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Table 2 Constituents of commercially available PCCs in Europe (based on product labeling*)

From: Bench-to-bedside review: Optimising emergency reversal of vitamin K antagonists in severe haemorrhage – from theory to practice

 

Factor content

Antithrombotic content

 

II

VII

IX

X

Protein C, S, Z (label IU/ml)

  

Product (manufacturer); international availability

Label IU/ml

Ratio

Label IU/ml

Ratio

Label IU/ml

Ratio

Label IU/ml

Ratio

C

S

Z

ATIII (label IU/ml)

Heparin (label IU/ml)

Beriplex P/N (CSL Behring); major western European countries

20–48

133%

10–25

69%

20–31

100%

22–60

161%

15–45

13–26

Not in label

0.2–1.5

0.4–2.0

Octaplex (Octapharma); major western European countries

11–38

98%

9–24

66%

25

100%

18–30

96%

7–31

7–32

Not in label

Not in label

Not in label

Prothromplex Total/S-TIM 4 Immuno (Baxter); Sweden, Germany, Austria

30

100%

25

83%

30

100%

30

100%

>20

Not in label

Not in label

0.75–1.5

<15

Prothromplex TIM 3 (Baxter); Italy, Austria

25

100%

Not in label

-

25

100%

25

100%

Not in label

Not in label

Not in label

Not in label

3.75

Cofact/PPSB SD (Sanquin/CAF); Netherlands, Belgium, Austria, Germany

≥ 15

75%

≥ 5

25%

≥ 20

100%

≥ 15

75%

Not in label

Not in label

Not in label

Present, not quantified

Not in label

Kaskadil (LFB); France

40

160%

25

100%

25

100%

40

160%

Not in label

Not in label

Not in label

Not in label

Present, not quantified

Uman Complex DI (Kedrion); Italy

25

100%

Not in label

0%

25

100%

20

80%

Not in label

Not in label

Not in label

Present, not quantified

Present, not quantified

PPSB-human SD/Nano (Octapharma); Germany

25–55

130%

7.5–20

45%

24–37.5

100%

25–55

130%

20–50

5–25

Not in label

0.5–3

0.5–6

  1. Factor content ratios are based on the content of factor IX [27]. *In Europe, ranges are usually given on the product label, in accordance with the European Pharmacopoeia; single values are generally from older, national registrations. ATIII, antithrombin III; PCC, prothrombin complex concentrate. Reproduced from Levy et al. Perioperative hemostatic management of patients treated with vitamin K antagonists [27]. Reproduced with permission from Lippincott Williams & Wilkins (http://www.lww.com/)