USA-based Cubist Pharmaceuticals has begun dosing in the Phase II CONSERV-1 trial with ecallantide for the reduction of blood loss volume during on-pump cardiothoracic surgery.
Ecallantide is a potent inhibitor of plasma kallikrein, and CONSERV-1 will evaluate the effects of such inhibition in patients on cardiopulmonary bypass during cardiothoracic surgery. Such surgical environments are associated with the activation of plasma kallikrein and subsequent activation of coagulation, fibrinolytic and inflammatory cascades, which likely contribute to blood loss and blood transfusion requirements in the perioperative setting.
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