Drugs / Bivalirudin
last change Sep 2026 re-read 9 days ago

Bivalirudin

Peptide

Developed for
ST-elevation myocardial infarction · coronary artery disorder · acute coronary syndrome · acute myocardial infarction · myocardial infarction · coronary artery intramyocardial course · heparin-induced thrombocytopenia · acquired aneurysmal subarachnoid hemorrhage
+9 more · acute respiratory failure · cardiac valvular defect · coronary microvascular disorder · COVID-19 · hematologic disorder · hemorrhagic disease · intermediate coronary syndrome · thrombotic disease · venous thromboembolism
Investigated by
The Medicines Company · Shenyang Northern Hospital · Beijing Friendship Hospital · First Affiliated Hospital Xi'an Jiaotong University · German Heart Center Munich · The First Affiliated Hospital of Dalian Medical University
+40 more · University of Texas Southwestern Medical Center · Xijing Hospital · Baylor College of Medicine · Beijing Anzhen Hospital · Boston Children's Hospital · Changhai Hospital · Children's Hospital Colorado · Children's Hospital Los Angeles · Children's Hospital of Philadelphia · Chinese Academy of Medical Sciences, Fuwai Hospital · Chinese PLA General Hospital · Duke University · FDA Office of Orphan Products Development · Groupe Hospitalier Pitie-Salpetriere · HaEmek Medical Center, Israel · Hamad Medical Corporation · Han Yaling, MD · Kaiser Permanente · Legacy Health System · LifeBridge Health · Lund University · Nanjing First Hospital, Nanjing Medical University · Nationwide Children's Hospital · Odessa Heart Institute · Pacific University · Peking University First Hospital · Qian Gong · Qilu Hospital of Shandong University · Second Xiangya Hospital of Central South University · Shanghai Zhongshan Hospital · Shenzhen Salubris Pharmaceuticals Co., Ltd. · Stanford University · The First Affiliated Hospital of Zhengzhou University · The First People's Hospital of Changzhou · University Magna Graecia · University of Roma La Sapienza · Uppsala University · Wuhan University · Xiaotong Hou · Zhejiang University

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Withdrawn EU (EMA) Angiox — 2018-06-21 europa.eu ↗
Label expansions (2) US (FDA) ANGIOMAX — 2005-06-13 – 2005-11-30 fda.gov ↗
Approved EU (EMA) Angiox — 2004-09-20 europa.eu ↗
Approved US (FDA) ANGIOMAX — 2000-12-15 fda.gov ↗

Trials 47

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT00812370 Sep 2008 → Jan 2013 venous thromboembolism Children's Hospital Los Angeles Completed No outcome recorded
Phase 24 trials
Phase 2 NCT06080074 Apr 2025 → Sep 2027 expected cardiogenic shock, cardiomyopathy, congenital heart disease, heart failure Stanford University Recruiting No outcome recorded
Phase 2 NCT03567408 Sep 2018 → Aug 2019 coronary artery disorder Qian Gong Unknown No outcome recorded
Phase 2 NCT00503126 Aug 2007 → Jul 2008 — The Medicines Company Completed No outcome recorded
Phase 2 NCT00043277 Aug 2002 → Dec 2004 thrombotic disease The Medicines Company Completed No outcome recorded
Phase 315 trials · 2 met primary · 2 missed
Phase 3 NCT04532333 Aug 2020 → May 2021 acquired aneurysmal subarachnoid hemorrhage Changhai Hospital Unknown No outcome recorded
Phase 3 NCT02897037 Nov 2016 → Jun 2017 acute myocardial infarction Shenzhen Salubris Pharmaceuticals Co., Ltd. Unknown No outcome recorded
Phase 3 NCT02448550 May 2015 → May 2016 — Kaiser Permanente Terminated No outcome recorded
Phase 3 NCT02565147 Dec 2014 → Jun 2016 acute myocardial infarction The Medicines Company Terminated Missed primary
Phase 3 NCT01913483 Sep 2013 → Mar 2016 hemorrhagic disease, peripheral arterial disease The Medicines Company Terminated Missed primary
Phase 3 NCT01651780 Oct 2012 → Jun 2015 aortic valve stenosis The Medicines Company Completed Mixed
Phase 3 NCT01555658 Apr → Sep 2012 coronary artery disorder University of Roma La Sapienza Unknown No outcome recorded
Phase 3 NCT01087723 Mar 2010 → Aug 2013 acute coronary syndrome The Medicines Company Completed Met primary
Phase 3 NCT00616460 Feb 2008 → Oct 2011 hematologic disorder HaEmek Medical Center, Israel Completed No outcome recorded
Phase 3 NCT00079508 Apr 2004 → Oct 2005 cardiovascular disorder The Medicines Company Completed No outcome recorded
Phase 420 trials · 4 met primary · 5 missed
Phase 4 NCT07383155 Feb 2026 → Dec 2027 expected acute coronary syndrome, bleeding disorder, vascular-type Shenyang Northern Hospital Not yet recruiting No outcome recorded
Phase 4 NCT05984537 Jul 2023 → Dec 2025 overdue coronary microvascular disorder Peking University First Hospital Recruiting No outcome recorded
Phase 4 NCT04445935 Jun → Sep 2020 — Hamad Medical Corporation Unknown No outcome recorded
Phase 4 NCT04195997 Feb → Dec 2020 — Shanghai Zhongshan Hospital Unknown No outcome recorded
Phase 4 NCT04185077 Nov 2019 → Dec 2020 ST-elevation myocardial infarction Second Xiangya Hospital of Central South University Unknown No outcome recorded
Phase 4 NCT03588611 Oct 2019 → Jun 2021 acute coronary syndrome Han Yaling, MD Completed Met primary
Phase 4 NCT04046029 Jul 2019 → Jul 2020 acute coronary syndrome, blood coagulation disease The First Affiliated Hospital of Dalian Medical University Unknown No outcome recorded
Phase 4 NCT03965208 May 2019 → Dec 2020 — Legacy Health System Unknown No outcome recorded
Phase 4 NCT03882775 Jan 2019 → Jul 2020 ST-elevation myocardial infarction The First Affiliated Hospital of Dalian Medical University Unknown No outcome recorded
Phase 4 NCT03664180 Jan 2019 → Nov 2022 ST-elevation myocardial infarction Beijing Anzhen Hospital Completed Missed primary
Phase not applicable7 trials · 1 met primary · 1 missed
— NCT06861374 May 2025 → Mar 2028 expected ST-elevation myocardial infarction First Affiliated Hospital Xi'an Jiaotong University Not yet recruiting No outcome recorded
— NCT06275555 Jun 2024 → Dec 2026 expected — Xiaotong Hou Recruiting No outcome recorded
— NCT05334654 Apr → Jun 2022 COVID-19, acute respiratory failure University Magna Graecia Completed No outcome recorded
— NCT04475835 Jan 2021 → Dec 2022 ST-elevation myocardial infarction First Affiliated Hospital Xi'an Jiaotong University Unknown No outcome recorded
— NCT04120961 Sep 2019 → Aug 2022 coronary artery disorder Nanjing First Hospital, Nanjing Medical University Completed Missed primary
— NCT03822975 Feb 2019 → May 2022 ST-elevation myocardial infarction Shenyang Northern Hospital Completed Met primary
— NCT02384070 Jan 2009 → Dec 2013 coronary artery disorder Odessa Heart Institute Completed No outcome recorded
Comparator or background therapy17 trials
Phase 1 NCT03707418 Comparator Apr → Jun 2021 — Johns Hopkins University Withdrawn No outcome recorded Stop: Business
Phase 2 NCT05959252 Comparator May 2024 → Jun 2026 overdue — Sydney Local Health District Recruiting No outcome recorded
Phase 3 NCT01848106 Comparator Sep 2013 → Aug 2014 coronary artery disorder Regado Biosciences, Inc. Terminated Missed primary
Phase 3 NCT01465503 Comparator Jan 2008 → Dec 2012 hemorrhagic disease Clinica Mediterranea Completed No outcome recorded
Phase 3 NCT00464087 Comparator Jun 2007 → Nov 2010 acute coronary syndrome Medstar Health Research Institute Completed No outcome recorded

News releases announcing trial results or a regulatory action · 1

DateIssuerRelease
2009-06-14 Sequella, Inc. Regulatory Woman CEO's Proving Glass Ceiling Can be Broken sequella.com ↗
With that additional six months of exclusivity, the FDA will not authorize commercialization of generic versions of bivalirudin prior to September 2010.

All press releases naming this drug 1 release

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 66 sources stand behind the page.

FieldValueCited text
Known as Bivalirudin “In the bivalirudin group, an intravenous bolus dose of bivalirudin 0.75 mg/kg will be administered, followed by an intravenous infusion of 1.75 mg/(kg·h).” NCT07383155 ↗
63

“Intracoronary cocktail (tirofiban, bivalirudin, tenecteplase) injection combined with thrombus aspiration” NCT02592694 ↗

“cocktail (tirofiban, bivalirudin, tenecteplase)” NCT02592720 ↗

NCT02897037 ↗

NCT02384070 ↗

NCT03822975 ↗

NCT06861374 ↗

NCT04195997 ↗

NCT05984537 ↗

NCT00448461 ↗

NCT03707418 ↗

Show 53 more sources

Known as Angiomax “A Study Comparing Angiomax (Bivalirudin) to Heparin With Protamine Reversal in Patients Undergoing Cardiac Surgery on Cardiopulmonary Bypass (CPB)” NCT00079586 ↗
5

“Drug: Bivalirudin Injection [Angiomax]” NCT03707418 ↗

“Angiomax (bivalirudin) anticoagulant” NCT00093184 ↗

“Angiomax (bivalirudin) anticoagulant” NCT00093158 ↗

“Angiomax (bivalirudin)” NCT00079508 ↗

“Angiomax (bivalirudin)” NCT00043277 ↗

Known as Angiomax (bivalirudin) “Angiomax (bivalirudin)” NCT01642238 ↗
Known as BIV “Bivalirudin (BIV) a synthetic, bivalent, 20-amino acid direct thrombin inhibitor, was found to have the advantages of inhibiting fibrin-bound thrombin” NCT04185077 ↗
Known as Bivalirudin (Angiox; The Medicine Company - NJ 07054 U.S.A) “Bivalirudin (Angiox; The Medicine Company - NJ 07054 U.S.A)” NCT01465503 ↗
Known as BVR “Bivalirudin (BVR) is a direct thrombin inhibitor used as an adjunctive antithrombotic agent in combination with aspirin and an ADP-receptor blocker in patients with acute...” PMID 24219045 ↗ Dec 2013
Action Inhibit “direct thrombin inhibitor” PMID 17368152 ↗ Mar 2007
Modality Peptide “Bivalirudin (BIV) a synthetic, bivalent, 20-amino acid direct thrombin inhibitor” NCT04185077 ↗
Route Intravenous “intravenous bolus and 1.75-mg/kg/h intravenous infusion” NCT00043940 ↗