Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C19H18ClN3O5S |
Molecular Weight | 435.881 |
Optical Activity | ( - ) |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
ClC1=CC=C(S1)C(=O)NC[C@H]2CN(C(=O)O2)C3=CC=C(C=C3)N4CCOCC4=O
InChI
InChIKey=KGFYHTZWPPHNLQ-AWEZNQCLSA-N
InChI=1S/C19H18ClN3O5S/c20-16-6-5-15(29-16)18(25)21-9-14-10-23(19(26)28-14)13-3-1-12(2-4-13)22-7-8-27-11-17(22)24/h1-6,14H,7-11H2,(H,21,25)/t14-/m0/s1
Molecular Formula | C19H18ClN3O5S |
Molecular Weight | 435.881 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including
http://www.biospace.com/News/bayer-healthcares-xarelto-rivaroxaban-becomes/244131
Curator's Comment: description was created based on several sources, including
http://www.biospace.com/News/bayer-healthcares-xarelto-rivaroxaban-becomes/244131
Rivaroxaban (trade name Xarelto) is an oral anticoagulant. It is the first available orally active direct factor Xa inhibitor. Upon oral administration, rivaroxaban selectively binds to both free factor Xa and factor Xa bound in the prothrombinase complex. This interferes with the conversion of prothrombin (factor II) to thrombin and eventually prevents the formation of cross-linked fibrin clots. Rivaroxaban does not affect existing thrombin levels. Activation of factor X to factor Xa (FXa) via the intrinsic and extrinsic pathways plays a central role in the cascade of blood coagulation. Xarelto is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation, treatment and prophylaxis of deep vein thrombosis (DVT) which may lead to PE in patients undergoing knee or hip replacement surgery, pulmonary embolism (PE) and for the reduction in the risk of recurrence of deep vein thrombosis and of pulmonary embolism following initial 6 months treatment for DVT and/or PE.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23999929
Curator's Comment: Rivaroxaban is distributed heterogeneously to tissues and organs, exhibiting only moderate tissue affinity and does not substantially penetrate the blood-brain barrier.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL244 |
0.4 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | XARELTO Approved UseIndicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation, for the treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), and for the reduction in the risk of recurrence of DVT and of PE for the prophylaxis of DVT, which may lead to PE in patients undergoing knee or hip replacement surgery. Launch Date2011 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
138.4 μg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/23999929/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
RIVAROXABAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.114 μg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/23999929/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
RIVAROXABAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
10.77 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/23999929/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
RIVAROXABAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
9 h |
20 mg 1 times / day unknown, oral dose: 20 mg route of administration: Oral experiment type: UNKNOWN co-administered: |
RIVAROXABAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5% |
20 mg 1 times / day unknown, oral dose: 20 mg route of administration: Oral experiment type: UNKNOWN co-administered: |
RIVAROXABAN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
80 mg single, oral Highest studied dose Dose: 80 mg Route: oral Route: single Dose: 80 mg Sources: Page: p.419 |
healthy, 19-45 n = 6 Health Status: healthy Age Group: 19-45 Sex: M Population Size: 6 Sources: Page: p.419 |
|
50 mg single, oral Studied dose Dose: 50 mg Route: oral Route: single Dose: 50 mg Sources: Page: p.2759, p.2760 |
healthy, 60-76 n = 12 Health Status: healthy Age Group: 60-76 Sex: M+F Population Size: 12 Sources: Page: p.2759, p.2760 |
|
20 mg 1 times / day multiple, oral (max) Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1, p.12 |
unhealthy n = 7111 Health Status: unhealthy Condition: Atrial Fibrillation Sex: M+F Population Size: 7111 Sources: Page: p.1, p.12 |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (grade 3-5, 4.3%) Sources: Page: p.1, p.12 |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1, p.14 |
unhealthy Health Status: unhealthy Condition: Deep Vein Thrombosis|Pulmonary Embolism Sex: M+F Sources: Page: p.1, p.14 |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (2%) Sources: Page: p.1, p.14 |
20 mg 1 times / day multiple, oral (max) Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Atrial Fibrillation|Deep Vein Thrombosis| Sources: Page: p.1 |
Disc. AE: Spinal epidural hematoma... AEs leading to discontinuation/dose reduction: Spinal epidural hematoma Sources: Page: p.1 |
20 mg 2 times / day multiple, oral (max) Recommended Dose: 20 mg, 2 times / day Route: oral Route: multiple Dose: 20 mg, 2 times / day Sources: Page: p.1, p.14 |
unhealthy n = 4130 Health Status: unhealthy Condition: Deep Vein Thrombosis|Pulmonary Embolism Sex: M+F Population Size: 4130 Sources: Page: p.1, p.14 |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (1.7%) Sources: Page: p.1, p.14 |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Bleeding | grade 3-5, 4.3% Disc. AE |
20 mg 1 times / day multiple, oral (max) Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1, p.12 |
unhealthy n = 7111 Health Status: unhealthy Condition: Atrial Fibrillation Sex: M+F Population Size: 7111 Sources: Page: p.1, p.12 |
Bleeding | 2% Disc. AE |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1, p.14 |
unhealthy Health Status: unhealthy Condition: Deep Vein Thrombosis|Pulmonary Embolism Sex: M+F Sources: Page: p.1, p.14 |
Spinal epidural hematoma | Disc. AE | 20 mg 1 times / day multiple, oral (max) Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Atrial Fibrillation|Deep Vein Thrombosis| Sources: Page: p.1 |
Bleeding | 1.7% Disc. AE |
20 mg 2 times / day multiple, oral (max) Recommended Dose: 20 mg, 2 times / day Route: oral Route: multiple Dose: 20 mg, 2 times / day Sources: Page: p.1, p.14 |
unhealthy n = 4130 Health Status: unhealthy Condition: Deep Vein Thrombosis|Pulmonary Embolism Sex: M+F Population Size: 4130 Sources: Page: p.1, p.14 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no | |||
Page: 17.0 |
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 9.0 |
yes | |||
Page: 9.0 |
yes | |||
Page: 9.0 |
yes | yes (co-administration study) Comment: ketoconazole increased cmax of rivaroxaban 0.7x, auc 1.6x Page: 9.0 |
||
Page: 9.0 |
yes | yes (co-administration study) Comment: ketoconazole increased cmax of rivaroxaban 0.7x, auc 1.6x Page: 9.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 248.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Safety, pharmacodynamics, and pharmacokinetics of BAY 59-7939--an oral, direct Factor Xa inhibitor--after multiple dosing in healthy male subjects. | 2005 Dec |
|
BAY 59-7939: an oral, direct factor Xa inhibitor for the prevention of venous thromboembolism in patients after total knee replacement. A phase II dose-ranging study. | 2005 Nov |
|
Pharmacokinetics of BAY 59-7939--an oral, direct Factor Xa inhibitor--in rats and dogs. | 2005 Sep |
|
[Haemostasis and antithrombotic drugs: pharmacology and novel therapeutic approaches]. | 2006 May |
|
Safety, tolerability, pharmacodynamics, and pharmacokinetics of rivaroxaban--an oral, direct factor Xa inhibitor--are not affected by aspirin. | 2006 Sep |
|
Stroke in atrial fibrillation: update on pathophysiology, new antithrombotic therapies, and evolution of procedures and devices. | 2007 |
|
Dose-escalation study of rivaroxaban (BAY 59-7939)--an oral, direct Factor Xa inhibitor--for the prevention of venous thromboembolism in patients undergoing total hip replacement. | 2007 |
|
Gateways to clinical trials. | 2007 Apr |
|
Investigational treatments of venous thromboembolism. | 2007 Apr |
|
Ultrasound screening for asymptomatic deep vein thrombosis after major orthopaedic surgery: the VENUS study. | 2007 Jul |
|
A replacement for warfarin: the search continues. | 2007 Jul 10 |
|
Beyond unfractionated heparin and warfarin: current and future advances. | 2007 Jul 31 |
|
Population model of the pharmacokinetics and pharmacodynamics of rivaroxaban--an oral, direct factor xa inhibitor--in healthy subjects. | 2007 Jun |
|
Rivaroxaban for thromboprophylaxis after orthopaedic surgery: pooled analysis of two studies. | 2007 Jun |
|
Gateways to clinical trials. | 2007 Mar |
|
Prevention and treatment of experimental thrombosis in rabbits with rivaroxaban (BAY 597939)--an oral, direct factor Xa inhibitor. | 2007 Mar |
|
Brave new world: the current and future use of novel anticoagulants. | 2008 |
|
[Summary and perspectives. Rivaroxaban]. | 2008 Dec |
|
[Perioperative venous thromboembolism prophylaxis: short review and recommendations]. | 2008 Dec |
|
[Rivaroxaban: clinical pharmacology]. | 2008 Dec |
|
[Rivaroxaban: a decisive step forward in the management of postoperative thromboembolic disease?]. | 2008 Dec |
|
[Pharmacology of heparins and direct anticoagulants]. | 2008 Dec |
|
[New anticoagulants]. | 2008 Feb |
|
Update on atrial fibrillation: part I. | 2008 Feb |
|
New oral anticoagulants in atrial fibrillation. | 2008 Jan |
|
Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty. | 2008 Mar |
|
[Anaesthesia and thromboembolic disease]. | 2008 Nov |
|
Thromboprophylaxis with rivaroxaban or enoxaparin did not differ for major bleeding in knee arthroplasty. | 2008 Nov-Dec |
|
Rivaroxaban: future in anticoagulation practice? | 2008 Oct |
|
[Anticoagulation in atrial fibrillation]. | 2008 Oct |
|
Rivaroxaban--an oral, direct Factor Xa inhibitor--has potential for the management of patients with heparin-induced thrombocytopenia. | 2008 Oct |
|
Determination of rivaroxaban--a novel, oral, direct Factor Xa inhibitor--in human plasma by high-performance liquid chromatography-tandem mass spectrometry. | 2008 Sep 1 |
Sample Use Guides
15 mg and 20 mg tablets with food; take 10 mg tablets with or without food. For patients with CrCl >50 mL/min 20 mg orally, once daily and for patients with CrCl 15 - 50 mL/min 15 mg orally, once daily with the evening meal.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=23578206
To evaluate the influence of prothrombin complex concentrate (PCC) on the anticoagulant effects of rivaroxaban as measured by prothrombin time (PT) and thrombin generation tests plasma and whole blood samples from healthy volunteers were spiked with Rivaroxaban (up to 800 ug/L) and prothrombin complex concentrate (PCC) was added to these samples in concentration ranges as used clinically to reverse the effects of vitamin K antagonists. Prothrombin complex concentrate does not neutralize the
lengthening effect on PT and TGT lag time/T-Lag of rivaroxaban anticoagulated blood in vitro; however, total thrombin potential could be normalized.
Substance Class |
Chemical
Created
by
admin
on
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Fri Dec 15 15:52:28 GMT 2023
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admin
on
Fri Dec 15 15:52:28 GMT 2023
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Record UNII |
9NDF7JZ4M3
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Record Status |
Validated (UNII)
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Record Version |
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EMA ASSESSMENT REPORTS |
XARELTO (AUTHORIZED: ARTHROPLASTY, REPLACEMENT)
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NCI_THESAURUS |
C263
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WHO-ATC |
B01AF01
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NDF-RT |
N0000175637
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EMA ASSESSMENT REPORTS |
XARELTO (AUTHORIZED: VENOUS THROMBOEMBOLISM)
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WHO-ATC |
B01AX06
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WHO-VATC |
QB01AF01
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LIVERTOX |
NBK548015
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LOINC |
74871-5
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C77995
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9NDF7JZ4M3
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RIVAROXABAN
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1114195
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C503223
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Rivaroxaban
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SUB29263
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Related Record | Type | Details | ||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TARGET -> INHIBITOR |
COMPETITIVE INHIBITOR
IC50
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TARGET -> INHIBITOR |
COMPETITIVE INHIBITOR
Ki
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE | |||
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BINDER->LIGAND |
BINDING
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TARGET -> INHIBITOR | |||
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TRANSPORTER -> SUBSTRATE |
Related Record | Type | Details | ||
---|---|---|---|---|
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METABOLITE -> PARENT |
MINOR
FECAL; URINE
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||
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METABOLITE -> PARENT |
IN-VITRO
FECAL; URINE
|
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METABOLITE -> PARENT |
MINOR
FECAL; URINE
|
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
excreta 2.5% radio acitivty
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METABOLITE -> PARENT |
IN-VIVO
FECAL; URINE
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METABOLITE -> PARENT |
Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
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||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
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Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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