Argatroban: A synthetic thrombin inhibitor of low relative molecular mass

被引:39
作者
Fitzgerald, D [1 ]
Murphy, N [1 ]
机构
[1] ROYAL COLL SURGEONS IRELAND, CTR CARDIOVASC SCI, DUBLIN, IRELAND
基金
英国惠康基金;
关键词
thrombin; thrombin inhibitor; argatroban; thrombosis;
D O I
10.1097/00019501-199606000-00008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Argatroban is an arginine derivative that is a highly specific thrombin inhibitor. Experimentally, it is more effective than heparin but it is not known whether this is the case in humans. The trials reported with argatroban to date have been too small to define either the efficacy or the safety of the drug. Large-scale clinical trials are under way in a variety of settings, including unstable angina, coronary angioplasty and acute myocardial infarction.
引用
收藏
页码:455 / 458
页数:4
相关论文
共 32 条
[21]   EFFECT OF A NEW ANTICOAGULANT (MD 805) ON PLATELET ACTIVATION IN THE HEMODIALYSIS CIRCUIT [J].
MATSUO, T ;
NAKAO, K ;
YAMADA, T ;
MATSUO, O .
THROMBOSIS RESEARCH, 1986, 41 (01) :33-41
[22]   EFFECT OF SYNTHETIC THROMBIN INHIBITOR (MD805) AS AN ALTERNATIVE DRUG ON HEPARIN INDUCED THROMBOCYTOPENIA DURING HEMODIALYSIS [J].
MATSUO, T ;
CHIKAHIRA, Y ;
YAMADA, T ;
NAKAO, K ;
UESHIMA, S ;
MATSUO, O .
THROMBOSIS RESEARCH, 1988, 52 (02) :165-171
[23]  
MELLOTT MJ, 1990, THROMB HAEMOSTASIS, V64, P526
[24]   ENHANCEMENT OF THROMBOLYTIC EFFICACY OF TISSUE-TYPE PLASMINOGEN-ACTIVATOR BY ADJUVANTS IN THE GUINEA-PIG THROMBOSIS MODEL [J].
NISHIYAMA, H ;
UMEMURA, K ;
SANIABADI, AR ;
TAKIGUCHI, Y ;
UEMATSU, T ;
NAKASHIMA, M .
EUROPEAN JOURNAL OF PHARMACOLOGY, 1994, 264 (02) :191-198
[25]   POTENT INHIBITION OF THROMBIN BY THE NEWLY SYNTHESIZED ARGININE DERIVATIVE NO-805 - THE IMPORTANCE OF STEREO-STRUCTURE OF ITS HYDROPHOBIC CARBOXAMIDE PORTION [J].
OKAMOTO, S ;
HIJIKATA, A ;
KIKUMOTO, R ;
TONOMURA, S ;
HARA, H ;
NINOMIYA, K ;
MARUYAMA, A ;
SUGANO, M ;
TAMAO, Y .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 1981, 101 (02) :440-446
[26]   COMPARATIVE-STUDY ON THE INVITRO EFFECTIVENESS OF ANTITHROMBOTIC AGENTS [J].
PAQUES, EP ;
ROMISCH, J .
THROMBOSIS RESEARCH, 1991, 64 (01) :11-21
[27]   HEPARIN AND THE THROMBIN INHIBITOR ARGATROBAN ENHANCE FIBRINOLYSIS BY INFUSED OR BOLUS-INJECTED SARUPLASE (R-SCU-PA) IN RABBIT FEMORAL-ARTERY THROMBOSIS [J].
SCHNEIDER, J .
THROMBOSIS RESEARCH, 1991, 64 (06) :677-689
[28]  
TAMAO Y, 1986, THROMB HAEMOSTASIS, V56, P28
[29]   INVOLVEMENT OF THE TETHERED LIGAND-RECEPTOR IN THROMBIN-INDUCED ENDOTHELIUM-MEDIATED RELAXATIONS [J].
TESFAMARIAM, B ;
ALLEN, GT ;
NORMANDIN, D ;
ANTONACCIO, MJ .
AMERICAN JOURNAL OF PHYSIOLOGY, 1993, 265 (05) :H1744-H1749
[30]   REACTIVATION OF UNSTABLE ANGINA AFTER THE DISCONTINUATION OF HEPARIN [J].
THEROUX, P ;
WATERS, D ;
LAM, J ;
JUNEAU, M ;
MCCANS, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (03) :141-145