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。
Patras University Hospital, Patras, Greece
Universitätsklinikum Tübingen, Tübingen, Germany
Cardiology Unit, Ferrara, Italy
Klinikum Ludwigshafen, Med. Klinik B, Ludwigshafen, Germany
Charité Campus Benjamin Franklin, Med. Klinik II, Berlin, Germany
Hospital Pitie-Salpetriere, Paris, France
Medicina 3 Ospedale San Paolo Dipartimento di Medicina Chirurgia e Odontoiatria, Università di Milano, Milan, Italy
Dimitrios Alexopoulos, Patras, Greece
Patras University Hospital Cardiology Department, Patras, Greece
Medpace Clinical Pharmacology Unit, Cincinnati, Ohio, United States
The Carl and Edyth Lindner Center for Research and Education at the Christ Hospital, Cincinnati, Ohio, United States
Sanai Center for Thrombosis Research, Baltimore, Maryland, United States
University of Florida, Jacksonville, Florida, United States
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Pitié Salpétrière Hospital, Paris, France
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