ximelagatran

Small moleculeexperimental

Ximelagatran is an anticoagulant that has been investigated extensively as a replacement for warfarin that would overcome the problematic dietary, drug interaction, and monitoring issues associated with warfarin therapy. In 2006, its manufacturer AstraZeneca announced that it would withdraw pending applications for marketing approval after reports of hepatotoxicity during trials, and discontinue its distribution in countries where the drug had been approved. — Wikipedia

Clinical trial activity

2 trials · 1 clinical orgs · 0 marketing orgs

Phase 1
0
Phase 2
2
Phase 3
1
Phase 4
0

Earliest trial started Aug 1, 1999 (NCT00206063)

Timeline

1990s

  1. Jan 1, 1999

    Earliest Phase 2 Sponsor(trial)

2000s

  1. Jan 1, 2005

    Earliest Phase 3 Sponsor(trial)

Indications

Mechanism of action

  • ThrombinINHIBITOR

    F2 inhibitor

    Ximelagatran is a prodrug that undergoes rapid enzymatic conversion to the active compound melagatran. Melagatran is a potent, competitive, and reversible direct inhibitor binding to the active site of soluble and clot-bound ¿-thrombin. It inhibits coagulation.

    Melagatran, the active molecule, binds to the arginine side pocket of thrombin.

Chemistry & pharmacology

Loading structure…

SMILES

N=C(N)c1ccc(CNC(=O)[C@@H]2CCN2C(=O)[C@H](NCC(=O)O)C2CCCCC2)cc1
Mol. weight
429.52 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Single Stereoisomer
Inorganic
No
Polymer
No
Delivery
Parenteral

Oral

No

Parenteral

Yes

Topical

No

Sources

Also known as

  • ethyl 2-[[(1r)-1-cyclohexyl-2- [(2s)-2-[[4-(n'-hydroxycarbamimidoyl) phenyl]methylcarbamoyl]azetidin-1-yl]- 2-oxo-ethyl]amino]acetate
  • ethyl 2-[[(1r)-1-cyclohexyl-2- [(2s)-2-[[4-(n'-hydroxycarbamimidoyl) phenyl]methylcarbamoyl]azetidin-1-yl]- 2-oxo-ethyl]amino]acetate
  • exanta
  • exanta
  • exanta
  • exanta
  • exanta (proposed)
  • exarta
  • exarta
  • glycine, n-((1)1-cyclohexyl-2-((2)-((((4-(amino(hydroxyimino)methyl)phenyl)methyl)amino)carbonyl)-1-azetidinyl)2-oxoethyl)-ethyl ester
  • glycine, n-((1r)1-cyclohexyl-2-((2s)-((((4-(amino(hydroxyimino)methyl)phenyl)methyl)amino)carbonyl)-1-azetidinyl)2-oxoethyl)-ethyl ester
  • h 37695
  • h 37695
  • h 376 95
  • h 376-95
  • h 376-95
  • h 376-95
  • h 376/95
  • h 376/95
  • h 376/95
  • h-376/95
  • h-376/95
  • h-376/95
  • h-376/95
  • h-376/95
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • ximelagatran
  • xi-melagatran
  • ximelagatranum
  • ximelagatranum

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT00206089Phase 3Sep 1, 2005AstraZeneca
NCT00206063Phase 2Aug 1, 1999AstraZeneca
Showing 2 of 2 trials
Page 1 / 1

Organizations

Research & Development (1)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
AstraZenecaFor profit2221999
1 organizations
Page 1 / 1