Warfarin
Athrombin-k, Jantoven, Warfarin (warfarin) is a small molecule pharmaceutical. Warfarin was first approved as Athrombin-k on 1982-01-01. It is used to treat atrial fibrillation, postoperative complications, pulmonary embolism, stroke, and thromboembolism amongst others in the USA. The pharmaceutical is active against vitamin K epoxide reductase complex subunit 1.
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Commercial
Therapeutic Areas
Trade Name
FDA
EMA
Jantoven, Warfarin (discontinued: Athrombin-k, Coumadin, Panwarfin, Warfarin)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Warfarin sodium
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| PANWARFIN | Abbott Biotherapeutics | N-017020 DISCN | 1982-01-01 | 5 products |
| COUMADIN | Bristol Myers Squibb | N-009218 DISCN | 1982-01-01 | 12 products |
| ATHROMBIN | Pharmaceutical Research Associates Inc | N-011771 DISCN | 1982-01-01 | 3 products |
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Warfarin potassium
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| ATHROMBIN-K | Pharmaceutical Research Associates Inc | N-011771 DISCN | 1982-01-01 | 4 products |
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Labels
FDA
EMA
Brand Name | Status | Last Update |
|---|---|---|
| coumadin | ANDA | 2022-12-15 |
| jantoven | ANDA | 2023-03-31 |
| warfarin sodium | ANDA | 2025-01-08 |
Agency Specific
FDA
EMA
No data
Patent Expiration
No data
HCPCS
Code | Description |
|---|---|
| G9143 | Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) |
| Level 2: G9143-G9143 | Warfarin Responsiveness Testing |
Clinical
Clinical Trials
736 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Atrial fibrillation | D001281 | EFO_0000275 | I48.0 | — | 3 | 5 | 4 | 10 | 21 |
| Thrombosis | D013927 | — | — | — | 3 | 5 | 1 | 1 | 8 |
| Thromboembolism | D013923 | HP_0001907 | — | — | — | — | 1 | 5 | 6 |
| Chronic kidney failure | D007676 | EFO_0003884 | N18.9 | — | — | — | 1 | 1 | 2 |
| Antiphospholipid syndrome | D016736 | EFO_0002689 | D68.61 | — | — | — | 1 | — | 1 |
| Syndrome | D013577 | — | — | — | — | — | 1 | — | 1 |
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Venous thrombosis | D020246 | HP_0004936 | I82.40 | — | 2 | 5 | — | — | 5 |
| Embolism | D004617 | — | — | — | 2 | 5 | — | — | 5 |
| Stroke | D020521 | EFO_0000712 | I63.9 | — | 1 | 3 | — | — | 3 |
| Pulmonary embolism | D011655 | HP_0002204 | I26 | — | 1 | 3 | — | — | 3 |
| Transient ischemic attack | D002546 | EFO_0003764 | G45.9 | — | — | 2 | — | — | 2 |
| Atrial flutter | D001282 | EFO_0003911 | — | — | — | 2 | — | — | 2 |
| Cerebral infarction | D002544 | — | I63 | — | — | 1 | — | — | 1 |
| Coronary artery bypass | D001026 | EFO_0003776 | — | — | 1 | 1 | — | — | 1 |
| Embolic stroke | D000083262 | — | — | — | — | 1 | — | — | 1 |
| Brain infarction | D020520 | EFO_0004277 | I63 | — | — | 1 | — | — | 1 |
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Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Heart diseases | D006331 | EFO_0003777 | I51.9 | — | 1 | — | — | — | 1 |
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Type 2 diabetes mellitus | D003924 | EFO_0001360 | E11 | 1 | — | — | — | — | 1 |
| Alzheimer disease | D000544 | EFO_0000249 | F03 | 1 | — | — | — | — | 1 |
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Venous thromboembolism | D054556 | EFO_0004286 | I74 | — | — | — | — | 4 | 4 |
| Renal insufficiency | D051437 | HP_0000083 | N19 | — | — | — | — | 1 | 1 |
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
| Drug common name | Warfarin |
| INN | warfarin |
| Description | 4-hydroxy-3-(3-oxo-1-phenylbutyl)-1-benzopyran-2-one is a member of the class of coumarins that is 4-hydroxycoumarin which is substituted at position 3 by a 1-phenyl-3-oxo-1-butyl group. It is a methyl ketone and a hydroxycoumarin. |
| Classification | Small molecule |
| Drug class | warfarin analogs |
| Image (chem structure or protein) |  |
| Structure (InChI/SMILES or Protein Sequence) | CC(=O)CC(c1ccccc1)c1c(O)c2ccccc2oc1=O |
Identifiers
| PDB | — |
| CAS-ID | 129-06-6 |
| RxCUI | — |
| ChEMBL ID | CHEMBL1464 |
| ChEBI ID | 87732 |
| PubChem CID | 54678486 |
| DrugBank | DB00682 |
| UNII ID | 5Q7ZVV76EI (ChemIDplus, GSRS) |
Target
Agency Approved
VKORC1
VKORC1
Organism
Homo sapiens
Gene name
VKORC1
Gene synonyms
VKOR
NCBI Gene ID
Protein name
vitamin K epoxide reductase complex subunit 1
Protein synonyms
phylloquinone epoxide reductase, vitamin K dependent clotting factors deficiency 2, Vitamin K1 2,3-epoxide reductase subunit 1, vitamin K1 epoxide reductase (warfarin-sensitive)
Uniprot ID
Mouse ortholog
Vkorc1 (27973)
vitamin K epoxide reductase complex subunit 1 (Q9CRC0)
Alternate
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Financial
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Estimated US medical usage
Warfarin
Total medical expenditures per year (USD, in millions)
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Tabular view
Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 72,459 documents
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Safety
Black-box Warning
Black-box warning for: Coumadin, Jantoven, Warfarin sodium
Adverse Events
Top Adverse Reactions
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74,722 adverse events reported
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