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aprotonin; epsilon aminocaproic acid

University of Rochester · FDA-approved active Small molecule

This combination inhibits fibrinolysis by blocking plasmin-mediated clot breakdown, thereby reducing bleeding during and after surgery.

This combination inhibits fibrinolysis by blocking plasmin-mediated clot breakdown, thereby reducing bleeding during and after surgery. Used for Reduction of perioperative blood loss in cardiac surgery, Reduction of transfusion requirements in major surgical procedures.

At a glance

Generic nameaprotonin; epsilon aminocaproic acid
SponsorUniversity of Rochester
Drug classAntifibrinolytic agent
TargetPlasmin, kallikrein, plasminogen activators
ModalitySmall molecule
Therapeutic areaCardiovascular / Surgery
PhaseFDA-approved

Mechanism of action

Aprotinin is a serine protease inhibitor that directly inhibits plasmin and kallikrein, while epsilon aminocaproic acid is a lysine analog that competitively inhibits plasminogen activation. Together, they work synergistically to prevent excessive fibrin degradation and reduce perioperative blood loss in surgical patients.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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