopenic purpura.

authors

Bartunek J,Barbato E,Heyndrickx G,Vanderheyden M,Wijns W,Holz JB

doi

10.1007/s12265-012-9435-y

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

355-63

issue

3

eissn

1937-5387

issn

1937-5395

journal_volume

6

pub_type

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