Science

Bristol Myers Squibb and Johnson & Johnson’s Blood Thinner Fails Key Trial

Bristol Myers Squibb and Johnson & Johnson’s Blood Thinner Fails Key Trial
Editorial
  • PublishedNovember 14, 2025

A next-generation blood thinner developed by Bristol Myers Squibb (BMS) and Johnson & Johnson (J&J) has failed a critical late-stage trial, prompting the companies to halt further development in one of its three ongoing studies. The drug, known as milvexian, is designed as a selective factor XIa inhibitor aimed at preventing harmful blood clotting.

The trial in question focused on patients with acute coronary syndrome, a term that encompasses various conditions that result from reduced blood flow to the heart. BMS announced on October 6, 2023, that an interim analysis of the trial indicated milvexian is unlikely to achieve its primary endpoint. This conclusion led to the decision to discontinue the trial for acute coronary syndrome.

Milvexian is currently undergoing evaluation in three Phase 3 trials targeting different conditions, including atrial fibrillation and prevention of secondary strokes. The implications of this setback are significant for both companies, which have invested substantial resources into the development of milvexian, hoping it would offer a new option for patients at risk of serious cardiovascular events.

The failure in the acute coronary syndrome trial raises concerns about the future of milvexian’s other trials. Investors and analysts will be closely monitoring any further updates from BMS and J&J regarding their ongoing research efforts. The companies have not yet provided insights on how this outcome may affect the timeline for the remaining trials or their overall development strategy.

The landscape for blood thinners is highly competitive, with numerous options already available on the market. The challenge for BMS and J&J will be to address the reasons behind this trial’s failure as they continue to pursue approval for milvexian in other indications.

As these developments unfold, the focus will remain on the ongoing Phase 3 trials for milvexian and the potential impact on patient care in the fields of cardiology and stroke prevention.

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