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Lefradafiban is an orally active small molecule prodrug of fradafiban and acts as a Glycoprotein IIb/IIIa receptor antagonist. It was developed for the treatment of unstable angina and other forms of coronary artery disease. Lefradafiban works by blocking the final common pathway of platelet aggregation through inhibition of the Glycoprotein IIb/IIIa receptor on platelets. This mechanism prevents platelet aggregation and thrombus formation in patients at risk for acute coronary syndromes. Clinical development reached phase 2 trials but was discontinued due to lack of efficacy[1][4][7].
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