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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

Antiplatelet Therapy Guided by Thrombelastography in Patients With Acute Coronary Syndromes (TEGCOR Study)

Phase 4
Terminated
Conditions
Thrombosis
Coronary Artery Disease
Interventions
First Posted Date
2012-06-06
Last Posted Date
2018-04-26
Lead Sponsor
Indiana University
Target Recruit Count
67
Registration Number
NCT01612884
Locations
🇺🇸

Eskenazi Health, Indianapolis, Indiana, United States

🇺🇸

Indiana University Health Methodist Hospital, Indianapolis, Indiana, United States

Reloading Prasugrel or Clopidogrel on High Platelet Reactivity Before Percutaneous Coronary Intervention

Phase 3
Completed
Conditions
Acute Coronary Syndrome
Interventions
First Posted Date
2012-06-01
Last Posted Date
2014-12-23
Lead Sponsor
Dong-A University
Target Recruit Count
76
Registration Number
NCT01609647
Locations
🇰🇷

DongA University Hospital, Busan, Korea, Republic of

The Effect Of Antiplatelets Therapy On Saphenous Vein Coronary Artery Bypass Graft Patency

Phase 3
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2012-05-15
Last Posted Date
2012-05-15
Lead Sponsor
Prince Sultan Cardiac Center, Adult Cardiology Department.
Target Recruit Count
200
Registration Number
NCT01598337
Locations
🇸🇦

Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

Therapeutic Control of Aspirin-Exacerbated Respiratory Disease (Aspirin)

Phase 2
Completed
Conditions
Asthma, Aspirin-Induced
Aspirin Exacerbated Asthma
Interventions
Drug: Placebo Oral Tablet
First Posted Date
2012-05-14
Last Posted Date
2019-09-19
Lead Sponsor
Elliot Israel, MD
Target Recruit Count
46
Registration Number
NCT01597375
Locations
🇺🇸

Asthma Research Center, Boston, Massachusetts, United States

Study of Prasugrel in Korean Healthy Male Volunteers

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2012-05-04
Last Posted Date
2012-10-04
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
30
Registration Number
NCT01591317
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., Seoul, Korea, Republic of

Pharmacodynamic Evaluation of Switching From Ticagrelor to Prasugrel in Subjects With Stable Coronary Artery Disease

Phase 4
Completed
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2012-04-30
Last Posted Date
2019-01-09
Lead Sponsor
Daiichi Sankyo
Target Recruit Count
110
Registration Number
NCT01587651
Locations
🇺🇸

Sinai Center for Thrombosis Research, Baltimore, Maryland, United States

🇺🇸

Clinical Pharmacology Unit of Miami, Miami, Florida, United States

🇺🇸

Medpace Clinical Pharmacology Unit, Cincinnati, Ohio, United States

and more 10 locations

Prasugrel for Prevention of Early Saphenous Vein Graft Thrombosis

Phase 3
Completed
Conditions
Coronary Artery Bypass
Interventions
Drug: Placebo
First Posted Date
2012-03-22
Last Posted Date
2019-10-30
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
84
Registration Number
NCT01560780
Locations
🇺🇸

Jesse Brown VA Medical Center Community-Based Outpatient Clinic Lake Side Divison, Chicago, IL, Chicago, Illinois, United States

🇺🇸

North Florida/South Georgia Veterans Health System, Gainesville, FL, Gainesville, Florida, United States

🇺🇸

San Francisco VA Medical Center, San Francisco, CA, San Francisco, California, United States

and more 1 locations

High Clopidogrel Dose Versus Prasugrel and Ticagrelor in High Reactive Stable Patients

Phase 3
Completed
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2012-03-05
Last Posted Date
2013-12-11
Lead Sponsor
University of Roma La Sapienza
Target Recruit Count
81
Registration Number
NCT01543932
Locations
🇮🇹

Dept.of Cardiovascular Sciences,Policlinico Umberto I, Rome, Italy

Tailored Antiplatelet Therapy Versus Recommended Dose of Prasugrel

Phase 4
Completed
Conditions
Acute Coronary Syndrome
Interventions
Drug: Modification of Prasugrel based on a biological assay
Device: Verify Now
First Posted Date
2012-02-24
Last Posted Date
2017-01-11
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
880
Registration Number
NCT01538446
Locations
🇫🇷

CHU Caremeau à Nimes - Service de Cardiologie, Nimes, France

🇫🇷

ACTION study group - Institut de Cardiologie- Hôpital la Pitié Salpêtrière, Paris, France

PraSugrel vs TicagrElor in ST-Elevation Myocardial Infarction paTients With Diabetes Mellitus

Phase 3
Completed
Conditions
ST-Elevation Myocardial Infarction
Interventions
First Posted Date
2012-02-10
Last Posted Date
2017-06-28
Lead Sponsor
Gennaro Sardella
Target Recruit Count
50
Registration Number
NCT01531114
Locations
🇮🇹

Dept.of Cardiovascular Sciences,Policlinico Umberto I, Rome, Italy

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