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.
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。
Sheba Medical center, Ramat Gan, Israel
Bern University Hospital, Bern, Switzerland
University of Ferrara, Ferrara, Italy
University of Naples Federico II, Naples, Italy
Dong-A University Hospital, Busan, Korea, Republic of
Kharkiv City Clinical Hospital #8, Kharkiv, Ukraine
Altnagelvin Area Hospital, Londonderry, United Kingdom
Golden Jubilee Hospital, Clydebank, United Kingdom
Faculty Hospital Kralovske Vinohrady, Prague, Czechia
Inselspitäl University Medical Center, Bern, Switzerland
Erasmus MC, Rotterdam, Netherlands
Policlinico San Matteo, Pavia, Italy
Deutsches Herzzentrum Muenchen, Munich, Germany
Munich University Hospital, Munich, Bavaria, Germany
Klinikum Bogenhausen, Munich, Germany
University of Florida, Jacksonville, Florida, United States
Houston Methodist Hospital, Houston, Texas, United States
Memorial Hermann Hospital, Houston, Texas, United States
Baylor-St. Lukes Medical Center, Houston, Texas, United States
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