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Human thrombin

Generic Name
Human thrombin
Brand Names
Artiss, Evarrest, Evicel, Evithrom, Tachosil, Tisseel, Vistaseal
Drug Type
Biotech
CAS Number
9002-04-4
Unique Ingredient Identifier
6K15ABL77G

Overview

Human thrombin is a sterile solution, pH 6.8-7.2, containing highly purified human thrombin for the activation of clotting. Thrombin is a highly specific serine protease encoded by the F2 gene that transforms soluble fibrinogen into insoluble fibrin. This transformation mimics the final coagulation cascade step which involves the clotting mass that adheres to the wound surface and achieves hemostasis and sealing of open tissues. In particular, while human thrombin products are made from pooled human source plasma, recombinant thrombin is a human coagulation protein produced via recombinant DNA technology from a genetically modified Chinese hamster ovary cell line . Furthermore, human thrombin is manufactured by chromatographic purification of prothrombin from cryo-poor plasma followed by activation with calcium chloride .

Indication

Human thrombin is indicated as an aid to hemostasis whenever oozing blood and minor bleeding from capillaries and small venules are accessible and control of bleeding by standard surgical techniques (such as suture, ligature, or cautery) is ineffective or impractical. In combination with fibrinogen, it is used indicated as an adjunct to hemostasis for mild to moderate bleeding in adults undergoing surgery when control of bleeding by standard surgical techniques (such as suture, ligature, and cautery) is ineffective or impractical.

Associated Conditions

  • Bleeding
  • Suture rupture

Research Report

Published: Jul 30, 2025

An Expert Report on Human Thrombin (DB11571): A Plasma-Derived Topical Hemostatic Agent

I. Biochemical Profile and Pharmaceutical Formulation of Human Thrombin

1.1. Identification, Nomenclature, and Classification

Human thrombin is a highly purified, protein-based biotech therapeutic agent central to the process of hemostasis.[1] It is identified by the DrugBank Accession Number DB11571 and the Chemical Abstracts Service (CAS) Number 9002-04-4.[1] As a fundamental enzyme in the coagulation cascade, it is known by a variety of synonyms that reflect its biological function and origin, including Thrombin (human), Thrombin human plasma-derived, Trombina humana, Coagulation Factor IIa, fibrinogenase, and thrombofort.[1]

Biochemically, human thrombin is classified as a highly specific, endolytic serine protease belonging to the S1 (trypsin) family of enzymes.[1] It is encoded in the human genome by the F2 gene and is also categorized as a platelet activating factor due to its potent effects on platelet aggregation.[1] Its enzymatic activity is cataloged under the Enzyme Commission (EC) number 3.4.21.5.[4] This precise classification underscores its role as a targeted biological catalyst, distinct from small-molecule drugs, and places it within a well-understood family of proteolytic enzymes.

1.2. Source and Manufacturing: From Pooled Plasma to Purified Protein

The primary source material for therapeutic human thrombin is pooled human plasma, collected from carefully screened donors.[1] This origin is a critical feature that distinguishes it from two other classes of therapeutic thrombin: bovine-derived thrombin, which is purified from cow plasma, and recombinant thrombin (thrombin alfa), which is produced using recombinant DNA technology in a genetically modified Chinese Hamster Ovary (CHO) cell line.[1]

Continue reading the full research report

Clinical Trials

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Baxter Healthcare Corporation
0338-8701
TOPICAL
2.0 [USP'U] in 1 1
4/13/2022
Corza Medical GmbH
83078-704
TOPICAL
2.0 [USP'U] in 1 1
9/1/2023
Baxter Healthcare Corporation
0338-8702
TOPICAL
2.0 [USP'U] in 1 1
4/13/2022
Baxter Healthcare Corporation
0338-8704
TOPICAL
2.0 [USP'U] in 1 1
4/13/2022
Corza Medical GmbH
83078-701
TOPICAL
2.0 [USP'U] in 1 1
9/1/2023
Corza Medical GmbH
83078-702
TOPICAL
2.0 [USP'U] in 1 1
9/1/2023

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

Health Canada Drug Approvals

Approved Product
Company
DIN
Dosage Form
Strength
Market Date
VISTASEAL
02514222
Solution - Topical
500 UNIT / 1 ML
4/10/2023
ARTISS
baxter corporation
02326167
Solution - Topical
4 UNIT / ML
12/18/2011
TISSEEL
baxter corporation
02326132
Kit - Topical
500 UNIT / ML
12/14/2011
TACHOSIL
02439042
Patch - Topical
2 UNIT / SQ CM
9/18/2015
VISTASEAL
02514230
Solution - Topical
1000 UNIT / 2 ML
1/19/2022
EVICEL
02348497
Solution ,  Kit - Topical
1200 UNIT / ML
3/1/2011
TACHOSIL
02439026
Patch - Topical
2 UNIT / SQ CM
N/A
TISSEEL KIT VH 5.0
02233275
Liquid ,  Kit ,  Powder For Solution - Topical
20 UNIT / 5 ML
10/13/1998
TISSEEL KIT VH 5.0
02233275
Liquid ,  Kit ,  Powder For Solution - Topical
2500 UNIT / 5 ML
10/13/1998
VISTASEAL
02514257
Solution - Topical
2500 UNIT / 5 ML
2/16/2022

CIMA AEMPS Drug Approvals

Approved Product
Company
Registration Number
Pharmaceutical Form
Prescription Type
Status
TISSEEL SOLUCIONES PARA ADHESIVO TISULAR
Baxter S.L.
78896
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Commercialized
EVICEL SOLUCIONES PARA ADHESIVO TISULAR
08473002
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Not Commercialized
EVICEL SOLUCIONES PARA ADHESIVO TISULAR
08473003
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Not Commercialized
VERASEAL SOLUCIONES PARA ADHESIVO TISULAR
1171239001
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Not Commercialized
EVARREST MATRIZ ADHESIVA
13868001
MATRIZ ADHESIVA
Uso Hospitalario
Not Commercialized
TACHOSIL MATRIZ ADHESIVA
04277003
MATRIZ ADHESIVA
Uso Hospitalario
Not Commercialized
ARTISS SOLUCIONES PARA ADHESIVO TISULAR, ULTRACONGELADAS
Baxter S.L.
70914
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Commercialized
EVICEL SOLUCIONES PARA ADHESIVO TISULAR
108473001
SOLUCIÓN PARA ADHESIVO TISULAR
Uso Hospitalario
Not Commercialized
TACHOSIL MATRIZ ADHESIVA
04277001
MATRIZ ADHESIVA
Uso Hospitalario
Commercialized
RAPLIXA POLVO ADHESIVO TISULAR
Mallinckrodt Pharmaceuticals Ireland Limited
114985002
POLVO ADHESIVO TISULAR
Uso Hospitalario
Not Commercialized

Philippines FDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Philippines FDA approvals found for this drug.

Saudi SFDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Saudi SFDA approvals found for this drug.

Malaysia NPRA Drug Approvals

Approved Product
Company
Registration Number
Dosage Form
Strength
Approval Date
No Malaysia NPRA approvals found for this drug.

UK EMC Drug Information

Medicine Name
MA Holder
MA Number
Pharmaceutical Form
Active Ingredient
Authorization Date
No UK EMC drug information found for this drug.

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