Drugs / Andexanet alfa
last change Jun 2026 re-read 9 days ago

Andexanet alfa

Protein / enzyme biologic targets TFPI via inhibition

Developed for
intracerebral hemorrhage
Investigated by
Portola Pharmaceuticals · Alexion Pharmaceuticals, Inc. · AstraZeneca · Parexel

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved · conditional EU (EMA) Ondexxya — 2019-04-26 europa.eu ↗

Trials 12

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT07312851 Jan → Jun 2026 — AstraZeneca Completed No outcome recorded
Phase 1 NCT03083704 Feb → Sep 2017 hemorrhagic disease Portola Pharmaceuticals Completed No outcome recorded
Phase 1 NCT03218241 Jun → Sep 2012 — Portola Pharmaceuticals Completed No outcome recorded
Phase 27 trials · 4 met primary
Phase 2 NCT04233073 Jun → Nov 2021 — Alexion Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 2 NCT03310021 Aug 2017 → Aug 2019 hemorrhagic disease Portola Pharmaceuticals Completed No outcome recorded
Phase 2 NCT03330457 Aug 2015 → Feb 2016 hemorrhagic disease Portola Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT03578146 Dec 2012 → Sep 2015 — Portola Pharmaceuticals Completed Met primary
Phase 2 NCT01758432 Dec 2012 → Sep 2015 — Portola Pharmaceuticals Completed Met primary
Phase 2 NCT03551730 Dec 2012 → Sep 2015 — Portola Pharmaceuticals Completed Met primary
Phase 2 NCT03551743 Dec 2012 → Sep 2015 — Portola Pharmaceuticals Completed Met primary
Phase 31 trial
Phase 3 NCT05926349 Aug 2024 → Jan 2027 — AstraZeneca Withdrawn No outcome recorded Stop: Business
Phase 41 trial · 1 met primary
Phase 4 NCT03661528 Jun 2019 → May 2023 intracerebral hemorrhage Alexion Pharmaceuticals, Inc. Completed Met primary

News releases announcing trial results or a regulatory action · 3

DateIssuerRelease
2023-06-05 AstraZeneca Results Andexxa Phase IV trial stopped early after achieving pre-specified criteria on haemostatic efficacy versus usual care astrazeneca.com ↗
The decision is based on achieving pre-specified stopping criteria of superior haemostatic efficacy, the ability to limit the expansion of a potentially life-threatening bleed in the brain, versus usual care.
2022-03-29 AstraZeneca Regulatory Ondexxya approved in Japan for reversal of acute major bleeds in patients on Factor Xa inhibitors astrazeneca.com ↗
Ondexxya (andexanet alfa) has been approved in Japan for patients treated with the Factor Xa (FXa) inhibitors apixaban, rivaroxaban or edoxaban, when reversal of anticoagulation is needed due to life-threatening or uncontrolled bleeding.
2015-03-02 Janssen Research & Development, LLC Results Findings to be Presented at Annual Scientific Session of the American College of Cardiology (ACC) About an Additional Potential Reversal Strategy for and Real-World Safety Performance of XARELTO® jnj.com ↗

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 15 sources stand behind the page.

FieldValueCited text
Known as Andexanet alfa ClinicalTrials.gov intervention name — accepted as the source's own label NCT03330457 ↗
6

NCT03310021 ↗

NCT03083704 ↗

NCT05926349 ↗

NCT04233073 ↗

NCT03661528 ↗

NCT07312851 ↗

Known as andexanet “We randomly assigned, in a 1:1 ratio, patients who had taken factor Xa inhibitors within 15 hours before having an acute intracerebral hemorrhage to receive andexanet or usual care.” PMID 38749032 ↗ May 2024
Known as Andexxa ChEMBL registry synonym — accepted as the source's own label CHEMBL3301583 ↗
Known as Ondexxya ChEMBL registry synonym — accepted as the source's own label CHEMBL3301583 ↗
Known as PRT-4445 ChEMBL registry synonym — accepted as the source's own label CHEMBL3301583 ↗
Known as PRT064445 ClinicalTrials.gov intervention name — accepted as the source's own label NCT03551743 ↗
4

NCT03218241 ↗

NCT03578146 ↗

NCT03551730 ↗

NCT01758432 ↗

Known as rfXa Inhibitor Antidote ChEMBL registry synonym — accepted as the source's own label CHEMBL3301583 ↗
Action Inhibit “Tissue factor pathway inhibitor inhibitor” CHEMBL3301583 ↗
Modality Protein / enzyme biologic “Andexanet alfa, a modified, catalytically inactive, recombinant human FXa derivative” PMID 29296829 ↗ Sep 2017
Route Intravenous “intravenously administered PRT064445” NCT01758432 ↗
Target TFPI “Tissue factor pathway inhibitor inhibitor” CHEMBL3301583 ↗