Anticoagulant Effects of Dabigatran in Paediatric Patients Compared with Adults: Combined Data from Three Paediatric Clinical Trials
| Autor: | Igor Tartakovsky, Martina Brueckmann, Lesley G. Mitchell, Fenglei Huang, Hugo Maas, Joachim Stangier, Savion Gropper, Jacqueline Halton |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male anticoagulants medicine.medical_specialty Stroke Systemic or Venous Thromboembolism Adolescent medicine.drug_class Thrombin Time venous thromboembolism 030204 cardiovascular system & hematology Thrombin time Dabigatran paediatrics Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Child Blood Coagulation direct thrombin inhibitor Aged Aged 80 and over Hemostasis medicine.diagnostic_test business.industry Anticoagulant Infant Hematology Middle Aged Clinical trial Direct thrombin inhibitor Female Partial Thromboplastin Time Ecarin clotting time business circulatory and respiratory physiology 030215 immunology Partial thromboplastin time medicine.drug |
| Zdroj: | Thrombosis and Haemostasis |
| ISSN: | 2567-689X 0340-6245 |
| DOI: | 10.1055/s-0038-1668132 |
| Popis: | Background Physiological age-related changes in the haemostatic and coagulation systems result in differing anticoagulant assay responses to standard anticoagulants. Therefore, we investigated the response of anticoagulant assays to dabigatran etexilate (DE) in children compared with adults. Objective This article assesses the relationship between plasma dabigatran concentration and coagulation assay results across age groups in children and adults. Patients and Methods Data from three clinical trials in which children received DE following standard of care for venous thromboembolism were compared with data from adult clinical trials. The effects of dabigatran concentration on diluted thrombin time (dTT), ecarin clotting time (ECT) and activated partial thromboplastin time (aPTT) were analysed graphically and with modelling. Results The concentration–dTT relationships were consistent in children across all ages and adults in the graphical analysis. For ECT and aPTT, relationships based on ratios over baseline were similar across all ages; absolute clotting times showed that the same exposure resulted in longer clotting times in some of the children aged Conclusion Results suggest that developmental haemostatic changes will have little impact on response to DE. However, further paediatric clinical trials assessing the relationship between coagulation assay responses and clinical outcomes will be needed to confirm this finding. |
| Databáze: | OpenAIRE |
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