Clinical Trials

Multiple Phase 1 clinical trials sponsored by Alexion Pharmaceuticals, Portola Pharmaceuticals, and Merck Sharp & Dohme have evaluated betrixaban across diverse participant groups. These investigations focused on venous thromboembolism prophylaxis, pharmacokinetics in healthy subjects, and safety parameters in patients with renal impairment, while assessing drug tolerability, bioequivalence, and pharmacodynamics. Currently, recruitment statuses for these studies range from completed trials to terminated pediatric evaluations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03346083 Terminated
VTE Prophylaxis
Alexion Pharmaceuticals Inc.|Portola Pharmaceuticals LLC (a wholly owned subsidiary of Alexion Pharmaceuticals)
2018-07-13 Phase 1
NCT02596100 Completed
Healthy
Portola Pharmaceuticals|Alexion Pharmaceuticals Inc.
2015-09 Phase 1
NCT00999336 Completed
Renal Impairment
Portola Pharmaceuticals|Merck Sharp & Dohme LLC|Alexion Pharmaceuticals Inc.
2009-07-31 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Betrixaban product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Betrixaban acts as a selective inhibitor of Factor Xa, directly binding to the active site of the enzyme to prevent the conversion of prothrombin to thrombin within the coagulation cascade. By suppressing prothrombinase activity and downstream thrombin generation, the compound attenuates fibrin clot formation, providing therapeutic efficacy for venous thromboembolism prophylaxis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.