PMID- 26686866 OWN - NLM STAT- MEDLINE DCOM- 20161104 LR - 20161230 IS - 1747-4094 (Electronic) IS - 1747-4094 (Linking) VI - 9 IP - 2 DP - 2016 TI - Andexanet alfa for the reversal of Factor Xa inhibitor related anticoagulation. PG - 115-22 LID - 10.1586/17474086.2016.1135046 [doi] AB - Andexanet alfa is a specific reversal agent for Factor Xa inhibitors. The molecule is a recombinant protein analog of factor Xa that binds to Factor Xa inhibitors and antithrombin:LMWH complex but does not trigger prothrombotic activity. In ex vivo, animal, and volunteer human studies, andexanet alfa (AnXa) was able to dose-dependently reverse Factor Xa inhibition and restore thrombin generation for the duration of drug administration. Further trials are underway to examine its safety and efficacy in the population of patients experiencing FXa inhibitor-related bleeding. FAU - Ghadimi, Kamrouz AU - Ghadimi K AD - a Divisions of Cardiothoracic Anesthesiology & Critical Care Medicine , Duke University Medical Center , Durham , NC , USA. FAU - Dombrowski, Keith E AU - Dombrowski KE AD - b Department of Neurology , Duke University Medical Center , Durham , NC , USA. FAU - Levy, Jerrold H AU - Levy JH AD - a Divisions of Cardiothoracic Anesthesiology & Critical Care Medicine , Duke University Medical Center , Durham , NC , USA. FAU - Welsby, Ian J AU - Welsby IJ AD - a Divisions of Cardiothoracic Anesthesiology & Critical Care Medicine , Duke University Medical Center , Durham , NC , USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Expert Rev Hematol JT - Expert review of hematology JID - 101485942 RN - 0 (Factor Xa Inhibitors) RN - 0 (PRT064445) RN - 0 (Recombinant Proteins) RN - EC 3.4.21.6 (Factor Xa) SB - IM MH - Animals MH - Blood Coagulation/*drug effects MH - Clinical Trials, Phase I as Topic MH - Clinical Trials, Phase II as Topic MH - Clinical Trials, Phase III as Topic MH - Drug Evaluation, Preclinical MH - Factor Xa/metabolism/*pharmacology/*therapeutic use MH - Factor Xa Inhibitors/*metabolism MH - Humans MH - Protein Binding MH - Recombinant Proteins/metabolism/*pharmacology/*therapeutic use OTO - NOTNLM OT - Andexanet alfa OT - Apixaban OT - Factor Xa inhibitors OT - Hemostasis OT - Morpholines OT - Prothrombinase OT - Rivaroxaban OT - Thiophenes OT - Thrombin Generation OT - Thrombosis EDAT- 2015/12/22 06:00 MHDA- 2016/11/05 06:00 CRDT- 2015/12/22 06:00 PHST- 2015/12/22 06:00 [entrez] PHST- 2015/12/22 06:00 [pubmed] PHST- 2016/11/05 06:00 [medline] AID - 10.1586/17474086.2016.1135046 [doi] PST - ppublish SO - Expert Rev Hematol. 2016;9(2):115-22. doi: 10.1586/17474086.2016.1135046.