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Also known as: 150322-43-3, Effient, Efient, Cs-747, Prasugrel (effient), 5-(2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridin-2-yl acetate
Molecular Formula
C20H20FNO3S
Molecular Weight
373.4  g/mol
InChI Key
DTGLZDAWLRGWQN-UHFFFAOYSA-N
FDA UNII
34K66TBT99

Prasugrel
A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS.
Prasugrel is a P2Y12 Platelet Inhibitor. The mechanism of action of prasugrel is as a P2Y12 Receptor Antagonist. The physiologic effect of prasugrel is by means of Decreased Platelet Aggregation.
1 2D Structure

Prasugrel

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
[5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-6,7-dihydro-4H-thieno[3,2-c]pyridin-2-yl] acetate
2.1.2 InChI
InChI=1S/C20H20FNO3S/c1-12(23)25-18-10-14-11-22(9-8-17(14)26-18)19(20(24)13-6-7-13)15-4-2-3-5-16(15)21/h2-5,10,13,19H,6-9,11H2,1H3
2.1.3 InChI Key
DTGLZDAWLRGWQN-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CC(=O)OC1=CC2=C(S1)CCN(C2)C(C3=CC=CC=C3F)C(=O)C4CC4
2.2 Other Identifiers
2.2.1 UNII
34K66TBT99
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 640315, Ly

2. 747, Cs

3. Cs 747

4. Cs-747

5. Cs747

6. Effient

7. Efient

8. Hcl, Prasugrel

9. Hydrochloride, Prasugrel

10. Ly 640315

11. Ly-640315

12. Ly640315

13. Prasugrel Hcl

14. Prasugrel Hydrochloride

2.3.2 Depositor-Supplied Synonyms

1. 150322-43-3

2. Effient

3. Efient

4. Cs-747

5. Prasugrel (effient)

6. 5-(2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridin-2-yl Acetate

7. Ly-640315

8. Ly640315

9. Cs 747

10. Pcr 4099

11. 5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-4,5,6,7-tetrahydrothieno[3,2-c]pyridin-2-yl Acetate

12. Chebi:87723

13. 34k66tbt99

14. Nsc-759625

15. 2-[2-(acetyloxy)-6,7-dihydrothieno[3,2-c]pyridin-5(4h)-yl]-1-cyclopropyl-2-(2-fluorophenyl)ethanone

16. [5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-6,7-dihydro-4h-thieno[3,2-c]pyridin-2-yl] Acetate

17. 5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-4h,5h,6h,7h-thieno[3,2-c]pyridin-2-yl Acetate

18. Ethanone, 2-[2-(acetyloxy)-6,7-dihydrothieno[3,2-c]pyridin-5(4h)-yl]-1-cyclopropyl-2-(2-fluorophenyl)-

19. Prasita

20. Prasugrel [inn]

21. Ethanone, 2-(2-(acetyloxy)-6,7-dihydrothieno(3,2-c)pyridin-5(4h)-yl)-1-cyclopropyl-2-(2-fluorophenyl)-

22. Smr002533665

23. Unii-34k66tbt99

24. Prasugrel [inn:ban]

25. Ncgc00188690-01

26. Ncgc00188690-02

27. Hsdb 7995

28. Prasugrel- Bio-x

29. Prasugrel-[d5]

30. 2-(2-(acetyloxy)-6,7-dihydrothieno(3,2-c)pyridin-5(4h)-yl)-1-cyclopropyl-2-(2-fluorophenyl)ethanone

31. 5-(2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno(3,2-c)pyridin-2-yl Acetate

32. Prasugrel [mi]

33. Prasugrel [vandf]

34. Prasugrel [who-dd]

35. Prasugrel [ema Epar]

36. Mls003882595

37. Mls006012001

38. Schembl245032

39. Gtpl7562

40. Chembl1201772

41. Prasugrel, >=98% (hplc)

42. Schembl14112007

43. Dtxsid70861544

44. Hms3604b09

45. Hms3654d09

46. Hms3884i07

47. Act06208

48. Bcp01882

49. Fd7194

50. Mfcd09954140

51. S1258

52. Stl232602

53. Zb0747

54. Akos015841187

55. Ac-1640

56. Ccg-268338

57. Cs-0657

58. Db06209

59. Ks-5301

60. Nsc 759625

61. Pb23765

62. Sb20805

63. Ncgc00188690-03

64. [5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxo-ethyl]-6,7-dihydro-4h-thieno[3,2-c]pyridin-2-yl] Acetate

65. 2-acetoxy-5-(alpha-cyclopropylcarbonyl-2-fluorobenzyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridine

66. Bp164290

67. Hy-15284

68. Am20090728

69. Ft-0650150

70. P2040

71. Sw219175-1

72. Ab01274761-01

73. Ab01274761_02

74. 322p433

75. A809033

76. Ar-270/43507998

77. Q416232

78. Q-101872

79. [5-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-6,7-dihydro-4h-thieno[4,5-c]pyridin-2-yl] Acetate

80. 2-acetoxy-5-(.alpha.-cyclopropylcarbonyl-2-fluorobenzyl)-4,5,6,7-tetrahydrothieno-(3,2-c)pyridine

81. 2-acetoxy-5-(alpha-cyclopropylcarbonyl-2-fluorobenzyl)-4,5,6,7-tetrahydrothieno[3,2-c] Pyridine

82. 2-acetoxy-5-(alpha-cyclopropylcarbonyl-2-fluorobenzyl)4,5,6,7-tetrahydrothieno[3,2-c]pyridine

83. 2-acetyloxy-5-(alpha-cyclopropylcarbonyl-2-fluorobenzyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridine

84. 2-acetyloxy-5-(alpha-cycloproylcarbonyl-2-fluorobenzyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridine

85. 5-((1rs)-2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno(3,2-c)pyridin-2-yl Acetate

86. 5-(2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridin-2-ylacetate

87. Acetic Acid 5-[2-cyclopropyl-1-(2-fluoro-phenyl)-2-oxo-ethyl]-4,5,6,7-tetrahydro-thieno[3,2-c]pyridin-2-yl Ester

2.4 Create Date
2006-07-28
3 Chemical and Physical Properties
Molecular Weight 373.4 g/mol
Molecular Formula C20H20FNO3S
XLogP33.6
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count6
Rotatable Bond Count6
Exact Mass373.11479284 g/mol
Monoisotopic Mass373.11479284 g/mol
Topological Polar Surface Area74.8 Ų
Heavy Atom Count26
Formal Charge0
Complexity555
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count1
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameEffient
PubMed HealthPrasugrel (By mouth)
Drug ClassesPlatelet Aggregation Inhibitor
Active IngredientPrasugrel hydrochloride
Dosage FormTablet
RouteOral
Strengtheq 5mg base; eq 10mg base
Market StatusPrescription
CompanyEli Lilly And

2 of 2  
Drug NameEffient
PubMed HealthPrasugrel (By mouth)
Drug ClassesPlatelet Aggregation Inhibitor
Active IngredientPrasugrel hydrochloride
Dosage FormTablet
RouteOral
Strengtheq 5mg base; eq 10mg base
Market StatusPrescription
CompanyEli Lilly And

4.2 Therapeutic Uses

Purinergic P2Y Receptor Antagonists

National Library of Medicine's Medical Subject Headings online file (MeSH, 2011)


Prasugrel hydrochloride is used in combination with aspirin for the reduction of thrombotic cardiovascular events (e.g., stent thrombosis, myocardial infarction in patients with acute coronary syndromes undergoing percutaneous coronary intervention. Prasugrel is used in patients with unstable angina or non-ST-segment-elevation myocardial infarction undergoing percutaneous coronary intervention and in patients with ST-segment elevation myocardial infarction managed with primary or nonprimary/delayed (i.e., after medical treatment for ST-segment elevation myocardial infarction) percutaneous coronary intervention. Because of established cardiovascular benefits, dual antiplatelet therapy with aspirin and prasugrel or clopidogrel is part of the current standard of care in patients with acute coronary syndromes. /Included in US product labeling/

American Society of Health-System Pharmacists 2011; Drug Information 2011. Bethesda, MD. 2011, p. 1551


4.3 Drug Warning

/BOXED WARNING/ WARNING: BLEEDING RISK. Effient can cause significant, sometimes fatal, bleeding. Do not use Effient in patients with active pathological bleeding or a history of transient ischemic attack or stroke. In patients > or = 75 years of age, Effient is generally not recommended, because of the increased risk of fatal and intracranial bleeding and uncertain benefit, except in high-risk situations (patients with diabetes or a history of prior myocardial infarction (MI)) where its effect appears to be greater and its use may be considered. Do not start Effient in patients likely to undergo urgent coronary artery bypass graft surgery (CABG). When possible, discontinue Effient at least 7 days prior to any surgery. Additional risk factors for bleeding include: body weight < 60 kg, propensity to bleed, concomitant use of medications that increase the risk of bleeding (e.g., warfarin, heparin, fibrinolytic therapy, chronic use of non-steroidal anti-inflammatory drugs [NSAIDS]). Suspect bleeding in any patient who is hypotensive and has recently undergone coronary angiography, percutaneous coronary intervention (PCI), CABG, or other surgical procedures in the setting of Effient. If possible, manage bleeding without discontinuing Effient. Discontinuing Effient, particularly in the first few weeks after acute coronary syndrome, increases the risk of subsequent cardiovascular events.

US Natl Inst Health; DailyMed. Current Medication Information for EFFIENT (prasugrel hydrochloride) tablet, film coated (September 2011). Available from, as of October 18, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5fe9c118-c44b-48d7-a142-9668ae3df0c6


Geriatric patients, particularly those 75 years of age and older, appear to be at greater risk of bleeding (including fatal bleeding) with prasugrel therapy compared with younger patients. In the TRITON-TIMI 38 trial, about 39% of patients were 65 years of age or older and 13% were 75 years of age or older. Risk of bleeding increased with advancing age in both prasugrel and clopidogrel treatment groups. Among patients 75 years of age or older, fatal bleeding was more common with prasugrel than with clopidogrel (1 or 0.1%, respectively); symptomatic intracranial hemorrhage also was reported more frequently with prasugrel (0.8 or 0.3%, respectively). Mean exposure to the active metabolite of prasugrel is approximately 19% higher in patients 75 years or older compared with younger patients. Prasugrel generally should be avoided in patients 75 years of age or older because of a higher risk of bleeding and uncertain efficacy, but use may be considered in certain patients with high-risk conditions (e.g., diabetes, previous MI) in whom a greater net clinical benefit has been demonstrated.

American Society of Health-System Pharmacists 2011; Drug Information 2011. Bethesda, MD. 2011, p. 1553


Thienopyridines, including prasugrel, should be discontinued prior to elective surgery. In patients who require elective coronary artery bypass grafting (CABG), discontinuance of prasugrel therapy is recommended at least 7 days prior to surgery. Prasugrel should not be initiated in those who are likely to undergo emergent CABG. To minimize the risk of adverse cardiac events, thienopyridines, including prasugrel, and other antiplatelet therapy should be resumed as soon as possible after temporary discontinuance of therapy for adverse effects or invasive procedures.

American Society of Health-System Pharmacists 2011; Drug Information 2011. Bethesda, MD. 2011, p. 1552


Safety and efficacy have not been established in pediatric patients.

American Society of Health-System Pharmacists 2011; Drug Information 2011. Bethesda, MD. 2011, p. 1553


For more Drug Warnings (Complete) data for Prasugrel (14 total), please visit the HSDB record page.


4.4 Drug Indication

Indicated in combination with acetylsalicylic acid (ASA) to prevent atherothrombotic events in patients with acute coronary syndrome (ACS) who are to be managed with percutaneous coronary intervention (PCI). May be used in patients with unstable angina (UA), non-ST elevation myocardial infarction (NSTEMI), ST-elevation myocardial infarction (STEMI) who are to be managed with PCI. Prasugrel is not recommended in patients 75 years of age or greater, those that weigh<60kg, and patients with a history of stroke or transient ischemic attack due to increased risk of fatal and intracranial bleeding.


FDA Label


Efient, co-administered with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in patients with acute coronary syndrome (i. e. unstable angina, non-ST-segment-elevation myocardial infarction [UA / NSTEMI] or ST-segment-elevation myocardial infarction [STEMI]) undergoing primary or delayed percutaneous coronary intervention (PCI).


5 Pharmacology and Biochemistry
5.1 Pharmacology

Prasugrel is a thienopyridine ADP receptor inhibitors which inhibits platelet aggregation by irreversibly binding to P2Y12 receptors.


5.2 MeSH Pharmacological Classification

Platelet Aggregation Inhibitors

Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system. (See all compounds classified as Platelet Aggregation Inhibitors.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
PRASUGREL
5.3.2 FDA UNII
34K66TBT99
5.3.3 Pharmacological Classes
P2Y12 Platelet Inhibitor [EPC]; P2Y12 Receptor Antagonists [MoA]; Decreased Platelet Aggregation [PE]
5.4 ATC Code

B01AC22


B - Blood and blood forming organs

B01 - Antithrombotic agents

B01A - Antithrombotic agents

B01AC - Platelet aggregation inhibitors excl. heparin

B01AC22 - Prasugrel


5.5 Absorption, Distribution and Excretion

Absorption

79% or greater of the dose is absorbed after oral administration. Absorption and metabolism occur rapidly and peak plasma concentrations (Cmax) are reached approximately 30 minutes following oral administration. Administration with a high fat, high calorie meal did not affect the AUC of the active metabolite in healthy individuals, but the Cmax was decreased by ~49% and the Tmax was increased to 0.5 to 1.5 hours. Prasugrel may be administered with or without food.


Route of Elimination

Approximately 68% of the orally administered dose is excreted in urine and 27% in the feces, as inactive metabolites. The active metabolite is not expected to be removed by dialysis.


Volume of Distribution

44-68L


Clearance

Apparent clearance = 112 - 166 L/hr


Tissue distribution of radioactivity related to prasugrel was studied in rats following single and repeated oral administration. Radioactivity was widely and rapidly distributed throughout the body. The radioactivity concentration was highest in most tissues involved in the absorption and elimination of the compound and its metabolites, i.e., stomach, intestines, liver, kidney and urinary bladder. Prasugrel distributed to the bone marrow of rats with a tissue-to-plasma ratio of less than 0.5. Following repeated daily dosing, accumulation consistent with the elimination half-life of prasugrel was observed in most organs.

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.12 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


Prasugrel is rapidly absorbed in all species including humans; Tmax of the active metabolite R-138727 is less than 1 hour. Prasugrel itself was not detected in plasma after oral administration. The decline of prasugrel related radioactivity was biphasic in rats and dogs. The radioactivity terminal elimination half-life seemed to be similar in mice and rats, approximately 24 hr, but it is considerably longer in dogs, approximately 3 days. In humans, the average terminal elimination half-life of the active metabolite R-138727 was approximately 7 hours. Approximately 21% of a (14)C-prasugrel dose is excreted in human feces within 48 hours.

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.12 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


In mice, 90% of the dose was excreted during the first 24 hours post dosing mainly via the urinary elimination route. In rats and dogs, the majority of the radioactivity (>90%) was excreted within the first 72 hours of dosing in faeces presumably via bile. Approximately 20% of the dose was excreted via urine. Radioactivity related to prasugrel was also detected in milk of lactating rats at concentrations up to approximately five times higher than the plasma level. However, the radioactivity from milk (half life =9.5 h) was eliminated more rapidly than that from the plasma (half life approximately 24 hr).

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.13 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


After a single oral dose of 5 mg/kg 14C-prasugrel to rats on Day 13 of pregnancy, the fetal concentration of prasugrel radioactivity was 0.27 times that in maternal blood 1 hour after administration and declined thereafter, suggesting low placental transfer of prasugrel or its metabolites.

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.13 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


5.6 Metabolism/Metabolites

Prasugrel is not detected in plasma following oral administration. It is rapidly hydrolyzed in the intestine to thiolactone by human carboxylesterase (hCE) 2. This intermediate is further metabolized to its active metabolite, R-138727, in a single step by cytochrome P450 enzymes in the liver (primarily CYP3A4 and CYP2B6 and to a lesser extent by CYP2C9 and CYP2C19). The active metabolite is further metabolized by S-methylation or cysteine conjugation to two inactive metabolites. Unlike clopidogrel, transformation of prasugrel to its active metabolite does not appear to be affected by cytochrome P450 polymorphisms.


Prasugrel was extensively metabolised in all species. A total of eighteen metabolites were identified in human plasma. Based on a mean radioactivity above 10%, the following major metabolites could be identified: diastereomers of M1, M2 (R-95913) and M5 (R-106583). The metabolites of prasugrel found in human plasma, urine and faeces were also detected in mouse, rat and dog; the only exception being M16, which was only identified in the mouse. M16 is M10 conjugated to glucuronic acid and M10 was found in all species. Furthermore, the extent of formation of a given metabolite varied significantly by species. Metabolite M1 was formed in large amounts in humans and was detected in animal plasma, but quantification was not conducted in animals due to co-eluting of the radioactive peaks. Metabolites M2, M5, M7 and M14 were also formed in larger amounts in humans as compared to the animal species.

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.13 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


Prasugrel is not detected in plasma following oral administration. It is rapidly hydrolyzed in the intestine to a thiolactone, which is then converted to the active metabolite by a single step, primarily by CYP3A4 and CYP2B6 and to a lesser extent by CYP2C9 and CYP2C19. The estimates of apparent volume of distribution of prasugrel's active metabolite ranged from 44 to 68 L and the estimates of apparent clearance ranged from 112 to 166 L/hr in healthy subjects and patients with stable atherosclerosis. The active metabolite is metabolized to two inactive compounds by S-methylation or conjugation with cysteine. The major inactive metabolites are highly bound to human plasma proteins. Approximately 68% of the prasugrel dose is excreted in the urine and 27% in the feces as inactive metabolites.

US Natl Inst Health; DailyMed. Current Medication Information for EFFIENT (prasugrel hydrochloride) tablet, film coated (September 2011). Available from, as of October 18, 2011: https://dailymed.nlm.nih.gov/dailymed/search.cfm?startswith=Prasugrel


When administered at high doses ( > or = 100 mg/kg) to rats, prasugrel induced CYP450 enzymes (CYP2B and CYP3A2) and phase II metabolizing enzymes UDP-glucuronosyltransferase and glutathione- S-transferase, however, based on the in vitro non clinical study with human hepatocytes, this induction is not observed in humans. Furthermore, the AUC for each measured metabolite decreased after multiple dosing compared with the values obtained after the first dose in mice at > or = 100 mg/kg/day, in rats at 100 and 300 mg/kg/day, and in dogs at 20 mg/kg/day (after 20 weeks of dosing and beyond). However, the exposure data in dogs administered prasugrel at 20 mg/kg for one month were essentially unchanged. In the nine month study with dogs, the AUC data for two of the metabolites R-100932 and R-106583 decreased after 20 weeks of dosing, while the AUC values of the other metabolite, R-95913 were higher in dogs dosed with prasugrel at 20 mg/kg. Thus, the data show some auto-induction of prasugrel's metabolism at the 20-mg/kg dose in dogs.

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.13 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


Prasugrel ... undergoes rapid hydrolysis in vivo to a thiolactone, R-95913, which is further converted to its thiol-containing, pharmacologically active metabolite, R-138727, by oxidation via cytochromes P450 (P450). We trapped a sulfenic acid metabolite as a mixed disulfide with 2-nitro-5-thiobenzoic acid in an incubation mixture containing the thiolactone R-95913, expressed CYP3A4, and NADPH. Further experiments investigated one possible mechanism for the conversion of the sulfenic acid to the active thiol metabolite in vitro. A mixed disulfide form of R-138727 with glutathione was found to be a possible precursor of R-138727 in vitro when glutathione was present. The rate constant for the reduction of the glutathione conjugate of R-138727 to R-138727 was increased by addition of human liver cytosol to the human liver microsomes. Thus, one possible mechanism for the ultimate formation of R-138727 in vitro can be through formation of a sulfenic acid mediated by P450s followed possibly by a glutathione conjugation to a mixed disulfide and reduction of the disulfide to the active metabolite R-138727.

PMID:20228231 Hagihara K et al; Drug Metab Dispos 38 (6): 898-904 (2010)


5.7 Biological Half-Life

The active metabolite has an elimination half-life of about 7.4 hours (range 2-15 hours).


The radioactivity terminal elimination half-life seemed to be similar in mice and rats, approximately 24 hr, but it is considerably longer in dogs, approximately 3 days. In humans, the average terminal elimination half-life of the active metabolite R-138727 was approximately 7 hours. /R-138727/

European Medicines Agency (EMA), Evaluation of Medicines for Human Use; Assessment Report for Effient, p.12 (2009). Available from, as of October 18, 2011: https://www.ema.europa.eu/ema/index.jsp?curl=/pages/home/Home_Page.jsp&jsenabled=true


5.8 Mechanism of Action

Prasugrel is an thienopyridine and a prodrug which inhibits ADP receptors by irreversibly acting on the P2Y12 receptor on platelets. The active metabolite of prasugrel prevents binding of adenosine diphosphate (ADP) to its platelet receptor, impairing the ADP-mediated activation of the glycoprotein GPIIb/IIIa complex. Prasugrel is proposed to have a similar mechanism of action to clopidogrel.


The P2Y(12) receptor plays a crucial role in platelet aggregation and is the target of platelet aggregation inhibitors, including the thienopyridine compound prasugrel. The present study analyzed the effects of R-138727 (2-[1-[2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl]-4-mercapto-3-piperidinylidene]acetic acid), the active metabolite of prasugrel, on recombinant wild-type and mutant human P2Y(12) receptors in order to identify the molecular site of action of R-138727. The function of wild-type and mutant P2Y(12) receptors stably expressed in Chinese hamster ovary cells was assessed by measuring the 2-methylthio-ADP-mediated inhibition of forskolin-stimulated cellular cAMP production. RESULTS: In cells expressing wild-type receptors, R-138727 potently inhibited receptor function with a half-maximal concentration below 1 uM. The mode of action was irreversible. The same effect of R-138727 was observed in cells expressing Cys17Ala/Cys270Ala constructs. In contrast, in cells expressing either a Cys97Ala construct or a Cys175Ala construct, R-138727 failed to inhibit the response to the agonist. When cells expressing wild-type receptors were pretreated with the P2 receptor antagonists ATP or suramin, no effect of R-138727 was observed. Similar experiments with N-acetylcysteine 10 uM showed no interference of N-acetylcysteine with R-138727. The experiments demonstrate a potent and irreversible action of R-138727 at the recombinant human P2Y(12) receptor. The data suggest that R-138727 interacts with cysteine 97 (upper portion of the predicted third transmembrane region) and cysteine 175 (second extracellular loop) of the receptor, which are likely to form a disulfide bridge in native receptors. Moreover, the data also suggest that this site of action of R-138727 is close to the ligand-binding site of the receptor. /R-138727/

PMID:18752581 Algaier I et al; J Thromb Haemost 6 (11): 1908-14 (2008)


Prasugrel is an inhibitor of platelet activation and aggregation through the irreversible binding of its active metabolite to the P2Y12 class of ADP receptors on platelets.

US Natl Inst Health; DailyMed. Current Medication Information for EFFIENT (prasugrel hydrochloride) tablet, film coated (September 2011). Available from, as of October 18, 2011: https://dailymed.nlm.nih.gov/dailymed/search.cfm?startswith=Prasugrel


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  • EDQM
  • WHO-GMP

Virtual BoothLGM Pharma accelerates & optimizes the new product pathway from early development through commercialization.

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USDMF CEP/COS JDMF EU-WC NDC KDMF VMF Others AUDIT
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03

UBE Industries

Japan

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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UBE Industries

Japan

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF Inactive-api CEP/COS JDMF EU-WC NDC KDMF VMF Others AUDIT
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04

Alembic Pharmaceuticals Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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Alembic Pharmaceuticals Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF CEP/COS JDMF EU-WCarrow-down NDC KDMF arrow-down VMF Others AUDIT
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05

MSN Laboratories

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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MSN Laboratories

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF CEP/COS JDMF EU-WCInactive-api NDC KDMF VMF Others AUDIT
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06

Aurobindo Pharma Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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07

Smilax Laboratories Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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08

Unichem Laboratories Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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Unichem Laboratories Limited

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF CEP/COS JDMF EU-WC NDC arrow-down KDMF VMF Others AUDIT
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09

Viatris

U.S.A

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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Viatris

U.S.A

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF CEP/COS JDMF EU-WCInactive-api NDC KDMF VMF Others AUDIT
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10

Phalanx Labs

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

MAGHREB PHARMA
Not Confirmed
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Phalanx Labs

India

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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MAGHREB PHARMA
Not Confirmed
USDMF CEP/COS JDMF EU-WC NDC KDMF VMF Others AUDIT
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USDMF

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01

World Vaccine Conference
Not Confirmed

02

Ube Industries Ltd

Japan

USDMF

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MAGHREB PHARMA
Not Confirmed

02

MAGHREB PHARMA
Not Confirmed

GDUFA

DMF Review : N/A

Rev. Date :

Pay. Date :

DMF Number : 15058

Submission : 2000-09-22

Status : Inactive

Type : II

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EU WC

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01

Cophex
Not Confirmed
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Cophex
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Prasugrel (IH)

Date of Issue : 2022-06-17

Valid Till : 2025-07-02

Written Confirmation Number : WC-0082

Address of the Firm : API Division Kharakhadi, Plot No. 842-843, Kharakhadi, Padra Vadodara-391 450, G...

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02

Cophex
Not Confirmed
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Cophex
Not Confirmed

Prasugrel Base IH

Date of Issue : 2022-06-07

Valid Till : 2025-06-25

Written Confirmation Number : WC-0057n

Address of the Firm : Plot No. 3109, GIDC, Industrial Estate, Ankleshwar-393 002, Bharuch, Gujarat

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03

Cophex
Not Confirmed
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Cophex
Not Confirmed

Prasugrel IH

Date of Issue : 2022-06-17

Valid Till : 2025-07-14

Written Confirmation Number : WC-0021n

Address of the Firm : Sy. Nos: 317, 320, 321, 322, 323, 604 & 605, Rudraram (Village), Patancheru (Man...

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04

Cophex
Not Confirmed
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Cophex
Not Confirmed

Prasugrel IH

Date of Issue : 2019-07-15

Valid Till : 2022-07-14

Written Confirmation Number : WC-0021

Address of the Firm : Sy. No.317&323, Rudraram Village, Patancheru Mandal, Sangaredy District-502329 T...

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05

Viatris

U.S.A
Cophex
Not Confirmed
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Viatris

U.S.A
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Cophex
Not Confirmed

Prasugrel Besylate IH

Date of Issue : 2019-10-11

Valid Till : 2022-07-02

Written Confirmation Number : WC-0157

Address of the Firm : Plot No. 1A/2, MIDC, Taloja, Panvel, Dist. Raigad, Maharashtra State

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KDMF

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01

MAGHREB PHARMA
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MAGHREB PHARMA
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Prasugrel

Registrant Name : Sungwoo Chemical Co., Ltd.

Registration Date : 2015-12-02

Registration Number : Su4579-7-ND

Manufacturer Name : Alembic Pharmaceuticals Limi...

Manufacturer Address : Plot No. 842-843, TAL-Padra, City : Karakhadi - 391 450, Dist : Vadodara, Gujarat Sta...

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NDC API

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01

Cophex
Not Confirmed
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Cophex
Not Confirmed

PRASUGREL

NDC Package Code : 53747-048

Start Marketing Date : 2015-01-07

End Marketing Date : 2025-12-31

Dosage Form (Strength) : POWDER (1kg/kg)

Marketing Category : BULK INGREDIENT

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02

Cophex
Not Confirmed
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Cophex
Not Confirmed

PRASUGREL

NDC Package Code : 64220-137

Start Marketing Date : 2011-02-09

End Marketing Date : 2025-12-31

Dosage Form (Strength) : POWDER (1kg/kg)

Marketing Category : BULK INGREDIENT

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Listed Suppliers

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01

Inke S.A

Spain
  • fda
  • EDQM
  • WHO-GMP

Virtual BoothInke S.A: APIs manufacturing plant.

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Prasugrel

About the Company : Inke S.A., is focused since 1980 in the development and manufacture of the highest quality Active Pharmaceutical Ingredients (APIs) with complex synthesis processes for diverse the...

Inke S.A., is focused since 1980 in the development and manufacture of the highest quality Active Pharmaceutical Ingredients (APIs) with complex synthesis processes for diverse therapeutic areas, but mainly for use in Respiratory. Inke has been successfully inspected by every major global authority for a wide array of products (last inspection on behalf of US-FDA was in 2023). For the last two decades, the company has made strong strides to become a prestige provider of respiratory APIs for inhalation.
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02

LGM Pharma

U.S.A
  • fda
  • EDQM
  • WHO-GMP

Virtual BoothLGM Pharma accelerates & optimizes the new product pathway from early development through commercialization.

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Prasugrel

About the Company : LGM Pharma is a global leader in sourcing hard-to-find APIs and intermediates for the pharmaceutical and biotech industries. LGM is also a full service CDMO providing formulation, ...

LGM Pharma is a global leader in sourcing hard-to-find APIs and intermediates for the pharmaceutical and biotech industries. LGM is also a full service CDMO providing formulation, analytical method development and testing, and commercial manufacturing. LGM Pharma offers custom API synthesis, analytical development, and regulatory services. With a network of over 300 accredited CGMP manufacturing partners, LGM provides unparalleled supply chain security. And, with over 100,000 square feet of FDA-inspected cGMP manufacturing and warehouse capacity, LGM Pharma provides a one-stop solution for solid dose, powder, semi-solid and liquid drugs.
LGM Pharma CB

03

World Vaccine Conference
Not Confirmed
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World Vaccine Conference
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Prasugrel

About the Company : Glenmark was founded with a vision to emerge as a leading integrated research-based, global pharmaceutical company. Our branded generics business has a significant presence in mark...

Glenmark was founded with a vision to emerge as a leading integrated research-based, global pharmaceutical company. Our branded generics business has a significant presence in markets across emerging economies including India. The generics business services the requirements of developed markets like US and Western Europe. Our API business sells products in over 65 countries including the US, various countries in the EU, South America and India. With 15 manufacturing facilities and 3 R&D centers dedicated to the goal of enriching lives across the globe.
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04

World Vaccine Conference
Not Confirmed
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World Vaccine Conference
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Prasugrel

About the Company : Guangzhou Tosun Pharmaceutical was founded in 1999, which mainly focuses on importation & exportation of Active Pharmaceutical Ingrediants, Chemical Raw Materials, Intermediate, Ex...

Guangzhou Tosun Pharmaceutical was founded in 1999, which mainly focuses on importation & exportation of Active Pharmaceutical Ingrediants, Chemical Raw Materials, Intermediate, Excipients, Herbal extracts, Formulation of Chinese & Western Medicine. With abundant economic strength, the group has successfully developed to a pharmaceutical group enterprise wich intergrets operation of medicine & related products, processing & manufacturing, and importation & exportation together.
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05

World Vaccine Conference
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World Vaccine Conference
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Prasugrel

About the Company : JIN DUN Medical Research Institute is affiliated to Shanghai JIN DUN Industrial Co., Ltd., headquartered in Shanghai, adjacent to Hongqiao High-speed Railway Station and Hongqiao I...

JIN DUN Medical Research Institute is affiliated to Shanghai JIN DUN Industrial Co., Ltd., headquartered in Shanghai, adjacent to Hongqiao High-speed Railway Station and Hongqiao International airport. JIN DUN Medical Research Institute is committed to providing pharmaceutical intermediates and raw materials with the purpose of innovative drug research. Customized R&D and customized production services.
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06

World Vaccine Conference
Not Confirmed
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World Vaccine Conference
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Prasugrel

About the Company : Kukjeon Pharmaceutical has been contributing towards advancing Korea’s pharmaceutical industry with its active pharmaceutical ingredients (API) based on professional capacity bui...

Kukjeon Pharmaceutical has been contributing towards advancing Korea’s pharmaceutical industry with its active pharmaceutical ingredients (API) based on professional capacity built up over the course of 50 years. Currently, we supply API to over 200 pharmaceutical and electronics companies at home and abroad. We are a chemical total solution provider that offers a whole range of chemical-based products and services, equipped with an organizational system and capacity to conduct research and development as well as foundational businesses.
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07

Phalanx Labs

India
World Vaccine Conference
Not Confirmed
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Phalanx Labs

India
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World Vaccine Conference
Not Confirmed

Prasugrel

About the Company : Phalanx Labs Pvt Ltd has incorporated as per the company‘s act in the year 2011 on 8th march. The company was started to manufacture pharmaceutical products with cGMP appropriate...

Phalanx Labs Pvt Ltd has incorporated as per the company‘s act in the year 2011 on 8th march. The company was started to manufacture pharmaceutical products with cGMP appropriate to US FDA, European etc. The company has acquired lands in Jawaharlal Nehru Pharma city, Vizag and Atchutapuram (APIIC) Ranasthalam. As the Jawaharlal Nehru Pharma city, Vizag is already in operation, Phalanx constructed its first unit in pharma city. The facility was created on Quality by Design (QbD) for the manufacture of APIs for regulatory standards.
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08

World Vaccine Conference
Not Confirmed
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World Vaccine Conference
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Prasugrel

About the Company : Smilax Laboratories Limited is a research-driven, vertically integrated pharmaceutical company manufacturing Active Pharmaceutical Ingredients, API Intermediates and NDDS/Pellets f...

Smilax Laboratories Limited is a research-driven, vertically integrated pharmaceutical company manufacturing Active Pharmaceutical Ingredients, API Intermediates and NDDS/Pellets for the generics market across the world. Set up in 2005, Smilax has emerged a reliable supplier of generic products in the global market today. Set up in 2005, Smilax has emerged a reliable supplier of generic products in the global market today.Set up in 2005, Smilax has emerged a reliable supplier of generic products in the global market today. Smilax manufactures APIs and API Intermediates at its state-of-the-art manufacturing facilities located at Hyderabad, Telangana and Visakhapatnam, Andhra Pradesh, India. Supported by a highly qualified and competent technical team, and endowed with strengths in research and development, Smilax continues to expand its presence in the world of pharmaceuticals.
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09

World Vaccine Conference
Not Confirmed
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World Vaccine Conference
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Prasugrel

About the Company : Promoted by a pioneer of the Indian pharmaceuticals business, Mr. Amrut Mody, Unichem Laboratories has grown to become one of India’s most respected pharmaceutical companies. It ...

Promoted by a pioneer of the Indian pharmaceuticals business, Mr. Amrut Mody, Unichem Laboratories has grown to become one of India’s most respected pharmaceutical companies. It is committed to delivering better health through superior products. By combining strategic research and in-depth industry knowledge, Unichem aims to transform itself into a global pharmaceutical drug company with an increasing focus on cutting-edge research and developed markets. With formulations forming the core of Unichem’s business, the company also manufactures active pharmaceutical ingredients (APIs or bulk actives).
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10

Viatris

U.S.A
World Vaccine Conference
Not Confirmed
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Viatris

U.S.A
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World Vaccine Conference
Not Confirmed

Prasugrel

About the Company : In November 2020, Viatris was formed through the combination of Mylan and Upjohn, with a mission of empowering people worldwide to live healthier at every stage of life. Viatris (N...

In November 2020, Viatris was formed through the combination of Mylan and Upjohn, with a mission of empowering people worldwide to live healthier at every stage of life. Viatris (NASDAQ: VTRS) is a global healthcare company empowering people worldwide to live healthier at every stage of life. We provide access to medicines, advance sustainable operations, develop innovative solutions and leverage our collective expertise to connect more people to more products and services through our one-of-a-kind Global Healthcare Gateway®. Formed in November 2020.
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API Reference Price

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24-Jan-2025
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Looking for 150322-43-3 / Prasugrel API manufacturers, exporters & distributors?

Prasugrel manufacturers, exporters & distributors 1

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PharmaCompass offers a list of Prasugrel API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Prasugrel manufacturer or Prasugrel supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Prasugrel manufacturer or Prasugrel supplier.

PharmaCompass also assists you with knowing the Prasugrel API Price utilized in the formulation of products. Prasugrel API Price is not always fixed or binding as the Prasugrel Price is obtained through a variety of data sources. The Prasugrel Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Prasugrel

Synonyms

150322-43-3, Effient, Efient, Cs-747, Prasugrel (effient), 5-(2-cyclopropyl-1-(2-fluorophenyl)-2-oxoethyl)-4,5,6,7-tetrahydrothieno[3,2-c]pyridin-2-yl acetate

Cas Number

150322-43-3

Unique Ingredient Identifier (UNII)

34K66TBT99

About Prasugrel

A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS.

Effient Manufacturers

A Effient manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Effient, including repackagers and relabelers. The FDA regulates Effient manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Effient API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Effient manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Effient Suppliers

A Effient supplier is an individual or a company that provides Effient active pharmaceutical ingredient (API) or Effient finished formulations upon request. The Effient suppliers may include Effient API manufacturers, exporters, distributors and traders.

click here to find a list of Effient suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Effient USDMF

A Effient DMF (Drug Master File) is a document detailing the whole manufacturing process of Effient active pharmaceutical ingredient (API) in detail. Different forms of Effient DMFs exist exist since differing nations have different regulations, such as Effient USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Effient DMF submitted to regulatory agencies in the US is known as a USDMF. Effient USDMF includes data on Effient's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Effient USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Effient suppliers with USDMF on PharmaCompass.

Effient KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a Effient Drug Master File in Korea (Effient KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of Effient. The MFDS reviews the Effient KDMF as part of the drug registration process and uses the information provided in the Effient KDMF to evaluate the safety and efficacy of the drug.

After submitting a Effient KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their Effient API can apply through the Korea Drug Master File (KDMF).

click here to find a list of Effient suppliers with KDMF on PharmaCompass.

Effient WC

A Effient written confirmation (Effient WC) is an official document issued by a regulatory agency to a Effient manufacturer, verifying that the manufacturing facility of a Effient active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Effient APIs or Effient finished pharmaceutical products to another nation, regulatory agencies frequently require a Effient WC (written confirmation) as part of the regulatory process.

click here to find a list of Effient suppliers with Written Confirmation (WC) on PharmaCompass.

Effient NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Effient as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Effient API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Effient as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Effient and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Effient NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Effient suppliers with NDC on PharmaCompass.

Effient GMP

Effient Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Effient GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Effient GMP manufacturer or Effient GMP API supplier for your needs.

Effient CoA

A Effient CoA (Certificate of Analysis) is a formal document that attests to Effient's compliance with Effient specifications and serves as a tool for batch-level quality control.

Effient CoA mostly includes findings from lab analyses of a specific batch. For each Effient CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Effient may be tested according to a variety of international standards, such as European Pharmacopoeia (Effient EP), Effient JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Effient USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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