George, I noticed on Fritsma Factor the question on using Kcentra to reverse DOACs. I just got this off Medscape on a phase 3 study of an antidote to the factor Xa inhibitor apixaban. An IV bolus of andexanet alfa immediately and significantly reversed apixaban in 33 healthy volunteers enrolled in the ANNEXA-A study. The authors also state that Idarucizumab reverses the oral thrombin inhibitor dabagatran etexilate mesylate. Both have FDA breakthrough status.
Regards,
David L. McGlasson, GS-13
Clinical Research Scientist
Oct 6 2014
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Anticoagulant Therapy
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