Thromboxane (TX) A 2 , prostacyclin (PGI 2 ), and nitric oxide (NO) regulate platelet function and interaction with the vessel wall. Inhibition of TXA 2 , implemented synthesis of PGI 2 , and supply of exogenous NO may afford therapeutic benefit. 2NTX-99 [4-methoxy-N 1 -(4-trans-nitrooxycyclohexyl)-N 3 -(3-pyridinylmethyl)-1,3-benzenedicarboxamide], a new chemical entity related to picotamide, showed antithromboxane activity and NO donor properties. 2NTX-99 relaxed rabbit aortic rings precontracted with norepinephrine or U46619 (9,11-dideoxy-9␣,11␣-methanoepoxy-prosta-5Z,13E-dien-1-oic acid; EC 50 , 7.9 and 17.1 M, respectively), an effect abolished by 10 M 1H-(1,2,4)oxadiazolo(4,3-a)quinoxalin-1-one (ODQ). 2NTX-99 inhibited arachidonic acid (AA)-induced washed platelet aggregation (EC 50 , 9.8 M) and TXB 2 formation (Ϫ71% at 10 M), and its potency increased in the presence of aortic rings (EC 50 , 1.4 M). In whole rabbit aorta incubated with homologous platelets, AA caused contraction and TXA 2 formation, reduced by 2NTX-99 (10 -40 M): contraction, Ϫ28 and Ϫ47%, TXA 2 formation, Ϫ37 and Ϫ75.4%, respectively, with concomitant increase in PGI 2 . 2NTX-99 (20 -40 M) inhibited U46619-induced aggregation in rabbit platelet-rich plasma (PRP) (Ϫ74 Ϯ 6.7 and Ϫ96 Ϯ 2.4%, respectively) and inhibited collagen-induced aggregation in human PRP (Ϫ48.2 Ϯ 10 and Ϫ79.2 Ϯ 6%), whereas ozagrel was ineffective. In human embryonic kidney 293 cells transfected with the TXA 2 receptor isophorm ␣ receptor, 2NTX-99 did not compete with the ligand,,1]-hept-2-yl]-5-heptanoic acid), or prevent inositol phosphate accumulation. After oral administration (50 -250 mg/kg), 2NTX-99 inhibited TXA 2 production in rat clotting blood (Ϫ71 and Ϫ91%); at 250 mg/kg, an area under the curve, 0 to 16 h, of 149.5 h/g/ml and a t 1/2 of 6 h were calculated, with a C max value of 31.8 Ϯ 8.2 g/ml. An excellent correlation between plasma concentrations and TXA 2 inhibition occurs. 2NTX-99 controls platelet function and vessel wall interaction by multifactorial mechanisms and possesses therapeutic potential.