Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C20H15ClFN5O5S2 |
| Molecular Weight | 523.945 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CNC1=CC2=C(C=C1F)C(=O)N(C(=O)N2)C3=CC=C(NC(=O)NS(=O)(=O)C4=CC=C(Cl)S4)C=C3
InChI
InChIKey=LGSDFTPAICUONK-UHFFFAOYSA-N
InChI=1S/C20H15ClFN5O5S2/c1-23-15-9-14-12(8-13(15)22)18(28)27(20(30)25-14)11-4-2-10(3-5-11)24-19(29)26-34(31,32)17-7-6-16(21)33-17/h2-9,23H,1H3,(H,25,30)(H2,24,26,29)
| Molecular Formula | C20H15ClFN5O5S2 |
| Molecular Weight | 523.945 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/20608816Curator's Comment: description was created based on several sources, including:
http://adisinsight.springer.com/drugs/800022611 | http://www.wikidoc.org/index.php/Elinogrel
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20608816
Curator's Comment: description was created based on several sources, including:
http://adisinsight.springer.com/drugs/800022611 | http://www.wikidoc.org/index.php/Elinogrel
Elinogrel, previously known as PRT060128 or PRT128, is a direct-acting, reversible P2Y12 inhibitor for both intravenous and oral administration. Elinogrel has been tested in 2 phase II studies for the treatment of acute coronary syndrome, myocardial infarction and prevention of secondary thrombotic events. Elinogrel therapy was associated with an increased incidence of dyspnea and incidence of elevated liver transaminases. The development of the drug was terminated in January 2012 by Novartis.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2001 Sources: https://www.ncbi.nlm.nih.gov/pubmed/20608816 |
23.0 nM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Unknown Approved UseUnknown |
|||
| Preventing | Unknown Approved UseUnknown |
Doses
| Dose | Population | Adverse events |
|---|---|---|
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: Dyspnea... AEs leading to discontinuation/dose reduction: Dyspnea (grade 1-2, 1%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Dyspnea | grade 1-2, 1% Disc. AE |
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| New P2Y12 inhibitors versus clopidogrel in percutaneous coronary intervention: a meta-analysis. | 2010-11-02 |
|
| Newer antithrombotic drugs. | 2010-10 |
|
| State of the art of new P2Y12 antagonists. | 2010-10 |
|
| Current strategies in antiplatelet therapy--does identification of risk and adjustment of therapy contribute to more effective, personalized medicine in cardiovascular disease? | 2010-08 |
|
| Elinogrel: pharmacological principles, preclinical and early phase clinical testing. | 2010-07 |
|
| Rationale and design of the randomized, double-blind trial testing INtraveNous and Oral administration of elinogrel, a selective and reversible P2Y(12)-receptor inhibitor, versus clopidogrel to eVAluate Tolerability and Efficacy in nonurgent Percutaneous Coronary Interventions patients (INNOVATE-PCI). | 2010-07 |
|
| Novel antiplatelet agents in the prevention of cardiovascular complications--focus on ticagrelor. | 2010-06-01 |
|
| Antiplatelet therapy prasugrel: a novel platelet ADP P2Y12 receptor antagonist. | 2010-04 |
|
| Elinogrel, a reversible P2Y12 receptor antagonist for the treatment of acute coronary syndrome and prevention of secondary thrombotic events. | 2010-03 |
|
| Pharmacokinetic, pharmacodynamic and clinical profile of novel antiplatelet drugs targeting vascular diseases. | 2010-02-01 |
|
| Limitations of current therapies to prevent thrombosis: a need for novel strategies. | 2010-02 |
|
| The effect of elinogrel on high platelet reactivity during dual antiplatelet therapy and the relation to CYP2C19*2 genotype: first experience in patients. | 2010-01 |
|
| Emerging antiplatelet agents, differential pharmacology, and clinical utility. | 2010 |
|
| Prasugrel: a novel platelet ADP P2Y(12) receptor antagonist. | 2010 |
|
| Safety and feasibility of adjunctive antiplatelet therapy with intravenous elinogrel, a direct-acting and reversible P2Y12 ADP-receptor antagonist, before primary percutaneous intervention in patients with ST-elevation myocardial infarction: the Early Rapid ReversAl of platelet thromboSis with intravenous Elinogrel before PCI to optimize reperfusion in acute Myocardial Infarction (ERASE MI) pilot trial. | 2009-12 |
|
| New P2Y12 antagonists. | 2009-09 |
|
| Antiplatelet therapy in diabetes: efficacy and limitations of current treatment strategies and future directions. | 2009-04 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22647518
80-mg intravenous bolus of elinogrel was given immediately before percutaneous coronary intervention, followed by twice-daily oral elinogrel administration of 50, 100, or 150 mg for 60 days
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20608816
When two concentrations of elinogrel (2.5 or 5.0 mmol/l) were added in vitro to the blood of diabetic patients, an anti-thrombotic effect was observed, supporting evidence that elinogrel may overcome the limitation of poor clopidogrel response.
| Substance Class |
Chemical
Created
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915Y8E749J
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C80483
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Elinogrel
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