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Darexaban : ウィキペディア英語版
Darexaban

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Darexaban (YM150) is a direct inhibitor of factor Xa created by Astellas Pharma.〔Eriksson, B., et al. "A dose escalation study of YM150, an oral direct factor Xa inhibitor, in the prevention of venous thromboembolism in elective primary hip replacement surgery." Journal of Thrombosis and Haemostasis (2007): 1660-1665〕 It is an experimental drug that acts as an anticoagulant and antithrombotic to prevent venous thromboembolism after a major orthopaedic surgery, stroke in patients with atrial fibrillation〔Yoshiyuki, I., et al. "Biochemical and pharmalogical profile of darexaban, an oral direct Xa inhibitor." European Journal of Pharmacology (2011): 49-55〕 and possibly ischemic events in acute coronary syndrome.〔Toshifumi, S., et al. "Identification of UDP-Glucuronosyltransferases Responsible for the Glucuronidation of Darexaban, an Oral Factor Xa Inhibitor, in Human Liver anD Intestine." The American Society for Pharmacology and Experimental Therapeutics (2011): 278-282〕 It is used in form of the maleate. The development of darexaban was discontinued in September 2011.
==Factor Xa==
Factor Xa (FXa) is an essential blood coagulation factor〔 that is responsible for the initiation of the coagulation cascade. FXa cleaves prothrombin to its active form thrombin, which then acts to convert soluble fibrinogen to insoluble fibrin and to activate platelets. Stabilization of the platelet aggregation by fibrin mesh ultimately leads to clot formation.〔Katsung, B., S. Masters and A. Trevor. Basic and Clinical Pharmacology 11th Edition. United States of America: McGraw-Hill, 2009〕

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