Key result
A single 0.8 mg/kg dose of the monoclonal antibody 7E3 F(ab')2 fragment significantly reduced reocclusion and mortality compared with placebo in a canine model of coronary thrombolysis.
Why the study?
Does monoclonal antibody 7E3 F(ab')2 fragment prevent coronary artery rethrombosis and mortality after successful thrombolysis with rt-PA in a chronic canine model?
Does monoclonal antibody 7E3 F(ab')2 fragment prevent coronary artery rethrombosis and mortality after successful thrombolysis with rt-PA in a chronic canine model?
In a canine model, adjunctive therapy with the GPIIb/IIIa inhibitor 7E3 F(ab')2 fragment significantly reduces reocclusion and mortality after rt-PA thrombolysis.
Supports testing GPIIb/IIIa inhibition in human thrombolysis trials; leaves open clinical translation from canine data.
Summary We examined the efficacy of the monoclonal antibody (MoAb) 7E3 F(ab')2 fragment, an inhibitor of the platelet glycoprotein (GP)Hb/IIIa receptor, to prevent coronary artery rethrombosis after successful thrombolysis with rt-PA. The circumflex coronary artery of anesthetized dogs was instrumented with a flow probe, an electrode, and a stenosis. After recovery from the surgical procedure, the animals were reanesthetized on postoperative day 9, and vessel wall injury was induced with current applied to the intimal surface of the circumflex coronary artery. The resulting occlusive thrombus was aged for 30 min, and recombinant tissue plasminogen activator (rt-PA) was administered. The animals were allocated to receive either placebo or a single dose of 7E3 [0.8 mg/kg intravenous (i.v.) bolus] as the sole adjunctive agent. Ex vivo platelet function and coronary artery blood flow velocity were recorded on each of 5 consecutive days. Reocclusion and mortality were reduced significantly in animals treated with 7E3 as compared with the placebo-treated group. Significant inhibition of ex vivo platelet aggregation persisted for 48 h after a single injection of 7E3. The MoAb 7E3 F(ab')2 fragment is effective as the sole adjunctive agent with rt-PA for prevention of rethrombosis. The present study is unique in that it examined the efficacy of GPIIb/IIIa inhibition in an experimental model for an extended time, demonstrating the duration of antiplatelet therapy required to prevent rethrombosis after thrombolysis.
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Rote et al. (1994) studied Coronary artery rethrombosis. Monoclonal antibody 7E3 F(ab')2 fragment vs. Placebo was evaluated on Reocclusion and mortality. A single 0.8 mg/kg dose of the monoclonal antibody 7E3 F(ab')2 fragment significantly reduced reocclusion and mortality compared with placebo in a canine model of coronary thrombolysis.
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