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The effect of prion reduction in solvent/detergent-treated plasma on haemostatic variables

Lawrie, AS; Green, L; Canciani, MT; Mackie, IJ; Peyvandi, F; Scully, MA; Machin, SJ; (2010) The effect of prion reduction in solvent/detergent-treated plasma on haemostatic variables. VOX SANG , 99 (3) 232 - 238. 10.1111/j.1423-0410.2010.01346.x.

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Abstract

BackgroundOctapharma PPGmbH has recently modified its manufacturing process for solvent/detergent-treated plasma to incorporate a prion reduction step, in which a 3 log reduction has been demonstrated. The current study was undertaken to assess the impact of this procedure on haemostatic variables in the new product OctaplasLG in comparison with standard Octaplas.MethodsProduction batches of standard Octaplas (n = 4) and OctaplasLG (n = 16) were assessed for levels of coagulation factors, physiological protease inhibitors, markers of activation and procoagulant microparticles. Global haemostasis was assessed by a thrombin generation test (TGT) and rotational thromboelastometry (ROTEM).ResultsMean levels of factors: II, V, VII, IX, X, XI, XII and XIII, VWF:Ag, antithrombin, protein C and free protein S were all > 75 u/dl. ADAMTS-13 activity levels were normal. Factor VIII and VWF:RCo were > 55 u/dl. TGT and ROTEM were similar in both preparations, and microparticles were present at negligible levels. Two units of OctaplasLG had slightly elevated levels of Prothrombin Fragments 1 + 2, but D-Dimer and thrombin-antithrombin complexes were normal in all batches.ConclusionThese studies indicate that the affinity chromatography procedure used in OctaplasLG does not appear to adversely affect the proven haemostatic quality of Octaplas, while offering a selective reduction in the concentration of pathological prion proteins.

Type: Article
Title: The effect of prion reduction in solvent/detergent-treated plasma on haemostatic variables
DOI: 10.1111/j.1423-0410.2010.01346.x
Keywords: endogenous thrombin potential, fresh-frozen plasma, Octaplas (R), OctaplasLG (R), prion reduction, S, D plasma, thrombin generation test, FRESH-FROZEN PLASMA, THROMBOTIC THROMBOCYTOPENIC PURPURA, VON-WILLEBRAND-FACTOR, ABO BLOOD-GROUP, FACTOR-VIII, LIGHT, CRYOSUPERNATANT, GENERATION, GUIDELINES, REMOVAL
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Haematology
URI: http://discovery.ucl.ac.uk/id/eprint/408926
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