title: A Safety Evaluation of Cangrelor in Patients Undergoing PCI.
abstract: BACKGROUND
  Dual antiplatelet therapy with aspirin and an oral ADP P2Y12 receptor antagonist is the standard-of-care for treatment of patients undergoing percutaneous coronary intervention (PCI). However, oral P2Y12 receptor antagonists have several limitations, including inter- and intra-individual response variability, drug-drug interactions, slow onset and offset of action and delayed platelet inhibition in high-risk clinical settings, such as patients with ST-segment elevation myocardial infarction.
  
  
  METHODS
  Cangrelor is an intravenous, direct-acting, reversible, potent P2Y12 receptor antagonist. It rapidly achieves near complete platelet inhibition and has a very short half-life and a fast offset of action. We conducted a systematic review searching PubMed/MEDLINE for pharmacodynamic/pharmacokinetic studies and clinical trials in which cangrelor was investigated, published from any time up to November 1(st) 2015. For clinical trials, those investigating cangrelor in the setting of PCI were considered for discussion.
  
  
  CONCLUSIONS
  Cangrelor is approved by drug regulating authorities worldwide as adjunctive antithrombotic therapy for the full spectrum of patients undergoing PCI, not pre-treated with a P2Y12 receptor inhibitor and not with intent to receive a glycoprotein IIb/IIIa inhibitor. Its unique pharmacological properties and its favorable safety and efficacy profile make it an attractive treatment strategy, especially in clinical settings where immediate platelet inhibition is required.
authors.affiliation: a Department of Medicine, Division of Cardiology , University of Florida College of Medicine-Jacksonville , Jacksonville , FL , USA.
authors.forename: Francesco
authors.initials: F
authors.lastname: Franchi
authors.affiliation: a Department of Medicine, Division of Cardiology , University of Florida College of Medicine-Jacksonville , Jacksonville , FL , USA.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Rollini
authors.affiliation: a Department of Medicine, Division of Cardiology , University of Florida College of Medicine-Jacksonville , Jacksonville , FL , USA.|b Division of Cardiology , Gyeongsang National University Hospital , Jinju , Korea.
authors.forename: Yongwhi
authors.initials: Y
authors.lastname: Park
authors.affiliation: a Department of Medicine, Division of Cardiology , University of Florida College of Medicine-Jacksonville , Jacksonville , FL , USA.
authors.forename: Dominick J
authors.initials: DJ
authors.lastname: Angiolillo
mesh_terms: D000249:Adenosine Monophosphate / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D001241:Aspirin / Q000008:administration & dosage; D004347:Drug Interactions; D004359:Drug Therapy, Combination; D006207:Half-Life; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D058921:Purinergic P2Y Receptor Antagonists / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D010975:Platelet Aggregation Inhibitors; D058921:Purinergic P2Y Receptor Antagonists; D000249:Adenosine Monophosphate; C117446:cangrelor; D001241:Aspirin
keywords: Acute coronary syndrome; P2Y12 receptor antagonist; antiplatelet therapy; cangrelor; percutaneous coronary intervention