PRAXBIND®
Mechanism of action
Idarucizumab is a specific reversal agent for dabigatran. It is a humanized monoclonal antibody fragment (Fab) that binds to dabigatran with very high affinity, approximately 300-fold more potent than the binding affinity of dabigatran for thrombin. The idarucizumab-dabigatran complex is characterized by a rapid on-rate and extremely slow off-rate resulting in a very stable complex. Idarucizumab potently and specifically binds to dabigatran and its metabolites and neutralizes their anticoagulant effect.
Footnote:
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Fab, antigen-binding fragment.
Reference:
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PRAXBIND® approved package insert. Updated in May 2019 and approved in November 2019.