Table 2.
Drug Feature | Dabigatran | Rivaroxaban | Apixaban | Edoxaban |
---|---|---|---|---|
Prodrug | Yes | No | No | No |
Target | Thrombin | FXa | FXa | FXa |
Absolute bioavailability | 3–7% | 66% (Almost 100% with food) | >50% | 61.8% |
Time to maximum plasma concentration | 1.5–4 h | 2.5–4 h | 2 h | 1–3 h |
Daily administration | BID | OD | BID | OD |
Renal clearance | 80–85% | 35% | 25–27% | 35–50% |
Plasma protein binding | 35% | 90% | 87% | 40–59% |
Test | ECT, TT | FXa inhibition assay | FXa inhibition assay, dilute prothrombin time | anti-factor Xa activity |
BID: twice a day; ECT: ecarin clotting time; FXa: factor Xa; OD: once daily; TT: thrombin clotting time.