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**Pegnivacogin + anivamersen** is an investigational, actively controllable anticoagulation system developed for anticoagulation during percutaneous coronary intervention in acute coronary syndrome and coronary artery disease. Pegnivacogin is a PEGylated 31-nucleotide single-stranded RNA aptamer that directly and selectively inhibits activated coagulation factor IX, while anivamersen is a complementary 15-nucleotide oligonucleotide reversal agent that binds pegnivacogin through Watson-Crick base pairing and neutralizes its anticoagulant activity. Development of the REG1 system, later branded Revolixys Kit, was terminated after severe immediate allergic reactions associated with pre-existing anti-PEG antibodies occurred during clinical development. ([thelancet.com](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2900515-2/fulltext))
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