Zontivity(vorapaxar)
Zontivity (vorapaxar) is a small molecule pharmaceutical. Vorapaxar was first approved as Zontivity on 2014-05-08. It is used to treat coronary disease, myocardial infarction, and peripheral arterial disease in the USA. It has been approved in Europe to treat myocardial infarction. The pharmaceutical is active against proteinase-activated receptor 1.
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Commercial
Therapeutic Areas
Therapeutic Area | MeSH |
|---|---|
| cardiovascular diseases | D002318 |
| signs and symptoms pathological conditions | D013568 |
Trade Name
FDA
EMA
No data
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Vorapaxar sulfate
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| ZONTIVITY | Key Therapeutics | N-204886 DISCN | 2014-05-08 | 1 products, RLD |
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FDA
EMA
Brand Name | Status | Last Update |
|---|---|---|
| zontivity | New Drug Application | 2022-10-18 |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
|---|---|---|---|
| myocardial infarction | EFO_0000612 | D009203 | I21 |
| coronary disease | — | D003327 | — |
| peripheral arterial disease | EFO_0004265 | D058729 | — |
Agency Specific
FDA
EMA
No data
HCPCS
Code | Description |
|---|---|
| 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
15 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Infarction | D007238 | EFO_0009463 | — | — | 2 | 3 | 3 | — | 8 |
| Myocardial infarction | D009203 | EFO_0000612 | I21 | — | 1 | 3 | 3 | — | 7 |
| Peripheral arterial disease | D058729 | EFO_0004265 | — | — | — | 1 | 4 | — | 5 |
| Peripheral vascular diseases | D016491 | EFO_0003875 | I73.9 | — | — | 1 | 3 | — | 4 |
| Coronary artery disease | D003324 | — | I25.1 | — | — | — | 1 | — | 1 |
| Vascular diseases | D014652 | EFO_0004264 | I77 | — | — | — | 1 | — | 1 |
| Intermittent claudication | D007383 | EFO_0003876 | I73.9 | — | — | — | 1 | — | 1 |
| Diabetes mellitus | D003920 | EFO_0000400 | E08-E13 | — | — | — | 1 | — | 1 |
| Endotoxemia | D019446 | — | — | — | — | — | 1 | — | 1 |
| Healthy volunteers/patients | — | — | — | — | — | — | 1 | — | 1 |
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Ischemia | D007511 | EFO_0000556 | — | — | 1 | 3 | — | — | 4 |
| Atherosclerosis | D050197 | EFO_0003914 | I25.1 | — | 1 | 3 | — | — | 4 |
| Acute coronary syndrome | D054058 | EFO_0005672 | — | 1 | 1 | 1 | — | — | 3 |
| Myocardial ischemia | D017202 | EFO_1001375 | I20-I25 | — | 1 | 1 | — | — | 2 |
| Stroke | D020521 | EFO_0000712 | I63.9 | — | — | 2 | — | — | 2 |
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Cerebral infarction | D002544 | — | I63 | — | 1 | — | — | — | 1 |
| Arteriovenous fistula | D001164 | — | Q27.3 | — | 1 | — | — | — | 1 |
| Fistula | D005402 | — | — | — | 1 | — | — | — | 1 |
| Hiv | D006678 | — | O98.7 | 1 | 1 | — | — | — | 1 |
| Coronary disease | D003327 | — | — | — | 1 | — | — | — | 1 |
| Arterial occlusive diseases | D001157 | EFO_0009085 | — | — | 1 | — | — | — | 1 |
Indications Phases 1
No data
Indications Without Phase
No data
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
| Drug common name | Vorapaxar |
| INN | vorapaxar |
| Description | Vorapaxar is a carbamate ester that is the ethyl ester of [(1R,3aR,4aR,6R,8aR,9S,9aS)-9-{(E)-2-[5-(3-fluorophenyl)pyridin-2-yl]ethynyl}-1-methyl-3-oxododecahydronaphtho[2,3-c]furan-6-yl]carbamic acid. A protease-activated receptor-1 antagonist used (as its sulfate salt) for the reduction of thrombotic cardiovascular events in patients with a history of myocardial infarction (MI) or with peripheral arterial disease. It has been shown to reduce the rate of a combined endpoint of cardiovascular death, MI, stroke and urgent coronary revascularisation. It has a role as a protease-activated receptor-1 antagonist, a platelet aggregation inhibitor and a cardiovascular drug. It is a member of pyridines, a carbamate ester, an organofluorine compound, a naphthofuran and a lactone. It is a conjugate base of a vorapaxar(1+). |
| Classification | Small molecule |
| Drug class | Protease-activated receptor 1 (PAR1) antagonists |
| Image (chem structure or protein) |  |
| Structure (InChI/SMILES or Protein Sequence) | CCOC(=O)N[C@@H]1CC[C@@H]2[C@@H](C1)C[C@H]1C(=O)O[C@H](C)[C@H]1[C@H]2/C=C/c1ccc(-c2cccc(F)c2)cn1 |
Identifiers
| PDB | — |
| CAS-ID | 618385-01-6 |
| RxCUI | — |
| ChEMBL ID | CHEMBL493982 |
| ChEBI ID | 82702 |
| PubChem CID | 10077130 |
| DrugBank | — |
| UNII ID | ZCE93644N2 (ChemIDplus, GSRS) |
Target
Agency Approved
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F2R
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Trends
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Safety
Black-box Warning
Black-box warning for: Zontivity
Adverse Events
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189 adverse events reported
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