[Where to look for progress in antithrombotic treatments?]
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1Service d'hématologie biologique Hôtel-Dieu, Paris.
Abstract:
Thrombosis is the most frequent cause of venous and arterial vascular events. Anticoagulants and antiplatelet agents are able to prevent both types of thrombotic episodes. However, available agents have limitations which justify the search for new antithrombotic drugs or at least the clinical investigation of combined treatment with already available drugs. Progress in the knowledge of the mechanism of thrombosis guides the search for new antithrombotic agents. Novel strategies should take into account the intensity of the thrombogenic stimulus involved in the occurrence of the thrombotic episodes. Among antiplatelet agents, the logic combination of aspirin and ticlopidine or clopidogrel is already challenging the anti-GP IIb/IIIa orally active compounds. Among anticoagulant agents a long list of competitors for the replacement of oral anticoagulants and heparins is already available. They target factors Xa, IIa or VIIa. A promising alternative is to increase the thromboresistance of the vascular wall.
Insights
Thrombosis, a common cause of vascular events, necessitates new anticoagulant and antiplatelet therapies. Research focuses on novel drugs and combined treatments to overcome limitations of current antithrombotic agents.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Context:
- Thrombosis is a primary cause of arterial and venous vascular events.
- Current anticoagulant and antiplatelet therapies have limitations, driving the need for new treatments.
Purpose:
- To explore novel antithrombotic strategies and the clinical investigation of combined drug treatments.
- To guide the search for new antithrombotic agents by understanding thrombosis mechanisms.
- To consider the intensity of thrombogenic stimuli in developing novel therapeutic approaches.
Summary:
- The development of novel antithrombotic agents is crucial due to limitations in existing therapies.
- Combinations of antiplatelet drugs like aspirin with ticlopidine or clopidogrel are being investigated.
- New anticoagulant candidates targeting factors Xa, IIa, or VIIa, and enhancing vascular thromboresistance are emerging.
Impact:
- Advances in understanding thrombosis mechanisms inform the development of more effective antithrombotic drugs.
- Novel strategies aim to improve prevention of thrombotic episodes by addressing varying thrombogenic stimuli.
- The research landscape includes exploring combined antiplatelet therapies and new anticoagulant classes.
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