MedPath

Vorapaxar

Generic Name
Vorapaxar
Brand Names
Zontivity
Drug Type
Small Molecule
Chemical Formula
C29H33FN2O4
CAS Number
618385-01-6
Unique Ingredient Identifier
ZCE93644N2
Background

Vorapaxar is a tricyclic himbacine-derived selective inhibitor of protease activated receptor (PAR-1) indicated for reducing the incidence of thrombotic cardiovascular events in patients with a history of myocardial infarction (MI) or with peripheral arterial disease (PAD). By inhibiting PAR-1, a thrombin receptor expressed on platelets, vorapaxar prevents thrombin-related platelet aggregation.

Indication

Vorapaxar is indicated for the reduction of thrombotic cardiovascular events in patients with a history of myocardial infarction (MI) or peripheral arterial disease (PAD). It is usually co-administered with acetylsalicylic acid (ASA) and/or clopidogrel, and should therefore be administered as an addition to these medications as it has not been studied alone.

Associated Conditions
Cardiovascular Events

Vorapaxar on Thrombin Generation and Coagulability

Phase 4
Completed
Conditions
Coronary Artery Disease
Peripheral Vascular Disease
Myocardial Infarction
Interventions
First Posted Date
2017-07-02
Last Posted Date
2022-08-18
Lead Sponsor
Inova Health Care Services
Target Recruit Count
81
Registration Number
NCT03207451
Locations
🇺🇸

Inova Fairfax Hospital, Falls Church, Virginia, United States

Vorapaxar and Lower Extremity Bypass Grafts

Phase 4
Withdrawn
Conditions
Peripheral Artery Disease
Interventions
Drug: Placebos
First Posted Date
2016-11-29
Last Posted Date
2018-01-25
Lead Sponsor
Vanderbilt University
Registration Number
NCT02975583

Vorapaxar in the Human Endotoxemia Model

Phase 4
Completed
Conditions
Healthy Volunteers
Interventions
Drug: Placebo
Other: LPS
First Posted Date
2016-08-23
Last Posted Date
2020-01-10
Lead Sponsor
Medical University of Vienna
Target Recruit Count
16
Registration Number
NCT02875028
Locations
🇦🇹

Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria

Excellence In Peripheral Artery Disease Thrombin Receptor Antagonist Intervention In Claudication Evaluation (XLPAD-TRACE Trial)

Phase 4
Conditions
Peripheral Arterial Disease
Interventions
Drug: Placebo + background APT + SMT
First Posted Date
2016-01-21
Last Posted Date
2018-05-29
Lead Sponsor
North Texas Veterans Healthcare System
Target Recruit Count
200
Registration Number
NCT02660866
Locations
🇺🇸

Atlanta Heart Specialists, Atlanta, Georgia, United States

🇺🇸

San Diego VA Medical center, San Diego, California, United States

🇺🇸

Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, United States

and more 9 locations

Vorapaxar as an Add-On Antiplatelet Therapy in Patients With and Without Diabetes Mellitus

Phase 4
Completed
Conditions
Diabetes Mellitus
Myocardial Infarction
Peripheral Arterial Disease
Interventions
First Posted Date
2015-09-14
Last Posted Date
2020-02-12
Lead Sponsor
University of Florida
Target Recruit Count
66
Registration Number
NCT02548650
Locations
🇺🇸

University of Florida, Jacksonville, Florida, United States

Vorapaxar in Patients With Prior Myocardial Infarction Treated With Prasugrel and Ticagrelor

Phase 4
Completed
Conditions
Myocardial Infarction
Interventions
First Posted Date
2015-09-10
Last Posted Date
2020-09-16
Lead Sponsor
University of Florida
Target Recruit Count
130
Registration Number
NCT02545933
Locations
🇺🇸

University of Florida, Jacksonville, Florida, United States

Vorapaxar Study for Maturation of AV Fistulae for Hemodialysis Access

Phase 2
Completed
Conditions
AV Fistula
Interventions
First Posted Date
2015-06-19
Last Posted Date
2019-01-14
Lead Sponsor
Ken Mahaffey
Target Recruit Count
17
Registration Number
NCT02475837
Locations
🇺🇸

Stanford Univeristy, Stanford, California, United States

Attenuation of D-dimer Using Vorapaxar to Target Inflammatory and Coagulation Endpoints

Phase 1
Completed
Conditions
HIV
Interventions
Drug: Placebo
First Posted Date
2015-03-20
Last Posted Date
2019-03-06
Lead Sponsor
Kirby Institute
Target Recruit Count
65
Registration Number
NCT02394730
Locations
🇺🇸

Georgetown University Hospital, Georgetown, Maryland, United States

🇦🇺

Melbourne Sexual Health Centre, Carlton, Victoria, Australia

🇺🇸

Hennepin County Medical Centre, Minneapolis, Minnesota, United States

and more 4 locations

Trial to Assess the Safety of Vorapaxar in Japanese Subjects With Cerebral Infarction (P05005; MK-5348-017)

Phase 2
Completed
Conditions
Cerebral Infarction
Interventions
First Posted Date
2008-05-26
Last Posted Date
2018-09-21
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
90
Registration Number
NCT00684515

Trial to Assess the Safety and Effects of Vorapaxar in Japanese Subjects With Acute Coronary Syndrome (P04772; MK-5348-016)

Phase 2
Completed
Conditions
Myocardial Ischemia
Atherosclerosis
Myocardial Infarction
Interventions
First Posted Date
2008-05-26
Last Posted Date
2017-05-05
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
120
Registration Number
NCT00684203
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