Evidence map›Paper›PMID 39549166›Full record

ArticleJournal of thrombosis and thrombolysis2024

The factor XI/XIa antibody abelacimab combined with enoxaparin inhibits filter clotting in hemodialysis circuits ex vivo.

Juergen Grafeneder, Gesche Langer, Christian Schoergenhofer, Farsad Eskandary, Bernd Jilma, Yasser Khder, Katarina D Kovacevic Miljevic

Abstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Abelacimab for Acute Pulmonary Embolism: Translating Dual FXI/XIa Inhibition from Mechanism to Clinical Prospects.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

7 authors.

Juergen GrafenederDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-3639-0106
Gesche LangerDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Christian SchoergenhoferDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-2286-1077
Farsad EskandaryDepartment of Nephrology and Dialysis, Division of Medicine III, Medical University, Vienna, Austria.ORCID http://orcid.org/0000-0002-8971-6149
Bernd JilmaDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria. bernd.jilma@meduniwien.ac.at.ORCID http://orcid.org/0000-0001-5652-7977
Yasser KhderMYRA LSS, Rosenau, France.
Katarina D Kovacevic MiljevicDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-6774-714X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drugs targeting factor XI may offer an alternative to heparin for preventing blood clotting in extracorporeal circulation. We investigated the effects of abelacimab, a novel monoclonal antibody targeting factor XI. We collected whole blood samples into two bags (each 240 ml, control group: enoxaparin 1.2 mg, treatment group: enoxaparin 1.2 mg plus abelacimab 5 mg) and circulated in a hemodialysis device for up to 3 h. We performed whole blood aggregation and thromboelastometry at several time points. Time to filter clotting was the primary endpoint. We included 10 volunteers. Each volunteer's blood was split into two bags (containing enoxaparin +/- abelacimab) and used simultaneously on two hemodialysis devices. The treatment group's time to filter clotting was significantly prolonged (treatment: 180 min, IQR 180-180 vs. control: 120 min, IQR 97-147, p < 0.001), and the transmembrane pressure was significantly lower at the end of the circuit flow (treatment: 13 mmHg vs. control: 65 mmHg, p = 0.001). Fibrinogen levels and median platelet counts were preserved. Platelet aggregation was better preserved in the treatment group for ristocetin (p = 0.015), thrombin receptor activating peptide (p = 0.015), and arachidonic acid (p = 0.001). Thromboelastometry showed prolonged clotting times in the treatment group at the end of the experiment (INTEM, p < 0.001; HEPTEM, p = 0.001). Abelacimab prolonged the time to filter clotting in this ex vivo model of hemodialysis. This is an aggressive model due to the frequent re-circulation of blood and a lack of endothelial cells. These data provide support for testing abelacimab in patients on hemodialysis.

Indexed as

Blood CoagulationEnoxaparinRenal DialysisAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnticoagulantsFactor XIFemaleHumansMaleMiddle AgedPlatelet AggregationThrombelastographyAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnticoagulantsEnoxaparinFactor XIAbelacimabCoagulationFactor XIHemodialysisThromboelastometry

Identifiers

PMID39549166
PMCPMC11645315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.