A possible mechanism for the differences in efficiency and variability of active metabolite formation from thienopyridine antiplatelet agents, prasugrel and clopidogrel

K Hagihara, M Kazui, A Kurihara, M Yoshiike… - Drug metabolism and …, 2009 - ASPET
The efficiency and interindividual variability in bioactivation of prasugrel and clopidogrel
were quantitatively compared and the mechanisms involved were elucidated using 20 …

Genetic variation of CYP2C19 affects both pharmacokinetic and pharmacodynamic responses to clopidogrel but not prasugrel in aspirin-treated patients with …

C Varenhorst, S James, D Erlinge… - European heart …, 2009 - academic.oup.com
Aims The metabolic pathways leading to the formation of prasugrel and clopidogrel active
metabolites differ. We hypothesized that decreased CYP2C19 activity affects the …

Contribution of hepatic cytochrome P450 3A4 metabolic activity to the phenomenon of clopidogrel resistance

WC Lau, PA Gurbel, PB Watkins, CJ Neer, AS Hopp… - Circulation, 2004 - Am Heart Assoc
Background—Interindividual variability of platelet inhibition after aspirin or clopidogrel
administration has been described. Additionally, aspirin resistance and clopidogrel …

Influences of different proton pump inhibitors on the anti‐platelet function of clopidogrel in relation to CYP2C19 genotypes

T Furuta, T Iwaki, K Umemura - British journal of clinical …, 2010 - Wiley Online Library
WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT• Active metabolism of clopidogrel is
mainly mediated by CYP2C19. There are genetic differences in the activity of CYP2C19 …

[HTML][HTML] Effects of CYP2C19 Genotype on Outcomes of Clopidogrel Treatment

G Paré, SR Mehta, S Yusuf, SS Anand… - … England Journal of …, 2010 - Mass Medical Soc
Background It has been suggested that clopidogrel may be less effective in reducing the rate
of cardiovascular events among persons who are carriers of loss-of-function CYP2C19 …

An improved method for specific and quantitative determination of the clopidogrel active metabolite isomers in human plasma

G Tuffal, S Roy, M Lavisse, D Brasseur… - Thrombosis and …, 2011 - thieme-connect.com
Pharmacokinetic analyses of clopidogrel are hampered by the existence of multiple active
metabolite isomers (H1 to H4) and their instability in blood. We sought to retest the …

Impact of CYP2C19 polymorphisms on the antiplatelet effect of clopidogrel in an actual clinical setting in Japan

T Jinnai, H Horiuchi, T Makiyama, J Tazaki… - Circulation …, 2009 - jstage.jst.go.jp
Background: The P2Y 12 adenosine diphosphate (ADP) receptor blocker, clopidogrel, an
essential drug for the prevention of stent thrombosis after percutaneous coronary …

Clopidogrel Pharmacokinetics and Pharmacodynamics Vary Widely Despite Exclusion or Control of Polymorphisms (CYP2C19, ABCB1, PON1), Noncompliance …

AL Frelinger, DL Bhatt, RD Lee, DJ Mulford… - Journal of the American …, 2013 - jacc.org
Objectives: This study sought to determine whether known genetic, drug, dietary,
compliance, and lifestyle factors affecting clopidogrel absorption and metabolism fully …

[HTML][HTML] Pharmacokinetic and pharmacodynamic responses to clopidogrel: evidences and perspectives

YJ Zhang, MP Li, J Tang, XP Chen - International Journal of …, 2017 - mdpi.com
Clopidogrel has significantly reduced the incidence of recurrent atherothrombotic events in
patients with acute coronary syndrome (ACS) and in those undergoing percutaneous …

[HTML][HTML] Genetic determinants of platelet response to clopidogrel

A Kubica, M Kozinski, G Grzesk, T Fabiszak… - Journal of thrombosis …, 2011 - Springer
Antiplatelet agents are the mainstay treatment in the prevention and management of
atherothrombotic complications. However, a substantial interpatient variability in response to …