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
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]
Clinical Trials
Title | Posted | Study ID | Phase | Status | Sponsor |
---|---|---|---|---|---|
2024/10/30 | Phase 3 | Not yet recruiting | |||
2023/11/09 | Phase 4 | Recruiting | Medical University of Warsaw | ||
2023/02/08 | N/A | Completed | |||
2022/08/08 | Not Applicable | Not yet recruiting | |||
2022/05/23 | Not Applicable | Completed | |||
2022/03/03 | Phase 2 | Withdrawn | |||
2021/06/18 | Phase 4 | Completed | |||
2020/12/11 | Phase 1 | Active, not recruiting | |||
2018/11/07 | Phase 4 | UNKNOWN | |||
2017/10/16 | Phase 4 | UNKNOWN | Chang Gung Memorial Hospital |
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 |
EMA Drug Approvals
Approved Product | Authorization Holder | Status | Issued Date |
---|---|---|---|
Authorised | 6/8/2004 | ||
Withdrawn | 10/5/2008 |
HSA Drug Approvals
Approved Product | Manufacturer | Approval Number | Dosage Form | Strength | Approval Date |
---|---|---|---|---|---|
TACHOSIL, MEDICATED SPONGE | SIN14441P | SPONGE | 2.0 IU per sq cm | 11/20/2013 | |
EVICEL Fibrin Sealant (Human) Solution, 50-90 mg/ml, 800-1200 IU/ml | SIN13921P | SOLUTION | 800-1200 IU/ml | 2/23/2011 | |
VERASEAL SOLUTIONS FOR SEALANT, 80 mg/ml, 500 IU/ml | SIN16143P | SOLUTION | 500 IU/ml | 4/1/2021 | |
ARTISS SOLUTIONS FOR SEALANT, DEEP FROZEN | SIN14719P | SOLUTION | 3.2– 5.0 IU/ml | 1/6/2015 |
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. |
TGA Drug Approvals
Approved Product | ARTG ID | Sponsor | Registration Type | Status | Registration Date |
---|---|---|---|---|---|
ARTISS fibrin sealant VH S/D 4 IU (frozen) solution for sealant syringe | 163515 | Medicine | A | 8/19/2010 | |
TISSEEL VH S/D fibrin sealant syringe | 147141 | Medicine | A | 3/13/2009 | |
TACHOSIL human fibrinogen 5.5mg/square cm and human thrombin 2.0IU/square cm medicated sponge blister pack | 176631 | Medicine | A | 3/22/2012 | |
VeraSeal solutions for sealant 4 mL (Human fibrinogen 80 mg/mL syringe 2 ml / Human thrombin 500 IU/mL syringe 2 ml) | 336835 | Medicine | A | 11/3/2021 | |
VeraSeal solutions for sealant 2 mL (Human fibrinogen 80 mg/mL syringe 1 mL / Human thrombin 500 IU/mL syringe 1 mL) | 335950 | Medicine | A | 11/2/2021 | |
VeraSeal solutions for sealant 6 mL (Human fibrinogen 80 mg/mL syringe 3 ml / Human thrombin 500 IU/mL syringe 3 ml) | 336836 | Medicine | A | 11/3/2021 | |
VeraSeal solutions for sealant 10 mL (Human fibrinogen 80 mg/mL syringe 5 ml / Human thrombin 500 IU/mL syringe 5 ml) | 336837 | Medicine | A | 11/3/2021 |
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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