Dabigatran Acylglucuronide, the Major Metabolite of Dabigatran, Shows a Weaker Anticoagulant Effect than Dabigatran
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Dabigatran (DAB) is an orally administered thrombin inhibitor. Both DAB and its main metabolite dabigatran acylglucuronide (DABG) have established anticoagulant effects. Here, we aimed to compare the relative anticoagulant effects of DABG and DAB in humans. Anticoagulant effects of DAB and DABG were measured in vitro using a thrombin generation assay. Additionally, their effects on other coagulation assays including PT, aPTT, TT, and fibrinogen were compared. Both DAB and DABG showed inhibitory effects on thrombin generation in a dose-dependent manner, but DABG exhibited a weaker inhibitory effect than that of DAB. The IC50 values of DAB and DABG on thrombin generation AUC were 134.1 ng/mL and 281.9 ng/mL, respectively. DABG also exhibited weaker anticoagulant effects than DAB on PT, aPTT, and TT. The results of the present study indicate that the anticoagulant effect of DABG, a main active DAB metabolite, is weaker than that of DAB.
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Changes in parent compound exposure alone may not fully predict therapeutic efficacy or bleeding risk, particularly for drugs with active metabolites.
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- Authors
- Kim, J.-M., Noh, J., Park, J.-W., Chung, H., Kim, K.-A., Park, S. B., Lee, J.-S., & Park, J.-Y.
- Affiliations
- Korea University (KR)
- Korea University Guro Hospital (KR)
- Corresponding author
- Lee, Jun-Seok
- Park, Ji-Young
- Venue
- Pharmaceutics
- Publisher
- MDPI AG
- Published
- 2022-01-22
- Volume
- 14
- Issue
- 2
- Pages
- 257
- ISSN
- 1999-4923 (ISSN-L)
- PMC
- PMC8875894
- OpenAlex
- W4207060179
- Cited by
- 6
- References
- 32
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Pharmaceutics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Seoul National University Open Repository (Seoul National University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- dabigatran, drug metabolites, anticoagulant activity, thrombin inhibition, thrombin generation assay, oral anticoagulants, prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen, IC50
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