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CLOPIDOGREL Drug Record

  • Summary
  • Interactions
  • Claims
  • CLOPIDOGREL chembl:CHEMBL1771 Approved

    Alternate Names:

    SR-25990
    PLAVIX
    CLOPIDOGREL
    R 130964
    R-130964
    ISCOVER
    GREPID
    SR 25990
    PLAVIX&REG
    SR-25990C
    CLOPIDOGRELUM
    (+)-CLOPIDOGREL
    chemidplus:113665-84-2
    rxcui:32968
    chembl:CHEMBL1771
    drugbank:00758
    pubchem.compound:60606

    Drug Info:

    Year of Approval 1997
    Drug Class antithrombotic agents
    Drug Indications antithrombotic
    FDA Approval approved
    Drug Class Small Molecule
    Drug Indications antiplatelet agent
    (3 More Sources)

    Publications:

    Zhao Z et al., 2016, Impact of genetic polymorphisms related to clopidogrel or acetylsalicylic acid pharmacology on clinical outcome in Chinese patients with symptomatic extracranial or intracranial stenosis., Eur J Clin Pharmacol
    Tarkiainen EK et al., 2015, Carboxylesterase 1 c.428G>A single nucleotide variation increases the antiplatelet effects of clopidogrel by reducing its hydrolysis in humans., Clin Pharmacol Ther
    Xie C et al., 2014, The effects of CES1A2 A(-816)C and CYP2C19 loss-of-function polymorphisms on clopidogrel response variability among Chinese patients with coronary heart disease., Pharmacogenet Genomics
    Zhu HJ et al., 2013, Carboxylesterase 1 as a determinant of clopidogrel metabolism and activation., J Pharmacol Exp Ther
    Savi et al., 2006, The active metabolite of Clopidogrel disrupts P2Y12 receptor oligomers and partitions them out of lipid rafts., Proc. Natl. Acad. Sci. U.S.A.
    van Gestel et al., 2003, In vivo blockade of platelet ADP receptor P2Y12 reduces embolus and thrombus formation but not thrombus stability., Arterioscler. Thromb. Vasc. Biol.
    Wihlborg et al., 2004, ADP receptor P2Y12 is expressed in vascular smooth muscle cells and stimulates contraction in human blood vessels., Arterioscler. Thromb. Vasc. Biol.
    Taubert et al., 2004, Pharmacokinetics of clopidogrel after administration of a high loading dose., Thromb. Haemost.
    Gladding et al., 2008, The pharmacogenetics and pharmacodynamics of clopidogrel response: an analysis from the PRINC (Plavix Response in Coronary Intervention) trial., JACC Cardiovasc Interv
    Dorsam et al., 2003, Clopidogrel: interactions with the P2Y12 receptor and clinical relevance., Hematology
    Herbert et al., 2003, P2Y12, a new platelet ADP receptor, target of clopidogrel., Semin Vasc Med
    Chen et al., 2002, TTD: Therapeutic Target Database., Nucleic Acids Res.
    Wang et al., 2004, P2 receptor mRNA expression profiles in human lymphocytes, monocytes and CD34+ stem and progenitor cells., BMC Immunol.
    Shuvalova YA et al., 2012, Association between polymorphisms of eNOS and GPx-1 genes, activity of free-radical processes and in-stent restenosis., Mol Cell Biochem
    Tornio A et al., 2014, Glucuronidation converts clopidogrel to a strong time-dependent inhibitor of CYP2C8: a phase II metabolite as a perpetrator of drug-drug interactions., Clin Pharmacol Ther
    Kupstyte N et al., 2015, Effect of clinical factors and gene polymorphism of CYP2C19*2, *17 and CYP4F2*3 on early stent thrombosis., Pharmacogenomics
    Tatarunas V et al., 2014, The role of clinical parameters and of CYP2C19 G681 and CYP4F2 G1347A polymorphisms on platelet reactivity during dual antiplatelet therapy., Blood Coagul Fibrinolysis
    Hou X et al., 2018, CYP2C19 and ABCB1 genetic polymorphisms correlate with the recurrence of ischemic cardiovascular adverse events after clopidogrel treatment., J Clin Lab Anal
    Danielak D et al., 2017, Influence of genetic co-factors on the population pharmacokinetic model for clopidogrel and its active thiol metabolite., Eur J Clin Pharmacol
    Olędzki S et al., 2017, Variability of platelet response to clopidogrel is not related to adverse cardiovascular events in patients with stable coronary artery disease undergoing percutaneous coronary intervention., Eur J Clin Pharmacol
    Zhai Y et al., 2017, Meta-analysis of effects of ABCB1 polymorphisms on clopidogrel response among patients with coronary artery disease., Eur J Clin Pharmacol
    Su J et al., 2017, The risk of clopidogrel resistance is associated with ABCB1 polymorphisms but not promoter methylation in a Chinese Han population., PLoS One
    Saydam F et al., 2017, The CYP2C19*2 and CYP2C19*17 Polymorphisms play a Vital Role in Clopidogrel Responsiveness after Percutaneous Coronary Intervention: A Pharmacogenomics Study., Basic Clin Pharmacol Toxicol
    Zhang HZ et al., 2017, CYP2C19 but not CYP2B6, CYP3A4, CYP3A5, ABCB1, PON1 or P2Y12 genetic polymorphism impacts antiplatelet response after clopidogrel in Koreans., Blood Coagul Fibrinolysis
    Calderón-Cruz B et al., 2015, C3435T polymorphism of the ABCB1 gene is associated with poor clopidogrel responsiveness in a Mexican population undergoing percutaneous coronary intervention., Thromb Res
    So DY et al., 2016, A prospective randomized evaluation of a pharmacogenomic approach to antiplatelet therapy among patients with ST-elevation myocardial infarction: the RAPID STEMI study., Pharmacogenomics J
    Wang XQ et al., 2015, Genetic polymorphisms of CYP2C19 2 and ABCB1 C3435T affect the pharmacokinetic and pharmacodynamic responses to clopidogrel in 401 patients with acute coronary syndrome., Gene
    Karaźniewicz-Łada M et al., 2015, Impact of common ABCB1 polymorphism on pharmacokinetics and pharmacodynamics of clopidogrel and its metabolites., J Clin Pharm Ther
    Latkovskis G et al., 2014, Role of genetic factors on the effect of additional loading doses and two maintenance doses used to overcome clopidogrel hyporesponsiveness., Medicina (Kaunas)
    Cresci S et al., 2014, Cytochrome p450 gene variants, race, and mortality among clopidogrel-treated patients after acute myocardial infarction., Circ Cardiovasc Genet
    Viviani Anselmi C et al., 2013, Routine assessment of on-clopidogrel platelet reactivity and gene polymorphisms in predicting clinical outcome following drug-eluting stent implantation in patients with stable coronary artery disease., JACC Cardiovasc Interv
    Zhang L et al., 2013, Genetic determinants of high on-treatment platelet reactivity in clopidogrel treated Chinese patients., Thromb Res
    Carlquist JF et al., 2013, Cardiovascular risk among patients on clopidogrel anti-platelet therapy after placement of drug-eluting stents is modified by genetic variants in both the CYP2C19 and ABCB1 genes., Thromb Haemost
    Tang XF et al., 2013, Effect of the CYP2C19 2 and 3 genotypes, ABCB1 C3435T and PON1 Q192R alleles on the pharmacodynamics and adverse clinical events of clopidogrel in Chinese people after percutaneous coronary intervention., Eur J Clin Pharmacol
    Su J et al., 2012, ABCB1 C3435T polymorphism and response to clopidogrel treatment in coronary artery disease (CAD) patients: a meta-analysis., PLoS One
    Wu H et al., 2012, Effects of CYP2C19 variant alleles on postclopidogrel platelet reactivity and clinical outcomes in an actual clinical setting in China., Pharmacogenet Genomics
    Verschuren JJ et al., 2013, Value of platelet pharmacogenetics in common clinical practice of patients with ST-segment elevation myocardial infarction., Int J Cardiol
    Chen DY et al., 2012, Paraoxonase-1 is not a major determinant of stent thrombosis in a Taiwanese population., PLoS One
    Price MJ et al., 2012, Influence of genetic polymorphisms on the effect of high- and standard-dose clopidogrel after percutaneous coronary intervention: the GIFT (Genotype Information and Functional Testing) study., J Am Coll Cardiol
    Bonello L et al., 2012, Factors associated with the failure of clopidogrel dose-adjustment according to platelet reactivity monitoring to optimize P2Y12-ADP receptor blockade., Thromb Res
    Delaney JT et al., 2012, Predicting clopidogrel response using DNA samples linked to an electronic health record., Clin Pharmacol Ther
    Jeong YH et al., 2011, Effect of CYP2C19*2 and *3 loss-of-function alleles on platelet reactivity and adverse clinical events in East Asian acute myocardial infarction survivors treated with clopidogrel and aspirin., Circ Cardiovasc Interv
    Cayla G et al., 2011, Clinical, angiographic, and genetic factors associated with early coronary stent thrombosis., JAMA
    Simon T et al., 2011, Effect of paraoxonase-1 polymorphism on clinical outcomes in patients treated with clopidogrel after an acute myocardial infarction., Clin Pharmacol Ther
    Kassimis G et al., 2012, CYP2C19*2 and other genetic variants affecting platelet response to clopidogrel in patients undergoing percutaneous coronary intervention., Thromb Res
    Rideg O et al., 2011, Impact of genetic variants on post-clopidogrel platelet reactivity in patients after elective percutaneous coronary intervention., Pharmacogenomics
    Wallentin L et al., 2010, Effect of CYP2C19 and ABCB1 single nucleotide polymorphisms on outcomes of treatment with ticagrelor versus clopidogrel for acute coronary syndromes: a genetic substudy of the PLATO trial., Lancet
    Mega JL et al., 2010, Genetic variants in ABCB1 and CYP2C19 and cardiovascular outcomes after treatment with clopidogrel and prasugrel in the TRITON-TIMI 38 trial: a pharmacogenetic analysis., Lancet
    Jeong YH et al., 2010, Carriage of cytochrome 2C19 polymorphism is associated with risk of high post-treatment platelet reactivity on high maintenance-dose clopidogrel of 150 mg/day: results of the ACCEL-DOUBLE (Accelerated Platelet Inhibition by a Double Dose of Clopidogrel According to Gene Polymorphism) study., JACC Cardiovasc Interv
    Simon T et al., 2009, Genetic determinants of response to clopidogrel and cardiovascular events., N Engl J Med
    Taubert D et al., 2006, Impact of P-glycoprotein on clopidogrel absorption., Clin Pharmacol Ther
    Xiang Q et al., 2017, Genetic Variants of PEAR1 are Associated with Platelet Function and Antiplatelet Drug Efficacy: A Systematic Review and Meta-Analysis., Curr Pharm Des
    Yao Y et al., 2016, Association of PEAR1 genetic variants with platelet reactivity in response to dual antiplatelet therapy with aspirin and clopidogrel in the Chinese patient population after percutaneous coronary intervention., Thromb Res
    Lewis JP et al., 2013, Genetic variation in PEAR1 is associated with platelet aggregation and cardiovascular outcomes., Circ Cardiovasc Genet
    Floyd CN et al., 2014, The PlA1/A2 polymorphism of glycoprotein IIIa in relation to efficacy of antiplatelet drugs: a systematic review and meta-analysis., Br J Clin Pharmacol
    Motovska Z et al., 2009, High loading dose of clopidogrel is unable to satisfactorily inhibit platelet reactivity in patients with glycoprotein IIIA gene polymorphism: a genetic substudy of PRAGUE-8 trial., Blood Coagul Fibrinolysis
    Cooke GE et al., 2006, Effect of platelet antigen polymorphism on platelet inhibition by aspirin, clopidogrel, or their combination., J Am Coll Cardiol
    Angiolillo DJ et al., 2004, PlA polymorphism and platelet reactivity following clopidogrel loading dose in patients undergoing coronary stent implantation., Blood Coagul Fibrinolysis
    Abell LM et al., 2011, Dissecting the activation of thienopyridines by cytochromes P450 using a pharmacodynamic assay in vitro., J Pharmacol Exp Ther
    Sangkuhl K et al., 2011, Platelet aggregation pathway., Pharmacogenet Genomics
    Giusti B et al., 2008, Role of glycoprotein Ia gene polymorphisms in determining platelet function in myocardial infarction patients undergoing percutaneous coronary intervention on dual antiplatelet treatment., Atherosclerosis
    Lepäntalo A et al., 2006, Polymorphisms of COX-1 and GPVI associate with the antiplatelet effect of aspirin in coronary artery disease patients., Thromb Haemost
    Angiolillo DJ et al., 2005, Variability in platelet aggregation following sustained aspirin and clopidogrel treatment in patients with coronary heart disease and influence of the 807 C/T polymorphism of the glycoprotein Ia gene., Am J Cardiol
    Angiolillo DJ et al., 2004, 807 C/T Polymorphism of the glycoprotein Ia gene and pharmacogenetic modulation of platelet response to dual antiplatelet treatment., Blood Coagul Fibrinolysis
  • CLOPIDOGREL   ITGA2

    Interaction Score: 4.64

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    22940005 17157856 16493486 16214444 15205592


    Sources:
    PharmGKB

  • CLOPIDOGREL   PEAR1

    Interaction Score: 3.09

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    28820077 26962983 23392654


    Sources:
    PharmGKB

  • CLOPIDOGREL   N6AMT1

    Interaction Score: 3.09

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    PharmGKB

  • CLOPIDOGREL   CES1P1

    Interaction Score: 3.09

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    24535487


    Sources:
    PharmGKB

  • CLOPIDOGREL   P2RY12

    Interaction Score: 2.65

    Interaction Types & Directionality:
    antagonist (inhibitory)

    Interaction Info:
    Trial Name Plavix
    Novel drug target Established target
    Trial Name CGT-2168

    PMIDs:
    16835302 12615691 15308557 15269827 19463375 14668029 15199474 11752352 15291969


    Sources:
    TdgClinicalTrial TEND TTD

  • CLOPIDOGREL   B4GALT2

    Interaction Score: 1.55

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    PharmGKB

  • CLOPIDOGREL   ITGB3

    Interaction Score: 1.55

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    23834376 22028352 19530321 19106083 16458133 15166949


    Sources:
    PharmGKB

  • CLOPIDOGREL   CES1

    Interaction Score: 1.41

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    27450232 25704243 24535487 23275066


    Sources:
    PharmGKB

  • CLOPIDOGREL   CYP4F2

    Interaction Score: 1.16

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    25712182 24418943


    Sources:
    PharmGKB

  • CLOPIDOGREL   ABCB1

    Interaction Score: 0.46

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    29397568 28914344 28589365 28378058 28358842 28135763 27380588 26362473 25850030 25542807 25430046 25060201 24762860 24535487 24262617 23726091 23364775 23150151 23056288 22990067 22940005 22723959 22624833 22285300 22190063 22045970 22028352 21918510 21831410 21806387 20801498 20801494 20650435 19106083 17112805


    Sources:
    PharmGKB

  • CLOPIDOGREL   NOS3

    Interaction Score: 0.28

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    22890915


    Sources:
    PharmGKB

  • CLOPIDOGREL   CYP2C8

    Interaction Score: 0.25

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    24971633


    Sources:
    PharmGKB

  • CLOPIDOGREL   CYP3A5

    Interaction Score: 0.12

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    21828263 20938371


    Sources:
    DTC PharmGKB

  • CLOPIDOGREL   PTGS1

    Interaction Score: 0.1

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    22940005


    Sources:
    PharmGKB

  • CLOPIDOGREL   CYP2B6

    Interaction Score: 0.06

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC

  • CLOPIDOGREL   CYP2C19

    Interaction Score: 0.01

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC FDA

  • CLOPIDOGREL   CYP2C9

    Interaction Score: 0.01

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC

  • CLOPIDOGREL   CYP1A2

    Interaction Score: 0.01

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC

  • CLOPIDOGREL   CYP2D6

    Interaction Score: 0.01

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC

  • CLOPIDOGREL   CYP3A4

    Interaction Score: 0.0

    Interaction Types & Directionality:
    n/a

    Interaction Info:

    PMIDs:
    None found


    Sources:
    DTC

  • TEND: CLOPIDOGREL

    • Version: 01-August-2011

    Alternate Names:
    CLOPIDOGREL Primary Drug Name

    Drug Info:
    Drug Class antithrombotic agents
    Year of Approval 1997

    Publications:

  • TdgClinicalTrial: CLOPIDOGREL

    • Version: January-2014

    Alternate Names:

    Drug Info:
    Drug Indications antiplatelet agent
    Drug Class Small Molecule
    FDA Approval approved

    Publications:

  • PharmGKB: clopidogrel

    • Version: 18-August-2020

    Alternate Names:

    Drug Info:

    Publications:
    Zhu HJ et al., 2013, Carboxylesterase 1 as a determinant of clopidogrel metabolism and activation., J Pharmacol Exp Ther
    Zhao Z et al., 2016, Impact of genetic polymorphisms related to clopidogrel or acetylsalicylic acid pharmacology on clinical outcome in Chinese patients with symptomatic extracranial or intracranial stenosis., Eur J Clin Pharmacol
    Tarkiainen EK et al., 2015, Carboxylesterase 1 c.428G>A single nucleotide variation increases the antiplatelet effects of clopidogrel by reducing its hydrolysis in humans., Clin Pharmacol Ther

  • DTC: CLOPIDOGREL

    • Version: 02-September-2020

    Alternate Names:
    CHEMBL1771 ChEMBL Drug ID

    Drug Info:

    Publications:

  • TTD: Clopidogrel

    • Version: 2020.06.01

    Alternate Names:
    D0N0TZ TTD Drug ID

    Drug Info:

    Publications:

  • ChemblDrugs: chembl:CHEMBL1771

    • Version: ChEMBL_27

    Alternate Names:

    Drug Info:

    Publications:

  • FDA: Clopidogrel

    • Version: 04-September-2020

    Alternate Names:

    Drug Info:

    Publications:

Disclaimer: This resource is intended for purely research purposes. It should not be used for emergencies or medical or professional advice.

A finding of a drug-gene interaction or potentially druggable category does not necessarily indicate effectiveness (or lack thereof) of any drug or treatment regimen. A finding of no interaction or no potentially druggable category does not necessarily indicate lack of effectiveness of any drug or treatment regimen. Drug-gene interactions or potentially druggable categories are not presented in ranked order of potential or predicted efficacy.

The dgidb.org website does not provide any medical or healthcare products, services or advice, and is not for medical emergencies or urgent situations. IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY, CALL YOUR DOCTOR OR 911 IMMEDIATELY. Information contained on this website is not a substitute for a doctor's medical judgment or advice. We recommend that you discuss your specific, individual health concerns with your doctor or health care professional.

DGIdb (v4.2.0 - sha1 afd9f30b) • Last updated 2020-10-21