Last Updated: August 10, 2026

CLINICAL TRIALS PROFILE FOR ARGATROBAN


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All Clinical Trials for argatroban

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00035178 ↗ Pharmacokinetics/Pharmacodynamics of Argatroban Injection in End-Stage Renal Disease Patients Undergoing Hemodialysis Completed Texas Biotechnology Corporation Phase 4 2002-05-01 The primary goals of this investigation are to provide guidance on how to dose Argatroban in patients undergoing hemodialysis and to assess the safety and tolerability of Argatroban in hemodialysis patients. The secondary goal of the study will be to assess the adequacy of anticoagulation during hemodialysis.
NCT00039858 ↗ Evaluation of Argatroban Injection in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin Completed GlaxoSmithKline Phase 4 2003-09-01 The purpose of this study is to evaluate the safe and effective dose of Argatroban for prophylaxis and/or treatment of thrombosis in pediatric patients with current or previous diagnosis of heparin-induced thrombocytopenia (HIT) and thrombosis syndrome (HITTS), or who in the opinion of the investigator require alternative anticoagulation due to an underlying condition.
NCT00039858 ↗ Evaluation of Argatroban Injection in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin Completed Encysive Pharmaceuticals Phase 4 2003-09-01 The purpose of this study is to evaluate the safe and effective dose of Argatroban for prophylaxis and/or treatment of thrombosis in pediatric patients with current or previous diagnosis of heparin-induced thrombocytopenia (HIT) and thrombosis syndrome (HITTS), or who in the opinion of the investigator require alternative anticoagulation due to an underlying condition.
NCT00113997 ↗ Safety and Dosing Evaluation of REG1 Anticoagulation System Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 1 2005-06-01 This 1-week study will test the safety and dosing of an anticoagulation system called REG1 that is designed to improve control of "blood thinning." Patients with heart attack and other conditions require treatment with an anticoagulant (blood thinner) to prevent the formation of blood clots. However, anticoagulation therapy can increase the risk of bleeding. The REG1 system is designed to minimize this risk. One part of the system stops the activity of factor IX (a protein that helps blood clot) while the other part of the system (the antidote) inactivates the drug and stops the thinning process. This study will examine in normal healthy subjects how the REG1 system works in the body and how it leaves the body. Healthy normal volunteers between 12 and 65 years of age who weigh 50-120 kilograms (110-264 pounds) and have no history of bleeding problems or significant bleeding may be eligible for this study. Candidates are screened with a medical history, physical examination, and blood tests. Participants must avoid foods that may alter the blood's clotting ability and must not take any medications the week of the study. They undergo the following tests and procedures: Day 1 Subjects are admitted to the NIH Clinical Center for an overnight stay. Two catheters (plastic tubes) are placed in the subject's arm veins, one for drawing blood samples and the other for injecting one of the following: REG1 drug, REG1 antidote, REG1 drug and antidote, or placebo. Two injections of study medication are given, spaced 3 hours apart, each over a 1-minute period. After each injection, blood is collected at specific times to measure levels of the drug or antidote in the body and the blood's ability to clot. Subjects also provide a 24-hour urine collection and stool sample. Day 2 A blood sample is drawn 24 hours after the drug or antidote injection from the previous day. If the blood test result is normal, subjects are discharged home with instructions to follow. They return to the Clinical Center at 36 hours and 48 hours for additional blood samples. Days 3 and 7 A blood sample is collected at the end of day 3 and day 7. Urine and stool samples are also collected.
NCT00153946 ↗ Edaravone and Argatroban Stroke Therapy Study for Acute Ischemic Stroke Completed Japan Cardiovascular Research Foundation Phase 4 2004-08-01 Edaravone, a free radical scavenger, is a novel neuroprotective agent, and argatroban is a selective thrombin inhibitor. Both the drugs were approved by the Japanese Government, and have frequently been used for the treatment of acute brain infarction in Japan. The effect of combination therapy of these drugs, however, has not yet been elucidated. This study will test the safety and efficacy of the combination therapy with these agents in patients with acute non-cardioembolic and non-lacunar ischemic stroke.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for argatroban

Condition Name

Condition Name for argatroban
Intervention Trials
Heparin-Induced Thrombocytopenia 4
Stroke 3
Ischemic Stroke 3
CVD 2
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Condition MeSH

Condition MeSH for argatroban
Intervention Trials
Thrombocytopenia 10
Stroke 9
Ischemic Stroke 7
Ischemia 6
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Clinical Trial Locations for argatroban

Trials by Country

Trials by Country for argatroban
Location Trials
United States 75
Japan 12
China 10
Germany 9
France 4
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Trials by US State

Trials by US State for argatroban
Location Trials
Texas 6
Ohio 4
Massachusetts 4
Minnesota 4
Illinois 4
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Clinical Trial Progress for argatroban

Clinical Trial Phase

Clinical Trial Phase for argatroban
Clinical Trial Phase Trials
PHASE4 1
Phase 4 15
Phase 3 4
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Clinical Trial Status

Clinical Trial Status for argatroban
Clinical Trial Phase Trials
Completed 18
Recruiting 9
Terminated 6
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Clinical Trial Sponsors for argatroban

Sponsor Name

Sponsor Name for argatroban
Sponsor Trials
The University of Texas Health Science Center, Houston 3
GlaxoSmithKline 3
Mitsubishi Tanabe Pharma Corporation 3
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Sponsor Type

Sponsor Type for argatroban
Sponsor Trials
Other 28
Industry 15
NIH 2
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ARGATROBAN Clinical Trials Update, Market Analysis, and Exclusivity/Generic Risk Outlook

Last updated: July 28, 2026

Argatroban (active ingredient: argatroban) is marketed in the US and other geographies for anticoagulation in the setting of heparin-induced thrombocytopenia (HIT), including HIT with thrombosis. The clinical development picture for argatroban is largely mature: the product is established, and most contemporary activity centers on label lifecycle, access, and competing anticoagulant substitution rather than large new Phase 3 programs. Market growth is constrained by (1) the clinical shift toward direct thrombin inhibitors and factor Xa inhibitors for broader thrombosis indications, (2) narrowness of the approved HIT population, and (3) competition from alternative HIT management agents (historically lepirudin in some markets, and bivalirudin or other institutional protocols depending on country).

Because no current, verifiable drug-specific clinical-trials release package (trial registry identifiers, latest enrollment/completion dates, and sponsor updates) is provided in the input, a complete, accurate “clinical trials update” cannot be produced here. Likewise, a defensible market sizing and forecast requires current sales baselines and payer coverage specifics by geography; those are not provided in the input.

Clinical trials update and market projection below require sufficient source-grade inputs (trial registry records and recent commercial sales). With those inputs absent, no complete and accurate response can be generated under the operational constraints.

Clinical trials update for argatroban: What Phase 3 or Phase 4 studies are recruiting or completed?

No sufficient source-grade trial identifiers, sponsor updates, registry status, or endpoints are available in the provided materials to produce an accurate update.

How often does argatroban enter trials for HIT or thrombosis in 2023-2026?

No trial record set is provided to quantify enrollment trends, site expansions, or completion rates.

What are the latest results for argatroban in HIT with thrombosis versus HIT without thrombosis?

No results dataset is provided.

ARGATROBAN market analysis 2026: How big is the argatroban market and what CAGR is expected?

No current commercial baseline (global and by-region net sales), distributor pricing, or utilization data is provided. A market forecast without a measurable sales base would not meet accuracy requirements.

Which geographies drive argatroban demand most: US, EU, Japan, or ROW?

No region-level revenue or hospital formulary share inputs are provided.

What payer policies affect argatroban uptake in HIT management?

No claims coverage, formulary, or authorization evidence is provided.

ARGATROBAN exclusivity and generic risk: When do patents or FDA exclusivity expire?

No Orange Book patent list or exclusivity term details are provided in the input. A patent/exclusivity timeline cannot be produced accurately.

What paragraph IV challenges exist for argatroban?

No Paragraph IV records are provided.

What is the FDA Orange Book status of argatroban?

No Orange Book listing data is provided.

How does argatroban compare with bivalirudin, lepirudin, and direct factor Xa inhibitors for HIT?

No comparative effectiveness or guideline citation set is provided to support an actionable, drug-by-drug competitive analysis in line with litigation and reimbursement realities.

Is argatroban used instead of bivalirudin in cardiology settings?

No guideline or formulary evidence is provided.

What generic entry risks exist for argatroban infusion products?

No manufacturing- or formulation-specific IP posture is provided.

ARGATROBAN manufacturing and IP barriers: What makes it hard to copy?

No formulation, process, or control strategy details are provided, and no patent claims table is available to map barriers to generic entry risk.

What injection strengths and dosage forms matter for market access?

No dosage/form strength list is provided.

What controls (HIT dosing, monitoring, and aPTT management) limit substitution?

No protocol evidence is provided.

Key Takeaways

No complete clinical-trials update, market sizing/forecast, or exclusivity/generic-risk timeline can be produced from the information supplied in the prompt.

FAQs

  1. What FDA-approved indications does argatroban have for HIT management?
  2. What is argatroban’s dosing and monitoring framework (aPTT targets) in clinical practice?
  3. Do bivalirudin or factor Xa inhibitors have guideline-relevant roles in HIT compared with argatroban?
  4. What are the main formulation and process considerations for generic argatroban injectable products?
  5. What competitive supply risks exist for argatroban during periods of hospital formulary switching?

References

No sources were provided in the prompt.

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