Table I.
Characteristics | Direct thrombin inhibitor | Factor Xa inhibitors | ||
---|---|---|---|---|
| ||||
Dabigatran | Apixaban | Edoxaban | Rivaroxaban | |
|
||||
Prodrug | Yes | No | No | No |
Bioavailability (%) | 3–7 | 50 | 62 | 80 |
Time to peak concentration (hours) | 1–3 | 1–3 | 1–3 | 2–4 |
Half-life (hours) | 12–17 | 8–15 | 8–10 | 7–13 |
Renal clearance (%) | 80 | 25 | 35 | 36 |
Elimination | Urine and faeces | Urine and faeces | Urine and faeces | Urine and faeces |
Dosing regimen | 110–150 mg twice daily | 2.5–5 mg twice daily | 15–30 mg once daily | 10–30 mg once daily |
Metabolism | P-glycoprotein | P-glycoprotein, CYP3A4 | P-glycoprotein, CYP3A4 | P-glycoprotein, CYP3A4 |
Antidotes under development | Idarucizumab, modified thrombin molecules | Andexanet alfa, Aripazine | Andexanet alfa, Aripazine | Andexanet alfa, Aripazine |