Details
| Stereochemistry | EPIMERIC |
| Molecular Formula | C23H36N6O5S |
| Molecular Weight | 508.634 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 3 / 4 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@@H]1CCN([C@H](C1)C(O)=O)C(=O)[C@H](CCCNC(N)=N)NS(=O)(=O)C2=CC=CC3=C2NCC(C)C3
InChI
InChIKey=KXNPVXPOPUZYGB-IOVMHBDKSA-N
InChI=1S/C23H36N6O5S/c1-14-8-10-29(18(12-14)22(31)32)21(30)17(6-4-9-26-23(24)25)28-35(33,34)19-7-3-5-16-11-15(2)13-27-20(16)19/h3,5,7,14-15,17-18,27-28H,4,6,8-13H2,1-2H3,(H,31,32)(H4,24,25,26)/t14-,15?,17+,18-/m1/s1
| Molecular Formula | C23H36N6O5S |
| Molecular Weight | 508.634 |
| Charge | 0 |
| Count |
|
| Stereochemistry | EPIMERIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 4 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Argatroban is a synthetic direct thrombin inhibitor derived from L-arginine. Argatroban is a direct thrombin inhibitor that reversibly binds to the thrombin active site. Argatroban does not require the co-factor antithrombin III for antithrombotic activity. Argatroban exerts its anticoagulant effects by inhibiting thrombin-catalyzed or -induced reactions, including fibrin formation; activation of coagulation factors V, VIII, and XIII; protein C; and platelet aggregation. Argatroban is highly selective for thrombin with an inhibitory constant (Ki) of 0.04 µM. At therapeutic concentrations, Argatroban has little or no effect on related serine proteases (trypsin, factor Xa, plasmin, and kallikrein). Argatroban is capable of inhibiting the action of both free and clot-associated thrombin. Argatroban is indicated as an anticoagulant for prophylaxis or treatment of thrombosis in patients with heparin-induced thrombocytopenia.
Argatroban is indicated as an anticoagulant in patients with or at risk for heparin-induced thrombocytopenia undergoing percutaneous coronary intervention (PCI).
Originator
Sources: http://adisinsight.springer.com/drugs/800004018
Curator's Comment: Argatroban was approved and launched during the 1990s in Japan for the initial indications of arterial thrombosis and acute ischaemic stroke.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL204 |
0.04 µM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | ARGATROBAN Approved UseArgatroban is a direct thrombin inhibitor indicated:
• For prophylaxis or treatment of thrombosis in adult patients with
heparin-induced thrombocytopenia (HIT) (1.1)
• As an anticoagulant in adults patients with or at risk for HIT undergoing
percutaneous coronary intervention (PCI) (1.2) Launch Date2000 |
|||
| Primary | ARGATROBAN Approved UseArgatroban is a direct thrombin inhibitor indicated:
• For prophylaxis or treatment of thrombosis in adult patients with
heparin-induced thrombocytopenia (HIT) (1.1)
• As an anticoagulant in adults patients with or at risk for HIT undergoing
percutaneous coronary intervention (PCI) (1.2) Launch Date2000 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
538.6 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10730687 |
2.5 μg/kg/min other, intravenous dose: 2.5 μg/kg/min route of administration: Intravenous experiment type: OTHER co-administered: |
ARGATROBAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1727.7 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10730687 |
2.5 μg/kg/min other, intravenous dose: 2.5 μg/kg/min route of administration: Intravenous experiment type: OTHER co-administered: |
ARGATROBAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
60.6 min EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10730687 |
2.5 μg/kg/min other, intravenous dose: 2.5 μg/kg/min route of administration: Intravenous experiment type: OTHER co-administered: |
ARGATROBAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
46% |
ARGATROBAN serum | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
125 mg single, intravenous Overdose Dose: 125 mg Route: intravenous Route: single Dose: 125 mg Sources: |
unhealthy, 74 years |
|
125 mg single, intravenous Highest studied dose Dose: 125 mg Route: intravenous Route: single Dose: 125 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Haemorrhage... Other AEs: Haemorrhage (57.3%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Haemorrhage | 57.3% | 125 mg single, intravenous Highest studied dose Dose: 125 mg Route: intravenous Route: single Dose: 125 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
yes | no (co-administration study) Comment: In 10 healthy subjects, orally administered erythromycin (a potent inhibitor of CYP3A4/5) at 500 mg four times daily for 7 days had no effect on the pharmacokinetics of argatroban at a dose of 1 mcg/kg/min for 5 hours. These data suggest oxidative metabolism by CYP3A4/5 is not an important elimination pathway in-vivo for argatroban. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
yes | no (co-administration study) Comment: In 10 healthy subjects, orally administered erythromycin (a potent inhibitor of CYP3A4/5) at 500 mg four times daily for 7 days had no effect on the pharmacokinetics of argatroban at a dose of 1 mcg/kg/min for 5 hours. These data suggest oxidative metabolism by CYP3A4/5 is not an important elimination pathway in-vivo for argatroban. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2000/20-883_Acova_biopharmr_P1.pdf#page=34 Page: 34.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Use of argatroban and catheter-directed thrombolysis with alteplase in an oncology patient with heparin-induced thrombocytopenia with thrombosis. | 2014-05-01 |
|
| Identification of old drugs as potential inhibitors of HIV-1 integrase - human LEDGF/p75 interaction via molecular docking. | 2012-12 |
|
| Therapeutic administration of the direct thrombin inhibitor argatroban reduces hepatic inflammation in mice with established fatty liver disease. | 2012-10 |
|
| Prolonged elevation of plasma argatroban in a cardiac transplant patient with a suspected history of heparin-induced thrombocytopenia with thrombosis. | 2010-04 |
|
| Argatroban dosage requirements and outcomes in intensive care versus non-intensive care patients. | 2009-09 |
|
| Heparin induced thrombocytopenia and re-thrombosis associated with warfarin and fondaparinux in a child. | 2009-09 |
|
| Extremely low doses of lepirudin in a patient with heparin-induced thrombocytopenia, high bleeding risk and renal insufficiency. | 2009-08 |
|
| A report of outcomes after orthotopic liver transplant with allografts from heparin antibody-positive donors. | 2009-03 |
|
| Reducing harm associated with anticoagulation: practical considerations of argatroban therapy in heparin-induced thrombocytopenia. | 2009 |
|
| Risk factors for major bleeding in patients with heparin-induced thrombocytopenia treated with argatroban: a retrospective study. | 2008-12 |
|
| Bivalirudin. | 2008-05 |
|
| Heparin-induced thrombocytopenia: treatment options and special considerations. | 2007-04 |
|
| When heparin causes thrombosis: significance, recognition, and management of heparin-induced thrombocytopenia in dialysis patients. | 2006-08-09 |
|
| Argatroban tPA stroke study: study design and results in the first treated cohort. | 2006-08 |
|
| Heparin-induced thrombocytopenia in patients administered heparin solely for hemodialysis. | 2006 |
|
| Heparin-induced thrombocytopenia from venous thromboembolism treatment. | 2005-12 |
|
| New antithrombotics in the prevention of thromboembolic disease. | 2005-08 |
|
| Direct thrombin inhibitors for treatment of heparin induced thrombocytopenia, deep vein thrombosis and atrial fibrillation. | 2005 |
|
| Severe argatroban-induced coagulopathy in a patient with a history of heparin-induced thrombocytopenia. | 2004-12 |
|
| Heparin-induced thrombocytopenia and thrombosis in a patient with polycythemia vera. | 2004-07 |
|
| Effect of direct thrombin inhibitors, bivalirudin, lepirudin, and argatroban, on prothrombin time and INR values. | 2004-04 |
|
| Direct thrombin inhibitor therapy in the cardiovascular patient. | 2003-10-15 |
|
| Effects of argatroban and heparin on thrombus formation and tissue plasminogen activator-induced thrombolysis in a microvascular thrombosis model. | 2003-01-01 |
|
| Venous limb gangrene during overlapping therapy with warfarin and a direct thrombin inhibitor for immune heparin-induced thrombocytopenia. | 2002-09 |
|
| Direct antithrombin agents ameliorate disseminated intravascular coagulation in suspected heparin-induced thrombocytopenia thrombosis syndrome. | 2002-07 |
|
| Argatroban anticoagulant therapy in patients with heparin-induced thrombocytopenia. | 2001-04-10 |
|
| Postpartum coronary artery dissection complicated by heparin-induced thrombocytopenia and thrombosis. | 2001-03 |
|
| The first report of successful carotid stent implant using argatroban anticoagulation in a patient with heparin-induced thrombocytopenia and thrombosis syndrome: a case report. | 1998-01 |
|
| Inhibition of collagen-induced platelet aggregation by argatroban in patients with acute cerebral infarction. | 1997-10-15 |
|
| Anticoagulation with Novastan (argatroban) in patients with heparin-induced thrombocytopenia and heparin-induced thrombocytopenia and thrombosis syndrome. | 1997 |
Patents
Sample Use Guides
Initial Dosage: Before administering Argatroban, discontinue heparin therapy and obtain a baseline aPTT. The recommended initial
dose of Argatroban for adult patients without hepatic impairment is 2 mcg/kg/min, administered as a continuous infusion
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25193406
In the presence of 10 nM thrombomodulin (TM) argatroban (1 uM) prolonged clot lysis time and enhanced thrombin generation.
| Substance Class |
Chemical
Created
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OCY3U280Y3
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Validated (UNII)
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C263
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| Related Record | Type | Details | ||
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BINDER->LIGAND |
Argatroban is 54% bound to human serum proteins, with binding to albumin and a1-acid glycoprotein being 20% and 34% respectively.
BINDING
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METABOLIC ENZYME -> SUBSTRATE | |||
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
FECAL
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METABOLIC ENZYME -> SUBSTRATE | |||
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SOLVATE->ANHYDROUS | |||
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TARGET -> INHIBITOR |
Argatroban is capable of inhibiting the action of both free and clot-associated thrombin.
Ki
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SALT/SOLVATE -> PARENT | |||
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
URINE
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| Related Record | Type | Details | ||
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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STEADY-STATE |
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| Biological Half-life | PHARMACOKINETIC |
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