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

Acetyl Salicylic Elimination Trial JAPAN: The ASET JAPAN Pilot Study

Not Applicable
Active, not recruiting
Conditions
Non ST Segment Elevation Acute Coronary Syndrome
Chronic Coronary Syndrome
Interventions
First Posted Date
2021-11-11
Last Posted Date
2024-08-22
Lead Sponsor
Meditrix Corp
Target Recruit Count
307
Registration Number
NCT05117866
Locations
🇮🇪

CORRIB Research Centre for Advanced Imaging and Core laboratoryNational University of Ireland, Galway, Galway, Ireland

🇯🇵

Fujita Health University, Toyoake, Aichi, Japan

🇯🇵

Fujita Health University, Okazaki Medical Centre, Okazaki, Aichi, Japan

and more 10 locations

Replication of the ISAR-REACT 5 Antiplatelet Trial in Healthcare Claims Data

Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2021-10-20
Last Posted Date
2023-07-27
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
28389
Registration Number
NCT05086081
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

Escalated Single Platelet Inhibition for One Month Plus NOAC in Patients With Atrial Fibrillation and ACS Undergoing PCI

Phase 4
Recruiting
Conditions
Acute Coronary Syndrome
Atrial Fibrillation
Interventions
First Posted Date
2021-07-28
Last Posted Date
2023-07-14
Lead Sponsor
Ludwig-Maximilians - University of Munich
Target Recruit Count
2334
Registration Number
NCT04981041
Locations
🇩🇪

Deutsches Herzzentrum München, Munich, Bayern, Germany

🇩🇪

Kerckhoff-Klinik GmbH, Herzzentrum, Bad Nauheim, Germany

🇩🇪

Universitätsklinikum Freiburg, Universitäts-Herzzentrum Klinik für Kardiologie & Angiologie, Campus Bad Krozingen, Bad Krozingen, Germany

and more 22 locations

Optical Coherence Tomography-Guided PCI With Single-Antiplatelet Therapy

Phase 2
Completed
Conditions
Non ST Segment Elevation Acute Coronary Syndrome
Interventions
First Posted Date
2021-02-23
Last Posted Date
2023-03-06
Lead Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Target Recruit Count
75
Registration Number
NCT04766437
Locations
🇳🇱

Amsterdam UMC, location AMC, Amsterdam, Netherlands

Prasugrel 5 mg vs. Ticagrelor 60 mg in CHIP (E5TION)

Phase 4
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2021-02-02
Last Posted Date
2021-02-02
Lead Sponsor
Gyeongsang National University Hospital
Target Recruit Count
492
Registration Number
NCT04734353
Locations
🇰🇷

Pusan National University Yangsan Hospital, Yangsan, Gyeongsangnam-do, Korea, Republic of

🇰🇷

Kosin University Gospel Hospital, Busan, Korea, Republic of

🇰🇷

Gyeongsang National University Hospita, Jinju, Gyeongsangnam-do, Korea, Republic of

and more 5 locations

Pharmacodynamic and Pharmacokinetic of Switching From Cangrelor to Prasugrel in ACS Patients Undergoing PCI

Phase 4
Completed
Conditions
Coronary Artery Disease
Acute Coronary Syndrome
Interventions
First Posted Date
2020-12-16
Last Posted Date
2024-03-20
Lead Sponsor
University of Florida
Target Recruit Count
359
Registration Number
NCT04668144
Locations
🇺🇸

University of Florida Jacksonville, Jacksonville, Florida, United States

Prasugrel in Severe COVID-19 Pneumonia

Phase 3
Conditions
COVID19
Thrombosis
Interventions
First Posted Date
2020-06-24
Last Posted Date
2020-06-26
Lead Sponsor
Azienda Ospedaliera Universitaria Integrata Verona
Target Recruit Count
128
Registration Number
NCT04445623
Locations
🇮🇹

Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy

Replication of the TRITON-TIMI Antiplatelet Trial in Healthcare Claims Data

Completed
Conditions
Antiplatelet
Interventions
First Posted Date
2020-01-23
Last Posted Date
2023-07-27
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
43864
Registration Number
NCT04237922
Locations
🇺🇸

Brigham And Women's Hospital, Boston, Massachusetts, United States

Switching From DAPT to Dual Pathway Inhibition With Low-dose Rivaroxaban in Adjunct to Aspirin in Patients With Coronary Artery Disease

Phase 4
Completed
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2019-07-05
Last Posted Date
2023-04-26
Lead Sponsor
University of Florida
Target Recruit Count
90
Registration Number
NCT04006288
Locations
🇺🇸

University of Florida, Jacksonville, Florida, United States

Prasugrel Switching Study in Patients With Acute Coronary Syndrome (ACS) Who Underwent Percutaneous Coronary Intervention (PCI)

Phase 4
Completed
Conditions
Acute Coronary Syndrome (ACS)
Interventions
First Posted Date
2018-09-14
Last Posted Date
2021-11-12
Lead Sponsor
Daiichi Sankyo Taiwan Ltd., a Daiichi Sankyo Company
Target Recruit Count
204
Registration Number
NCT03672097
Locations
🇨🇳

Taichung Veterans General Hospital, Taichung, Taiwan

🇨🇳

Cheng Hsin General Hospital, Taipei, Taiwan

🇨🇳

National Cheng Kung University Hospital, Tainan, Taiwan

and more 7 locations
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