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Cangrelor

Generic Name
Cangrelor
Brand Names
Kengreal, Kengrexal
Drug Type
Small Molecule
Chemical Formula
C17H25Cl2F3N5O12P3S2
CAS Number
163706-06-7
Unique Ingredient Identifier
6AQ1Y404U7
Background

Cangrelor is an intravenous, direct-acting, reversible P2Y12 inhibitor for patients undergoing percutaneous coronary intervention (PCI) who have not been yet treated by oral P2Y12 inhibitors. An advantage Cangrelor provides over oral P2Y12 inhibitors (such as prasugrel, ticagrelor, and clopidogrel) is that it is an active drug not requiring metabolic conversion therefore providing a rapid onset and offset of action. Cangrelor was approved by the FDA in June 2015 for intravenous application.

Indication

For use as an adjunct to percutaneous coronary intervention (PCI) for reducing the risk of periprocedural myocardial infarction (MI), repeat coronary revascularization, and stent thrombosis (ST) in patients in who have not been treated with a P2Y12 platelet inhibitor and are not being given a glycoprotein IIb/IIIa inhibitor.

Associated Conditions
Coronary Revascularization, Peri-procedural Myocardial Infarction, Thrombosis (Stent Thrombosis)

Cangrelor on Top of AnticoagUlation in Patients with MyocaRdial Infarction-related Cardiogenic Shock/Cardiac Arrest ReceiVIng VA-ECMO

Phase 2
Recruiting
Conditions
Cardiogenic Shock
Extracorporeal Membrane Oxygenation Complication
Platelet Dysfunction
Interventions
First Posted Date
2025-01-27
Last Posted Date
2025-01-27
Lead Sponsor
IRCCS San Raffaele
Target Recruit Count
50
Registration Number
NCT06792643
Locations
🇮🇹

IRCCS San Raffaele Hospital, Milan, Italy

Effects of Cangrelor on MIcRovAscular Disfunction During Elective Percutaneous CORonary Intervention

Phase 4
Recruiting
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2023-10-18
Last Posted Date
2025-03-13
Lead Sponsor
Federico II University
Target Recruit Count
80
Registration Number
NCT06089577
Locations
🇮🇹

Division of Cardiology, University Hospital of Ferrara, Ferrara, Italy

🇮🇹

Division of Cardiology - Federico II University Hospital, Naples, Italy

Intravenous CAngrelor in High-bleeding Risk Patients Undergoing percutaneouS Coronary Intervention (ICARUS) Registry

Conditions
Coronary Artery Disease
Myocardial Infarction
Bleeding
Interventions
First Posted Date
2022-08-18
Last Posted Date
2022-08-18
Lead Sponsor
Universita degli Studi di Genova
Target Recruit Count
900
Registration Number
NCT05505591
Locations
🇮🇹

Università degli Studi della Campania "Luigi Vanvitelli", Caserta, Italy

🇮🇹

University of Genoa, Genova, Italy

Evaluation of Myocardial Reperfusion After Primary PCI in Patients With High Platelet Reactivity Treated by Cangrelor or Not

Phase 4
Completed
Conditions
ST-elevation Myocardial Infarction
Interventions
First Posted Date
2021-06-16
Last Posted Date
2023-09-14
Lead Sponsor
University Hospital, Caen
Target Recruit Count
128
Registration Number
NCT04927949
Locations
🇫🇷

CAEN University Hospital, Caen, France

Pharmacodynamic Effects of Cangrelor in ACS or CCS Patients Undergoing PCI (POMPEII Registry)

Recruiting
Conditions
Percutaneous Coronary Intervention
First Posted Date
2021-03-10
Last Posted Date
2024-03-05
Lead Sponsor
Federico II University
Target Recruit Count
100
Registration Number
NCT04790032
Locations
🇮🇹

University Federico II of Naples, Napoli, Italy

Pharmacodynamic and Pharmacokinetic of Switching From Cangrelor to Prasugrel in ACS Patients Undergoing PCI

Phase 4
Completed
Conditions
Coronary Artery Disease
Acute Coronary Syndrome
Interventions
First Posted Date
2020-12-16
Last Posted Date
2024-03-20
Lead Sponsor
University of Florida
Target Recruit Count
359
Registration Number
NCT04668144
Locations
🇺🇸

University of Florida Jacksonville, Jacksonville, Florida, United States

REperfusion With P2Y12 Inhibitors in Addition to mEchanical thRombectomy for perFUsion Imaging Selected Acute Stroke patiEnts

Phase 3
Recruiting
Conditions
Acute Ischemia
Interventions
Other: best medical management
First Posted Date
2020-12-14
Last Posted Date
2024-02-16
Lead Sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Target Recruit Count
368
Registration Number
NCT04667078
Locations
🇫🇷

CHU Lyon, Lyon, France

🇫🇷

CHU Bordeaux, Bordeaux, France

🇫🇷

CHRU Lille, Lille, France

and more 6 locations

PD and PK Profiles of Switching Between Cangrelor and Ticagrelor Following Ticagrelor Pre-treatment

Phase 4
Completed
Conditions
Coronary Artery Disease
Interventions
Drug: Placebo
First Posted Date
2020-11-18
Last Posted Date
2023-05-16
Lead Sponsor
University of Florida
Target Recruit Count
22
Registration Number
NCT04634162
Locations
🇺🇸

University of Florida Jacksonville, Jacksonville, Florida, United States

Dutch Cangrelor Registry

Completed
Conditions
STEMI - ST Elevation Myocardial Infarction
NSTEMI - Non-ST Segment Elevation MI
Coronary Artery Disease
First Posted Date
2019-10-24
Last Posted Date
2020-07-28
Lead Sponsor
Isala
Target Recruit Count
250
Registration Number
NCT04138641
Locations
🇳🇱

R.S. Hermanides, Zwolle, Overijssel, Netherlands

Cangrelor in Comatose Survivors of OHCA Undergoing Primary PCI

Phase 4
Completed
Conditions
Out-Of-Hospital Cardiac Arrest
Acute Coronary Syndrome
Interventions
First Posted Date
2019-07-02
Last Posted Date
2021-12-03
Lead Sponsor
University Medical Centre Ljubljana
Target Recruit Count
30
Registration Number
NCT04005729
Locations
🇸🇮

University Medical Centre Ljubljana, Ljubljana, Slovenia

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