The Priority Review

Approvals Brief

FDA approves Sunharbo for secondary stroke prevention

The FDA approved Sunharbo (asundexian) 50 mg tablets on November 09, 2026 for adults at high risk of stroke after a mild-to-moderate non-cardioembolic ischemic stroke or high-risk TIA. The OCEANIC-STROKE phase 3 study enrolled 12,327 participants and found Sunharbo 50 mg once daily significantly reduced the risk of ischemic stroke by 26 % compared to placebo over a median treatment of 14.2 months.

Primary source

FDA approval notification, November 9, 2026

FDA Approves First Factor Xla Inhibitor to Help Prevent Stroke in Certain Adults at High Risk

Read the source: FDA Approves First Factor Xla Inhibitor to Help Prevent Stroke in Certain Adults at High Risk fda.gov

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