Peptide · Approved
Bivalirudin
A direct thrombin-inhibitor peptide (Angiomax) used as an anticoagulant during procedures.
Key facts
- Also known as: Angiomax
- Status: Approved
- Used for: Anticoagulant
- Natural counterpart: A synthetic analog of hirudin, the leech’s natural anticoagulant.
- Target enzyme / receptor: Thrombin (Factor IIa) — a serine protease (enzyme, directly inhibited)
- Signalling pathway: Blocks thrombin's active site & exosite → no fibrin formation → anticoagulation
In plain terms: Directly jams thrombin, the clot-forming enzyme, so blood stays thin. - Crystal / cryo-EM structure: Available PDB 1PPB ↗
Status & safety
This is an approved medicine — prescription-only in most countries. Only use it under a licensed clinician, obtained through a pharmacy.
Research & clinical studies
Explore the biochemistry and clinical evidence for Bivalirudin — these open live, date-sorted searches, so they always show the latest.
Read research papers on PubMed ↗
Clinical studies (ClinicalTrials.gov) ↗
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