Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C24H30ClN7O4S |
| Molecular Weight | 548.058 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CN(C)C(=O)[C@H]1CC[C@H](NC(=O)C(=O)NC2=NC=C(Cl)C=C2)[C@@H](C1)NC(=O)C3=NC4=C(CN(C)CC4)S3
InChI
InChIKey=HGVDHZBSSITLCT-JLJPHGGASA-N
InChI=1S/C24H30ClN7O4S/c1-31(2)24(36)13-4-6-15(27-20(33)21(34)30-19-7-5-14(25)11-26-19)17(10-13)28-22(35)23-29-16-8-9-32(3)12-18(16)37-23/h5,7,11,13,15,17H,4,6,8-10,12H2,1-3H3,(H,27,33)(H,28,35)(H,26,30,34)/t13-,15-,17+/m0/s1
| Molecular Formula | C24H30ClN7O4S |
| Molecular Weight | 548.057 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/18624979
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/18624979
Edoxaban (DU-176b, trade names Savaysa, Lixiana) is a selective factor Xa inhibitor reduces thrombin generation and thrombus formation and is an orally bioavailable anticoagulant drug. It was developed by Daiichi Sankyo to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis and pulmonary embolism following 5-10 days of initial therapy with a parenteral anticoagulant.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL244 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18096568 |
0.561 nM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Preventing | SAVAYSA Approved UseSAVAYSA is a factor Xa inhibitor indicated: To reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) (1.1) Limitation of Use for NVAF SAVAYSA should not be used in patients with creatinine clearance (CrCL) > 95 mL/min because of increased risk of ischemic stroke compared to warfarin at the highest dose studied (60 mg) (1.1) SAVAYSA is indicated for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5 to 10 days of initial therapy with a parenteral anticoagulant (1.2) 1.1 Reduction in the Risk of Stroke and Systemic Embolism in Nonvalvular Atrial Fibrillation SAVAYSA is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF). Limitation of Use for NVAF SAVAYSA should not be used in patients with CrCL > 95 mL/min because of an increased risk of ischemic stroke compared to warfarin [see Dosage and Administration (2.1), Warnings and Precautions (5.1), Clinical Studies (14.1) Launch Date2015 |
|||
| Primary | SAVAYSA Approved UseSAVAYSA is a factor Xa inhibitor indicated: To reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) (1.1) Limitation of Use for NVAF SAVAYSA should not be used in patients with creatinine clearance (CrCL) > 95 mL/min because of increased risk of ischemic stroke compared to warfarin at the highest dose studied (60 mg) (1.1) SAVAYSA is indicated for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5 to 10 days of initial therapy with a parenteral anticoagulant (1.2) 1.1 Reduction in the Risk of Stroke and Systemic Embolism in Nonvalvular Atrial Fibrillation SAVAYSA is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF). Limitation of Use for NVAF SAVAYSA should not be used in patients with CrCL > 95 mL/min because of an increased risk of ischemic stroke compared to warfarin [see Dosage and Administration (2.1), Warnings and Precautions (5.1), Clinical Studies (14.1) Launch Date2015 |
|||
| Primary | SAVAYSA Approved UseSAVAYSA is a factor Xa inhibitor indicated: To reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) (1.1) Limitation of Use for NVAF SAVAYSA should not be used in patients with creatinine clearance (CrCL) > 95 mL/min because of increased risk of ischemic stroke compared to warfarin at the highest dose studied (60 mg) (1.1) SAVAYSA is indicated for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5 to 10 days of initial therapy with a parenteral anticoagulant (1.2) 1.1 Reduction in the Risk of Stroke and Systemic Embolism in Nonvalvular Atrial Fibrillation SAVAYSA is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF). Limitation of Use for NVAF SAVAYSA should not be used in patients with CrCL > 95 mL/min because of an increased risk of ischemic stroke compared to warfarin [see Dosage and Administration (2.1), Warnings and Precautions (5.1), Clinical Studies (14.1) Launch Date2015 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
33.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
152 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
302 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
375 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg single, oral dose: 90 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
409 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg single, oral dose: 120 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
487 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
507 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg 1 times / day multiple, oral dose: 90 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
305 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg 2 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
649 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg 1 times / day multiple, oral dose: 120 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
312 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
259 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
993 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1779 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2680 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg single, oral dose: 90 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2789 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg single, oral dose: 120 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4322 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2806 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg 1 times / day multiple, oral dose: 90 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
1805 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg 2 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
3682 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg 1 times / day multiple, oral dose: 120 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
1781 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5.79 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
8.92 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
30 mg single, oral dose: 30 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
8.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
9.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg single, oral dose: 90 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
8.56 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg single, oral dose: 120 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
10.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
9.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
90 mg 1 times / day multiple, oral dose: 90 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
9.44 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg 2 times / day multiple, oral dose: 60 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
9.75 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
120 mg 1 times / day multiple, oral dose: 120 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
|
9.75 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20081065 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
EDOXABAN TOSYLATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
45% |
unknown, unknown |
EDOXABAN TOSYLATE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
120 mg 1 times / day steady, oral Highest studied dose Dose: 120 mg, 1 times / day Route: oral Route: steady Dose: 120 mg, 1 times / day Sources: |
healthy, 18 - 55 years Health Status: healthy Age Group: 18 - 55 years Sex: M Sources: |
|
150 mg single, oral Highest studied dose |
healthy, 18 - 55 years Health Status: healthy Age Group: 18 - 55 years Sex: M Sources: |
|
60 mg 2 times / day steady, oral Highest studied dose Dose: 60 mg, 2 times / day Route: oral Route: steady Dose: 60 mg, 2 times / day Sources: |
healthy, 18 - 55 years Health Status: healthy Age Group: 18 - 55 years Sex: M Sources: |
|
750 mg single, oral Overdose |
unknown, 57 years |
Other AEs: Activated partial thromboplastin time prolonged... Other AEs: Activated partial thromboplastin time prolonged Sources: |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Ischemic stroke... AEs leading to discontinuation/dose reduction: Ischemic stroke Sources: |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (3.9%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Activated partial thromboplastin time prolonged | 750 mg single, oral Overdose |
unknown, 57 years |
|
| Ischemic stroke | Disc. AE | 60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Bleeding | 3.9% Disc. AE |
60 mg 1 times / day steady, oral Recommended Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 39.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no | |||
Page: 16.0 |
no |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 38.0 |
major | |||
Page: 38.0 |
no | |||
Page: 286.0 |
unlikely | |||
Page: 286.0 |
unlikely | |||
Page: 15.0 |
yes | |||
Page: 16.0 |
yes | yes (co-administration study) Comment: ketoconazole increased cmax of edoxaban 2x, auc 2x Page: 16.0 |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 56.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Pharmacokinetics and Pharmacodynamics of Edoxaban, a Non-Vitamin K Antagonist Oral Anticoagulant that Inhibits Clotting Factor Xa. | 2016-06 |
|
| Overview of the new oral anticoagulants: opportunities and challenges. | 2015-05 |
|
| Comparative efficacy and safety of the non-vitamin K antagonist oral anticoagulants for patients with nonvalvular atrial fibrillation. | 2015-03 |
|
| Factor Xa inhibitors: next-generation antithrombotic agents. | 2010-09-09 |
|
| Clinical safety, tolerability, pharmacokinetics, and pharmacodynamics of the novel factor Xa inhibitor edoxaban in healthy volunteers. | 2010-07 |
|
| New oral anticoagulants in atrial fibrillation. | 2008-01 |
Sample Use Guides
Nonvalvular Atrial Fibrillation: 60 mg taken orally once daily
Deep Vein Thrombosis and Pulmonary Embolism: 60 mg taken orally once daily following 5 to 10 days of initial therapy with a parenteral anticoagulant. If a dose of is missed, the dose should be taken as soon as possible on the same day. Dosing should resume the next day according to the normal dosing schedule. The dose should not be doubled to make up for a missed dose.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18624979
In vitro, FXa inhibition, specificity and anticoagulant activities were examined. DU-176b (Edoxaban) inhibited FXa with Ki values of 0.561 nm for free FXa, 2.98 nm for prothrombinase, and exhibited >10 000-fold selectivity for FXa. In human plasma, DU-176b doubled prothrombin time and activated partial thromboplastin time at concentrations of 0.256 and 0.508 microm, respectively.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Apr 02 09:39:52 GMT 2025
by
admin
on
Wed Apr 02 09:39:52 GMT 2025
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| Record UNII |
NDU3J18APO
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| Record Status |
Validated (UNII)
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Common Name | English |
| Classification Tree | Code System | Code | ||
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WHO-ATC |
B01AF03
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NDF-RT |
N0000175637
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DTXSID50197398
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LIXIANA
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PRIMARY | APPROVED APRIL 2011 | ||
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LIXIANA
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PRIMARY | APPROVED APRIL 2011 | ||
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m4832
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8982
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1599538
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4897
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C552171
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XX-17
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85973
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Edoxaban
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CHEMBL1269025
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Edoxaban
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SUB32701
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DB09075
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100000126296
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10280735
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TARGET -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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SALT/SOLVATE -> PARENT | |||
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METABOLIC ENZYME -> SUBSTRATE |
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SALT/SOLVATE -> PARENT | |||
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METABOLIC ENZYME -> SUBSTRATE |
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METABOLITE ACTIVE -> PARENT |
MAJOR
FECAL; PLASMA; URINE
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METABOLITE -> PARENT |
FECAL; PLASMA; URINE
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METABOLITE ACTIVE -> PARENT |
FECAL; PLASMA; URINE
|
||
|
METABOLITE -> PARENT |
MINOR
PLASMA; URINE
|
||
|
METABOLITE -> PARENT |
MINOR
PLASMA; URINE
|
||
|
METABOLITE ACTIVE -> PARENT |
FECAL; PLASMA
|
||
|
|
METABOLITE -> PARENT |
MINOR
PLASMA
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
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|
ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
|
|
|||
| Volume of Distribution | PHARMACOKINETIC |
|
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