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

A Comparison of Prasugrel and Clopidogrel in Acute Coronary Syndrome Subjects

Phase 3
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2008-06-18
Last Posted Date
2013-05-07
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
9326
Registration Number
NCT00699998
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., Sunderland, United Kingdom

Third Optimizing Anti-Platelet Therapy in Diabetes MellitUS (OPTIMUS-3)

Phase 2
Completed
Conditions
Diabetes Mellitus
Coronary Artery Disease
Interventions
First Posted Date
2008-03-24
Last Posted Date
2010-02-23
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
35
Registration Number
NCT00642174
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., Oklahoma City, Oklahoma, United States

The Effect on Blood Cells, Known as Platelets, Using Prasugrel vs Clopidogrel in Patients With the Heart Problem Acute Coronary Syndrome (ACS)

Phase 2
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2006-10-11
Last Posted Date
2010-09-16
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
56
Registration Number
NCT00385944
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., Paris, France

Trial in Subjects Undergoing Cardiac Catheterization With Planned Percutaneous Coronary Intervention With Stenting

Phase 2
Completed
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2006-07-28
Last Posted Date
2010-08-31
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
201
Registration Number
NCT00357968
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., Tel Hashomer, Israel

Effect of Prasugrel on Platelets After One Week in Patients Already Taking Clopidogrel After a Cardiac Event

Phase 2
Completed
Conditions
Coronary Arteriosclerosis
Acute Coronary Syndrome
Interventions
First Posted Date
2006-07-25
Last Posted Date
2010-11-03
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
139
Registration Number
NCT00356135
Locations
🇺🇸

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Monday-Friday from 9:00 AM to 5:00 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician, Houston, Texas, United States

A Comparison of Prasugrel (CS-747) and Clopidogrel in Acute Coronary Syndrome Subjects Who Are to Undergo Percutaneous Coronary Intervention

Phase 3
Completed
Conditions
Coronary Arteriosclerosis
Acute Coronary Syndromes
Interventions
First Posted Date
2004-11-25
Last Posted Date
2010-09-16
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
13619
Registration Number
NCT00097591
Locations
🇺🇸

For more information regarding investigative sites for this trial, call 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri 9 AM - 5 PM Eastern Time (UTC/GMT - 5 hours, EST), Global Quintiles Study Line (1-866-615-4672) or speak with your physician, Indianapolis, Indiana, United States

A Trial of CS-747 (Prasugrel) Compared With Clopidogrel in Patients Undergoing Percutaneous Coronary Intervention (PCI)

Phase 2
Completed
Conditions
Cardiovascular Diseases
Heart Diseases
Interventions
First Posted Date
2003-04-23
Last Posted Date
2010-05-25
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
905
Registration Number
NCT00059215
Locations
🇺🇸

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

🇨🇦

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4599) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Victoria, British Columbia, Canada

© Copyright 2025. All Rights Reserved by MedPath