因子 XI 抑制剂能否取代目前的抗凝药预防心房颤动患者中风?

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI:10.1007/s11886-024-02100-y
Siddharth M Patel, Christian T Ruff
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引用次数: 0

摘要

综述的目的:本综述概述了因子 XI(FXI)抑制剂假说,以开发可能比目前临床上使用的抗凝剂更安全的新型抗凝剂,并介绍了针对心房颤动患者的 2 期剂量范围研究的初步临床数据:最近的研究结果:2期剂量范围研究的最新数据显示,与目前批准的抗凝剂相比,FXI途径抑制剂可大幅减少出血。然而,要证明 FXI 抑制剂对预防心房颤动患者中风的疗效,还需要进行更大规模的研究。FXI 通路抑制有望彻底改变心房颤动抗凝治疗的格局,主要是通过降低出血风险;然而,还需要更多的数据来证明其疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Will Factor XI Inhibitors Replace Current Anticoagulants for Stroke Prevention in Atrial Fibrillation?

Purpose of review: This review provides an overview of the factor XI (FXI) inhibitor hypothesis for the development of novel anticoagulants which may be safer to those currently used in clinical practice and describes preliminary clinical data from phase 2 dose-ranging studies of patients with atrial fibrillation.

Recent findings: Recent data from phase 2 dose ranging studies demonstrate substantial reductions in bleeding with FXI pathway inhibition compared with currently approved anticoagulants. However, larger studies are necessary to demonstrate efficacy of FXI inhibition for stroke prevention in atrial fibrillation. FXI pathway inhibition holds great promise for revolutionizing the landscape of anticoagulation for atrial fibrillation, primarily by reducing bleeding risk; however, further data are necessary to demonstrate efficacy.

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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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