Mr. Ibrahem/Betrixaban
Clinical data
Trade namesBevyxxa, Dexxience, other
Other namesPRT054021, PRT064445
AHFS/Drugs.comMonograph
Routes of
administration
By mouth
Drug classAnticoagulant (direct factor Xa inhibitor)[1]
Legal status
Legal status
Pharmacokinetic data
Protein binding60%
Elimination half-life19–27 hrs
Duration of action≥72 hrs
Excretion85% feces, 11% urine
Identifiers
  • N-(5-Chloropyridin-2-yl)-2-([4-(N,N-dimethylcarbamimidoyl)benzoyl]amino)-5-methoxybenzamide
Chemical and physical data
FormulaC23H22ClN5O3
Molar mass451.905 g·mol−1
3D model (JSmol)
  • CN(C)C(=N)C1=CC=C(C=C1)C(=O)NC2=C(C=C(C=C2)OC)C(=O)NC3=NC=C(C=C3)Cl
  • InChI=1S/C23H22ClN5O3/c1-29(2)21(25)14-4-6-15(7-5-14)22(30)27-19-10-9-17(32-3)12-18(19)23(31)28-20-11-8-16(24)13-26-20/h4-13,25H,1-3H3,(H,27,30)(H,26,28,31) checkY
  • Key:XHOLNRLADUSQLD-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Betrixaban, sold under the brand name Bevyxxa among others, was an anticoagulant used to prevent blood clots in veins in at risk adults, hospitalized for an illness.[2] It has a higher rate of bleeding compared to enoxaparin.[3] It was taken by mouth.[2]

Common side effects include bleeding.[1] Other side effects may include allergic reactions.[1] Safety in pregnancy is unclear.[1] It is a direct factor Xa inhibitor.[1]

Betrixaban was approved for medical use in the United States in 2017; however, has been subsequently discontinued.[1] It was refused approval in Europe in 2018 due to concerns regarding effectiveness and safety.[3]

References edit

  1. ^ a b c d e f g h "Betrixaban Monograph for Professionals". Drugs.com. Archived from the original on 25 January 2021. Retrieved 10 January 2022.
  2. ^ a b Research, Center for Drug Evaluation and. "Approved Drugs - FDA approved betrixaban (BEVYXXA, Portola) for the prophylaxis of venous thromboembolism (VTE) in adult patients". www.fda.gov. Archived from the original on 2018-07-25. Retrieved 2018-10-29.
  3. ^ a b "Dexxience". Archived from the original on 10 April 2021. Retrieved 10 January 2022.