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

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.