This prospective, single-arm observational cohort study aims to evaluate the real-world effectiveness and safety of direct oral anticoagulants (DOACs), specifically dabigatran or rivaroxaban, in patients with cerebral venous thrombosis (CVT). The study will be conducted at Bach Mai Hospital, a national tertiary stroke referral center in Hanoi, Vietnam.
A minimum of 69 adults with radiologically confirmed CVT will be enrolled between June 2025 and June 2027. All participants must have received therapeutic-dose heparin during the acute phase and will be transitioned to a DOAC within 5 to 15 days, per physician judgment. All treatments are part of routine care; no investigational drugs are used.
The primary outcome is a composite of major bleeding (per ISTH criteria) or recurrent venous thromboembolism (VTE) within 6 months.
Secondary outcomes include: functional outcome (Modified Rankin Scale), venous sinus recanalization, all-cause mortality, serial D-dimer levels, post-CVT chronic headache, health-related quality of life (EQ-5D-5L), clinically relevant non-major bleeding (CRNMB), symptomatic recurrent VTE, arterial thrombotic events, and early treatment discontinuation.
This study aims to generate real-world data supporting DOAC use in CVT, particularly in Asian populations where prospective evidence is limited.

开始日期2025-07-11

申办/合作机构-

NCT06945276

/ Completed临床1期IIT

A Phase 1 Study to Evaluate Relative Bioavailability and Food Effect of an ALG-097558 Tablet Formulation and the Drug-Drug Interaction Potential of ALG-097558 and Its Metabolite ALG-097730 in Healthy Volunteers

The aim of this multi-part Phase 1 study is to evaluate the drug-drug interaction (DDI) potential of ALG-097558 via co-administration with a P-gp substrate (dabigatran) and a CYP3A4 inhibitor/P-gp inhibitor (itraconazole). In addition, this study will evaluate the relative bioavailability and food effect of a new tablet formulation for ALG-097558.
This study consists of 3 parts, all conducted in healthy volunteers (HV). Study Parts A and B are designed to assess the perpetrator or victim DDI risk of ALG-097558 mediated by CYP/P-gp interactions in healthy adult subjects. Part A will evaluate the potential impact of itraconazole, a CYP3A potent inhibitor, while Part B will investigate the potential impact of ALG-097558 (perpetrator) on dabigatran etexilate, a P-gp transporter substrate. Study Part C is designed to study the bioavailability of a new formulation of the ALG-097558 tablet and the food effect on this tablet.
This study has one primary objective for each part of the study. For Part A: to evaluate the effect of a CYP3A4 inhibitor/Pg-p inhibitor, itraconazole, on the pharmacokinetics (PK) of ALG-097558 and the metabolite, ALG-097730. For Part B: to evaluate the effect of multiple doses of ALG-097558 on the pharmacokinetics of a P-gp substrate, dabigatran. For Part C: to evaluate the relative bioavailability of 2 different tablet formulations of ALG-097558 and effect of food on the pharmacokinetics of ALG-097558 and the metabolite, ALG-097730.

开始日期2025-05-13

申办/合作机构

National Institute of Allergy & Infectious Diseases

NCT06818279

/ Not yet recruiting临床2/3期IIT

Compare the Efficacy and Safety of Dabigatran and Enoxaparin in Patients With Portal Vein Thrombosis With Cirrhosis: A Randomized Controlled Study

Portal vein thrombosis (PVT) is prevalent among patients with cirrhosis, and its prevalence rises with the severity of liver disease. Numerous studies have indicated that patients developing PVT experience elevated portal pressure and associated complications, such as increased incidence of variceal bleeding, higher rates of failed variceal bleed control, rebleeding, and short-term mortality. Additionally, the development of PVT adversely affects post-transplant outcomes, correlating with increased 30-day mortality among transplant recipients with PVT. Current guidelines lack clarity regarding the optimal choice of anticoagulation therapy for patients with cirrhosis. This study aims to evaluate the efficacy and safety of enoxaparin and dabigatran in achieving complete recanalization of portal vein thrombosis in cirrhotic patients over a 6-month period.

开始日期2025-01-31

申办/合作机构

Institute of Liver & Biliary Sciences

100 项与甲磺酸达比加群酯相关的临床结果

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100 项与甲磺酸达比加群酯相关的转化医学

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100 项与甲磺酸达比加群酯相关的专利（医药）

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6,392

项与甲磺酸达比加群酯相关的文献（医药）

2025-12-31·JOURNAL OF MEDICAL ECONOMICS

Nationwide extrapolation of economic benefit of therapeutic innovation: a 10-year retrospective budget impact of direct oral anticoagulants introduction in France

Article

作者: Belhassen, M. ; Lesage, H. ; Moreau, R. ; Née, M. ; Cotté, F. E. ; Guilmet, C. ; Danchin, N. ; Marant Micallef, C. ; Guitard-Dehoux, D.

OBJECTIVES:

Patients with atrial fibrillation (AF) face increased risks of strokes and systemic thromboembolism (SE), traditionally managed with vitamin K antagonists (VKAs), which are associated with major bleeding (MB) risks. The nationwide real-life data-based NAXOS study, comparing Direct Oral Anticoagulants (DOACs: apixaban, dabigatran, rivaroxaban) to VKAs in over 400,000 AF patients in France, showed that DOACs are more effective, safer, and associated with lower total costs. This study evaluates the 10-year budget impact of DOACs in France, focusing on reductions in strokes/SE, MB, and monitoring costs (INRt).

METHODS:

A retrospective budget impact model from 2014 to 2023 compared scenarios with and without DOACs, using clinical and cost data from the NAXOS study. The target population of DOAC-eligible patients ranged from 725,000 in 2014 to 1.4 million in 2023. Market shares trends were derived from the public national drugs database, indicating that VKAs' use decreased from 67% to 11%, while DOACs, especially apixaban, rose sharply (2% to 55%) over the same period. Costs included treatment acquisition, strokes/SE, MB, and international normalized ratio testing (INRt) for VKAs.

RESULTS:

Over a 10-year horizon, the introduction of DOACs is estimated to have prevented 73,009 strokes, 97,234 major bleeding, and 19,567 stroke-related deaths among patients with NVAF. DOAC introduction increased treatment costs by €5.15 billion over 10 years, and reduced costs for strokes/SE (-€4.24 billion), MB (-€3.22 billion), and INRt (-€1.14 billion), leading to €3.45 billion of savings for National Insurance over 10 years, with apixaban contributing 55% of savings.

LIMITATIONS:

This analysis may not account for all contextual variables, such as indirect costs related to productivity losses.

CONCLUSION:

Over 10 years, the introduction of DOACs in France has generated substantial savings in AF-related costs, highlighting their clinical and economic benefits and the importance for authorities to valorise the external effects of therapeutic innovations.

2025-12-01·Japanese Dental Science Review

Risk of bleeding with dentoalveolar surgery in patients taking direct oral anticoagulants or vitamin K antagonists: A systematic review and meta-analysis

Review

作者: Zhao, Zhiguo ; Shi, Yue ; Dou, Ke ; Yang, Baoyi

Objective:

The aim of the present study was to assess and compare the bleeding risks in patients undergoing dentoalveolar surgery who were on uninterrupted therapy with direct oral anticoagulants (DOACs) or vitamin K antagonists (VKAs).

Methods:

Electronic database searches were performed in PubMed, Embase, Web of Science, and CENTRAL through 28 September 2024, following PICOS criteria. Two reviewers independently performed literature screening, data extraction, and assessed the risk of bias. Data were pooled to estimate risk ratios (RR) with 95 % confidence intervals (CI) using a fixed-effects model. Between-study heterogeneity was assessed with the Q statistic and I². Subgroup analyses were conducted according to study characteristics, while sensitivity analyses were used to pinpoint potential sources of heterogeneity and evaluate the reliability of the results.

Results:

29 studies enrolled a total of 29,212 patients. Meta-analysis demonstrated a reduced risk of bleeding in patients receiving DOACs compared to those treated with VKAs (RR = 0.79, 95 % CI: 0.68-0.92, I² = 0 %, P = 0.002). Subgroup analysis revealed a significantly reduced risk of bleeding with dabigatran compared to VKAs (RR = 0.40, 95 % CI: 0.23-0.67, I² = 0 %, P = 0.0006). However, no statistically significant differences were found between rivaroxaban (RR = 1.08, 95 % CI: 0.84-1.39, I² = 38 %, P = 0.54), apixaban (RR = 0.88, 95 % CI: 0.64-1.3, I² = 0 %, P = 0.46), edoxaban (RR = 0.70, 95 % CI: 0.45-1.11, I² = 60 %, P = 0.13) and VKAs. Combined analyses indicated an increased risk of bleeding with DOACs compared to controls (RR = 3.23, 95 % CI: 2.18-4.78, I² = 24 %, P < 0.0001), as well as increased bleeding risk with VKAs (RR = 3.35, 95 % CI: 2.31-4.85, I² = 0 %, P ＜ 0.0001).

Conclusions:

Patients receiving DOACs or VKAs have an increased risk of bleeding during dentoalveolar surgery, but severe bleeding requiring hospitalization or causing irreversible damage is rare. Patients using DOACs appear to have a lower bleeding risk compared to those on VKAs. This difference is mainly observed in dabigatran etexilate, while it remains unclear in rivaroxaban, apixaban, and edoxaban. Current quality of evidence is very low, which should be interpreted with caution. Future studies with higher quality of evidence are required to strengthen the validity of these findings.

2025-12-01·ANNALS OF VASCULAR SURGERY

Postoperative Direct Oral Anticoagulants are Associated with Improved Amputation-Free Survival in Infrageniculate Bypasses Performed by Prosthetic Grafts in Patients with Chronic Limb-Threatening Ischemia

Article

作者: Quatromoni, Jon G ; Abdelkarim, Ahmed ; Patel, Rohini J ; Powell, Jenna J ; Malas, Mahmoud B ; Gaffey, Ann C ; Zarrintan, Sina

BACKGROUND:

Autogenous single-segment great saphenous vein graft is the conduit of choice in infrainguinal bypasses particularly when the distal target of bypass is infra-geniculate. However, use of prosthetic grafts for infrageniculate bypass (IGB) is required in certain patients. Different measures have been used to increase the durability of prosthetic grafts in IGB. We aimed to investigate the effect of postoperative anticoagulation on outcomes of IGBs performed by prosthetic conduits in patients with chronic limb-threatening ischemia (CLTI).

METHODS:

The Vascular Quality Initiative-Medicare-linked database was queried for IGBs performed for CLTI (rest pain or tissue loss) between May 2014 and December 2019. All included patients underwent IGB by polytetrafluoroethylene (PTFE) grafts. The patients were stratified based on postoperative anticoagulation status: no discharge anticoagulation, warfarin, and direct oral anticoagulants (DOACs). DOACs included rivaroxaban or dabigatran. The primary outcome was amputation-free survival (AFS). Secondary outcomes were overall survival, limb salvage, and freedom from reintervention. Kaplan-Meier survival estimates and Cox regression were used for statistical analysis.

RESULTS:

The study included 3 cohorts: No discharge anticoagulation (N = 1,170, 63.5%), warfarin (N = 482, 26.2%), and DOAC (N = 189, 10.3%). After adjusting for potential confounders, discharge warfarin and DOAC were associated with lower risk of death in 1 year (adjusted hazard ratio [aHR], 0.60 [95% confidence interval {CI}: 0.46-0.78], P < 0.001 and aHR, 0.63 [95% CI: 0.43-0.93], P = 0.021, respectively) and 3 years (aHR, 0.72 [95% CI: 0.59-0.89], P = 0.002 and aHR, 0.64 [95% CI: 0.45-0.90], P = 0.011, respectively) compared to no anticoagulation. Patients receiving warfarin were at greater risk of major amputation at 3 years postoperatively (aHR, 1.33 [95% CI: 1.03-1.72], P = 0.029) than the nonanticoagulated patients, while patients receiving DOACs did not have a greater risk of major amputation. At 3 years, DOAC was associated with improved AFS compared to warfarin (aHR, 0.76 [95% CI: 0.58-0.99], P = 0.045). Neither warfarin nor DOAC was associated with reintervention at 3-year follow-up compared to no anticoagulation.

CONCLUSION:

We found that postoperative anticoagulation use was associated with improved survival in patients undergoing IGB with PTFE graft for CLTI. Moreover, patients receiving DOACs were associated with greater AFS at 3 years postoperatively than warfarin. This study supports the use of anticoagulants, DOAC preferably to achieve favorable outcomes in IGBs when a prosthetic graft is being used. However, further prospective studies are necessary to confirm our findings.

149

项与甲磺酸达比加群酯相关的新闻（医药）

2025-08-29

·EINPresswire

January - March 2021 | Potential Signals of Serious Risks/New Safety Information Identified by the FDA Adverse Event Reporting System (FAERS)

Addyi (flibanserin) Drug hypersensitivity The "Contraindications", "Warnings and Precautions", "Adverse Reactions", and "Medication Guide" sections of the labeling were updated in September 2021 to include hypersensitivity reactions. Addyi labeling Glucagon-like peptide-1 (GLP-1) analogues Adlyxin (lixisenatide) Bydureon (exenatide) Bydureon BCise (exenatide) Byetta (exenatide) Ozempic (semaglutide) Rybelsus (semaglutide) Saxenda (liraglutide) Soliqua (insulin glargine and lixisenatide) Trulicity (dulaglutide) Victoza (liraglutide) Xultophy (insulin degludec and liraglutide) Drug-induced liver injury The "Adverse Reactions" section of the liraglutide and dulaglutide labeling was updated in June 2022 to include information about elevations of liver enzymes. Example: Trulicity labeling FDA determined that no action is necessary at the time for lixisenatide, exenatide, and semaglutide based on available information. Alcohol-based hand sanitizers Exposure via inhalation FDA determined that no action is necessary at the time based on available information. A FDA Drug Safety Communication was issued on June 16, 2021. Amlodipine and Levamlodipine Products Azor (amlodipine and olmesartan medoxomil ) Caduet (amlodipine besylate and atorvastatin calcium) Conjupri (levamlodipine maleate) Consensi (amlodipine besylate and celecoxib) Exforge (amlodipine and valsartan) Exforge HCT (amlodipine/valsartan and hydrochlorothiazide) Lotrel (amlodipine besylate and benazepril hydrochloride) Katerzia (amlodipine benzoate) Norvasc (amlodipine besylate) Prestalia (amlodipine besylate and perindopril arginine) Tribenzor (amlodipine besylate/olmesartan medoxomil and hydrochlorothiazide) Twynsta (amlodipine and telmisartan) Non-cardiogenic pulmonary edema FDA determined that no action is necessary at the time based on available information. Avonex (interferon beta-1a) Betaseron (interferon beta-1b) Extavia (interferon beta-1b) Plegridy (pegylated interferon beta-1a) Rebif (interferon beta-1a) Injection site abscess FDA is evaluating the need for regulatory action. Bavencio (avelumab) Imfinzi (durvalumab) Keytruda (pembrolizumab) Libtayo (cemiplimab-rwlc) Opdivo (nivolumab) Tecentriq (atezolizumab) Scleroderma FDA determined that no action is necessary at the time based on available information. Bavencio (avelumab) Imfinzi (durvalumab) Keytruda (pembrolizumab) Libtayo (cemiplimab-rwlc) Opdivo (nivolumab) Tecentriq (atezolizumab) Cholangitis sclerosing The "Adverse Reactions" section of the Keytruda (pembrolizumab) labeling was updated in August 2021 to include sclerosing cholangitis. Example: Keytruda labeling FDA determined that no action is necessary at the time for Bavencio (avelumab), Imfinzi (durvalumab), Libtayo (cemiplimab-rwlc), Opdivo (nivolumab), and Tecentriq (atezolizumab) based on available information. Chloroquine Generic products containing chloroquine Phospholipidosis The “Warnings” section of the labeling was updated in May 2022 to include information about phospholipidosis. Eliquis (apixaban) Pradaxa (dabigatran etexilate mesylate) Savaysa (edoxaban tosylate) Xarelto (ribaroxaban) Generic products containing dabigatran etexilate mesylate Generic products containing ribaroxaban Menorrhagia The “Use in Specific Populations” section was updated April 2021 to add language to describe the risk of clinically significant uterine bleeding in females of reproductive potential. Eliquis label Pradaxa label Savaysa label Xarelto label Depakote (divalproex sodium) Depakote ER (divalproex sodium) Stavzor (valproic acid) Generic products containing divalproex sodium Generic products containing valproic acid Tubulointerstitial nephritis The "Adverse Reactions" section of the labeling was updated in November 2021 to include tubulointerstitial nephritis. Example: Depakote labeling Dupixent (dupilumab) Alopecias FDA is evaluating the need for regulatory action. H.P. Acthar Gel (corticotropin) Anaphylactic and anaphylactoid responses The "Warnings and Precautions" and "Adverse Reactions" sections of the labeling were updated in October 2021 to include anaphylaxis. Acthar Gel labeling H.P. Acthar Gel (corticotropin) Cardiac arrhythmias The "Warnings and Precautions" and "Adverse Reactions" sections of the labeling were updated in October 2021 to include atrial fibrillations and palpitations. Acthar Gel labeling Ibrance (palbociclib) Kisqali (ribociclib) Kisqali Femara Co-Pack (letrozole and ribociclib) Verzenio (abemaciclib) Second primary malignancy FDA determined that no action is necessary at the time based on available information. Lynparza (olaparib) Drug-induced liver injury FDA determined that no action is necessary at the time based on available information. Ocrevus (ocrelizumab) Autoimmune colitis The "Warnings and Precautions", "Adverse Reactions", "Patient Counseling Information", and "Medication Guide" sections of the labeling were updated in August 2022 to include colitis. Ocrevus labeling Poteligeo (mogamulizumab-kpkc) Acute kidney injury The "Warnings and Precautions" section of the labeling was updated in March 2022 to include glomerulonephritis. Poteligeo labeling Ravicti (glycerol phenylbutyrate) Product labeling issue regarding stability and instructions for administration The container label, carton label, "Medication Guide", and sections of the Prescribing Information ("Dosage and Administration" and "Patient Counseling Information") were updated in September 2021 to enhance the instructions for administration. Ravicti labeling Spravato (esketamine) Hypertensive crisis FDA determined that no action is necessary at the time based on available information. Tremfya (guselkumab) Device use errors resulting in possible missed or partial doses The Tremfya One Press Instructions for Use (IFU) and carton labeling was updated in June 2023 to mitigate medication errors, such as underdose or no dose delivered. Tremfya labeling Trulance (plecanatide) Drug hypersensitivity The “Adverse Reactions” section of the Trulance labeling was updated April 2021 to include skin itching, hives, and rash. Trulance Label Trulance (plecanatide) Vomiting The “Adverse Reactions” section of the Trulance labeling was updated April 2021 to include vomiting. Trulance Label Legal Disclaimer: EIN Presswire provides this news content "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.

上市批准

2025-08-10

·米内网

【数据】集采国谈七年，品种、企业格局巨变

精彩内容 2018年开启的集采和国谈颠覆了医药行业格局。本文根据米内网刚刚发布的《2025年度中国医药市场发展蓝皮书》数据，通过七年来（2018～2024）中国城市公立医院化药及生物药TOP20品种、TOP20企业的排名变化，来分析下集采和国谈对医药行业产生的影响。集采主要是在城市公立医院进行的，国谈品种除双通道药店外，也主要是在城市公立医院销售的，所以本文仅针对受集采和国谈影响最大的城市公立医院的西药（化学药+生物药）用药情况进行分析，不包括基层和民营医疗机构，也不包括院外零售药店，不包括中药。 TOP20品种 2024年中国城市公立医院的TOP20品种与国采之初2018年的相比，冠、亚军没变，人血白蛋白仍是老大，氯化钠注射液稳居第二。13个品种出局，只有7个仍保留在2024年TOP20中。一、出局13个：11个国采品种悉数出局 2018年TOP20品种中纳入国采的11个品种，在2024年TOP20中全部出局。其中，纳入4+7及扩围集采的品种有5个（硫酸氢氯吡格雷片、阿托伐他汀钙片、注射用培美曲塞二钠、瑞舒伐他汀钙片、恩替卡韦分散片），纳入第2批国采的品种有2个（阿卡波糖片、替吉奥胶囊），纳入第4批国采的品种有1个（注射用泮托拉唑钠），纳入第5批国采的品种有2个（吸入用布地奈德混悬液、多西他赛注射液），纳入第7批国采的品种有1个（注射用美罗培南）。另外两个出局2024年TOP20的是“第一批国家重点监控合理用药药品目录”品种（注射用磷酸肌酸钠、前列地尔注射液）（详见图一）。二、新增13个：国谈品种过半 2024年TOP20较2018年TOP20新增的13个品种，过半是国谈新药（其中，6个是生物药），还有3个国采药以及他克莫司胶囊。在新增的6个生物药中，有2个为PD-1单抗（2019年国谈成功的信达生物的信迪利单抗注射液/达伯舒，2020年国谈成功的百济神州的替雷利珠单抗注射液/百泽安），以及已有多款生物类似药获批的贝伐珠单抗注射液、诺和诺德的司美格鲁肽注射液、聚乙二醇化重组人粒细胞刺激因子注射液、沈阳三生制药的重组人血小板生成素注射液（特比澳）。此外，另3个新增的品种是注射用盐酸瑞芬太尼、注射用醋酸亮丙瑞林微球和石药恩必普的丁苯酞氯化钠注射液。 2024年TOP20新增的3个国采品种分别是第8批国采的注射用头孢哌酮钠舒巴坦钠（2:1）、注射用哌拉西林钠他唑巴坦钠（8:1），和第10批国采的盐酸多柔比星脂质体注射液。第八批国采落地执行（2023年7月）时间尚短，国采影响尚未释放完毕，第十批国采于2024年底才开标（2024年销售尚未受影响），故上述3个国采品种暂仍保留在TOP20中。（详见图一）三、保留7个：生物药过半，氯化钠、葡萄糖红旗不倒 2018年TOP20仍保留在2024年TOP20的有7个品种，包括4个生物药、免予国采的2个化药以及地佐辛注射液。其中，4个生物药分别是人血白蛋白、静注人免疫球蛋白（pH4），以及2017年国谈成功的注射用曲妥珠单抗和利妥昔单抗注射液。因无参比制剂而幸免国采的2个化药注射液（氯化钠、葡萄糖）成为极少数幸存的化药，而且是唯二最大化药。2024年，氯化钠注射液稳居第2位不变，葡糖糖注射液排名不降反增，前进了6位，由2018年的第20位前进到了2024年的14位。仍保留在2024年TOP20的7个品种中，有3个排名变化较大，其中2个单抗排名大幅上升，注射用曲妥珠单抗、利妥昔单抗注射液的排名分别由2018年的第15位、17位提升到2024年的第5位、7位，都前进了10位。地佐辛注射液排名则后退了10位，由2018年的第6位下滑到2024年的第16位。（详见图一） TOP20企业 2024年中国城市公立医院的TOP20企业与国采之初2018年的相比，前三名没变，冠、亚军仍是两大外企阿斯利康、辉瑞，恒瑞稳居第三，本土企业老大。6家出局，有14家仍保留在TOP20中。相对于TOP20品种，TOP20企业排名变化幅度稍逊。进口药不可或缺成就了外企的显耀地位，在中国城市公立医院TOP20企业中，外企一直过半，2018年TOP20有12家（占60%）外企，2024年TOP20有11家（占55%）外企。本土企业有所进步，由2018年的8家（占40%）增加到了2024年的9家（占45%）。一、出局6家：2/3是外企跌出2024年Top20的4家外企是晖致、欧加农、勃林格殷格翰和费森尤斯卡比。晖致的知名大品种络活喜（苯磺酸氨氯地平片）、立普妥（阿托伐他汀钙片）、万艾可（枸橼酸西地那非片）等均已纳入国采；勃林格殷格翰于2024年11月20日宣布，将森福罗（普拉克索）和泰毕全（达比加群酯）委托给国药控股进行推广，于今年1月7日宣布，将第十批国采丢标的欧唐宁（利格列汀）在国内非医疗机构渠道的分销及推广交由上药控股负责；费森尤斯卡比的丙泊酚中/长链脂肪乳注射液、脂肪乳氨基酸（17）葡萄糖（11%）注射液分别纳入第四、五批国采。前9批国采，每批都有外企原研药中选，第10批国采原研药已不见踪影，外企正集中调整战略，放弃原研药在华销售权，加码在华创新药研发。但创新药短期难以产生营收，致多家外企排名下滑。（详见图二）二、新增6家：中外各半 2024年TOP20企业较2018年TOP20新增的6家企业中，中外各占一半。其中，新增的3家本土企业是宜昌人福、石药欧意和信达生物制药。宜昌人福深耕小众领域麻醉药，石药是大型传统药企成功向创新转型的代表，信达生物凭借强大的商业化能力而从大批Biotech中脱颖而出，被赋予“医药二哥”美称。新增的3家外企是强生、默克和武田。强生和武田在2021～2024年国谈中，都有7个新药成功纳入医保。（详见图二）三、保留14家仍保留在2024年TOP20的14家企业中，6家排名上升，5家排名下降，3家排名未变（阿斯利康、辉瑞、恒瑞仍稳居前三）。 1、排名上升6家：外企占2/3 在排名上升的6家中，外企占了2/3（4家）。即罗氏和诺华都前进了2位，分别由2018年的第6、7位前进到2024年的第4、5位。默沙东和诺和诺德都前进了3位，分别由2018年的13、14位上升到2024年的10、11位。罗氏、诺华、默沙东在2021～2024年5次国谈中，分别有12个、5个、4个新药经国谈成功纳入医保，国采涉及诺和诺德的主要是第6批国采的胰岛素，降幅都不大。排名上升的2家本土药企是齐鲁、正大天晴，分别前进了3位、2位，分别由2018年的第9位、11位前进到2024年的第6位、9位。齐鲁、正大天晴前9批国采分别涉及96个、83个产品，但两家都在集中精力向创新转型，其创新成果在国谈中也得以明显回报，仅2021～2024年5次国谈，齐鲁和正大天晴就分别有6个和5个成功纳入医保，实现了腾笼换鸟（由创新药替代仿制药）。如齐鲁的安可达（贝伐珠单抗生物类似药）、正大天晴的福可维（盐酸安罗替尼胶囊）等新药都已实现巨额销售。（详见图二） 2、排名下降5家在排名下降的5家企业中，有本土企业3家、外企2家。其中，两家外企赛诺菲、拜耳在2024年的排名较2018年的都下降了3位。赛诺菲的波立维（硫酸氢氯吡格雷片）折戟4+7，拜耳的拜糖平（阿卡波糖片）以近80%降幅惨胜第二批国采。（详见图二）集采国谈七年，大品种大企业格局巨变，集采导致仿制药大品种跌出TOP20，国谈助力新药大品种跻身TOP20，创新药替代仿制药，实现腾笼换鸟。生物药前景可期，本土药企腾飞在即。注：欢迎转载！但在转载或引用本文图片时请标明作者及来源。免责声明：本文仅作医药信息传播分享，并不构成投资或决策建议。本文为原创稿件，转载文章或引用数据请注明来源和作者，否则将追究侵权责任。投稿及报料请发邮件到872470254@qq.com稿件要求详询米内微信首页菜单栏商务及内容合作可联系QQ：412539092 【分享、点赞、在看】点一点不失联哦

带量采购生物类似药

2025-08-01

·国家药品监督管理局

国家药监局公布药品说明书适老化及无障碍改革试点名单（第五批）

根据《国家药监局关于发布药品说明书适老化及无障碍改革试点工作方案的公告》（2023年第142号），省级药品监管部门和国家药监局药品审评中心报送了参与试点的药品上市许可持有人和药品名单（第五批），现予公布。序号药品名称上市许可持有人1维格列汀片华润赛科药业有限责任公司2氨氯地平阿托伐他汀钙片华润赛科药业有限责任公司3奥美沙坦酯氢氯噻嗪片华润赛科药业有限责任公司4缬沙坦氨氯地平片（I）华润赛科药业有限责任公司5米拉贝隆缓释片华润赛科药业有限责任公司6非那雄胺片华润赛科药业有限责任公司7奥美沙坦酯氨氯地平片华润赛科药业有限责任公司8格列齐特缓释片津药达仁堂集团股份有限公司新新制药厂9硫酸氨基葡萄糖胶囊天津天士力圣特制药有限公司10培哚普利吲达帕胺片施维雅（天津）制药有限公司11妇科回生丸北京同仁堂天然药物（唐山）有限公司12七宝美髯丸北京同仁堂天然药物（唐山）有限公司13金牛眼药河北金牛药业科技有限公司14特灵眼药河北金牛药业科技有限公司15复方甲硝唑阴道栓河北金牛药业科技有限公司16牛黄解毒片山西华康药业股份有限公司17三黄片山西华康药业股份有限公司18盐酸氟西汀胶囊山西仟源医药集团股份有限公司19盐酸舍曲林片山西仟源医药集团股份有限公司20磷霉素氨丁三醇散山西仟源医药集团股份有限公司21双歧杆菌乳杆菌三联活菌片内蒙古双奇药业股份有限公司22阴道用乳杆菌活菌胶囊内蒙古双奇药业股份有限公司23麝香通心滴丸内蒙古康恩贝药业有限公司24养血安神片内蒙古大唐药业股份有限公司25康复春口服液内蒙古大唐药业股份有限公司26天麻丸内蒙古大唐药业股份有限公司27六味地黄丸内蒙古大唐药业股份有限公司28参竹精胶囊内蒙古京新药业有限公司29六味地黄丸内蒙古京新药业有限公司30明目地黄丸内蒙古天奇中蒙制药股份有限公司31知柏地黄丸内蒙古天奇中蒙制药股份有限公司32六味地黄丸内蒙古天奇中蒙制药股份有限公司33柏子养心丸内蒙古天奇中蒙制药股份有限公司34养阴清肺丸内蒙古天奇中蒙制药股份有限公司35艾地骨化醇软胶囊大连美创药业有限公司36西尼地平软胶囊大连美创药业有限公司37阿奇霉素片辉瑞制药科技有限公司38阿奇霉素干混悬剂辉瑞制药科技有限公司39阿托伐他汀钙片晖致制药（大连）有限公司40苯磺酸氨氯地平片晖致制药（大连）有限公司41外用红色诺卡氏菌细胞壁骨架辽宁天安生物制药股份有限公司42左氧氟沙星片长春海悦药业股份有限公司43他达拉非片长春海悦药业股份有限公司44苯磺酸氨氯地平片长春海悦药业股份有限公司45非诺贝酸片长春海悦药业股份有限公司46缬沙坦氨氯地平片（I）长春海悦药业股份有限公司47伏立康唑片长春海悦药业股份有限公司48拉米夫定片长春海悦药业股份有限公司49孟鲁司特钠颗粒长春海悦药业股份有限公司50艾司奥美拉唑镁碳酸氢钠胶囊长春海悦药业股份有限公司51阿奇霉素干混悬剂长春海悦药业股份有限公司52厄贝沙坦片修正药业集团股份有限公司53通窍鼻炎片修正药业集团股份有限公司54感冒清热颗粒修正药业集团股份有限公司55复方氨酚烷胺片修正药业集团股份有限公司56清肺抑火片修正药业集团股份有限公司57缬沙坦氨氯地平片（I）江苏万高药业股份有限公司58瑞舒伐他汀钙片江苏万高药业股份有限公司59厄贝沙坦氢氯噻嗪分散片江苏万高药业股份有限公司60厄贝沙坦氢氯噻嗪片江苏万高药业股份有限公司61盐酸奥洛他定颗粒江苏万高药业股份有限公司62缬沙坦氢氯噻嗪片江苏万高药业股份有限公司63阿司匹林肠溶片江苏万高药业股份有限公司64磷酸奥司他韦干混悬剂江苏万高药业股份有限公司65盐酸二甲双胍格列吡嗪片德全药品(江苏)股份有限公司66酮咯酸氨丁三醇片德全药品(江苏)股份有限公司67黄葵胶囊苏中药业集团股份有限公司68达格列净片阿斯利康药业（中国）有限公司69二甲双胍格列吡嗪胶囊卓和药业集团股份有限公司70依折麦布片常州制药厂有限公司71左乙拉西坦缓释片常州制药厂有限公司72他达拉非片常州制药厂有限公司73利伐沙班片常州制药厂有限公司74替格瑞洛片常州制药厂有限公司75塞来昔布胶囊常州制药厂有限公司76左甲状腺素钠片默克制药（江苏）有限公司77富马酸比索洛尔片默克制药（江苏）有限公司78盐酸二甲双胍片默克制药（江苏）有限公司79盐酸二甲双胍缓释片默克制药（江苏）有限公司80盐酸丁螺环酮片江苏恩华药业股份有限公司81硫酸艾玛昔替尼片江苏恒瑞医药股份有限公司82马来酸吡咯替尼片江苏恒瑞医药股份有限公司83甲磺酸阿美替尼片江苏豪森药业集团有限公司84聚乙二醇洛塞那肽注射液江苏豪森药业集团有限公司85达比加群酯胶囊南京正大天晴制药有限公司86奥美沙坦酯氨氯地平片南京正大天晴制药有限公司87硫酸氢氯吡格雷片南京正大天晴制药有限公司88厄贝沙坦氢氯噻嗪片南京正大天晴制药有限公司89依达拉奉右莰醇舌下片先声药业有限公司90乙酰半胱氨酸泡腾片江苏安必生制药有限公司91艾司奥美拉唑镁肠溶胶囊江苏中邦制药有限公司92氟比洛芬凝胶贴膏乐明药业(苏州)有限公司93洛索洛芬钠凝胶贴膏乐明药业(苏州)有限公司94盐酸莫西沙星片扬子江药业集团江苏紫龙药业有限公司95泊沙康唑肠溶片江苏海岸药业有限公司96左氧氟沙星片江苏悦兴医药技术有限公司97富马酸替诺福韦二吡呋酯片苏州弘森药业股份有限公司98盐酸度洛西汀肠溶胶囊宁波美诺华天康药业有限公司99阿卡波糖咀嚼片杭州中美华东制药有限公司100百令片杭州中美华东制药有限公司101奥利司他胶囊杭州中美华东制药有限公司102固本咳喘颗粒杭州中美华东制药有限公司103奥美拉唑碳酸氢钠胶囊杭州中美华东制药有限公司104环孢素口服溶液杭州中美华东制药有限公司105西罗莫司口服溶液杭州中美华东制药有限公司106他克莫司缓释胶囊杭州中美华东制药有限公司107他克莫司软膏杭州中美华东制药有限公司108吗替麦考酚酯干混悬剂杭州中美华东制药有限公司109西格列汀二甲双胍片（I）杭州中美华东制药有限公司110西格列汀二甲双胍片（II）杭州中美华东制药有限公司111卡格列净片杭州中美华东制药有限公司112马昔腾坦片杭州中美华东制药有限公司113吲哚布芬片杭州中美华东制药有限公司114替格瑞洛片浙江诺得药业有限公司115盐酸米诺环素胶囊瀚晖制药有限公司116厄贝沙坦片瀚晖制药有限公司117氟伐他汀钠胶囊瀚晖制药有限公司118普伐他汀钠片瀚晖制药有限公司119甲泼尼龙片瀚晖制药有限公司120枸橼酸托法替布片宏越科技（湖州）有限公司121左氧氟沙星片浙江普洛康裕制药有限公司122琥珀酸美托洛尔缓释片浙江普洛康裕制药有限公司123枸橼酸托法替布片浙江施强制药有限公司124盐酸文拉法辛缓释胶囊杭州康恩贝制药有限公司125佐米曲普坦片杭州康恩贝制药有限公司126铝碳酸镁咀嚼片杭州康恩贝制药有限公司127萘普生肠溶微丸胶囊杭州康恩贝制药有限公司128蒙脱石散杭州康恩贝制药有限公司129格列齐特片（II）浙江京新药业股份有限公司130替米沙坦片浙江京新药业股份有限公司131托拉塞米片浙江华海药业股份有限公司132氯沙坦钾氢氯噻嗪片浙江华海药业股份有限公司133二甲双胍恩格列净片（I）浙江华海药业股份有限公司134二甲双胍恩格列净片（VI）浙江华海药业股份有限公司135利格列汀二甲双胍片（II）浙江华海药业股份有限公司136他克莫司软膏福元药业有限公司137磷酸奥司他韦胶囊山东新时代药业有限公司138阿瑞匹坦胶囊山东新时代药业有限公司139盐酸伊伐布雷定片山东新时代药业有限公司140磷酸西格列汀片山东新时代药业有限公司141他达拉非片山东新时代药业有限公司142阿立哌唑片山东京卫制药有限公司143盐酸文拉法辛缓释胶囊山东京卫制药有限公司144盐酸舍曲林片山东京卫制药有限公司145阿戈美拉汀片山东京卫制药有限公司146马来酸氟伏沙明片山东京卫制药有限公司147盐酸鲁拉西酮片山东京卫制药有限公司148富马酸喹硫平缓释片山东京卫制药有限公司149健脑补肾丸荣昌制药（淄博）有限公司150甜梦胶囊荣昌制药（淄博）有限公司151雷贝拉唑钠肠溶片山东新华制药股份有限公司152阿托伐他汀钙片山东新华制药股份有限公司153布洛芬缓释胶囊山东新华制药股份有限公司154缬沙坦氨氯地平片山东新华制药股份有限公司155苯磺酸左氨氯地平片山东新华制药股份有限公司156厄贝沙坦片山东新华制药股份有限公司157厄贝沙坦氢氯噻嗪片山东新华制药股份有限公司158苯磺酸氨氯地平片山东新华制药股份有限公司159降脂宁颗粒湖南状元制药有限公司160通脉颗粒湖南状元制药有限公司161风寒感冒颗粒江右制药（常德）有限公司162健胃消食片江右制药（常德）有限公司163木香顺气丸江右制药（常德）有限公司164开胸顺气丸江右制药（常德）有限公司165三七片江右制药（常德）有限公司166乳果糖口服溶液江右制药（常德）有限公司167铝碳酸镁咀嚼片江右制药（常德）有限公司168麻仁胶囊江右制药（常德）有限公司169西青果颗粒江右制药（常德）有限公司170补肾养血丸江右制药（常德）有限公司171茶碱缓释片湖南绅泰春制药股份有限公司172磷酸奥司他韦胶囊海南亚洲制药股份有限公司173庆大霉素普鲁卡因维B12颗粒海南亚洲制药服份有限公司174多潘立酮片海南亚洲制药服份有限公司175银杏叶片海南亚洲制药服份有限公司176硫酸羟氯喹片重庆博腾药业有限公司177洛索洛芬钠口服溶液重庆华邦制药有限公司178盐酸氨溴索口崩片重庆康刻尔制药股份有限公司179氯雷他定口腔崩解片重庆康刻尔制药股份有限公司180铝碳酸镁颗粒（双跨）重庆康刻尔制药股份有限公司181黄藤素胶囊重庆康刻尔制药股份有限公司182格列齐特胶囊重庆康刻尔制药股份有限公司183二甲双胍恩格列净片（I）重庆希韦医药科技有限公司184二甲双胍恩格列净片（VI）重庆希韦医药科技有限公司185左氧氟沙星片重庆药谷制药有限公司186盐酸羟考酮缓释片西南药业股份有限公司187异烟肼片西南药业股份有限公司188氢溴酸西酞普兰片西南药业股份有限公司189烟酸缓释片西南药业股份有限公司190辛伐他汀片西南药业股份有限公司191阿莫西林分散片西南药业股份有限公司192青霉素VK片西南药业股份有限公司193阿莫西林胶囊西南药业股份有限公司194地高辛片西南药业股份有限公司195盐酸异丙嗪片西南药业股份有限公司196喷托维林氯化铵片西南药业股份有限公司197甲磺酸雷沙吉兰片重庆华森制药股份有限公司198鹿仙补肾片云南康恩贝希陶药业有限公司199感冒疏风颗粒云南康恩贝希陶药业有限公司200肠舒片云南康恩贝希陶药业有限公司201龙金通淋胶囊云南康恩贝希陶药业有限公司202三七药酒云南康恩贝希陶药业有限公司203感冒清热颗粒云南康恩贝希陶药业有限公司204小儿止咳糖浆云南康恩贝希陶药业有限公司205消炎止咳片云南康恩贝希陶药业有限公司206降脂宁颗粒云南康恩贝希陶药业有限公司207金砂五淋丸云南康恩贝希陶药业有限公司208红药胶囊云南康恩贝希陶药业有限公司209红草止鼾胶囊云南康恩贝希陶药业有限公司210萆薢分清丸云南康恩贝希陶药业有限公司211妇炎舒片云南康恩贝希陶药业有限公司212益肾健骨片云南康恩贝希陶药业有限公司213血塞通分散片云南植物药业有限公司214七叶神安片云南植物药业有限公司215三七龙血竭胶囊云南圣科药业有限公司216骨痛灵酊云南圣科药业有限公司217培哚普利氨氯地平片（III）LESLABORATOIRESSERVIER218盐酸贝尼地平片KyowaKirinCo.,Ltd219达格列净二甲双胍缓释片（I）AstraZenecaAB220达格列净二甲双胍缓释片（II）AstraZenecaAB221达格列净二甲双胍缓释片（III）AstraZenecaAB222达格列净二甲双胍缓释片（IV）AstraZenecaAB

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100 项与甲磺酸达比加群酯相关的药物交易

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KEGG	Wiki	ATC	Drug Bank
D07082	甲磺酸达比加群酯	B01AE07	DB06695

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复发性深静脉血栓形成	列支敦士登	Teva GmbH	2024-02-19
复发性深静脉血栓形成	挪威	Teva GmbH	2024-02-19
全身性栓塞	澳大利亚	Boehringer Ingelheim Pty Ltd.	2008-11-24
心房颤动	欧盟	Boehringer Ingelheim International GmbH	2008-03-17
心房颤动	冰岛	Boehringer Ingelheim International GmbH	2008-03-17
心房颤动	列支敦士登	Boehringer Ingelheim International GmbH	2008-03-17
心房颤动	挪威	Boehringer Ingelheim International GmbH	2008-03-17
栓塞	欧盟	Boehringer Ingelheim International GmbH	2008-03-17
栓塞	冰岛	Boehringer Ingelheim International GmbH	2008-03-17
栓塞	列支敦士登	Boehringer Ingelheim International GmbH	2008-03-17
栓塞	挪威	Boehringer Ingelheim International GmbH	2008-03-17
肺栓塞	欧盟	Boehringer Ingelheim International GmbH	2008-03-17
肺栓塞	冰岛	Boehringer Ingelheim International GmbH	2008-03-17
肺栓塞	列支敦士登	Boehringer Ingelheim International GmbH	2008-03-17
肺栓塞	挪威	Boehringer Ingelheim International GmbH	2008-03-17
脑卒中	欧盟	Boehringer Ingelheim International GmbH	2008-03-17
脑卒中	冰岛	Boehringer Ingelheim International GmbH	2008-03-17
脑卒中	列支敦士登	Boehringer Ingelheim International GmbH	2008-03-17

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适应症	最高研发状态	国家/地区	公司	日期
脑静脉血栓形成	临床3期	法国	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	德国	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	印度	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	意大利	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	荷兰	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	波兰	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	葡萄牙	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	俄罗斯	Boehringer Ingelheim GmbH	2016-12-13
脑静脉血栓形成	临床3期	西班牙	Boehringer Ingelheim GmbH	2016-12-13
栓塞性中风	临床3期	美国	Boehringer Ingelheim GmbH	2014-11-27

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT03539055 (DEA-LAA, CTgov)	临床4期	血栓形成 \| 心房颤动	100	Dabigatran Etexilate Oral Capsule	構選積憲繭糧積糧鹹鏇 = 繭齋憲蓋膚繭積襯顧積製鏇壓艱觸鹹積窪鑰觸 (壓憲夢網遞獵鹽蓋遞顧, 齋衊糧築積淵選夢積觸 ~ 鏇願構襯襯艱顧餘選齋) 更多	-	2025-06-10
NCT04099732 (CTgov)	临床1期	-	26	Rosuvastatin (Rosuvastatin (Part 1, Reference 1))	鹹築繭願衊壓鏇壓壓製(獵積網壓窪製積夢鏇蓋) = 鬱簾簾夢夢築積鑰鬱鏇蓋繭遞簾夢築網襯鑰鑰 (襯廠獵觸築窪鏇膚網齋, 1.13) 更多	-	2025-02-27
				Rosuvastatin+BI 1358894 (Rosuvastatin + BI 1358894 (Part 1, Test 1))	鹹築繭願衊壓鏇壓壓製(獵積網壓窪製積夢鏇蓋) = 觸鹽膚夢夢夢糧鹹膚鏇蓋繭遞簾夢築網襯鑰鑰 (襯廠獵觸築窪鏇膚網齋, 1.13) 更多
NCT05788328 (CTgov)	临床1期	肥胖	16	DE (Period 1: DE 150 mg)	憲鏇製鹹衊艱獵願鑰夢(構鏇衊製艱範獵製糧衊) = 願衊鹽鏇願廠願廠齋鬱願選獵繭艱製鬱餘鏇夢 (衊膚糧構範艱鹹獵範繭, 43) 更多	-	2024-11-15
				DE+PF-07081532 (Period 4: DE 150 mg + PF-07081532 80 mg QD)	憲鏇製鹹衊艱獵願鑰夢(構鏇衊製艱範獵製糧衊) = 鹽糧獵遞遞廠窪構襯衊願選獵繭艱製鬱餘鏇夢 (衊膚糧構範艱鹹獵範繭, 38) 更多
FRAIL-AF (ESC2024)	N/A	心房颤动	-	Vitamin K antagonist (VKA)	製憲艱鹹艱鹹構艱範選(獵窪衊憲艱鏇選選淵鹹) = Switching from a VKA to a NOAC in frail older patients with AF was associated with an increased risk of bleeding, yet without any effect on overall and different domains of QoL. 衊窪淵艱襯顧膚選鏇觸 (衊鬱構網範鑰選顧餘襯 )	不佳	2024-04-08
				Non-Vitamin K antagonist oral anticoagulant (NOAC)
NCT04257032 (CTgov)	临床1期	-	28	Rosuvastatin (Rosuvastatin (Part 1, Reference 1))	鏇築餘艱餘獵網蓋鏇觸(製夢餘窪積選顧艱繭積) = 艱築廠齋艱糧獵齋廠淵餘繭鑰鹹獵鏇觸願簾鏇 (淵襯繭鹹網膚鑰壓鏇齋, NA) 更多	-	2024-02-23
				Rosuvastatin+BI 1323495 (Rosuvastatin + BI 1323495 (Part 1, Test 1))	鏇築餘艱餘獵網蓋鏇觸(製夢餘窪積選顧艱繭積) = 齋願糧蓋壓窪選糧繭夢餘繭鑰鹹獵鏇觸願簾鏇 (淵襯繭鹹網膚鑰壓鏇齋, NA) 更多
NCT01895777 \| NCT02197416 (Pubmed \| J Am Heart Assoc)	临床3期	静脉血栓栓塞	-	Dabigatran	糧遞淵蓋壓繭壓選觸夢(獵艱蓋艱鏇襯構憲遞餘) = 構鹽糧衊壓衊顧憲廠鏇遞遞艱網構簾獵壓願構 (網鹹蓋醖衊範壓願網觸, 0.08 ~ 1.23)	积极	2024-02-20
				Dabigatran (Standard of care)	範餘壓網膚窪網觸遞顧(鑰繭鏇齋選齋觸繭選衊) = 醖壓齋範簾糧鹽膚憲簾廠淵膚艱憲鹽繭獵醖顧 (廠醖鹹觸廠衊鏇製憲積 ) 更多
ISC2024	N/A	脑出血 \| 短暂性脑缺血发作 \| 急性缺血性卒中	-	Dabigatran 150/110 mg twice daily	繭鑰憲構範餘醖鏇構窪(獵顧製醖觸夢簾鹹願醖) = 獵醖鏇網積鹽鬱築鹹積餘網醖繭積構蓋鏇積醖 (壓蓋餘餘壓觸鬱襯壓構 ) 更多	-	2024-02-01
				Aspirin 81 mg daily	繭鑰憲構範餘醖鏇構窪(獵顧製醖觸夢簾鹹願醖) = 範獵鬱構壓蓋構鏇夢蓋餘網醖繭積構蓋鏇積醖 (壓蓋餘餘壓觸鬱襯壓構 ) 更多
NCT02744092 (CANVAS, CTgov)	N/A	实体瘤 \| 晚期恶性实体瘤 \| 肺栓塞 ... 更多	811	rivaroxaban+Edoxaban+Apixaban+Dabigatran (Randomized Arm 1 (DOACs))	獵壓衊顧繭構網衊構積 = 鏇選憲獵鏇淵築積觸鏇遞夢選鑰衊顧網淵構廠 (鹽積餘積願遞繭鏇齋選, 網醖夢淵觸襯艱積製願 ~ 廠膚糧網繭繭壓艱鬱鑰) 更多	-	2023-10-03
				Warfarin+Fondaparinux+Enoxaparin+Dalteparin (Randomized Arm 2 (LMWH))	獵壓衊顧繭構網衊構積 = 廠蓋願糧糧憲積繭糧憲遞夢選鑰衊顧網淵構廠 (鹽積餘積願遞繭鏇齋選, 範築獵獵醖襯壓壓遞餘 ~ 齋壓製鬱鑰願蓋築憲鏇) 更多
ESMO_ASIA2022	N/A	静脉血栓栓塞	30	Generic dabigatran	鑰憲糧願遞鹽製鹽蓋製(網獵繭繭淵繭繭遞醖鏇) = 糧簾築獵遞衊衊獵醖夢壓淵繭鏇鹹鬱範鑰構廠 (遞衊獵獵餘餘淵夢糧願 )	-	2022-12-03
NCT01895777 (DIVERSITY, Pubmed)	临床2/3期	静脉血栓栓塞	267	Dabigatran	齋廠願襯獵窪範顧窪鏇(鑰膚遞衊製願窪衊鹹鬱): Mantel-Haenszel-weighted rate difference = -0.135 (95% CI, -0.36 ~ 0.08), P-Value = 0.0014	-	2022-09-23
				Dabigatran (Standard of care)