Tirofiban is a small molecule inhibitor of the protein-protein interaction between fibrinogen and the platelet integrin receptor GP IIb/IIIa and is the first drug candidate whose origins can be traced to a pharmacophore-based virtual screening lead.
[4] Tirofiban is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in people with non-ST elevation acute coronary syndrome.
Arterial sheaths should be removed when the patient's activated clotting time is < 180 seconds or 2 to 6 hours following withdrawal of heparin.
Tirofiban has a rapid onset and short duration of action after proper IV administration.
Tirofiban is a synthetic, non-peptide inhibitor of the interaction of fibrinogen with the integrin glycoprotein IIb/IIIa on human platelets.
The Merck chemistry team of George Hartman, Melissa Egbertson and Wasyl Halczenko developed tirofiban from a lead compound discovered in focused screening of small molecule replacements of the key arginine-glycine-aspartic acid (Arg-Gly-Asp) subunit of fibrinogen.
Computation of the distance between the charged Arg and Asp sites in fibrinogen provided guidance leading to directed screening success.
Tirofiban is a modified version of a molecule found in the venom of the saw-scaled viper Echis carinatus.
[5][6] The drug is marketed under the brand name Aggrastat in the US by Medicure Pharma, in China by Eddingpharm, and in the rest of the world by Correvio International Sàrl.