A hematological assay is described in which the blood coagulation potential of
a body fluid is assessed by reacting a sample of the body fluid with an amount
of an activator reagent comprising: (a) a predetermined amount of factor Xa or
a hematologically equivalent mutant thereof, and (b) a predetermined amount of
factor Va, a hematologically equivalent mutant thereof or an enzyme activating
endogenous factor V, (c) (optionally) phospholipids. The reagent may be dry (e.g.
lyophilised) or in an aqueous solution preferably buffered to a pH from 6 to 10
(preferably 7 to 8), if desired incubating, if necessary inducing coagulation by
the addition of one or more coagulation accelerants such as calcium chloride, and
establishing a value indicative of the coagulation potential, e.g. by measuring
the time to clotting on an optical coagulometer or through use of a chromogenic
substrate. It is preferred to use at (b) factor V activator from purified Russell's
Viper venom (RVV-V). An activator reagent is also described containing the components
mentioned above preferably in one or more buffer solutions or in dried, e.g. lyophilised form.