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描述 | Thrombin is produced by the proteolytic cleavage of prothrombin and serves as a multifunctional serine protease with a central role in blood coagulation, platelet activation and wound healing. In pathological conditions, thrombus formation eventually leads to vascular occlusion which, inturn, can result in the development of thromboembolic disease. Dabigatran etexilate is an orally active prodrug of dabigatran which is a reversible and selective, direct thrombin inhibitor undergoing advanced clinical development. Dabigatran selectively and reversibly inhibited human thrombin (Ki: 4.5 nM) as well as thrombin-induced platelet aggregation (IC50: 10 nM). Dabigatran demonstrated concentration-dependent anticoagulant effects in various species in vitro, doubling the activated partial thromboplastin time (aPTT), prothrombin time (PT) and ecarin clotting time (ECT) in human PPP (platelet-poor plasma) at concentrations of 0.23, 0.83 and 0.18 μM, respectively. In vivo, dabigatran prolonged the aPTT dose-dependently after intravenous administration in rats (0.3, 1 and 3 mg/kg) and rhesus monkeys (0.15, 0.3 and 0.6 mg/kg). Dose- and time-dependent anticoagulant effects were observed with dabigatran etexilate administered orally to conscious rats (10, 20 and 50 mg/kg) or rhesus monkeys (1, 2.5 or 5 mg/kg), with maximum effects observed between 30 and 120 min after administration, respectively[3]. In a modified Wessler model, bolus administration of dabigatran (0.01 - 0.1 mg/kg) reduced thrombus formation dose-dependently, with an ED50 of 0.033 mg/kg and complete inhibition at 0.1 mg/kg[4]. |
临床研究 | |||||
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NCT号 | 适应症或疾病 | 临床期 | 招募状态 | 预计完成时间 | 地点 |
NCT02170922 | Healthy | Phase 1 | Completed | - | - |
NCT02666157 | Atrial Fibrillation | Phase 4 | Unknown | December 2018 | Taiwan ... 展开 >> National Cheng Kung University Hospital Recruiting Tainan, Tainan City, Taiwan, 704 Contact: Ting-Hsing Chao, MD 886-6-2353535 ext 2382 chaoth@mail.ncku.edu.tw Principal Investigator: Ting-Hsing Chao, MD Sub-Investigator: Ju-Yi Chen, MD and PhD Sub-Investigator: Cheng-Han Lee, MD and PhD Sub-Investigator: Chih-Chan Lin, MD Sub-Investigator: Chih-Hung Chen, MD Sub-Investigator: Liang-Miin Tsai, MD Sub-Investigator: Li-Jen Lin, MD Sub-Investigator: Wei-Chuan Tsai, MD Sub-Investigator: Ping-Yen Liu, MD and PhD Tainan Hospital Ministry of Health and Welfare Not yet recruiting Tainan, Tainan City, Taiwan, 704 Contact: Li-Dan Yang, MD 886-6-2200055 ext 9 litannyang@yahoo.com.tw Principal Investigator: Li-Dan Yang, MD National Cheng Kung University Hospital Dou-Liou Branch Not yet recruiting Dou-Liou City, Taiwan, 640 Contact: Yang-Cheh Hsueh, MD 886-5-5332121 ext 5101 p308378@dou6.hosp.ncku.edu.tw Principal Investigator: Yang-Cheh Hsueh, MD Sub-Investigator: Yuen-Ting Sung, MD and PhD E-DA Hospital Not yet recruiting Kaohsiung, Taiwan, 824 Contact: Wei-Kung Tseng, MD and PhD 886-7-6150011 ext 5005 arthurtseng@me.com Principal Investigator: Wei-Kung Tseng, MD and PhD Tainan Municipal Hospital Recruiting Tainan, Taiwan, 701 Contact: I-Chih Chen, MD 886-6-2609926 ext 212045 ichih1230@yahoo.com.tw Principal Investigator: I-Chih Chen, MD Sub-Investigator: Ruei-Chang Zeng, MD 收起 << |
NCT01468155 | Atrial Fibrillation | Phase 4 | Completed | - | Canada, Ontario ... 展开 >> London Health Sciences Center London, Ontario, Canada, N6A 5A5 收起 << |
实验方案 | |||
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1mg | 5mg | 10mg | |
1 mM 5 mM 10 mM |
1.59mL 0.32mL 0.16mL |
7.97mL 1.59mL 0.80mL |
15.93mL 3.19mL 1.59mL |
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