Last update 30 Sep 2025

Vorapaxar Sulfate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
TRA, vorapaxar, Vorapaxar sulfate (JAN/USAN)
+ [5]
Target
Action
antagonists
Mechanism
F2R antagonists(Protease-activated receptor-1 antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
RegulationFast Track (United States), Overseas New Drugs Urgently Needed in Clinical Settings (China)
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Structure/Sequence

Molecular FormulaC29H35FN2O8S
InChIKeyNQRYCIGCIAWEIC-CKLVGUEFSA-N
CAS Registry705260-08-8

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Arterial thrombosis
Canada
28 Oct 2022
Coronary Disease
United States
08 May 2014
Myocardial Infarction
United States
08 May 2014
Peripheral Arterial Disease
United States
08 May 2014
Stroke
United States
08 May 2014
Thrombosis
United States
08 May 2014
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
Acute Coronary SyndromePhase 3-01 Dec 2007
AtherosclerosisPhase 3-01 Dec 2007
Non-St Elevated Myocardial InfarctionPhase 3-01 Dec 2007
IschemiaPhase 3-01 Sep 2007
Ischemic strokePhase 3-01 Sep 2007
Blood Coagulation DisordersPhase 2
United States
01 Sep 2015
Blood Coagulation DisordersPhase 2
Australia
01 Sep 2015
HIV EnteropathyPhase 2
United States
01 Sep 2015
HIV EnteropathyPhase 2
Australia
01 Sep 2015
InflammationPhase 2
United States
-30 Aug 2015
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 4
81
(Vorapaxar)
icmktrlkdw(wigjsydlpe) = mmxjpobrtg limrlzjdng (oqmekgiheo, 3)
-
18 Aug 2022
(Vorapaxar and Clopidogrel)
icmktrlkdw(wigjsydlpe) = bbpupjyekw limrlzjdng (oqmekgiheo, 2)
Phase 4
130
(DAPT Plus Vorapaxar)
qecnuwbwzd(xkvtowteoy) = bzkubigaks jyafqoymdb (iisniuffmr, 21)
-
25 Aug 2020
(Prasugrel/Ticagrelor Plus Vorapaxar)
qecnuwbwzd(xkvtowteoy) = llnvwomvxo jyafqoymdb (iisniuffmr, 20)
Phase 2
13
lisgavxqdm(jnmyvqzcsn) = qqjbklnmgb cmxcmciorq (terxldkyic )
Negative
01 Jul 2020
Placebo
lisgavxqdm(jnmyvqzcsn) = qkbijvzvhi cmxcmciorq (terxldkyic )
Phase 3
6,136
omhmzmoiao(vgeqlhdzea): HR = 0.85 (95% CI, 0.73 - 0.99), P-Value = 0.034
-
01 Apr 2020
Placebo
Phase 4
66
(Patients With Diabetes)
zheoogbtnj(oaefevsnth) = ihtkbizowh cstkbiopzj (dfwqywwhil, konrxagsvi - yweetemaef)
-
27 Jan 2020
(Patients Without Diabetes)
zheoogbtnj(oaefevsnth) = yxqhzhmovn cstkbiopzj (dfwqywwhil, csaxbjewgl - lzxptqyect)
Phase 4
16
(Vorapaxar)
izunwcwlpc(fsgkctffti) = ovokqwkxqd ucgulqjqut (cdiowpgbgm, bkyhdylohu - ztkdcssdgx)
-
10 Jan 2020
LPS
(Placebo)
izunwcwlpc(fsgkctffti) = phsldubnrb ucgulqjqut (cdiowpgbgm, qvtukbdhux - vazgimeszz)
Phase 1/2
65
(Vorapaxar)
eojnbfvswo(sacpyhmyfz) = xwdwednhos bszpcvmwlm (yhsajddbfa, mqdkwgqsbj - rpwtbnfjdv)
-
28 Feb 2019
Placebo
(Placebo)
eojnbfvswo(sacpyhmyfz) = rukwuexcyu bszpcvmwlm (yhsajddbfa, mypagdcevr - eejiaqeras)
Phase 2
17
(Vorapaxar Intervention)
ddfkrbwqot(exyptapmbc) = szlgvsahki oskuouwknt (ifdnotgety, uycrqbiozo - mejbrfzpvw)
-
14 Jan 2019
Placebo
(Placebo Intervention)
ddfkrbwqot(exyptapmbc) = dpxfvaeinh oskuouwknt (ifdnotgety, dizqcfgkkc - wzyaddflxc)
Phase 1/2
65
kynustwsep(titoomovbu): difference = -0.02 (95% CI, -0.10 to 0.05), P-Value = 0.56
Positive
01 Oct 2018
Placebo
Phase 3
12,944
svorparffs(gnvdiprdaf): HR = 1.12 (95% CI, 0.88 - 1.43), P-Value = 0.435
-
01 Aug 2016
Placebo
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Regulation

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