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. 2015 Nov 30;55:641–655. doi: 10.1007/s40262-015-0342-7

Table 2.

Summary of metabolite activity, protein binding and abundance in relation to parent drug (data on file)

Moiety Anti-FXa IC50 (nM) Protein binding (%) Exposure (%) relative to edoxaban in adults, presented by renal function
Normal: CLCR >80 mL/min Mild impairment: CLCR >50–80 mL/min Moderate impairment: CLCR >30–50 mL/min Severe impairment: CLCR >15–30 mL/min
M-4 1.8 ~80 5.70 9.02 11.2 12.4
M-6 6.9 NA 2.75 3.69 5.09 4.63
M-8 2.7 NA Not quantifiable at most time points

Edoxaban is ~55 % protein bound and has an anti-FXa IC50 value of 3.0 nM

CL CR creatinine clearance, FXa factor Xa, IC 50 half-maximal inhibitory concentration, NA not assessed