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Updated: Aug 5, 2026

Rapid Point-of-Care Assay of Enoxaparin Anticoagulant Efficacy in Whole Blood
Published on: October 12, 2012
Nanotechnology - Driven Innovations in Anticoagulant Delivery and Antidote Development for Hemostasis Regulation
Jitendra Maity1, Sushil Kumar Singh2, Sovan Lal Pal3
1Bharat Technology, Affiliated by Maulana Abul Kalam Azad University of Technology Department of Industrial Pharmacy Uluberia India.
Nanotechnology enhances anticoagulant therapy with novel drug delivery systems and antidotes, improving patient outcomes. Challenges in cost and accessibility remain for widespread clinical translation of these advanced treatments.
Area of Science:
- Biomedical Engineering
- Nanomedicine
- Pharmacology
Background:
- Hemostasis is vital for blood flow and preventing bleeding.
- Anticoagulants prevent embolism, stroke, and venous thromboembolism (VTE).
- Conventional anticoagulants (heparins, VKAs) have limitations: parenteral administration, toxicity, and poor compliance.
Purpose of the Study:
- To review nanotechnology-driven drug delivery systems (DDS) for anticoagulants.
- To explore emerging antidote development for anticoagulant reversal.
- To synthesize evidence from preclinical and clinical studies on these innovations.
Main Methods:
- Review of current evidence on nanotechnology-based DDS and antidotes.
- Focus on nanocarriers: liposomes, ethosomes, cubosomes, hydrogels, SLnPs, SNEDDS.
- Analysis of emerging antidotes: idarucizumab, andexanet alfa, ciraparantag.
Main Results:
- Nanocarriers improve anticoagulant solubility, stability, targeting, and release.
- Oral DDS (solid dispersions, SNEDDS) offer alternatives to invasive parenteral routes.
- Approved antidotes (idarucizumab, andexanet alfa) and developing ones (ciraparantag) show promise.
Conclusions:
- Nanotechnology-based DDS overcome limitations of conventional anticoagulants, enhancing compliance and safety.
- Barriers to adoption include cost, immunogenicity, and regulatory hurdles.
- Antidotes improve safety but raise concerns about accessibility and affordability.
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