Antiplatelet therapy: thrombin receptor antagonists.

Abstract:

:Activated platelets stimulate thrombus formation in response to rupture of an atherosclerotic plaque or endothelial cell erosion, promoting atherothrombotic disease. Multiple pathways contribute to platelet activation. Aspirin, an irreversible inhibitor of thromboxane A2 synthesis, in combination with clopidogrel, an inhibitor of P2Y(12) adenosine diphosphate platelet receptors, represent the current standard-of-care of antiplatelet therapy for patients with acute coronary syndrome and for those undergoing percutaneous coronary intervention. Although these agents have demonstrated significant clinical benefit, the increased risk of bleeding and the recurrence of thrombotic events represent substantial limitations. Thrombin is one of the most important platelet activators. The inhibition of protease-activated receptor 1 showed a good safety profile in preclinical studies. In fact, phase II studies with vorapaxar (SCH530348) and atopaxar (E5555) showed no increase of bleeding events in addition to the current standard-of-care of antiplatelet therapy. Although the results of phase III trials for both drugs are awaited, this family is a promising new addition to the current clinical practice for patients with atherothrombotic disease, not only as an alternative, but also as additional therapy.

journal_name

Br J Clin Pharmacol

authors

Tello-Montoliu A,Tomasello SD,Ueno M,Angiolillo DJ

doi

10.1111/j.1365-2125.2010.03884.x

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

658-71

issue

4

eissn

0306-5251

issn

1365-2125

journal_volume

72

pub_type

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章,评审

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