PMID- 16156690 OWN - NLM STAT- MEDLINE DCOM- 20051129 LR - 20181201 IS - 1175-3277 (Print) IS - 1175-3277 (Linking) VI - 5 IP - 5 DP - 2005 TI - Fondaparinux sodium: a review of its use in the treatment of acute venous thromboembolism. PG - 335-46 AB - Fondaparinux sodium (fondaparinux) is a synthetic sulfated pentasaccharide anticoagulant developed from the antithrombin binding moiety of heparin. Through the activation of antithrombin it inhibits Factor Xa, the activation of thrombin, and the subsequent coagulation cascade. Fondaparinux is approved in Europe and the US for the treatment of acute venous thromboembolism (VTE), including both deep vein thrombosis (DVT) and pulmonary embolism (PE), when used in conjunction with warfarin. In phase III clinical trials, subcutaneous fondaparinux was noninferior to subcutaneous enoxaparin or intravenous unfractionated heparin (UFH) in the prevention of recurrent symptomatic VTE in patients with acute DVT and PE, respectively, and equally well tolerated. It thus provides a valuable alternative to UFH and low-molecular weight heparins in the treatment of acute VTE, particularly in the outpatient setting. FAU - Robinson, Dean M AU - Robinson DM AD - Adis International Inc., Yardley, Pennsylvania 19067, USA. demail@adis.com FAU - Wellington, Keri AU - Wellington K LA - eng PT - Journal Article PL - New Zealand TA - Am J Cardiovasc Drugs JT - American journal of cardiovascular drugs : drugs, devices, and other interventions JID - 100967755 RN - 0 (Anticoagulants) RN - 0 (Polysaccharides) RN - 9000-94-6 (Antithrombin III) RN - J177FOW5JL (Fondaparinux) SB - IM MH - Acute Disease MH - Anticoagulants/*therapeutic use MH - Antithrombin III/*therapeutic use MH - Clinical Trials as Topic MH - Fondaparinux MH - Humans MH - Polysaccharides/adverse effects/pharmacokinetics/pharmacology/*therapeutic use MH - Venous Thrombosis/*drug therapy EDAT- 2005/09/15 09:00 MHDA- 2005/12/13 09:00 CRDT- 2005/09/15 09:00 PHST- 2005/09/15 09:00 [pubmed] PHST- 2005/12/13 09:00 [medline] PHST- 2005/09/15 09:00 [entrez] AID - 557 [pii] AID - 10.2165/00129784-200505050-00007 [doi] PST - ppublish SO - Am J Cardiovasc Drugs. 2005;5(5):335-46. doi: 10.2165/00129784-200505050-00007.