Used primarily as a potent antithrombotic agent, this compound functions as a direct thrombin inhibitor. It is employed in clinical settings to prevent and treat blood clot formation, especially in patients undergoing procedures such as cardiopulmonary bypass or hemodialysis where standard anticoagulants like heparin may be less effective or pose risks. Due to its high specificity for thrombin, it provides predictable anticoagulation with minimal off-target effects. It is also utilized in research to study coagulation pathways and platelet function. Its stable salt form enhances solubility and bioavailability in intravenous formulations.