TheraRadar
Data updated: May 26, 2026

ARGATROBAN

Thrombin Inhibitors Genetically Validated
Cardiovascular Approved 2000-06-30

Argatroban is an anticoagulant used to prevent or treat blood clots in adult patients who have developed heparin-induced thrombocytopenia (HIT). It also helps patients with or at risk for HIT who are undergoing percutaneous coronary intervention (PCI) by serving as a necessary blood thinner. This medication provides a critical alternative for managing clotting risks in individuals who cannot safely receive heparin.

Source: FDA Label • Baxter • Anti-coagulant

How ARGATROBAN Works

This drug works by reversibly binding to the active site of thrombin, an enzyme central to the blood clotting process. By blocking thrombin, it prevents the formation of fibrin and stops the activation of various coagulation factors and platelets. It is effective against both free-floating and clot-associated thrombin and does not require a co-factor to exert its effects.

10
Indications
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Phase 3 Trials
2
Priority Reviews
25
Years on Market

Details

Status
None (Tentative Approval)
First Approved
2000-06-30
Routes
INJECTION
Dosage Forms
INJECTABLE

ARGATROBAN Approval History

2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
40 FDA actions from 2000 to 2026 · 2 indication expansions
May 2026 SUPPL
Label · Labeling
Jun 2025 SUPPL
Label · Labeling
Aug 2023 SUPPL
Label · Labeling

What ARGATROBAN Treats

2 indications

ARGATROBAN is approved for 2 conditions since its original approval in 2000. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Thrombosis
  • Heparin-Induced Thrombocytopenia
Source: FDA Label

ARGATROBAN Target & Pathway

Pro

Target

FACTOR XA (Coagulation Factor Xa) Coagulation Factor

A key enzyme in the blood clotting cascade that converts prothrombin to thrombin. Inhibiting Factor Xa prevents clot formation, reducing risk of stroke in atrial fibrillation and treating/preventing venous thromboembolism.

ARGATROBAN Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in ARGATROBAN's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications ARGATROBAN treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to ARGATROBAN

3 of 4

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

AGRYLIN
ANAGRELIDE HYDROCHLORIDE
1 shared
Takeda
Shared indications:
Thrombosis
ANGIOMAX
BIVALIRUDIN
1 shared
Novartis
Shared indications:
Heparin-Induced Thrombocytopenia
ANGIOMAX RTU
BIVALIRUDIN
1 shared
MAIA PHARMS INC
Shared indications:
Heparin-Induced Thrombocytopenia
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Clinical Trial Registry

15 trials
Trial Sponsor ID Phase Status Title
NCT00861692 results posted ARG-E07 Ph 2 completed Clinical Management of Argatroban in Patients With Heparin Induced Thrombocytopenia Type II
NCT05740371 SAICoDis results posted ARG-E08 2016-003521-42 Ph 4 completed Safety of Argatroban Infusion in Conduction Disturbances
NCT03735979 MOST results posted 2018-1464 1U01NS100699-01A1 Ph 3 completed Multi-arm Optimization of Stroke Thrombolysis
NCT05226442 Argatroban_ECMO Ph 2, Ph 3 completed Safety and Feasibility of Argatroban As Anticoagulant in Adults with ECMO
NCT04406389 IMPACT results posted 20-04021936 Ph 4 terminated Anticoagulation in Critically Ill Patients With COVID-19 (The IMPACT Trial)
NCT04275180 EASE Yan-2019-293 Ph 4 completed Efficacy Argatroban in Ischemic Stroke With Early Deterioration (EASE)
NCT05325346 VLX-1005-002 Ph 1 completed A Phase I Study of the Co-administration of VLX-1005 and Argatroban in Healthy Human Subjects
NCT03809481 HITSOVA ERGCR-18-ORGHIT-001 Ph 3 terminated Open-Label, Randomised, Active Controlled, Multi-Centre Phase 3 Study Safety and Efficacy of Danaparoid vs Argatroban
NCT03740958 k (2018)45 Ph 4 completed Argatroban Plus R-tPA for Acute Ischemic Stroke
NCT02935530 VTE-01 Ph 3 completed Thromboprophylaxis After Surgery for Gynecologic Malignancy in China
NCT01734252 ArgHeR Ph 2 completed Argatroban in Critically Ill Patients With Heparin Resistance
NCT02448069 ARTSS-IA HSC-MS-15-0327 Ph 2 completed Safety and Feasibility of Argatroban, Tissue Plasminogen Activator and Intra-arterial Therapy in Stroke
NCT01163604 APORIAS results posted JLH Ph 4 completed Argatroban for Preventing Occlusion and Restenosis After Intracranial and Extracranial Artery Stenting
NCT01980316 JLH3 Ph 4 completed Argatroban for Preventing Occlusion and Restenosis After Extracranial Vertebral Artery Stenting
NCT00798525 ALiCia 2006-003122-28 Ph 4 terminated Argatroban Versus Lepirudin in Critically Ill Patients
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ARGATROBAN FDA Label Details

Indications & Usage

FDA Label (PDF)

ARGATROBAN is indicated for the treatment of Thrombosis; Heparin-Induced Thrombocytopenia.

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ARGATROBAN IN DEXTROSE

Full clinical data, patents, trials, and competitive landscape for argatroban.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.