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. 2022 Oct 26;11(21):6314. doi: 10.3390/jcm11216314

Table 2.

FXI inhibitors currently under clinical development for the treatment of TEV and AF.

Compound Name Developer Target Inhibitory Class Phase of Development Population Trial Design Number of Patients Ref.
Abelacimab (MAA868) Anthos
Therapeutics
Novartis AG
FXI and FXIa Fully human mAb IgG1 Phase 1 Healthy volunteers and patents with AF Randomized, subject-and
investigator-blinded,
placebo-controlled
study
18 [22]
Phase 2 Patients undergoing total knee arthroplasty Open-label, parallel-group trial 412 [23]
Osocimab
(BAY1213790)
Bayer
Pharmaceuticals
FXIa Fully human mAb IgG1 Phase 1 Healthy volunteers Randomized, single-blind,
placebo-controlled,
dose-escalation
study
81 [24]
Phase 2 Patients undergoing total knee arthroplasty Randomized, open-label, adjudicator-blinded,
noninferiority trial
813 [25]
BAY1831865 Bayer
Pharmaceuticals
FXI Humanized mAb IgG1 Phase 1 Healthy volunteers Randomized, single-blind
(participant),
parallel-group,
placebo-controlled,
dose-escalation
70 [26]
AB023/
Xisomab 3G3
Aronora FXIa Fully human
monoclonal
IgG1 antibody
Phase 1 Healthy volunteers Randomized, double-blind,
placebo-controlled, single
ascending bolus dose study
21 [27]
Phase 2 Patients with end stage
renal disease on chronic
hemodialysis
Randomized, Double-Blind,
Placebo-Controlled Study
24 [28]
Asundexian
(BAY 2433334)
Bayer
Pharmaceuticals
FXIa Small molecule Phase 1 Healthy volunteers Single-blind,
placebo-controlled,
dose-escalation
study
70 [29]
Phase 2 Patients with AF Randomized, double-blind,
double-dummy, dose-finding
755 [30]
Phase 2 Patients with Randomized, placebo-controlled, double-blind, parallel-group, dose-finding 1601 [31]
Milvexian (BMS-986177
JNJ-
70033093)
Janssen of
Johnson and
Johnson and
Bristol-Myers
Squibb
FXIa Small molecule Phase 1 Healthy and mild or moderate hepatic impairment Open-label 26 [32]
Phase 1 Healthy volunteers Randomized, double-blind,
placebo-controlled, single and multiple ascending doses
94 [33]
Phase 2 Patients undergoing total knee arthroplasty Randomized, parallel-group 1242 [34]
Phase 2 Patients with ischemic stroke Randomized, double-Blind, placebo-controlled, dose-Ranging Study 2366 [35]
Fesomersen (IONIS-FXI-LRX) IONIS and Bayer FXIa Antisense
Oligonucleotide
Phase 1 Healthy volunteers Placebo-controlled, dose escalation
study
36 [36]
Phase 1 End-Stage Renal Disease on Hemodialysis patients Open-label single-dose
and double-blind multiple doses
49 [37]
Phase 2 Patients with end stage
renal disease on chronic
hemodialysis
Double-blind, randomized 43 [38]
Phase 2 Patients undergoing total knee arthroplasty open-label, parallel-group 300 [39]

AF: atrial fibrillation; F: factor; Ig: Immunoglobulin.