Factor XI inhibition in hemodialysis patients: the safer anticoagulation?

Kidney Int

Division of Nephrology and Rheumatology, Rheinisch Westfälische Technische Hochschule (RWTH) University of Aachen, Aachen, Germany; Division of Cardiology, RWTH University of Aachen, Aachen, Germany. Electronic address:

Published: July 2024

AI Article Synopsis

  • Chronic hemodialysis patients face high cardiovascular risks and increased chances of blood clots and bleeding.
  • Factor XI inhibitors, such as fesomersen, may offer effective anticoagulation with a reduced risk of bleeding.
  • A recent phase 2 study on fesomersen indicated it is safe for these patients and may lower clotting rates in dialysis systems.

Article Abstract

Chronic hemodialysis patients exhibit an excessive cardiovascular risk and a marked increase in both thromboembolism and bleeding episodes. Factor XI inhibition may provide anticoagulation, with a low risk of bleeding, and several factor XI inhibitors, including fesomersen, an antisense oligonucleotide, are under development. Recently, a phase 2 study of fesomersen showed a good safety profile in chronic hemodialysis patients and suggested that clotting rates of the arteriovenous fistula and the dialysis circuit are lower.

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Source
http://dx.doi.org/10.1016/j.kint.2024.03.029DOI Listing

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