Drug intelligence / Profile preview

BMS-986177 + aspirin

Development stage
Phase 1
Lead developer
Bristol Myers Squibb
Modality
Small Molecules
Administration
Oral
01

Overview

BMS-986177 + aspirin is a **combination of milvexian (BMS-986177)**, an oral, selective, reversible small molecule inhibitor of activated Factor XI (FXIa), and **aspirin (acetylsalicylic acid)**, a nonsteroidal anti-inflammatory drug (NSAID) that acts as an antiplatelet by irreversibly inhibiting cyclooxygenase-1 (COX-1) in platelets. This combination is under clinical investigation for the prevention of thromboembolic events such as ischemic stroke, particularly in patients with acute non-cardioembolic ischemic stroke or transient ischemic attack (TIA) in which both agents are administered together, sometimes alongside other antiplatelet therapies like clopidogrel. Milvexian is being developed by Bristol Myers Squibb in collaboration with Janssen Pharmaceuticals, and the combination has been evaluated for safety, pharmacokinetics, and pharmacodynamics in phase I and II clinical trials, demonstrating a favorable safety profile with no significant increase in clinically relevant bleeding compared to placebo or single-agent use.[1][2][3][5][7][9]

Other names
BMS-986177 + acetylsalicylic acidmilvexian + aspirin
02

Targets

PGHS-1 (Prostaglandin G/H Synthase 1)Factor XIaF11 (Coagulation Factor XI)

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