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論文名	No clinically relevant interaction between sugammadex and aspirin on platelet aggregation and coagulation parameters.
著者	Pieter-Jan de Kam Rachid El Galta Annelieke C Kruithof Hein Fennema Marie-Jos? van Lierop Katsuhiro Mihara Jacobus Burggraaf Matthijs Moerland Pierre Peeters Matthew D Troyer
キーワード
出版年月	1970年1月
発表先	Int J Clin Pharmacol Ther. 2013 Dec;51(12):976-85.
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論文概要（和文）	スガマデックスとアスピリンの血小板凝集と凝固パラメーターの臨床的に関連する相互作用はありません。
論文概要（英文）	Objectives: This study evaluated interaction potential between sugammadex and aspirin on platelet aggregation. Methods: This was a randomized, double-blind, placebo-controlled, four-period crossover study in 26 healthy adult males. Treatments were i.v. placebo, i.v. sugammadex 4 mg/kg, and i.v. placebo/sugammadex with oncedaily oral aspirin 75 mg. Primary objective was to assess interaction between sugammadex and aspirin on platelet aggregation using collagen-induced whole-blood aggregometry. Effects on activated partial thromboplastin time (APTT) and cutaneous bleeding time were also evaluated. Platelet aggregation and APTT were evaluated by geometric mean ratios, using area-under-effect curves 3 - 30 minutes after sugammadex/placebo dosing. Bleeding time ratio was evaluated at 5 minutes post-dosing. Non-inferiority margins were pre-specified via literature review. Type I error was controlled using a hierarchical strategy. Results: Ratio for platelet aggregation for aspirin with sugammadex vs. aspirin alone was 1.01, with lower limit of two-sided 90% CI of 0.91(above non-inferiority margin of 0.75). Ratio for statistical interaction between sugammadex and aspirin on APTT was 1.01, with upper 90% CI of 1.04 (below non-inferiority margin of 1.50), and for sugammadex vs. placebo alone was 1.06, with an upper 90% CI of 1.07 (below non-inferiority margin of 1.50). Ratio for bleeding time for aspirin with sugammadex vs. aspirin plus placebo was 1.20, with upper 90% CI of 1.45 (below non-inferiority margin of 1.50). Sugammadex was generally well tolerated. Conclusion: There was no clinically relevant reduction in platelet aggregation with addition of sugammadex 4 mg/kg to aspirin. Pre-determined non-inferiority margins were not exceeded for bleeding time and APTT.