Frankel Cardiovascular Center, University of Michigan, Ann Arbor, Michigan, USA.
Department of Medicine and Surgery, University of Insubria, Varese, Italy.
J Thromb Haemost. 2023 May;21(5):1381-1384. doi: 10.1016/j.jtha.2023.02.008. Epub 2023 Feb 14.
Oral anticoagulation therapy has evolved beyond vitamin K antagonists to include oral direct thrombin inhibitors and factor Xa inhibitors. Collectively known as "direct oral anticoagulants," this class of medications represents the current standard of care for the prevention and treatment of common thrombotic disorders, including atrial fibrillation and venous thromboembolism. Medications that target factors XI/XIa and XII/XIIa are currently under investigation for several thrombotic and nonthrombotic conditions. Given that these emerging medications will likely have distinct risk-benefit profiles to the current direct oral anticoagulants, may have different routes of administration, and could be used for unique clinical conditions (e.g., hereditary angioedema), the International Society on Thrombosis and Haemostasis Subcommittee on Control of Anticoagulation assembled a writing group to make recommendations on the nomenclature of anticoagulant medications. With input from the broader thrombosis community, the writing group recommends that anticoagulant medications be described by the route of administration and specific targets (e.g., oral factor XIa inhibitor).
口服抗凝治疗已超越维生素 K 拮抗剂,包括口服直接凝血酶抑制剂和因子 Xa 抑制剂。这些药物统称为“直接口服抗凝剂”,是目前预防和治疗常见血栓性疾病(包括心房颤动和静脉血栓栓塞症)的标准治疗方法。目前正在研究靶向因子 XI/XIa 和 XII/XIIa 的药物,用于多种血栓性和非血栓性疾病。鉴于这些新兴药物可能与当前的直接口服抗凝剂具有不同的风险效益特征,可能具有不同的给药途径,并且可能用于独特的临床情况(例如遗传性血管性水肿),国际血栓止血学会抗凝控制小组委员会召集了一个写作小组,就抗凝药物的命名提出建议。在更广泛的血栓形成社区的参与下,写作小组建议根据给药途径和特定靶点(例如口服因子 XIa 抑制剂)来描述抗凝药物。