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Atecegatran metoxil is an investigational oral anticoagulant developed as a prodrug that is converted in vivo to AR-H067637, a selective and reversible direct thrombin inhibitor. By inhibiting thrombin (factor IIa), it prevents the conversion of fibrinogen to fibrin, thereby reducing blood clot formation. It was primarily investigated for the prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation. Clinical development reached phase II trials but was discontinued due to limitations related to long-term stability of the extended-release formulation[1][2][3][4][5][6].
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