As an effectual oral factor Xa inhibitor, Edoxaban is FDA approved as a novel anticoagulant therapy in the U.S. as an anticoagulant in several capacities:
- To reduce the risk with of both systemic embolism and stroke in patients afflicted with atrial fibrillation (AF), which is not related to heart valve problems.
- As a treatment for patients with pulmonary embolism and/or deep vein thrombosis (DVT) who have previously had at least 5-10 days of oral parenteral anticoagulant therapy.
While Edoxaban has been examined as a potential treatment for patients with mechanical heart valves and moderate-to-severe mitral stenosis this drug has not received an FDA approval for this use. Effective anti-clotting drugs, like Edoxaban, help to lower the risk of stroke in patients by helping to prevent blood clots from forming in the heart. The need for a wide variety of anticoagulant therapy is great, as many patients find current anti-clotting treatments elicit negative side effects, impacting their medication adherence. While there is a small risk for bleeding and anemia the majority of patients treated with Edoxaban fared well in studies.
Edoxaban, is also known as the brand name Savaysa, which is marketed by Daiichi Sankyo. Clinical trials of Edoxaban (Savaysa) were encouraging. One study involved 21,105 patients suffering from AF, which was not caused by cardiac valve disease. The higher dose of Edoxaban proved to be comparable to Warfarin for reducing stroke risk in patients, with significant decreases in major bleeding events as well. Another trial of patients afflicted with DVT and pulmonary embolism also supported the use of Edoxaban over Warfarin. This trial involved 8,292 participants and sought to reduce the rate of occurrence of symptomatic venous thromboembolism events, including mortality. Approximately 3.2 percent of patients administered Edoxaban experienced symptomatic venous thromboembolism events, as compared to 3.5 percent of the patients who received Warfarin.
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