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China approves Bayer blood thinner asundexian

By Thomson Reuters Oct 26, 2026 | 5:08 AM

BEIJING, Oct 26 (Reuters) – China’s drug regulator said on Monday it approved the blood thinner asundexian from Bayer, a ​potential boost for the German drugmaker in ‌the world’s second-largest pharmaceutical market as it moves to counter competition from generic medicines.

Bayer is betting on asundexian to offset declining revenue from older blockbuster ‌drugs, ​such as its blood thinner ⁠Xarelto, which has ⁠faced increased competition from cheaper generics since losing patent protection.

China has the highest prevalence of stroke in the world, according to one ​study.

Bayer had previously said in May that the National Medical Products Administration had granted ⁠priority review designation for ⁠its marketing application.

The pathway is ​an accelerated approval process for drug candidates addressing ​urgent medical needs.

For patients taking asundexian, 6.2% experienced ‌another ischaemic stroke, compared with 8.4% in the placebo group, according to the results of one large, late-stage clinical trial.

Additionally, strokes that ⁠occurred in the asundexian group were less likely to be moderate to severe in the study involving ⁠12,327 patients.

Bayer ‌did not immediately respond to ⁠a request for comment on when ​asundexian ‌would become available in China, ​the cost ⁠for patients or sales estimates.

Other potential Bayer rivals include Novartis’ experimental abelacimab and a joint effort by Bristol Myers Squibb and Johnson & Johnson to develop milvexian.

(Reporting by Andrew Silver; Editing by ​Kate Mayberry)