“…The thienopyridine compounds ticlopidine ( 32 ), clopidogrel ( 33 , Savi et al, 2006), and prasugrel ( 34 , Sugidachi, Asai, Ogawa, Inoue, & Koike, 2000; Sugidachi, Mizuno, Ohno, Jakubowski, & Tomizawa, 2016) are liver‐activated prodrugs. Their active metabolites, such as R‐138727 (structure not shown, Dansette, Levent, Hessani, & Mansuy, 2015), have been shown to interact in an irreversible manner with the human P2Y 12 receptor protein (Algaier, Jakubowski, Asai, & von Kugelgen, 2008; Ding, Bynagari, Mada, Jakubowski, & Kunapuli, 2009; Savi et al, 2006; Zhang, Zhang, Gao, Zhang, et al, 2014). Competitive P2Y 12 receptor antagonists include the nucleotide derivatives cangrelor ( 35 , AR‐C69931MX, N 6 ‐(2‐methylthioethyl)‐2‐(3,3,3‐trifluoropropylthio)‐β,γ‐dichloromethylene‐ATP) and AR‐C67085 (2‐propylthio‐β,γ‐dichloromethylene‐D‐ATP, 28 ; Ingall et al, 1999) as well as nucleoside derivatives such as the orally active ticagrelor ( 36 , AZD6140, Springthorpe et al, 2007; Hoffmann et al, 2009; Hoffmann et al, 2014).…”