Mesure de la génération de thrombine et son application pour la surveillance pharmacothérapeutique de l'héparine de faible poids moléculaire chez le chien
Dalteparin is an anticoagulant used to prevent and treat thrombotic disorders in dogs. Measurement of anti-factor Xa (FXa) activity is currently used for monitoring therapy, but remains a non-functional test. The aim of this study was to investigate if a thrombin generation (TG) assay could be used for the in vitro evaluation of the effects of dalteparin on canine plasma, as well as for monitoring the pharmacodynamic effects of dalteparin administration in healthy dogs. Normal TG parameters were assessed in plasma from 25 adult beagles and 11 client-owned healthy dogs. Pooled plasma was spiked with dalteparin to obtain 9 final increasing concentrations. TG, anti-FXa activity and activated partial thromboplastin time (aPTT) were measured for each concentration. 24 healthy beagles were randomized across four equal groups. À single SC dose of 50 U/kg, 100 U/kg or 150 U/kg of dalteparin was given and compared to a placebo group. Platelet poor plasma (PPP) was collected over 24 hours and assed by TG, anti-FXa activity and aPTT. In vitro results showed that dalteparin exerted a concentration-dependent anticoagulant effect on TG parameters and TG and anti-FXa activity were more sensitive than aPTT to detect these effects. The pharmacodynamics study showed a time, dose and time*dose interaction that significantly affected TG and anti-FXa parameters. TG can be employed to measure the pharmacodynamics effects of dalteparin at different doses in healthy dogs.
pharmacodynamie in vitro anticoagulation anti-FXa daltparin thrombin generation