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Semuloparin is an ultra-low-molecular-weight heparin (ULMWH) with a molecular weight of 2000–3000 daltons, consisting of a polydisperse mixture of oligomeric heparin fragments. It acts as an indirect inhibitor of factor Xa and factor IIa (thrombin) by binding to antithrombin III, accelerating its activity and inhibiting coagulation factors. Semuloparin was developed primarily for the prevention of venous thromboembolism (VTE) in patients at increased risk, such as those undergoing major orthopedic surgery or receiving chemotherapy for cancer. Compared to classical low molecular weight heparins, it has lower anti-thrombin activity and acts mainly on factor Xa, which may reduce the risk of bleeding. The drug was developed by Sanofi (formerly sanofi-aventis), but development has been discontinued following withdrawal from regulatory submission after Phase III trials[1][3][5][6][7].
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