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January 1, 2002Arteriosclerosis Thrombosis and Vascular Biology

Pharmacokinetics and Pharmacodynamics of AJW200, a Humanized Monoclonal Antibody to von Willebrand Factor, in Monkeys

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Key result

AJW200 provided sustained inhibition of platelet aggregation for up to 2 weeks without extensive prolongation of bleeding time compared to abciximab in cynomolgus monkeys.

Why the study?

Does AJW200 inhibit platelet aggregation without extensive bleeding time prolongation in cynomolgus monkeys and human platelets?

Population

Cynomolgus monkeys (in vivo) and human platelets (in vitro)

Comparison

AJW200 single bolus injection at 0.3, 1, and 3… vs Abciximab (0.4 mg/kg) and/or baseline/control

Design

Preclinical

Follow-up

Up to 2 weeks

Authors

SKShunsuke KageyamaSuzuki (Japan)HYHiroshi YamamotoShinshu UniversityHNHarumi NakazawaAjinomoto (Japan)

Discussion

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Implication

Does not support clinical use; leaves open translation of sustained GPIb-vWF inhibition to human trials.

Structured PICO

Does AJW200 inhibit platelet aggregation without extensive bleeding time prolongation in cynomolgus monkeys and human platelets?

P
Population
Cynomolgus monkeys (in vivo) and human platelets (in vitro)
I
Intervention
AJW200 (humanized anti-vWF monoclonal antibody) single bolus injection at 0.3, 1, and 3 mg/kg
C
Comparator
Abciximab (0.4 mg/kg) and/or baseline/control
O
Outcome
Platelet adhesion, aggregation, thrombin generation, and bleeding timesurrogate

AJW200 provides sustained antiplatelet effects via glycoprotein Ib-vWF blockade without extensive bleeding time prolongation, likely due to its shear-stress-dependent inhibitory action.

Cite This Study

Kageyama et al. (2002) studied this question. AJW200 vs. Abciximab was evaluated on Platelet aggregation and bleeding time. AJW200 provided sustained inhibition of platelet aggregation for up to 2 weeks without extensive prolongation of bleeding time compared to abciximab in cynomolgus monkeys.

synapsesocial.com/papers/6a93f2dc714eeec8661d4adahttps://doi.org/10.1161/hq0102.101520
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Antagonism of vWF Inhibits both Injury Induced Arterial and Venous Thrombosis in the Hamster1998 · 63 citations
  2. 2Abolition of cyclic flow variations in stenosed, endothelium-injured coronary arteries in nonhuman primates with a peptide fragment (VCL) derived from human plasma von Willebrand factor-glycoprotein Ib binding domain.1994 · 64 citations
  3. 3Platelet Adhesion to Collagen in Subtypes of Type I von Willebrand’s Disease Is Dependent on Platelet von Willebrand Factor1990 · 34 citations
  4. 4Enhanced Shear-Induced Platelet Aggregation in Acute Myocardial Infarction1999 · 108 citations
  5. 5Inhibition of platelet-mediated, tissue factor-induced thrombin generation by the mouse/human chimeric 7E3 antibody. Potential implications for the effect of c7E3 Fab treatment on acute thrombosis and "clinical restenosis".1996 · 399 citations