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Protein / target

Tissue factor pathway inhibitor

Encoded byTFPIP10646Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
3
Approved medicines
Open Targets target-level
View by indication →
15
Clinical trials
Antibody-tractable
Druggability
Advanced Clinical

Protein at a glance

Biological role

Serine-type endopeptidase inhibitor

Strongest disease association

Myocardial Infarction

Via encoding gene TFPI · Genetic evidence · score 0.51

Therapeutic position

Established drug target

Antibodies

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Inhibits factor X (X(a)) directly and, in a Xa-dependent way, inhibits VIIa/tissue factor activity, presumably by forming a quaternary Xa/LACI/VIIa/TF complex.

View complete UniProt function annotation

Inhibits factor X (X(a)) directly and, in a Xa-dependent way, inhibits VIIa/tissue factor activity, presumably by forming a quaternary Xa/LACI/VIIa/TF complex. It possesses an antithrombotic action and also the ability to associate with lipoproteins in plasma

Subcellular location

SecretedMicrosome membrane
Domains and Gene Ontology detail (14)

Domains & features

BPTI/Kunitz inhibitor 1BPTI/Kunitz inhibitor 2BPTI/Kunitz inhibitor 3

Gene Ontology

  • Ccaveola
  • Ccell surface
  • Cextracellular region
  • Cextracellular space
  • Cplasma membrane
  • Cside of membrane
  • Fendopeptidase inhibitor activity
  • Fserine-type endopeptidase inhibitor activity
  • Pblood coagulation
  • Pcellular response to steroid hormone stimulus
  • Pnegative regulation of blood coagulation

304 aa · 35 kDa · 2 isoforms

Biological roles

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Lipid & lipoprotein metabolismUniProtHaemostasisGO
View supporting evidence

Lipid & lipoprotein metabolism

  • ·Inhibits factor X (X(a)) directly and, in a Xa-dependent way, inhibits VIIa/tissue facto…

Haemostasis

  • ·blood coagulation
  • ·negative regulation of blood coagulation

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Approved medicines with mapped indications

3 medicines · 4 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Hemorrhage2 medicines
Drug-Related Side Effects and Adverse Reactions1 medicine
Hemophilia A1 medicine
Hemophilia B1 medicine

Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

3

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

concizumab
Narrow target profileApprovedInhibitor

Tissue factor pathway inhibitor inhibitor

Indicated for Hemorrhage

Direct interaction with this protein · Only this protein recorded as a target

andexanet alfa
Narrow target profileApprovedInhibitor

Tissue factor pathway inhibitor inhibitor

Indicated for Drug-Related Side Effects and Adverse Reactions

Direct interaction with this protein · Only this protein recorded as a target

marstacimab
Narrow target profileApprovedInhibitor

Tissue factor pathway inhibitor inhibitor

Indicated for Hemophilia A, Hemophilia B, Hemorrhage

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene TFPI

Gene-level evidence surfaced through the gene TFPIthat encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Hemophilia A
0.68Moderately supported

Clinical evidence dominant · Open Targets 0.51

Hemophilia B
0.65Moderately supported

Clinical evidence dominant · Open Targets 0.53

Myocardial Infarction
0.54Moderately supported

Genetic evidence dominant · Open Targets 0.32

Hemorrhagic disease
0.45Limited support

Clinical evidence dominant · Open Targets 0.36

Neurodegenerative Diseases
0.24Preliminary

Pathway evidence dominant · Open Targets 0.37 · no direct causal or clinical evidence

View evidence synthesis (5)
Hemophilia AModerately supported
0.68
agreement 0.550.80
Clinical79%Animal model16%Literature5%

Open Targets aggregate 0.51 · 3 independent evidence families

Hemophilia BModerately supported
0.65
agreement 0.500.81
Clinical98%Literature2%

Open Targets aggregate 0.53 · 2 independent evidence families

Myocardial InfarctionModerately supported
0.54
agreement 0.400.68
Genetic89%Literature11%

Open Targets aggregate 0.32 · 2 independent evidence families

Hemorrhagic diseaseLimited support
0.45
agreement 0.300.61
Clinical97%Literature3%

Open Targets aggregate 0.36 · 2 independent evidence families

Neurodegenerative DiseasesPreliminary
0.24
agreement 0.010.47
Pathway100%

Open Targets aggregate 0.37 · 1 independent evidence family · no direct causal or clinical evidence

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Hemophilia B0.53
Hemophilia A0.51
Neurodegenerative Diseases0.37
Hemorrhagic disease0.36
Myocardial Infarction0.32
Alzheimer's Disease0.32
Multiple Sclerosis0.32
Parkinson's Disease0.32

Drug development

4 compounds recorded · 3 approved · 1 in clinical development

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 3 drugs that target this protein in Forefront's canonical graph (3 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (4)
CONCIZUMABApproval
BAY-1093884Phase 2
ANDEXANET ALFAApproval
MARSTACIMABApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

AntibodiesStrong

Advanced Clinical and GO CC high conf support this modality.

Protein degradersEmerging

Feasibility evidence (database ubiquitination and half-life data) — no clinical-stage drug of this modality recorded.

Other modalitiesStrong

Approved Drug support this modality.

View underlying tractability evidence (8)
AB · Advanced ClinicalAB · GO CC high confAB · UniProt loc med confAB · UniProt SigP or TMHMMPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule BinderOC · Approved Drug

Raw Open Targets tractability assessment buckets, by modality.

Clinical trials

15

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (11)

ClinicalTrials.gov via the drug-target graph.

What's happening now

3

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for 3 drugs that target this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Regulatory approval2024-12-13

    Approval: Alhemo (EMA)

    ema · regulatory · ema · via concizumab

  2. Regulatory approval2024-11-18

    Approval: Hympavzi (EMA)

    ema · regulatory · ema · via marstacimab

  3. Regulatory approval2019-04-26

    Approval: Ondexxya (EMA)

    ema · regulatory · ema · via andexanet alfa

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.