Cangrelor: A Review in Percutaneous Coronary Intervention.

Abstract

Cangrelor (Kengrexal(®), Kengreal(™)) is an intravenously administered P2Y12 receptor inhibitor. It is direct-acting and reversible, with a very rapid onset and offset of action. The randomized, double-blind, multinational, phase III CHAMPION PHOENIX trial compared the efficacy of intravenous cangrelor with that of oral clopidogrel in patients requiring percutaneous coronary intervention (PCI) for stable angina pectoris, a non-ST-segment elevation acute coronary syndrome or ST-segment elevation myocardial infarction (MI). The primary composite efficacy endpoint of death from any cause, MI, ischaemia-drive revascularization or stent thrombosis in the 48 h following randomization occurred in significantly fewer cangrelor than clopidogrel recipients. The rate of severe or life-threatening non-coronary artery bypass graft-related, GUSTO-defined bleeding at 48 h did not significantly differ between cangrelor and clopidogrel recipients. In conclusion, intravenous cangrelor is an important new option for use in patients undergoing PCI who have not been treated with oral P2Y12 inhibitors.

• Authors: Gillian M Keating
• Journal: Drugs (Drugs) Vol. 75 Issue 12 Pg. 1425-34 (Aug 2015) ISSN: 1179-1950 [Electronic] New Zealand
• PMID: 26201463 (Publication Type: Journal Article, Review)

Chemical References

• P2RY12 protein, human
• Platelet Aggregation Inhibitors
• Purinergic P2Y Receptor Antagonists
• Receptors, Purinergic P2Y12
• Adenosine Monophosphate
• cangrelor

Topics

• Adenosine Monophosphate (administration & dosage, adverse effects, analogs & derivatives, therapeutic use)
• Administration, Intravenous
• Blood Platelets (drug effects, metabolism)
• Coronary Thrombosis (blood, etiology, mortality, prevention & control)
• Drug Interactions
• Hemorrhage (chemically induced)
• Humans
• Percutaneous Coronary Intervention (adverse effects, mortality)
• Platelet Aggregation Inhibitors (administration & dosage, adverse effects, therapeutic use)
• Purinergic P2Y Receptor Antagonists (administration & dosage, adverse effects, therapeutic use)
• Receptors, Purinergic P2Y12 (drug effects, metabolism)
• Risk Factors
• Treatment Outcome