MedPath

Prasugrel

Generic Name
Prasugrel
Brand Names
Effient, Efient, Prasugrel Viatris (previously Prasugrel Mylan)
Drug Type
Small Molecule
Chemical Formula
C20H20FNO3S
CAS Number
150322-43-3
Unique Ingredient Identifier
34K66TBT99
Background

Prasugrel, a thienopyridine derivative, is a platelet activation and aggregation inhibitor structurally and pharmacologically related to clopidogrel and ticlopidine. Similar to clopidogrel, prasugrel is a prodrug that requires enzymatic transformation in the liver to its active metabolite, R-138727. R-138727 irreversibly binds to P2Y12 type ADP receptors on platelets thus preventing activation of the GPIIb/IIIa receptor complex. As a result, inhibition of ADP-mediated platelet activation and aggregation occurs. Prasugrel was developed by Daiichi Sankyo Co. and is currently marketed in the United States and Canada in cooperation with Eli Lilly and Company for acute coronary syndromes planned for percutaneous coronary intervention (PCI). FDA approved in 2009.

Indication

用于心力衰竭、卒中、不稳定心绞痛等心脑血管疾病以及有急性冠状动脉综合征需要进行经皮冠脉介入术的患者。

Associated Conditions
Cardiovascular Events

Individualizing Dual Antiplatelet Therapy After Percutaneous Coronary Intervention - The IDEAL-PCI Registry

Phase 3
Completed
Conditions
Platelet Inhibition
Coronary Stent Implantation
Interventions
First Posted Date
2012-01-24
Last Posted Date
2017-04-25
Lead Sponsor
Kaiser Franz Josef Hospital
Target Recruit Count
1008
Registration Number
NCT01515345
Locations
🇦🇹

Kaiser Franz Josef Hospital, Vienna, Austria

Rapid Activity of Platelet Inhibitor Drugs Study

Phase 4
Completed
Conditions
ST-segment Elevation Myocardial Infarction
Interventions
First Posted Date
2012-01-13
Last Posted Date
2014-09-25
Lead Sponsor
Careggi Hospital
Target Recruit Count
50
Registration Number
NCT01510171
Locations
🇮🇹

Careggi Hospital, Florence, Italy

Impact of Clopidogrel Dose Adjustment According to Platelet Reactivity Monitoring in Patients With High on Treatment Platelet Reactivity Undergoing Percutaneous Coronary Intervention

Phase 3
Completed
Conditions
Acute Coronary Syndromes
Interventions
First Posted Date
2012-01-09
Last Posted Date
2012-05-23
Lead Sponsor
Assistance Publique Hopitaux De Marseille
Target Recruit Count
187
Registration Number
NCT01505790
Locations
🇫🇷

Assistance Publique Hopitaux de Marseille, Marseille, France

Prasugrel Versus Clopidogrel to TREAT High Platelet Reactivity

Phase 4
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2011-12-16
Last Posted Date
2014-10-08
Lead Sponsor
University of Pecs
Target Recruit Count
147
Registration Number
NCT01493999
Locations
🇭🇺

University of Pécs, Heart Institute, Pécs, Hungary

A Study of Prasugrel in Pediatric Participants With Sickle Cell Disease

Phase 2
Completed
Conditions
Sickle Cell Disease
Interventions
First Posted Date
2011-11-22
Last Posted Date
2014-02-13
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
33
Registration Number
NCT01476696
Locations
🇺🇸

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Pittsburgh, Pennsylvania, United States

Therapy With High Clopidogrel Dose or Prasugrel Standard Dose Reduces the Platelet Reactivity in Patients With Genotype Variation RESET GENE Trial

Phase 3
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2011-11-06
Last Posted Date
2012-03-27
Lead Sponsor
Gennaro Sardella
Target Recruit Count
30
Registration Number
NCT01465828
Locations
🇮🇹

Dept.of Cardiovascular Sciences,Policlinico Umberto I, Rome, Italy

Prasugrel 5mg Versus High Dose Clopidogrel in Clopidogrel Resistant Patients Aged ≥75 Years and/or Weighing <60 kg Post Percutaneous Coronary Intervention (PCI)

Phase 4
Completed
Conditions
Platelet Reactivity
Interventions
First Posted Date
2011-11-01
Last Posted Date
2012-07-11
Lead Sponsor
University of Patras
Target Recruit Count
27
Registration Number
NCT01463150
Locations
🇬🇷

Cardiology Department Patras University Hospital, Rio, Achaia, Greece

Ticagrelor in Comparison to Prasugrel for Early Inhibition of Platelet Reactivity in Patients With ST-elevation Myocardial Infarction (STEMI), Undergoing Primary Percutaneous Coronary Intervention (PCI)

Phase 4
Completed
Conditions
Platelet Reactivity
Interventions
First Posted Date
2011-11-01
Last Posted Date
2012-04-10
Lead Sponsor
University of Patras
Target Recruit Count
50
Registration Number
NCT01463163
Locations
🇬🇷

Cardiology Department Patras University Hospital, Rio, Achaia, Greece

Intracoronary Stenting and Antithrombotic Regimen: ADjusting Antiplatelet Treatment in PatienTs Based on Platelet Function Testing

Phase 4
Conditions
Coronary Heart Disease
Interventions
First Posted Date
2011-10-20
Last Posted Date
2013-11-01
Lead Sponsor
Deutsches Herzzentrum Muenchen
Target Recruit Count
70
Registration Number
NCT01456364
Locations
🇩🇪

Deutsches Herzzentrum, München, Bavaria, Germany

🇩🇪

Klinikum der Ludwig-Maximilians-Universität München, München, Bavaria, Germany

🇭🇺

Heart Center Balatonfüred, Dept. of Cardiology, Balatonfüred, Hungary

Pharmacogenetic Approach to Anti-platelet Therapy for the Treatment of ST-segment Elevation Myocardial Infarction (STEMI)

Phase 2
Completed
Conditions
STEMI
Interventions
Genetic: Point-of-Care Genetic Testing
First Posted Date
2011-10-14
Last Posted Date
2013-04-25
Lead Sponsor
Ottawa Heart Institute Research Corporation
Target Recruit Count
102
Registration Number
NCT01452139
Locations
🇨🇦

University of Ottawa Heart Institute, Ottawa, Ontario, Canada

© Copyright 2025. All Rights Reserved by MedPath