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YH14659 is an oral fixed-dose capsule combination of **clopidogrel** and **aspirin** developed by Yuhan for dual antiplatelet therapy. Clopidogrel is a prodrug whose active metabolite irreversibly inhibits the platelet P2Y12 adenosine diphosphate receptor, while aspirin irreversibly inhibits cyclooxygenase-1 in platelets, reducing thromboxane A2 production. The combination was evaluated in Phase 1 crossover pharmacokinetic studies in healthy male volunteers against separately administered clopidogrel and aspirin, with acute coronary syndrome listed in the trial records.
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