Semin Thromb Hemost 2017; 43(07): 806-808
DOI: 10.1055/s-0037-1606861
Erratum
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Erratum: International Reports of Unexpected Low Plasma Concentrations of Dabigatran Suggest That More Frequent Measurements Will Add Value

Ruth L. Savage
1   WHO Collaborating Centre for International Drug Monitoring, Uppsala Monitoring Centre, Uppsala, Sweden
2   Department of Preventive and Social Medicine, New Zealand Pharmacovigilance Centre, University of Otago, Dunedin, New Zealand
3   Department of General Practice, University of Otago, Christchurch, New Zealand
,
Marilina Castellano
1   WHO Collaborating Centre for International Drug Monitoring, Uppsala Monitoring Centre, Uppsala, Sweden
,
Michael V. Tatley
2   Department of Preventive and Social Medicine, New Zealand Pharmacovigilance Centre, University of Otago, Dunedin, New Zealand
› Author Affiliations
Further Information

Address for correspondence

Ruth L. Savage, MBBS, MSc (Clin Pharmacol)
Centre for Adverse Reactions Monitoring (CARM), New Zealand Pharmacovigilance Centre
Department Preventive and Social Medicine, University of Otago
PO Box 913, Dunedin
New Zealand   

Publication History

Publication Date:
12 September 2017 (online)

 

    It has been brought to the publisher's attention that the reference citations in [Table 1] were incorrect in the above article in Seminars in Thrombosis and Hemostasis, Volume 43, Number 6, 2017 (DOI: 10.1055/s-0037-1603361).

    The references cited in the table are provided below. The correct table appears on the next page.

    5 Breuer L, Ringwald J, Schwab S, Köhrmann M. Ischemic stroke in an obese patient receiving dabigatran [letter]. N Engl JMed 2013;368(25):2440–2442

    6 Douros A, Schlemm L, Bolbrinker J, Ebinger M, Kreutz R. Insufficient anticoagulation with dabigatran in a patient with short bowel syndrome [letter]. Thromb Haemost 2014;112(02):419–420

    7 Sargento-Freitas J, Silva F, Pego J, Duque C, Cordeiro G, Cunha L. Cardioembolic stroke in a patient taking dabigatran etexilate: the first case report of clinical and pharmacologic resistance [letter]. J Neurol Sci 2014;346(1–2):348–349

    8 Lee D, DeFilipp Z, Judson K, Kennedy M. Subtherapeutic anticoagulation with dabigatran following Roux-en-Y bypass surgery [letter]. J Cardiol Cases 2013;8:e49–e50

    Table 1

    Published reports for dabigatran and below expected within therapy (or unexpectedly low) plasma concentrations

    Patient number

    Sex/Age

    Dose (mg)

    Duration of dabigatran use

    Time to concentration measurement

    Indication

    Concomitant drugs

    Thrombotic, ischemic or embolic events

    Dabigatran concentration method

    Dabigatran concentration

    aPTT

    Comments and other potential contributors

    1.

    Breuer et al, 20135

    M/48

    150 mg bd

    ∼31 d

    28 and 31 d

    AF paroxysmal

    Omeprazole

    Cerebral infarction, embolic

    Hemoclot

    Trough not detectable day of stroke, 10 h post dose

    After witnessed intake for 3 d, peak 50 ng/mL at 4 h

    Not reported

    Weight 153 kg. BMI 44.7, creatinine clearance 163 mL/min.

    2.

    Douros et al, 20146

    F/81

    110 mg bd

    Not stated

    3 mo

    AF

    Pantoprazole

    Lercanidipine

    Clonidine

    Metoprolol

    Triamterene

    Hydrochlorothiazide

    Furosemide

    Isosorbide mononitrate

    Dysarthria, facial palsy with AF, presumed diagnosis of cardioembolic stroke of cerebral artery

    Hemoclot

    Peak and trough concentrations, 2 and 12 h after witnessed administration, 31 and 21 ng/mL

    Normal at dabigatran trough

    Short-gut syndrome following surgery for embolic mesenteric ischemia

    SNPs affecting liver carboxylesterase and P-glycoprotein

    GFR (37–43 mL/min).

    3.

    Sargento-Freitas et al, 20147

    F/70

    110 mg bd

    31 d

    31 d

    AF, acute ischemic stroke, occlusion terminal segment right internal carotid artery

    Lorazepam

    Mirtazapine

    Furosemide

    Fluoxetine

    Simvastatin

    Bisoprolol

    Ramipril

    Digoxin

    Omeprazole

    None

    Hemoclot

    Peak concentrations after confirmed intake (ng/mL): 1) 40.6 at 31 d, 110 mg bd

    2) 41.9 at 5 d, 150 mg bd

    3) 45.0 at 7 d, 150 mg bd, interacting medicines stopped.

    Normal 7 h after dose in hospital, and at each point when dabigatran concentrations measured.

    Creatinine clearance 65 mL/min

    4.

    Lee et al, 20138

    F/67

    Dose not stated

    9 mo

    9 mo

    AF

    Pantoprazole

    None

    Not stated

    Trough concentration 21 ng/mL

    Not measured

    Roux-en-Y gastric bypass.

    Abbreviations: aPTT, activated partial thromboplastin time; AF, atrial fibrillation; bd, twice a day; BMI, body mass index; GFR, glomerular filtration rate; SNP, single nucleotide polymorphism.



    #

    No conflict of interest has been declared by the author(s).

    Address for correspondence

    Ruth L. Savage, MBBS, MSc (Clin Pharmacol)
    Centre for Adverse Reactions Monitoring (CARM), New Zealand Pharmacovigilance Centre
    Department Preventive and Social Medicine, University of Otago
    PO Box 913, Dunedin
    New Zealand