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 Single Center Study to Evaluate Ticagrelor Mechanism of Action in Inhibiting Juvenile Platelet ADP Response

Phase 4
Withdrawn
Conditions
Diabetes Mellitus
Interventions
First Posted Date
2017-01-23
Last Posted Date
2020-07-15
Lead Sponsor
CirQuest Labs, LLC
Registration Number
NCT03027934

Chewing Ticagrelor Versus Prasugrel in ST-elevation Myocardial Infarction - A Platelet Reactivity Study

Phase 4
Conditions
Acute Coronary Syndrome
STEMI
Interventions
First Posted Date
2017-01-10
Last Posted Date
2017-01-10
Lead Sponsor
Sheba Medical Center
Target Recruit Count
100
Registration Number
NCT03016611
Locations
🇮🇱

Sheba Medical center, Ramat Gan, Israel

Randomized Comparison of Cangrelor, Tirofiban and Prasugrel in Patients With STEMI Referred for Primary PCI.

Phase 4
Completed
Conditions
STEMI - ST Elevation Myocardial Infarction
Coronary Artery Disease
Interventions
First Posted Date
2016-11-30
Last Posted Date
2020-02-21
Lead Sponsor
Insel Gruppe AG, University Hospital Bern
Target Recruit Count
122
Registration Number
NCT02978040
Locations
🇨🇭

Bern University Hospital, Bern, Switzerland

🇮🇹

University of Ferrara, Ferrara, Italy

🇮🇹

University of Naples Federico II, Naples, Italy

Half Dose of Prasugrel and Ticagrelor in Acute Coronary Syndrome (HOPE-TAILOR)

Phase 3
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2016-10-25
Last Posted Date
2020-08-20
Lead Sponsor
Dong-A University
Target Recruit Count
120
Registration Number
NCT02944123
Locations
🇰🇷

Dong-A University Hospital, Busan, Korea, Republic of

Edoxaban Treatment Versus Vitamin K Antagonist in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention

First Posted Date
2016-08-15
Last Posted Date
2020-05-06
Lead Sponsor
Daiichi Sankyo Europe, GmbH, a Daiichi Sankyo Company
Target Recruit Count
1506
Registration Number
NCT02866175
Locations
🇺🇦

Kharkiv City Clinical Hospital #8, Kharkiv, Ukraine

🇬🇧

Altnagelvin Area Hospital, Londonderry, United Kingdom

🇬🇧

Golden Jubilee Hospital, Clydebank, United Kingdom

and more 197 locations

Comparison of Prasugrel and Ticagrelor in the Treatment of Acute Myocardial Infarction

Phase 4
Completed
Conditions
Myocardial Infarction
Angioplasty, Balloon, Coronary
Platelet Aggregation Inhibitors
Interventions
First Posted Date
2016-06-22
Last Posted Date
2017-08-11
Lead Sponsor
Faculty Hospital Kralovske Vinohrady
Target Recruit Count
1226
Registration Number
NCT02808767
Locations
🇨🇿

Faculty Hospital Kralovske Vinohrady, Prague, Czechia

Hunting for the Off-Target Properties of Ticagrelor on Endothelial Function in Humans (HI-TECH)

Phase 4
Completed
Conditions
Cardiovascular Diseases
Interventions
First Posted Date
2015-10-27
Last Posted Date
2017-02-13
Lead Sponsor
Erasmus Medical Center
Target Recruit Count
54
Registration Number
NCT02587260
Locations
🇨🇭

Inselspitäl University Medical Center, Bern, Switzerland

🇳🇱

Erasmus MC, Rotterdam, Netherlands

🇮🇹

Policlinico San Matteo, Pavia, Italy

and more 2 locations

Comparison of Loading Strategies With Antiplatelet Drugs in Patients Undergoing Elective Coronary Intervention

Phase 4
Terminated
Conditions
Angina Pectoris
Interventions
First Posted Date
2015-09-14
Last Posted Date
2020-07-17
Lead Sponsor
LMU Klinikum
Target Recruit Count
795
Registration Number
NCT02548611
Locations
🇩🇪

Deutsches Herzzentrum Muenchen, Munich, Germany

🇩🇪

Munich University Hospital, Munich, Bavaria, Germany

🇩🇪

Klinikum Bogenhausen, Munich, Germany

and more 2 locations

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

Ticagrelor vs. Prasugrel Effects on Infarct Size

Phase 2
Withdrawn
Conditions
Cardiovascular Disease
Interventions
First Posted Date
2015-07-23
Last Posted Date
2016-05-04
Lead Sponsor
Yochai Birnbaum
Registration Number
NCT02507323
Locations
🇺🇸

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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