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Amrecibart (REGN9933) is a fully human monoclonal antibody targeting the apple 2 (A2) domain of coagulation factor XI (FXI) and activated factor XI (FXIa). Developed by Regeneron, amrecibart is designed to prevent intrinsic pathway-triggered FXI activation, thereby providing anticoagulation with a potentially lower risk of bleeding compared to traditional anticoagulants. It is being evaluated in Phase 3 clinical trials for the prevention of stroke and systemic embolism in patients with atrial fibrillation who are unsuitable for oral anticoagulation, as well as for the prophylaxis of venous thromboembolism (VTE) and the prevention of adverse vascular outcomes in patients with peripheral artery disease (PAD).
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