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:

  • Fab, antigen-binding fragment.

Reference:

  1. PRAXBIND® approved package insert. Updated in May 2019 and approved in November 2019.

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