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. 2016 Jan 16;41:206–232. doi: 10.1007/s11239-015-1310-7

Table 12.

Drug transport/metabolism/elimination characteristics of the direct oral anticoagulants [11, 12, 15, 16, 48, 49, 128, 129]

P-gp substrate CYP3A4 substrate (% of drug metabolized via CYP3A4) % renal elimination
Dabigatran Yes No ≈80
Rivaroxaban Yes Yes (≈33)a ≈33
Apixaban Yes Yes (≈25)b ≈25
Edoxaban Yes No ≈50

CYP3A4 Cytochrome 3A4, p-gp permeability-glycoprotein

aTotal of ≈66 % hepatic metabolism equally distributed between CYP3A4 and CYP2J2

bTotal of ≈25 % hepatic metabolism, mostly by CYP3A4, with minor contributions by CYP1A2, 2J2, 2C8, 2C9, and 2C19