Commentary: The ETP-based APC resistance assay remains the gold standard for evaluating the APC resistance phenotype in users of combined oral contraceptives
- PMID: 40734977
- PMCID: PMC12305808
- DOI: 10.3389/fcvm.2025.1611404
Commentary: The ETP-based APC resistance assay remains the gold standard for evaluating the APC resistance phenotype in users of combined oral contraceptives
Keywords: ETP-based APC resistance assay; activated protein C (APC); activated protein C resistance; combined oral contraceptives (COC); endogenous thrombin potential (ETP); thrombomodulin (TM).
Conflict of interest statement
Author LM was employed by the company Qualiblood sa. JD is the founder of Qualiblood sa, a company involved in the development and validation of the ETP-based activated protein C resistance assay. JD received consultancy fees from Gedeon Richter, Estetra, and Mithra Pharmaceuticals. The authors declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
Comment on
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Thrombomodulin is a stronger indicator of combined oral contraceptives-induced activated protein C pathway resistance in the thrombin generation test than activated protein C.Front Cardiovasc Med. 2024 Nov 29;11:1490601. doi: 10.3389/fcvm.2024.1490601. eCollection 2024. Front Cardiovasc Med. 2024. PMID: 39677039 Free PMC article.
References
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- Douxfils J, Raskin L, Didembourg M, Donis N, Dogne J-M, Morimont L, et al. Are natural estrogens used in contraception at lower risk of venous thromboembolism than synthetic ones? A systematic literature review and meta-analysis. Front Endocrinol (Lausanne). (2024) 15:1428597. 10.3389/fendo.2024.1428597 - DOI - PMC - PubMed
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- Douxfils J, Morimont L, Delvigne A-S, Devel P, Masereel B, Haguet H, et al. Validation and standardization of the ETP-based activated protein C resistance test for the clinical investigation of steroid contraceptives in women: an unmet clinical and regulatory need. Clin Chem Lab Med. (2020) 58(2):294–305. 10.1515/cclm-2019-0471 - DOI - PubMed
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