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
Associated Therapies
-

Prasugrel in Comparison to Clopidogrel for Inhibition of Platelet Reactivity in Patients With ST-elevation Myocardial Infarction (STEMI)

Phase 3
Completed
Conditions
Interventions
First Posted Date
2011-04-20
Last Posted Date
2011-09-30
Lead Sponsor
University of Patras
Target Recruit Count
35
Registration Number
NCT01338909
Locations
🇬🇷

Patras University Hospital, Patras, Greece

Evaluating Additional Platelet Inhibition in Patients With High Platelet Reactivity Undergoing Percutaneous Coronary Intervention

First Posted Date
2011-04-20
Last Posted Date
2014-09-18
Lead Sponsor
Royal Brompton & Harefield NHS Foundation Trust
Target Recruit Count
44
Registration Number
NCT01339026
Locations
🇩🇪

Universitätsklinikum Tübingen, Tübingen, Germany

Facilitation Through Aggrastat By drOpping or Shortening Infusion Line in Patients With ST-segment Elevation Myocardial Infarction Compared to or on Top of PRasugrel Loading dOse

First Posted Date
2011-04-15
Last Posted Date
2012-10-10
Lead Sponsor
Università degli Studi di Ferrara
Target Recruit Count
100
Registration Number
NCT01336348
Locations
🇮🇹

Cardiology Unit, Ferrara, Italy

Early Thienopyridine Treatment to Improve Primary PCI in Patients With Acute MI

Phase 3
Completed
Conditions
Interventions
First Posted Date
2011-04-01
Last Posted Date
2016-06-17
Lead Sponsor
Stiftung Institut fuer Herzinfarktforschung
Target Recruit Count
63
Registration Number
NCT01327534
Locations
🇩🇪

Klinikum Ludwigshafen, Med. Klinik B, Ludwigshafen, Germany

🇩🇪

Charité Campus Benjamin Franklin, Med. Klinik II, Berlin, Germany

🇫🇷

Hospital Pitie-Salpetriere, Paris, France

The Effect of Prasugrel on Bronchial Hyperreactivity and on Markers of Inflammation in Patients With Chronic Asthma

Phase 4
Completed
Conditions
First Posted Date
2011-02-28
Last Posted Date
2012-03-06
Lead Sponsor
University of Milan
Target Recruit Count
26
Registration Number
NCT01305369
Locations
🇮🇹

Medicina 3 Ospedale San Paolo Dipartimento di Medicina Chirurgia e Odontoiatria, Università di Milano, Milan, Italy

Prasugrel Versus High Dose Clopidogrel in Patients With Stable Coronary Artery Disease and High Platelet Reactivity While on Chronic Clopidogrel Treatment

First Posted Date
2011-02-25
Last Posted Date
2011-08-23
Lead Sponsor
University of Patras
Target Recruit Count
25
Registration Number
NCT01304472
Locations
🇬🇷

Dimitrios Alexopoulos, Patras, Greece

🇬🇷

Patras University Hospital Cardiology Department, Patras, Greece

The Influence of Smoking Status on Prasugrel and Clopidogrel Treated Subjects Taking Aspirin and Having Stable Coronary Artery Disease

Phase 4
Completed
Conditions
Interventions
First Posted Date
2010-12-15
Last Posted Date
2019-01-09
Lead Sponsor
Daiichi Sankyo
Target Recruit Count
110
Registration Number
NCT01260584
Locations
🇺🇸

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

Prasugrel Re-load Strategies

Phase 4
Completed
Conditions
Interventions
First Posted Date
2010-09-15
Last Posted Date
2013-01-18
Lead Sponsor
University of Florida
Target Recruit Count
65
Registration Number
NCT01201772
Locations
🇺🇸

University of Florida, Jacksonville, Florida, United States

An Assessment of Prasugrel on Healthy Adults and Sickle Cell Adults

Phase 1
Completed
Conditions
Interventions
First Posted Date
2010-08-09
Last Posted Date
2012-02-15
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
26
Registration Number
NCT01178099
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., London, UK, United Kingdom

Double the Dose of Clopidogrel or Switch to Prasugrel to Antagonize Proton Pump Inhibitor Interaction.

First Posted Date
2010-08-04
Last Posted Date
2012-07-04
Lead Sponsor
Ascopharm Groupe Novasco
Target Recruit Count
82
Registration Number
NCT01175200
Locations
🇫🇷

Pitié Salpétrière Hospital, Paris, France

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