Berry C N, Visconte C, Lecoffre C, Lochot S, Girard D
Cardiovascular Thrombosis Department, Sanofi-Synthelabo, Chilly Mazarin, France.
Thromb Haemost. 2000 Aug;84(2):286-90.
We studied the antithrombotic activity of a mixed micellar formulation containing 14 mg/ml argatroban administered by the subcutaneous (s.c.) route in rat and rabbit models of venous thrombosis. The effects on bleeding time in the rat tail transection bleeding time test were also studied. In a tissue factor-dependent arterio-venous shunt model, argatroban treatment led to dose-dependent reduction in thrombus weight with an estimated ID50 of 1.8 mg/kg s.c. In the same model, heparin had an estimated ID50 of 179 IU/kg. The antithrombotic activity of argatroban was accompanied by increases in the thrombin and ecarin clotting times but not the aPTT, whereas heparin increased the thrombin time and aPTT but not the ecarin clotting times. Argatroban also inhibited thrombus formation in a rabbit model of thromboplastin + stasis induced thrombosis in the rabbit jugular vein with an estimated ID50 of 1 mg/kg s.c. When tested in the rat tail transection bleeding time test, the mixed micellar formulation of argatroban caused significant increases in the bleeding time as from 8 mg/kg s.c., while heparin significantly increased the bleeding time at 800 U/kg. Mixed micellar argatroban appears to have a superior safety margin to heparin in terms of antithrombotic efficacy and bleeding risk. Thus, a mixed micellar formulation of argatroban, which markedly enhances its solubility, could be useful as a potential antithrombotic agent for subcutaneous administration.
我们研究了一种混合胶束制剂的抗血栓活性,该制剂含有14mg/ml的阿加曲班,通过皮下(s.c.)途径给药,用于大鼠和家兔静脉血栓形成模型。同时还研究了其对大鼠尾部横断出血时间试验中出血时间的影响。在组织因子依赖性动静脉分流模型中,阿加曲班治疗导致血栓重量呈剂量依赖性降低,皮下给药的估计半数抑制剂量(ID50)为1.8mg/kg。在同一模型中,肝素的估计ID50为179IU/kg。阿加曲班的抗血栓活性伴随着凝血酶和蛇静脉酶凝血时间的增加,但活化部分凝血活酶时间(aPTT)未增加,而肝素增加了凝血酶时间和aPTT,但未增加蛇静脉酶凝血时间。阿加曲班在兔组织因子+静脉淤滞诱导的颈静脉血栓形成模型中也抑制血栓形成,皮下给药的估计ID50为1mg/kg。在大鼠尾部横断出血时间试验中进行测试时,阿加曲班的混合胶束制剂从皮下给药8mg/kg起导致出血时间显著增加,而肝素在800U/kg时显著增加出血时间。就抗血栓疗效和出血风险而言,阿加曲班混合胶束似乎比肝素具有更高的安全边际。因此,显著提高其溶解度的阿加曲班混合胶束制剂可作为一种潜在的皮下给药抗血栓药物。