American Society of Hirudotherapy

Recombinant hirudin in clinical practice: focus on lepirudin

Research article published in Circulation (2001)

Last Updated: March 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Drug DevelopmentClinical TrialsGreinacher A, Lubenow N · Circulation, 2001

Abstract

Clinical applications for recombinant hirudins have been investigated for the past 10 years. The first indication for which a hirudin-lepirudin-has been approved is treatment of heparin-induced thrombocytopenia (HIT). Also, the recently completed trials for use of lepirudin in unstable angina indicate a potentially new indication. This review describes pharmacology and clinical applications of lepirudin with an emphasis on HIT and unstable angina. An overview of usage of lepirudin in acute coronary syndromes is given, as well as a summary of rare indications for lepirudin, such as extracorporeal circulation, for which comprehensive data are lacking.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleReview
Indexed MeSH termsAngina, UnstableClinical Trials as TopicFibrinolytic AgentsHeparinHirudin TherapyHirudinsHumansRecombinant ProteinsThrombocytopenia

Summary

Clinical applications for recombinant hirudins have been investigated for the past 10 years. The first indication for which a hirudin-lepirudin-has been approved is treatment of heparin-induced thrombocytopenia (HIT).

Why This Matters for Hirudotherapy

Relevant to the development and clinical application of leech-derived pharmaceutical compounds.

Citation

Recombinant hirudin in clinical practice: focus on lepirudin.

Greinacher A, Lubenow N · Circulation, 2001

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Recombinant hirudin in clinical practice: focus on lepirudin | ASH