I-Apixaban
Ingemuva
I-Apixaban iyi-inhibitor ekhetha kakhulu futhi ebuyiseleka emuva ye-Factor Xa enamanani e-Ki angu-0.08 nM no-0.17 nM kumuntu nonogwaja, ngokulandelanayo[1].
I-Factor X, eyaziwa nangokuthi i-Stuart-Prower factor, iyi-enzyme ye-coagulation cascade.I-Factor X icushiwe, nge-hydrolysis, ibe yi-factor Xa ngazo zombili i-factor IX.I-Factor Xa iwuhlobo olucushiwe lwe-coagulation factorthrombokinase.I-Inhibiting Factor Xa ingase inikeze enye indlela yokunqanda ukuphuma kwegazi.Ama-Direct Xa inhibitors ama-anticoagulant adumile [2].
I-In vitro: I-Apixabanhas ibonise izinga eliphezulu lamandla, ukukhetha, kanye nempumelelo ku-Factor Xa ene-Ki ye-0.08 nM kanye ne-0.17 nM ye-Human Factor Xa kanye ne-Rabbit Factor Xa, ngokulandelana [1].I-Apixaban yandisa izikhathi zokujiya kwe-plasma yomuntu evamile ngokugxila (EC2x) kwe-3.6, 0.37, 7.4 kanye no-0.4 μM, okudingekayo ngokulandelana ukuze kuphindwe kabili isikhathi se-prothrombin (PT), isikhathi se-prothrombin esilungisiwe (mPT), isikhathi esicushiwe se-thromboplastin esiyingxenye ( APTT) kanye ne-HepTest.Ngaphandle kwalokho, i-Apixaban ibonise amandla aphezulu kakhulu ku-plasma yomuntu neyogwaja, kodwa amandla amancane ku-plasma yamagundane nenja kuzo zombili izivivinyo ze-PT ne-APTT [3].
Ku-vivo: I-Apixaban ibonise i-pharmacokinetics enhle kakhulu enemvume ephansi kakhulu (Cl: 0.02 L kg-1h-1), kanye nevolumu ephansi yokusabalalisa (Vdss: 0.2 L/kg) enja.Ngaphandle kwalokho, i-Apixaban iphinde yabonisa isigamu sempilo emaphakathi ne-T1/2 yamahora we-5.8 kanye ne-bioavailability yomlomo omuhle (F: 58%) [1].Ku-arteriovenous-shunt thrombosis (AVST), i-venous thrombosis (VT) kanye namamodeli anogwaja we-carotid arterial thrombosis (ECAT), i-Apixaban ikhiqize imiphumela ye-antithrombotic nge-EC50 ye-270 nM, 110 nM kanye ne-70 nM ngendlela encike kumthamo[3 ].I-Apixaban ivimbele kakhulu umsebenzi we-factor Xa nge-IC50 ye-0.22 μM ku-rabbit ex vivo[4].Ku-chimpanzee, i-Apixaban iphinde yabonisa umthamo omncane wokusabalalisa (Vdss: 0.17 L kg-1), imvume ephansi ye-systemic (Cl: 0.018 L kg-1h-1), kanye ne-bioavailability yomlomo omuhle (F: 59%) [5].
Izithenjwa:
Pinto DJP, Orwat MJ, Koch S, et al.Ukutholwa kwe-1-(4-methoxyphenyl)-7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl)-4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] pyridine-3-carboxamide (Apixaban, BMS-562247), inhibitor enamandla kakhulu, ekhethayo, esebenzayo, kanye ne-oral bioavailable inhibitor ye-blood coagulation factor Xa[J].Ijenali yekhemikhali yezokwelapha, 2007, 50 (22): 5339-5356.
I-Sidhu P S. I-Direct Factor Xa Inhibitors njengama-Anticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.I-Apixaban, i-oral, eqondile futhi ekhetha kakhulu factor Xa inhibitor: in vitro, antithrombotic and antihemostaticstudies[J].Ijenali ye-Thrombosis kanye ne-Haemostasis, 2008, 6(5): 820-829.
Zhang D, He K, Raghavan N, et al.I-Metabolism, i-pharmacokinetics kanye ne-pharmacodynamics ye-factor Xa inhibitor apixaban konogwaja[J].Ijenali ye-thrombosis kanye ne-thrombolysis, 2010, 29(1): 70-80.
He K, Luettgen JM, Zhang D, et al.I-preclinical pharmacokinetics kanye ne-pharmacodynamics ye-apixaban, into enamandla futhi ekhethiwe ye-Xa inhibitor[J].Ijenali yaseYurophu yezidakamizwa ze-metabolism kanye ne-pharmacokinetics, 2011, 36 (3): 129-139.
I-Apixaban iyi-inhibitor ekhetha kakhulu futhi ebuyiseleka emuva ye-Factor Xa enamanani e-Ki angu-0.08 nM no-0.17 nM kumuntu nonogwaja, ngokulandelanayo[1].
I-Factor X, eyaziwa nangokuthi i-Stuart-Prower factor, iyi-enzyme ye-coagulation cascade.I-Factor X icushiwe, nge-hydrolysis, ibe yi-factor Xa ngazo zombili i-factor IX.I-Factor Xa iwuhlobo olucushiwe lwe-coagulation factorthrombokinase.I-Inhibiting Factor Xa ingase inikeze enye indlela yokunqanda ukuphuma kwegazi.Ama-Direct Xa inhibitors ama-anticoagulant adumile [2].
I-In vitro: I-Apixabanhas ibonise izinga eliphezulu lamandla, ukukhetha, kanye nempumelelo ku-Factor Xa ene-Ki ye-0.08 nM kanye ne-0.17 nM ye-Human Factor Xa kanye ne-Rabbit Factor Xa, ngokulandelana [1].I-Apixaban yandisa izikhathi zokujiya kwe-plasma yomuntu evamile ngokugxila (EC2x) kwe-3.6, 0.37, 7.4 kanye no-0.4 μM, okudingekayo ngokulandelana ukuze kuphindwe kabili isikhathi se-prothrombin (PT), isikhathi se-prothrombin esilungisiwe (mPT), isikhathi esicushiwe se-thromboplastin esiyingxenye ( APTT) kanye ne-HepTest.Ngaphandle kwalokho, i-Apixaban ibonise amandla aphezulu kakhulu ku-plasma yomuntu neyogwaja, kodwa amandla amancane ku-plasma yamagundane nenja kuzo zombili izivivinyo ze-PT ne-APTT [3].
Ku-vivo: I-Apixaban ibonise i-pharmacokinetics enhle kakhulu enemvume ephansi kakhulu (Cl: 0.02 L kg-1h-1), kanye nevolumu ephansi yokusabalalisa (Vdss: 0.2 L/kg) enja.Ngaphandle kwalokho, i-Apixaban iphinde yabonisa isigamu sempilo emaphakathi ne-T1/2 yamahora we-5.8 kanye ne-bioavailability yomlomo omuhle (F: 58%) [1].Ku-arteriovenous-shunt thrombosis (AVST), i-venous thrombosis (VT) kanye namamodeli anogwaja we-carotid arterial thrombosis (ECAT), i-Apixaban ikhiqize imiphumela ye-antithrombotic nge-EC50 ye-270 nM, 110 nM kanye ne-70 nM ngendlela encike kumthamo[3 ].I-Apixaban ivimbele kakhulu umsebenzi we-factor Xa nge-IC50 ye-0.22 μM ku-rabbit ex vivo[4].Ku-chimpanzee, i-Apixaban iphinde yabonisa umthamo omncane wokusabalalisa (Vdss: 0.17 L kg-1), imvume ephansi ye-systemic (Cl: 0.018 L kg-1h-1), kanye ne-bioavailability yomlomo omuhle (F: 59%) [5].
Izithenjwa:
Pinto DJP, Orwat MJ, Koch S, et al.Ukutholwa kwe-1-(4-methoxyphenyl)-7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl)-4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] pyridine-3-carboxamide (Apixaban, BMS-562247), inhibitor enamandla kakhulu, ekhethayo, esebenzayo, kanye ne-oral bioavailable inhibitor ye-blood coagulation factor Xa[J].Ijenali yekhemikhali yezokwelapha, 2007, 50 (22): 5339-5356.
I-Sidhu P S. I-Direct Factor Xa Inhibitors njengama-Anticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.I-Apixaban, i-oral, eqondile futhi ekhetha kakhulu factor Xa inhibitor: in vitro, antithrombotic and antihemostaticstudies[J].Ijenali ye-Thrombosis kanye ne-Haemostasis, 2008, 6(5): 820-829.
Zhang D, He K, Raghavan N, et al.I-Metabolism, i-pharmacokinetics kanye ne-pharmacodynamics ye-factor Xa inhibitor apixaban konogwaja[J].Ijenali ye-thrombosis kanye ne-thrombolysis, 2010, 29(1): 70-80.
He K, Luettgen JM, Zhang D, et al.I-preclinical pharmacokinetics kanye ne-pharmacodynamics ye-apixaban, into enamandla futhi ekhethiwe ye-Xa inhibitor[J].Ijenali yaseYurophu yezidakamizwa ze-metabolism kanye ne-pharmacokinetics, 2011, 36 (3): 129-139.
Isakhiwo samakhemikhali
Isiphakamiso18Amaphrojekthi Wokuhlola Ukuvumelana Kwekhwalithi asegunyaziwe4, futhi6amaphrojekthi angaphansi kokugunyazwa.
Uhlelo lokuphatha ikhwalithi yamazwe ngamazwe oluthuthukile lwenze isisekelo esiqinile sokuthengisa.
Ukugadwa kwekhwalithi kusebenza kuwo wonke umjikelezo wempilo womkhiqizo ukuze kuqinisekiswe ikhwalithi nomphumela wokwelapha.
Ithimba Lezindaba Zokulawula Ochwepheshe lisekela izimfuno zekhwalithi ngesikhathi sokufaka isicelo nokubhaliswa.