“…Although in recent years anticoagulant drug development has targeted the inhibition of specific common pathway proteins, such as factor Xa and thrombin, FXIa may represent a new avenue for the exploration of safer methods to prevent and treat thrombosis. − Recent studies suggest that targeting FXIa may reduce the likelihood of thrombosis while preserving hemostasis. − Thus, the development of a small-molecule FXIa inhibitor into a drug capable of slowing down the effect of FXIa, thereby delaying clot formation, is promising because high FXIa expression correlates to an increased risk for stroke and venous thromboembolism. ,,− Thrombosis may also be driven by different stimuli, some of which may not include FXIa, but it is clear that more needs to be known about what causes thrombosis and how to control it safely . The exceptional potential that small-molecule FXIa inhibitors have engendered in recent years is evidenced by the prolific interest by industry and academia in their development. ,− …”