Mesh : Humans Renal Dialysis / adverse effects Anticoagulants / adverse effects therapeutic use Hemorrhage / chemically induced prevention & control Factor XI / antagonists & inhibitors metabolism Blood Coagulation / drug effects Oligonucleotides, Antisense / therapeutic use adverse effects administration & dosage Thromboembolism / prevention & control etiology Arteriovenous Shunt, Surgical / adverse effects

来  源:   DOI:10.1016/j.kint.2024.03.029

Abstract:
Chronic hemodialysis patients exhibit an excessive cardiovascular risk and a marked increase in both thromboembolism and bleeding episodes. Factor XI inhibition may provide anticoagulation, with a low risk of bleeding, and several factor XI inhibitors, including fesomersen, an antisense oligonucleotide, are under development. Recently, a phase 2 study of fesomersen showed a good safety profile in chronic hemodialysis patients and suggested that clotting rates of the arteriovenous fistula and the dialysis circuit are lower.
摘要:
慢性血液透析患者表现出过度的心血管风险,并且血栓栓塞和出血事件均显着增加。因子XI抑制可以提供抗凝,出血风险低,和几种XI因子抑制剂,包括Fesomersen,反义寡核苷酸,正在开发中。最近,fesomersen的一项2期研究显示,慢性血液透析患者的安全性良好,并提示动静脉瘘和透析回路的凝血率较低。
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