Lm. Hiebert et al., Antithrombotic efficacy in a rat model of the low molecular weight heparin, reviparin sodium, administered by the oral route, THROMB HAEM, 85(1), 2001, pp. 114-118
Previous studies in rats shaw that unfractionated heparin and the low molec
ular weight heparin logiparin have a dose-dependent antithrombotic effect a
nd are found in endothelium and plasma when administered orally. Objectives
of the present study were to determine if similar evidence of absorption c
ould be observed with oral reviparin sodium. Thrombosis incidence was deter
mined 4 h after application of 10% formalin in methanol to the exposed jugu
lar vein. A dose-dependent antithrombotic effect was observed when 0.01 to
7.5 mg/kg (20 rats/group) was administered by stomach tube immediately foll
owing thrombus initiation. Thrombotic incidence was also significantly redu
ced when 0.025 mg/kg was given 4 and 2 h prior to, immediately after, and 2
and 3 h following thrombus initiation. Reviparin was recovered from endoth
elium and plasma in trace amounts at all doses. At 0.025 mg/kg, peak aortic
endothelial reviparin concentrations were found at 1 and 2 h and peak plas
ma anti-Xa activity was detected at 2 h. Trace amounts of plasma TFPI were
found only at 8 h after administration. Dose-dependent antithrombotic activ
ity and recovery from endothelium and plasma support the hypothesis that or
ally administered reviparin sodium is absorbed.