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Flovagatran is a potent, reversible, low-molecular-weight synthetic direct thrombin inhibitor developed for the prevention and treatment of thrombosis. It belongs to the class of dipeptides and acts by selectively inhibiting thrombin (factor IIa), thereby preventing the conversion of fibrinogen to fibrin in the final step of the coagulation cascade. Flovagatran demonstrated promising pharmacokinetic properties and biological activity in preclinical studies but its clinical development was discontinued after Phase II trials for thrombosis[1][3][4][6][7].
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