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Mechanistic Basis for the Differential Effects of...
Journal article

Mechanistic Basis for the Differential Effects of Rivaroxaban and Apixaban on Global Tests of Coagulation

Abstract

Rivaroxaban and apixaban are both small molecules that reversibly inhibit factor Xa. Compared with rivaroxaban, apixaban has minimal effects on the prothrombin time and activated partial thromboplastin time. To investigate this phenomenon, we used a factor Xa-directed substrate in a buffer system. Although rivaroxaban and apixaban inhibited factor Xa with similar K i values at equilibrium, kinetic measurements revealed that rivaroxaban …

Authors

Kim PY; Yeh CH; Dale BJ; Leslie BA; Stafford AR; Fredenburgh JC; Hirsh J; Weitz JI

Journal

TH Open, Vol. 02, No. 02, pp. e190–e201

Publisher

Thieme

Publication Date

April 2018

DOI

10.1055/s-0038-1649507

ISSN

2567-3459