Evidence map›Paper›PMID 33001565›Full record

ArticleJournal of thrombosis and haemostasis : JTH2021

Application of a plasmin generation assay to define pharmacodynamic effects of tranexamic acid in women undergoing cesarean delivery.

Adam Miszta, Homa K Ahmadzia, Naomi L C Luban, Shuhui Li, Dong Guo, Lori A Holle, Jeffrey S Berger, Andra H James, Jogarao V S Gobburu, John van den Anker and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. A novel biosensor for measuring plasmin activity.Research and practice in thrombosis and haemostasis · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Observational
  9. Review
  10. A lipid atlas of the human kidney.Science advances · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Assessing Plasmin Generation in Health and Disease.International journal of molecular sciences · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Adam MisztaDepartment of Pathology and UNC Blood Research Center, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0001-8293-4007
Homa K AhmadziaDivision of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, The George Washington University, Washington, DC, USA.ORCID 0000-0003-0341-1086
Naomi L C LubanDivision of Hematology/Oncology, Department of Pediatrics and Pathology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Shuhui LiCenter for Translational Medicine, School of Pharmacy, University of Maryland, Baltimore, MD, USA.ORCID 0000-0002-5200-4754
Dong GuoCenter for Translational Medicine, School of Pharmacy, University of Maryland, Baltimore, MD, USA.
Lori A HolleDepartment of Pathology and UNC Blood Research Center, University of North Carolina, Chapel Hill, NC, USA.
Jeffrey S BergerDepartment of Anesthesiology, The George Washington University, Washington, DC, USA.
Andra H JamesDivision of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Duke University, Durham, NC, USA.
Jogarao V S GobburuCenter for Translational Medicine, School of Pharmacy, University of Maryland, Baltimore, MD, USA.
John van den AnkerDivision of Clinical Pharmacology, Department of Pediatrics, Children's National Hospital, George Washington University of School of Medicine and Health Sciences, Washington, DC, USA.ORCID 0000-0003-0571-7492
Bas de LaatSynapse Research Institute, Maastricht, The Netherlands.
Alisa S WolbergDepartment of Pathology and UNC Blood Research Center, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-2845-2303
George Washington University · USUniversity of Maryland, Baltimore · USSynapse (Netherlands) · NLDuke University · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Fibrinogen and Factor XIII in Venous ThrombosisR01HL126974 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Alisa S. Wolberg · 2016 to 2026
$4.4M
Targeting the Plasminogen Activation System to Limit Pancreatic Cancer Progression and Associated ThrombosisU01HL143403 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FISHEL, MELISSA L., FLICK, MATTHEW J. · 2018 to 2022
$4.2M
Model system of oral contraceptive-induced VTE: integrating genomic, transcriptomic, and proteomic discovery with functional biologyR33HL141791 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI LOWENSTEIN, CHARLES J, SMITH, NICHOLAS L · 2020 to 2022
$2.0M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
Prevention of postpartum hemorrhage: identifying pregnant women at risk and determining the safe and effective use of tranexamic acid using state-of-the-art pharmacokinetic/pharmacodynamics modelingK23HL141640 · NHLBI · GEORGE WASHINGTON UNIVERSITY · PI AHMADZIA, HOMA KHORRAMI · 2019 to 2022
$621k
NCATS NIH HHS KL2 TR001877NCATS NIH HHS UL1 TR001876NHLBI NIH HHS K23 HL141640NHLBI NIH HHS R01 HL126974NHLBI NIH HHS R33 HL141791NHLBI NIH HHS U01 HL143403
6 · The paper itself

Abstract

Essentials Tranexamic acid (TXA) is an antifibrinolytic drug used to reduce bleeding. Assaying plasmin generation (PG) in plasma detects clinically relevant TXA levels in vitro and ex vivo. 3.1-16.2 µg/mL TXA half-maximally inhibits PG in plasma from women undergoing cesarean delivery. PG velocity shows the strongest dose-relationship at low TXA concentrations (≤10 µg/mL). ABSTRACT: Background Tranexamic acid (TXA) is used to reduce bleeding. TXA inhibits plasmin(ogen) binding to fibrin and reduces fibrinolysis. TXA antifibrinolytic activity is typically measured by clot lysis assays; however, effects on plasmin generation (PG) are unclear due to a lack of tools to measure PG in plasma. Aims Develop an assay to measure PG kinetics in human plasma. Determine effects of TXA on PG and compare with fibrinolysis measured by rotational thromboelastometry (ROTEM). Methods We characterized effects of plasminogen, tissue plasminogen activator, fibrinogen, and α

Indexed as

Antifibrinolytic AgentsCesarean SectionFibrinolysinTranexamic AcidFemaleFibrinolysisHumansPregnancyTissue Plasminogen ActivatorAntifibrinolytic AgentsFibrinolysinTissue Plasminogen ActivatorTranexamic Acidfibrinfibrinolysisplasminpregnancytranexamic acid

Identifiers

PMID33001565
PMCPMC7875467
OpenAlexW3090245482

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.