PMID- 20730701 OWN - NLM STAT- MEDLINE DCOM- 20110202 LR - 20100823 IS - 2040-3429 (Electronic) IS - 1472-4472 (Linking) VI - 11 IP - 9 DP - 2010 Sep TI - M-118, a novel, low-molecular-weight heparin for the potential treatment of cardiovascular disorders. PG - 1059-65 AB - Safe inhibition of thrombosis is a key therapeutic strategy in modern cardiovascular medicine, and both unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) are commonly used in clinical practice. However, both have several drawbacks, such as the unpredictable pharmacokinetics of UFH and the non-reversibility of LMWH. M-118, being developed by Momenta Pharmaceuticals Inc, is a novel LMWH that has been engineered to overcome the drawbacks of UFH and currently available LMWHs, while maintaining their beneficial attributes. In preclinical studies and phase I clinical trials, M-118 demonstrated potent activity against thrombin and Factor Xa, which could be reversed with protamine; M-118 also demonstrated a high and predictable bioavailability, and a short half-life. Promising results were observed in a phase II clinical trial in patients undergoing coronary interventions, although phase III clinical trials are required to establish the role for M-118 in contemporary medicine. FAU - Shah, Hriday AU - Shah H AD - University of Michigan, Division of Cardiovascular Medicine, 2A394, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5853, USA. FAU - Gurm, Hitinder S AU - Gurm HS LA - eng PT - Journal Article PL - England TA - Curr Opin Investig Drugs JT - Current opinion in investigational drugs (London, England : 2000) JID - 100965718 RN - 0 (Anticoagulants) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (M-118 compound) RN - EC 3.4.21.5 (Thrombin) SB - IM MH - Animals MH - Anticoagulants/adverse effects/pharmacokinetics/pharmacology/therapeutic use MH - Cardiovascular Diseases/*drug therapy MH - Clinical Trials as Topic MH - Dogs MH - Drug Evaluation, Preclinical MH - Heparin, Low-Molecular-Weight/adverse effects/pharmacokinetics/pharmacology/*therapeutic use MH - Humans MH - Male MH - Mice MH - Mice, Knockout MH - Rabbits MH - Rats MH - Thrombin/antagonists & inhibitors MH - Thrombosis/drug therapy EDAT- 2010/08/24 06:00 MHDA- 2011/02/03 06:00 CRDT- 2010/08/24 06:00 PHST- 2010/08/24 06:00 [entrez] PHST- 2010/08/24 06:00 [pubmed] PHST- 2011/02/03 06:00 [medline] PST - ppublish SO - Curr Opin Investig Drugs. 2010 Sep;11(9):1059-65.