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June 28, 2008Clinical & Laboratory Haematology

Maintenance control of oral anticoagulant therapy by an automated chromogenic substrate assay of factor X

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Key result

An automated chromogenic substrate assay of factor X (S 2337) correlated well with Thrombotest, yielding fully concordant therapeutic classification in 76% of patients on warfarin.

Why the study?

Does an automated chromogenic substrate assay of factor X correlate with standard coagulation assays for monitoring oral anticoagulant therapy in patients on warfarin?

Population

25 healthy controls and 375 patients on warfarin therapy (total n=400)

Comparison

Automated amidolytic assay of factor X based on… vs One stage coagulation factor X assay and…

Design

Cross-sectional

Authors

JEJ G ErskineIWIsobel D. WalkerCross-Cutting CardiologyJDJ.F. DavidsonUniversity of Cambridge

Discussion

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Implication

Supports further evaluation of chromogenic factor X assay for warfarin monitoring; leaves open prospective outcome validation.

Study Design

Type

Observational (n=400)

Structured PICO

Does an automated chromogenic substrate assay of factor X correlate with standard coagulation assays for monitoring oral anticoagulant therapy in patients on warfarin?

P
Population
400 participants, comprising 25 healthy controls and 375 patients on Warfarin therapy, evaluated for factor X assay correlation.
E
Exposure
Automated amidolytic assay of factor X based on chromogenic peptide substrate S 2337
C
Comparator
One stage coagulation factor X assay (in controls) and Thrombotest (in patients)
O
Outcome
Correlation between the S 2337 factor X assay and standard coagulation assayssurrogate

An automated chromogenic substrate assay of factor X correlates well with standard tests and provides concordant clinical classification in 76% of patients on warfarin therapy, suggesting its potential for monitoring maintenance oral anticoagulation.

Cite This Study

Erskine et al. (2008) conducted an observational in Patients on Warfarin therapy (n=400). Automated chromogenic substrate assay of factor X (S 2337) vs. Thrombotest and one stage coagulation factor X assay was evaluated on Concordant classification of patients according to proposed therapeutic ranges. An automated chromogenic substrate assay of factor X (S 2337) correlated well with Thrombotest, yielding fully concordant therapeutic classification in 76% of patients on warfarin.

synapsesocial.com/papers/6a9484a05d6407e08e01009chttps://doi.org/10.1111/j.1365-2257.1982.tb00344.x

Topics

Anticoagulation in AF
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Spectrophotometric Assays of Prothrombin in Plasma of Patients Using Oral Anticoagulants1979 · 42 citations