Clinical Trials

Vorapaxar has been evaluated in multiple clinical trials spanning Phase 1 through Phase 4, primarily investigating cardiovascular and cerebrovascular conditions—including atherosclerosis, myocardial infarction, peripheral arterial disease, cerebral infarction, and coronary artery disease—as well as diabetes mellitus, HIV-associated coagulopathy, and arteriovenous fistula maturation. Sponsored by both pharmaceutical industry entities and academic or healthcare institutions, these studies encompass completed, withdrawn, and terminated recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02660866 UNKNOWN
Peripheral Arterial Disease
North Texas Veterans Healthcare System
2016-07 PHASE4
NCT02545933 COMPLETED
Myocardial Infarction
University of Florida
2016-02 PHASE4
NCT02548650 COMPLETED
Myocardial Infarction; Diabetes Mellitus; Peripheral Arterial Disease
University of Florida
2016-03-25 PHASE4
NCT03207451 COMPLETED
Coronary Artery Disease; Peripheral Vascular Disease; Myocardial Infarction
Inova Health Care Services
2016-01-01 PHASE4
NCT02975583 WITHDRAWN
Peripheral Artery Disease
Vanderbilt University
2017-10-01 PHASE4
NCT02394730 COMPLETED
HIV
Kirby Institute
2015-09 PHASE1; PHASE2
NCT02475837 COMPLETED
AV Fistula
Ken Mahaffey
2015-08-26 PHASE2
NCT02875028 COMPLETED
Healthy Volunteers
Medical University of Vienna
2016-06 PHASE4
NCT00526474 COMPLETED
Atherosclerosis; Ischemia; Myocardial Infarction; Cerebrovascular Accident; Peripheral Arterial Disease
Merck Sharp & Dohme LLC
2007-09-01 PHASE3
NCT00527943 TERMINATED
Atherosclerosis; Myocardial Ischemia; Myocardial Infarction
Merck Sharp & Dohme LLC
2007-12-01 PHASE3
NCT00617123 COMPLETED
Atherosclerosis; Ischemia; Myocardial Infarction; Cerebrovascular Accident
Merck Sharp & Dohme LLC
2008-07-01 PHASE3
NCT00684515 COMPLETED
Cerebral Infarction
Merck Sharp & Dohme LLC
2006-09-21 PHASE2
NCT00684203 COMPLETED
Atherosclerosis; Myocardial Ischemia; Myocardial Infarction
Merck Sharp & Dohme LLC
2006-12-01 PHASE2

(data from https://clinicaltrials.gov, updated on 2018-05-29)

Check the Vorapaxar (MK-5348) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Vorapaxar functions as a potent, orally active antagonist that selectively binds to protease-activated receptor 1 (PAR-1) with a Ki of 8.1 nM, thereby blocking thrombin-induced receptor activation and downstream intracellular signaling pathways. By inhibiting thrombin-mediated platelet activation and aggregation, the compound suppresses arterial thrombosis, demonstrating clinical relevance in managing ischemic conditions such as myocardial infarction and peripheral arterial disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.