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Drug ReportsCangrelor
Kengreal, Kengrexal(cangrelor)
Kengreal, Kengrexal (cangrelor) is a small molecule pharmaceutical. Cangrelor was first approved as Kengrexal on 2015-03-23. It has been approved in Europe to treat acute coronary syndrome and vascular surgical procedures. The pharmaceutical is active against P2Y purinoceptor 12. In addition, it is known to target uracil nucleotide/cysteinyl leukotriene receptor and P2Y purinoceptor 13.
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Target
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Financial
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3M
6M
YTD
1Y
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FDA approval date
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Commercial
Therapeutic Areas
Therapeutic Area
MeSH
cardiovascular diseasesD002318
operative surgical proceduresD013514
Trade Name
FDA
EMA
Kengreal
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Cangrelor
Tradename
Company
Number
Date
Products
KENGREALChiesi FarmaceuticiN-204958 RX2015-06-22
1 products, RLD, RS
Labels
FDA
EMA
Brand Name
Status
Last Update
kengrealNew Drug Application2022-09-06
Indications
FDA
EMA
No data
Agency Specific
FDA
EMA
No data
Patent Expiration
Patent
Expires
Flag
FDA Information
Cangrelor, Kengreal, Chiesi
92956872035-07-10DP
94399212035-07-10DP
97005752035-07-10DP
100397802035-07-10U-2260
86800522033-03-09U-2979
94274482030-11-10U-1926
99252652029-05-13U-2260
ATC Codes
B: Blood and blood forming organ drugs
B01: Antithrombotic agents
B01A: Antithrombotic agents
B01AC: Platelet aggregation inhibitors excl. heparin
B01AC25: Cangrelor
HCPCS
Code
Description
C9460
Injection, cangrelor, 1 mg
G9531
Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar
Clinical
Clinical Trials
41 clinical trials
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Indications Phases 4
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Myocardial infarctionD009203EFO_0000612I2117614
InfarctionD007238EFO_000946317614
Coronary artery diseaseD003324I25.134512
Acute coronary syndromeD054058EFO_0005672135211
St elevation myocardial infarctionD0000726571719
Heart arrestD006323EFO_0009492I46213
Percutaneous coronary interventionD0626451113
Inferior wall myocardial infarctionD056989EFO_1000983123
SyndromeD013577112
Cardiogenic shockD012770R57.0112
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Indications Phases 3
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
StrokeD020521EFO_0000712I63.922
AtherosclerosisD050197EFO_0003914I25.122
IschemiaD007511EFO_000055611
Ischemic strokeD00008324211
Indications Phases 2
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Coronary diseaseD003327336
Myocardial ischemiaD017202EFO_1001375I20-I25336
Stable anginaD060050I20.8911
Reperfusion injuryD01542711
Platelet aggregationD010974GO_007052711
Indications Phases 1
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Healthy volunteers/patients22
Indications Without Phase
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Covid-19D00008638211
Non-st elevated myocardial infarctionD00007265811
HemorrhageD006470MP_0001914R5811
Heart diseasesD006331EFO_0003777I51.911
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameCangrelor
INNcangrelor
Description
Cangrelor is a nucleoside triphosphate analogue that is 5'-O-[({[dichloro(phosphono)methyl](hydroxy)phosphoryl}oxy)(hydroxy)phosphoryl]adenosine carrying additional 2-(methylsulfanyl)ethyl and (3,3,3-trifluoropropyl)sulfanyl substituents at positions N6 and C2 respectively. Used (in the form of its tetrasodium salt) as an intravenous antiplatelet drug that prevents formation of harmful blood clots in the coronary arteries. It has a role as a platelet aggregation inhibitor and a P2Y12 receptor antagonist. It is a nucleoside triphosphate analogue, an organofluorine compound, an aryl sulfide, an organochlorine compound, a secondary amino compound and an adenosine 5'-phosphate. It is a conjugate acid of a cangrelor(4-).
Classification
Small molecule
Drug classplatelet aggregation inhibitors, primarily platelet P2Y12 receptor antagonists
Image (chem structure or protein)Loading
Structure (InChI/SMILES or Protein Sequence)
CSCCNc1nc(SCCC(F)(F)F)nc2c1ncn2[C@@H]1O[C@H](COP(=O)(O)OP(=O)(O)C(Cl)(Cl)P(=O)(O)O)[C@@H](O)[C@H]1O
Identifiers
PDB
CAS-ID163706-06-7
RxCUI
ChEMBL IDCHEMBL334966
ChEBI ID
PubChem CID9854012
DrugBankDB06441
UNII ID6AQ1Y404U7 (ChemIDplus, GSRS)
Target
Agency Approved
P2RY12
P2RY12
Organism
Homo sapiens
Gene name
P2RY12
Gene synonyms
HORK3
NCBI Gene ID
Protein name
P2Y purinoceptor 12
Protein synonyms
ADP-glucose receptor, ADPG-R, G-protein coupled receptor SP1999, Gi-coupled ADP receptor HORK3, P2T(AC), P2Y(AC), P2Y(ADP), P2Y(cyc), P2Y12 platelet ADP receptor, purinergic receptor P2RY12, purinergic receptor P2Y, G-protein coupled, 12, putative G-protein coupled receptor, SP1999
Uniprot ID
Mouse ortholog
P2ry12 (70839)
P2Y purinoceptor 12 (Q9CPV9)
Alternate
GPR17
GPR17
P2RY13
P2RY13
Organism
Homo sapiens
Gene name
GPR17
Gene synonyms
NCBI Gene ID
Protein name
uracil nucleotide/cysteinyl leukotriene receptor
Protein synonyms
G-protein coupled receptor 17, P2Y-like receptor, R12, UDP/CysLT receptor
Uniprot ID
Mouse ortholog
Gpr17 (574402)
uracil nucleotide/cysteinyl leukotriene receptor (Q80UD2)
Variants
No data
Financial
No data
Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 1,442 documents
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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312 adverse events reported
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