Table 1.
Drug | Route | Action | Dosing (bolus/maintenance) | Peak effect | Main studies |
---|---|---|---|---|---|
Clopidogrel | Oral | Irreversible Hepatic metabolization | 600 mg 75 mg/d | 3 h | CURE-PCI CLARITY-PCI |
Prasugrel | Oral | Irreversible Hepatic metabolization | 60 mg 10 mg/d | 30 min | TRITON-TIMI 18 |
Cangrelor | IV | Reversible Direct inhibition | 30μ/Kg/min 4 μ/Kg/min | 1 min | CHAMPION - PLATFORM |
Ticagrelor | Oral | Reversible Direct inhibition | 180 mg 90 mg 12/12 h | 30 min | PLATO |
CURE-PCI (Effects of pretreatment with Clopidogrel and aspirin followed by long-term therapy in patients undergoing percutaneous coronary intervention)10; CLARITY-PCI (Effect of Clopidogrel pretreatment before percutaneous coronary intervention in patients with ST elevation myocardial infarction treated with fibrinolytics)11; TRITON-TIMI 18 (Prasugrel versus Clopidogrel in patients with acute coronary syndromes)12; PLATO(Ticagrelor versus Clopidogrel in patients with acute coronary syndromes)13; CHAMPION-PLATFORM (Intravenous platelet blockade with cangrelor during PCI)14.