Table 1.
Drug | Administration route | Metabolic activation | Activating enzymes and reaction type | Inhibition | Reference |
---|---|---|---|---|---|
Ticlopidine | Oral | + | CYP 2B6, 2C19, 1A2, 3A4 (oxidation) | Irreversible | [14, 15] |
Clopidogrel | Oral | + | CYP 2C19, 1A2, 2B6, 3A4 (oxidation) | Irreversible | [15–18] |
Prasugrel | Oral | + | Esterases (hydrolysis), CYP 3A5, 2B6, 2C9 and 2C19 (oxidation) | Irreversible | [15, 19–22] |
Vicagrel | Oral | + | Carbohydrate esterase family 2 and paraoxonase 1 (hydrolysis), CYP 2C19, 3A4, 2B6 (oxidation) | Irreversible | [23, 24] |
Selatogrel | Subcutaneous | - | - | Reversible | [25, 26] |
Elinogrel | Oral/intravenous | - | - | Reversible | [27, 28] |
Ticagrelor* | Oral | ± | CYP 3A4 (oxidation) | Reversible | [29, 30] |
Cangrelor | Bolus or intravenous infusion | - | - | Reversible | [31] |
*Parent compound is pharmacologically active