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Updated: Jun 23, 2026

Ferric Chloride-induced Murine Thrombosis Models
Published on: September 5, 2016
Update on oral antiplatelet therapy: principles, problems and promises
Erik L Grove1, Steen D Kristensen
1Department of Cardiology, Aarhus University Hospital, Skejby, Brendstrupgaardsvej 100, Aarhus N 8200, Denmark. erikgrove@dadlnet.dk
Insights
New antiplatelet drugs aim to improve treatment for arterial thrombosis and cardiovascular events by offering better platelet inhibition and reversible effects. Research explores novel therapies beyond aspirin and clopidogrel.
Area of Science:
- Cardiovascular Pharmacology
- Hematology
- Thrombosis Research
Background:
- Platelets are critical in arterial thrombosis, making antiplatelet therapy essential for preventing cardiovascular events.
- Established drugs like aspirin and clopidogrel are cornerstones but have limitations, including variable patient response and persistent cardiovascular risks.
Purpose of the Study:
- To review the rationale behind novel oral antiplatelet drugs currently in development.
- To provide clinical perspectives on the pharmacological advantages and challenges of these emerging therapies.
Main Methods:
- Literature review of existing and investigational antiplatelet agents.
- Discussion of pharmacological mechanisms, clinical benefits, and potential drawbacks.
Main Results:
- Identified variability in platelet reactivity with current therapies necessitates new drug development.
- Emerging drugs aim for enhanced platelet inhibition and reversible effects.
Conclusions:
- Novel antiplatelet agents hold promise for more effective management of atherothrombosis.
- Further research and clinical trials are crucial to establish the full benefits and challenges of these new drugs.
Abstract:
Platelets are major players in arterial thrombosis, and antiplatelet therapy has a clear clinical benefit in the treatment and prevention of cardiovascular events. In particular, aspirin and clopidogrel have become cornerstones in the treatment of patients with atherothrombosis. However, despite the proven efficacy of antiplatelet drugs, cardiovascular events remain an important cause of morbidity and mortality in these patients. Furthermore, a considerable variability in platelet reactivity during treatment with established oral antiplatelet therapy has prompted the search for novel drugs against platelet-dependent thrombosis. Possible benefits of upcoming drugs include a more efficient platelet inhibition and a reversible effect on platelet function. Aspirin, clopidogrel, prasugrel, ticagrelor, terutroban, E5555, SCH 530348 and cilostazol are discussed. This review highlights the rationale for important oral antiplatelet drugs in development and provides clinical perspectives on their pharmacological advantages and challenges.
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