Edoxaban absorbs quickly [43], can directly bind to the FXa active site and does not need to monitor the coagulation index for its inhibitory activity, its selectivity for thrombin (factor IIa) is 10,000 times lower than for FXa, and for other serine proteases There is no interaction. Edoxaban is a substrate of CYP3A4, not an inhibitor and inducer of CYP1A2, CYP3A4 and P-gp transporter [31]. The absolute bioavailability of edoxaban orally is 67%, the peak plasma concentration time is 1 to 5 hours after oral administration, the plasma elimination half-life is 6 to 11 hours, and 35% is excreted by the kidney [31-32, 35-36]. Studies on the structure-activity relationship of edoxaban indicate that [32-38]: a rigid naphthenic diamine structure in the edoxaban molecule not only improves the biological activity of such structures, but also greatly improves its pharmacokinetics nature. In the structure, 5-chloro 2-aminopyridine is connected to the parent nucleocycloalkane diamine with a dicarbonyl group, which improves its pharmacodynamic activity, and makes it fit well with the P1 pocket, while ensuring that the methylpiperazine part is compatible with P4 Pockets are well bonded
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