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Drug

Rivaroxaban

Approved · FDA / EMA
ClassCoagulation factor X inhibitorEmerging researchLate-stage developmentSteady momentum

Also known as Xarelto.

5
Research papers
31
Active clinical trials
Coagulation factor X
Primary target
8
Regulatory events
Latest activity
beta

Recent clinical, regulatory, research and industry developments relating to this drug.

Approval: RIVAROXABAN (ANDA220874)

Regulatory2026-07-01FDA

Approval: RIVAROXABAN (ANDA208334)

Regulatory2026-06-30FDA

Approval: Rivaroxaban Koanaa (EMA)

Regulatory2025-11-21EMA

Approval: RIVAROXABAN (ANDA208534)

Regulatory2025-05-14FDA

2021 European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation.

Research2021-10-01Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

A Controlled Trial of Rivaroxaban after Transcatheter Aortic-Valve Replacement.

Research2019-11-16The New England journal of medicine

Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease.

Research2017-08-27The New England journal of medicine

Profile

Identifiers & mechanism

Canonical identifiers, marketed brand names and mechanism, resolved across RxNorm, ChEMBL and ATC.

Canonical name
Rivaroxaban
Aliases & brands
Xarelto
RxNorm CUI
1114195
ChEMBL ID
CHEMBL198362
ATC codes
B01AF01
UNII
9NDF7JZ4M3
Primary mechanism
Coagulation factor X inhibitor
Regulatory jurisdictions
fdaemamhra

Pharmacology & targets

1 target

Known molecular targets and mechanisms supported by curated pharmacology databases.

INHIBITORCoagulation factor X inhibitor

Regulatory timeline

8 events

The complete regulatory record, grouped by authority — approvals, safety advisories and label changes. Each authority shows its most recent events; expand one to read its full history.

Approval / market entry confirmed across FDA and EMA (2025-05-142026-07-01)
Earliest approval
2008-09-30
Latest approval
2026-07-01
Authorities
FDA · EMA · MHRA
Total events
8
fdaU.S. Food and Drug Administration· 3 events
2026-07-01ApprovalMulti-authority
Approval: RIVAROXABAN (ANDA220874)
Evidence ↗
2026-06-30ApprovalMulti-authority
Approval: RIVAROXABAN (ANDA208334)
Evidence ↗
2025-05-14ApprovalMulti-authority
Approval: RIVAROXABAN (ANDA208534)
Evidence ↗
emaEuropean Medicines Agency· 4 events
2025-11-21ApprovalMulti-authority
Approval: Rivaroxaban Koanaa (EMA)
Indication: Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or kneereplacement surgery. Treatment of deep vein thrombosis (DVT) and pulmonary embolismShow full indication

Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or kneereplacement surgery. Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. (See section 4.4 for haemodynamically unstable PE patients.)

Evidence ↗
2021-11-12Approval
Approval: Rivaroxaban Viatris (previously Rivaroxaban Mylan) (EMA)
Indication: Rivaroxaban Mylan co-administered with acetylsalicylic acid (ASA) alone or with ASA plus clopidogrel or ticlopidine, is indicated for the prevention of atherothrombotic events inShow full indication

Rivaroxaban Mylan co-administered with acetylsalicylic acid (ASA) alone or with ASA plus clopidogrel or ticlopidine, is indicated for the prevention of atherothrombotic events in adult patients after an acute coronary syndrome (ACS) with elevated cardiac biomarkers.  Rivaroxaban Mylan co-administered with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) at high risk of ischaemic events.  ------ Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or knee replacement surgery.  Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. ------- Adults  Prevention of stroke and systemic embolism in adult   patients with non-valvular atrial fibrillation with one or more risk factors, such as congestive heart failure, hypertension, age ? 75 years, diabetes mellitus, prior stroke or transient ischaemic attack. Paediatric population  Treatment of venous thromboembolism (VTE) and prevention of VTE recurrence in children and adolescents aged less than 18 years and weighing from 30 kg to 50 kg after at least 5 days of initial parenteral anticoagulation treatment. Paediatric population  Treatment of venous thromboembolism (VTE) and prevention of VTE recurrence in children and adolescents aged less than 18 years and weighing more than 50 kg after at least 5 days of initial parenteral anticoagulation treatment.  

Evidence ↗
2020-11-16Approval
Approval: Rivaroxaban Accord (EMA)
Indication: Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or knee replacement surgery. Treatment of deep vein thrombosis (DVT) and pulmonary embolismShow full indication

Prevention of venous thromboembolism (VTE) in adult patients undergoing elective hip or knee replacement surgery. Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. (See section 4.4 for haemodynamically unstable PE patients. Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. (See section 4.4 for haemodynamically unstable PE patients). Adults Prevention of stroke and systemic embolism in adult patients with non valvular atrial fibrillation with one or more risk factors, such as congestive heart failure, hypertension, age ? 75 years, diabetes mellitus, prior stroke or transient ischaemic attack. Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. (See section 4.4 for haemodynamically unstable PE patients.) Paediatric population Treatment of venous thromboembolism (VTE) and prevention of VTE recurrence in children and adolescents aged less than 18 years and weighing from 30 kg to 50 kg after at least 5 days of initial parenteral anticoagulation treatment. Rivaroxaban Accord, co administered with acetylsalicylic acid (ASA) alone or with ASA plus ticlopidine, is indicated for the prevention of atherothrombotic events in adult patients after an acute coronary syndrome (ACS) with elevated cardiac biomarkers (see sections 4.3, 4.4 and 5.1). Rivaroxaban Accord, co administered with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) at high risk of ischaemic events. Adults Prevention of stroke and systemic embolism in adult patients with non-valvular atrial fibrillation with one or more risk factors, such as congestive heart failure, hypertension, age ? 75 years, diabetes mellitus, prior stroke or transient ischaemic attack. Treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and prevention of recurrent DVT and PE in adults. (See section 4.4 for haemodynamically unstable PE patients.) Paediatric population Treatment of venous thromboembolism (VTE) and prevention of VTE recurrence in children and adolescents aged less than 18 years and weighing more than 50 kg after at least 5 days of initial parenteral anticoagulation treatment.

Evidence ↗
mhraMedicines and Healthcare products Regulatory Agency· 1 event
2019-07-17Safety communicationSafety
Drug Safety Update: Rivaroxaban (Xarelto▼): reminder that 15 mg and 20 mg tablets should be taken with food
Evidence ↗

Data from the U.S. Food and Drug Administration (U.S. Food and Drug Administration), public domain (CC0).

Contains information from the European Medicines Agency (European Medicines Agency), © EMA, reused under CC BY 4.0.

Contains public sector information from the Medicines and Healthcare products Regulatory Agency (MHRA) licensed under the Open Government Licence (OGL v3).

Clinical trials

172 trials

The current development programme across all trial phases — status mix, phase distribution and the late-stage studies shaping the evidence base.

Development programme
CLINICALTRIALS.GOV · LIVE REGISTRY
172
registered trials across all phases
LATEST COMPLETION 2026
31
Active studies
26
Recruiting
126
Late-stage (III+)
87
Completed
54
Discontinued
PHASE DISTRIBUTIONn = 172
Phase 121Phase 1 / 23Phase 222Phase 2 / 37Phase 356Phase 448Phase N / A15

Late-stage studies

Phase III+ trials still open or recently active — where late-stage evidence is being generated.

Recent completions

Trials that read out recently, adding to the completed evidence base.

Research activity

5 papers

Key research shaping understanding of this drug, combining the latest publications with the most influential evidence.

Publications over time
20092021
Most influential

Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease.

The New England journal of medicine · 2017 · 1,591 cites

2021 European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021 · 670 cites

A Controlled Trial of Rivaroxaban after Transcatheter Aortic-Valve Replacement.

The New England journal of medicine · 2020 · 366 cites
Recent papers

2021 European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021 · 670 cites

A Controlled Trial of Rivaroxaban after Transcatheter Aortic-Valve Replacement.

The New England journal of medicine · 2020 · 366 cites

Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease.

The New England journal of medicine · 2017 · 1,591 cites
Major research themes3
Atrial Fibrillation1Stroke1Transcatheter Aortic Valve Replacement1
Journals, researchers & institutions
Top journals
  • The New England journal of medicine2
  • Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology1
  • Lancet (London, England)1
  • Thrombosis and haemostasis1
Leading researchers
  • Misselwitz F2
  • Agnelli G1
  • Alings M1
  • Anand SS1
  • Antz M1
  • Avezum A1
  • Baldus S1
  • Barnathan ES1
Leading institutions
free-text, unnormalised
  • Antwerp University and University Hospital1
  • Cardiology Clinical Academic Group1
  • From the Population Health Research Institute1
  • From the Zena and Michael A. Wiener Cardiovascular Institute1
  • Hasselt University1
  • Hospital Braunschweig1

Related diseases

3 conditions

Regulator-approved indications and conditions co-mentioned with this drug across the research literature. Number shows shared papers.

Approved indications

Related drugs

3 matches

Drugs sharing diseases, protein targets and literature with this one. Ranked by graph evidence (shared targets + diseases weighted above co-mentions).

Studied across 6 of the same disease areas as Rivaroxaban in the shared literature.

6 shared diseases2 shared papers

Studied across 4 of the same disease areas as Rivaroxaban in the shared literature.

4 shared diseases1 shared paper

Studied across 2 of the same disease areas as Rivaroxaban in the shared literature.

2 shared diseases1 shared paper
References & data sources
  • RxNorm (U.S. National Library of Medicine) — drug identity
  • ChEMBL (EMBL-EBI) & UniProt — pharmacology and targets
  • Europe PMC — research literature
  • ClinicalTrials.gov — clinical trials
  • Regulatory event sources are credited in the Regulatory Timeline above.