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Pathway Description
Betrixaban Action Pathway
Homo sapiens
Drug Action Pathway
Betrixaban is an anticoagulant that targets and inhibits factor Xa in order to prevent venous thromboembolism. Due to its interaction with factor Xa, the coagulant factor is no longer free and unable to form the prothrombinase complex. Betrixaban is administered orally and rapidly absorbed, if taken with the consumption of food its bioavailability will be reduced greatly. It has minimal hepatic metabolism due to this does not run the risk of accumulation if the liver is impaired. It is mainly eliminated via the gastrointestinal system, feces and urine. Some possible adverse effects are bleeding, hypersensitivity and minimal hepatotoxicity. The anticoagulant does interact with food, this means herbs and supplements with anticoagulant and antiplatelet activity should be avoided such as garlic, ginger, bilberry, dansen, piracetam and ginkgo biloba. Betrixaban should be taken with food despite the bioavailability being decreased and this should also be taken at the same time every day.
References
Betrixaban Pathway References
Connolly SJ, Eikelboom J, Dorian P, Hohnloser SH, Gretler DD, Sinha U, Ezekowitz MD: Betrixaban compared with warfarin in patients with atrial fibrillation: results of a phase 2, randomized, dose-ranging study (Explore-Xa). Eur Heart J. 2013 May;34(20):1498-505. doi: 10.1093/eurheartj/eht039. Epub 2013 Mar 13.
Pubmed: 23487517
Turpie AG: New oral anticoagulants in atrial fibrillation. Eur Heart J. 2008 Jan;29(2):155-65. doi: 10.1093/eurheartj/ehm575. Epub 2007 Dec 19.
Pubmed: 18096568
Zhang P, Huang W, Wang L, Bao L, Jia ZJ, Bauer SM, Goldman EA, Probst GD, Song Y, Su T, Fan J, Wu Y, Li W, Woolfrey J, Sinha U, Wong PW, Edwards ST, Arfsten AE, Clizbe LA, Kanter J, Pandey A, Park G, Hutchaleelaha A, Lambing JL, Hollenbach SJ, Scarborough RM, Zhu BY: Discovery of betrixaban (PRT054021), N-(5-chloropyridin-2-yl)-2-(4-(N,N-dimethylcarbamimidoyl)benzamido)-5-methoxybenzamide, a highly potent, selective, and orally efficacious factor Xa inhibitor. Bioorg Med Chem Lett. 2009 Apr 15;19(8):2179-85. doi: 10.1016/j.bmcl.2009.02.111. Epub 2009 Mar 3.
Pubmed: 19297154
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