Page last updated: 2024-11-11

ticagrelor

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Description

Ticagrelor: An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

ticagrelor : A triazolopyrimidine that is an adenosine isostere; the cyclopentane ring is similar to ribose and the nitrogen-rich [1,2,3]triazolo[4,5-d]pyrimidine moiety resembles the nucleobase adenine. A platelet aggregation inhibitor which is used for prevention of thromboembolic events in patients with acute coronary syndrome. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9871419
CHEMBL ID398435
CHEBI ID68558
SCHEMBL ID1979652
MeSH IDM0513890

Synonyms (93)

Synonym
azd 6140
azd6140
HY-10064
gtpl1765
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino]-5-propylsulfanyltriazolo[5,4-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
compound 17 [pmid: 17827008]
azd-6140
brilinta
ticagrelor
brilique
ar-c126532
chebi:68558 ,
possia
CHEMBL398435
ar-c126532xx
ticagrelor (jan/usan/inn)
274693-27-5
D09017
brilinta (tn)
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-d1,2-cyclopentanediolifluorophenyl)cyclopropyl]amino]-5-(propylthio)-3h-1,2,3-triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)-1,2-cyclopentanediol
ar-c 126532xx
EX-6274
S4079
bdbm50397205
unii-glh0314rvc
1,2-cyclopentanediol, 3-(7-(((1r,2s)-2-(3,4-difluorophenyl)cyclopropyl)amino)-5-(propylthio)-3h-1,2,3-triazolo(4,5-d)pyrimidin-3-yl)-5-(2-hydroxyethoxy)-, (1s,2s,3r,5s)-
ticagrelor [usan:inn:ban]
glh0314rvc ,
(1s,2s,3r,5s)-3-(7-((1r,2s)-2-(3,4-difluorophenyl)cyclopropylamino)-5-(propylthio)-3h-(1,2,3)triazolo(4,5-d)pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
hsdb 8306
ticargrelor
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino]-5-(propylthio)-3h-1,2,3-triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)-1,2-cyclopentanediol
ticagrelor [orange book]
ticagrelor [usp-rs]
ticagrelor [usan]
ticagrelor [ema epar]
(1s,2s,3r,5s)-3-(7-((1r,2s)-2-(3,4-difluorophenyl)cyclopropylamino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
ticagrelor [inn]
ticagrelor [ep monograph]
ticagrelor [jan]
ticagrelor [mart.]
ticagrelor [who-dd]
ticagrelor [mi]
ticagrelor [vandf]
CS-0619
(1s,2s,3r,5s)-3-[7-{[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino}-5-(propylsulfanyl)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
AKOS015900739
DB08816
OEKWJQXRCDYSHL-FNOIDJSQSA-N
(1s,2s,3r,5s)-3-(7-((1r,2s)-2-(3,4-difluorophenyl)cyclopropylamino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2 diol
(1s,2s,3r,5s)-3-(7-((1r,2s)-2-(3,4-difluorophenyl)cyclopropylamino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy) cyclopentane-1,2-diol
SCHEMBL1979652
(1s,2s,3r,5s)-3-(7-(((1r,2s)-2-(3,4-difluorophenyl)cyclopropyl)amino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
AM85693
[14c]-ticagrelor
AC-24755
c23h28f2n6o4s
AB01565855_02
mfcd09954148
(1s,2s,3r,5s)-3-(7-{[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino}-5-(propylsulfanyl)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
J-524969
EX-A503
J-016772
ticagrelor form
NCGC00379052-02
ticagrelor (brilinta,azd6140)
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino]-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)-cyclopropyl]amino]-5-(propylthio)-3h-[1,2,3]-triazolo[4,5-d]pyrimidine-3-yl]-5-(2-hydroxyethoxy) cyclopentane-1,2-diol
ar-c 126532xx;azd6140
Q420542
(1s,2s,3r,5s)-3-[7-[(1r,2s)-2-(3,4-difluorophenyl)cyclopropylamino]-5-(propylthio)- 3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
AS-19943
1,2-cyclopentanediol,3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino]-5-(propylthio)-3h-1,2,3-triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)-,(1s,2s,3r,5s)-
(1s,2s,3r,5s)-3-[7-[[(1r,2s)-2-(3,4-difluorophenyl)cyclopropyl]amino]-5-propylsulfanyltriazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
HMS3885B03
CCG-269870
NCGC00379052-01
(1s,2s,3r,5s)-3-(7-(((1r)-2-(3,4-difluorophenyl)cyclopropyl)amino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
DTXSID901009337 ,
(1s,2s,3r,5s)-3-(7-(((1s,2s)-2-(3,4-difluorophenyl)cyclopropyl)amino)-5-(propylthio)-3h-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
A850981
EN300-19659674
BT164470
ticagrelor- bio-x
(1s,2s,3r,5s)-3-(7-(((1r,2s)-2-(3,4-difluorophenyl)cyclopropyl)amino)-5-(propylsulfanyl)-3h-(1,2,3)triazolo(4,5-d)pyrimidin-3-yl)-5-(2-hydroxyethoxy)cyclopentane-1,2-diol
ticagrelorum
ticagrelor (mart.)
ticagrelor (ep monograph)
ticagrelor (usp-rs)
compound 17 (pmid: 17827008)
b01ac24
dtxcid501436166
Z2235802088

Research Excerpts

Overview

Ticagrelor is a more potent adenosine diphosphate (ADP) receptor blocker proven to be superior to clopidogrel among patients with acute coronary syndromes. The drug is an effective and well-tolerated option to attain a meaningful and clinically relevant reduction in cardiovascular mortality.

ExcerptReferenceRelevance
"Ticagrelor is a potent, oral P2Y12 inhibitor used as a part of dual antiplatelet therapy (DAPT) in acute coronary syndromes (ACS). "( Expert Opinion on P2Y12 Inhibitors Use in Management of Acute Coronary Syndromes: Focus on Ticagrelor.
Banerjee, S; Bp, P; C, SO; Chandra, S; Hardas, S; Hiremath, MS; Magarkar, V; Makhale, CN; Mishra, H; Navasundi, GB; Ponde, CK; R, B; Rath, PC; Ray, S; Sathe, S; Sathyamurthy, I; Sawhney, JP; Sen, AK; Vaidyanathan, PR, 2021
)
2.28
"Ticagrelor is a more potent adenosine diphosphate (ADP) receptor blocker proven to be superior to clopidogrel among patients with acute coronary syndromes."( Effects of Ticagrelor and Clopidogrel on Coronary Microcirculation in Patients with Acute Myocardial Infarction.
Aguiar, MO; Azevedo, L; Baracioli, LM; Berwanger, O; Chiang, HP; Dalcoquio, TF; de Luca, F; Ferrari, AG; Furtado, RHM; Giugliano, RP; Goodman, S; Lima, FG; Matthias, W; Menezes, FR; Nicolau, JC; Scanavini-Filho, MA, 2022
)
1.83
"Ticagrelor is a first-line drug for the treatment of acute ST elevation myocardial infarction (STEMI). "( Gut microbiota induces high platelet response in patients with ST segment elevation myocardial infarction after ticagrelor treatment.
Cai, Y; Han, Y; Song, H; Tian, X; Tong, F; Yan, C; Zhang, X; Zhang, Y, 2022
)
2.38
"Ticagrelor is an effective and well-tolerated option to attain a meaningful and clinically relevant reduction in cardiovascular mortality in both acute and chronic settings across a broad range of high-risk patient subpopulations with an acceptable payoff in terms of bleeding risk."( Cardiovascular mortality in patients with acute and chronic coronary syndrome: insights from the clinical evidence on ticagrelor.
Esposito, G; Gargiulo, G; Serino, F, 2022
)
2.37
"Ticagrelor is a cyclopentyl-triazole pyrimidine antiplatelet drug that was the first reversible oral P2Y12 receptor antagonist."( A Review of the Role of the Antiplatelet Drug Ticagrelor in the Management of Acute Coronary Syndrome, Acute Thrombotic Disease, and Other Diseases.
Chen, C; Chen, Z; Gu, X; Liu, W; Mao, X; Ren, S; Tao, L; Zhang, L; Zhao, Y, 2022
)
1.7
"Ticagrelor is a platelet inhibitor known to reduce major adverse cardiovascular events (MACE) in AMI patients."( In-vivo platelet activation and aggregation during and after acute atherothrombotic myocardial infarction in patients with and without Type-2 diabetes mellitus treated with ticagrelor.
AlAdili, B; Amraotkar, AR; Coulter, AR; Daham, ON; DeFilippis, AP; Kulkarni, S; Mitra, R; Singam, NSV; Singh, A; Smith, AE, 2022
)
1.64
"Ticagrelor is a widely used anti-platelet drug. "( Ticagrelor Protects against Sepsis-Induced Acute Kidney Injury through an Adenosine Receptor-Dependent Pathway.
Cao, YH; Fu, C; Ling, Y; Wang, YW; Xu, QC, 2022
)
3.61
"Ticagrelor is a relatively new agent which functions as a reversible inhibitor of the P2Y12 receptor working to prevent platelet aggregation and is used with or without aspirin in patients with acute coronary syndrome to reduce the risk of myocardial infarction and stroke."( An 80-Year-Old Man with Ischemic Heart Disease Who Developed Thrombotic Thrombocytopenic Purpura Following Treatment with Ticagrelor.
Al Madani, M; Chiang, B; Jarrett, SA; Varadi, G; Wattoo, A, 2022
)
1.65
"Ticagrelor is a frequently prescribed platelet aggregation inhibitor used in patients with acute coronary syndrome. "( [Dyspnoea due to ticagrelor after recent myocardial infarction].
Schellings, DAAM; van Gorselen, EOF, 2022
)
2.5
"Ticagrelor and aspirin is a common dual antiplatelet therapy regimen for patients who undergo percutaneous coronary intervention. "( Ticagrelor and primidone interaction masquerading as dual antiplatelet therapy noncompliance.
Ghani, A; Haider, J; McKay, R; Nagle, C; Patail, H; Rizvi, A, 2023
)
3.8
"Ticagrelor and aspirin is a common antiplatelet regimen for patients who undergo coronary intervention and stent implantation. "( Ticagrelor and primidone interaction masquerading as dual antiplatelet therapy noncompliance.
Ghani, A; Haider, J; McKay, R; Nagle, C; Patail, H; Rizvi, A, 2023
)
3.8
"Ticagrelor is a direct oral P2Y12 inhibitor that may achieve rapid platelet suppression than standard oral therapies."( Emergent use of ticagrelor during endovascular reperfusion in large arterial occlusions.
Al-Bayati, AR; Chester, KW; English, SW; Frankel, MR; Haussen, DC; Kim, SJ; Morgan, OJ; Nogueira, RG, 2023
)
1.98
"Ticagrelor is an oral, direct-acting, and reversible adenosine diphosphate P2Y"( Ticagrelor versus placebo for the reduction of vaso-occlusive crises in pediatric sickle cell disease: Rationale and design of a randomized, double-blind, parallel-group, multicenter phase 3 study (HESTIA3).
Abboud, MR; Amilon, C; Andersson, M; Berggren, AR; Githanga, J; Heeney, MM; Inusa, B; Kanter, J; Leonsson-Zachrisson, M; Michelson, AD, 2019
)
2.68
"Ticagrelor is a drug widely used in patients with acute coronary syndromes (ACS) that specifically increases the plasma level of adenosine, which is likely to cause atrial fibrillation (AF). "( Comparison of atrial fibrillation predictors in patients with acute coronary syndrome using ticagrelor or clopidogrel
Açıkel, S; Aker, M; Algül, E; Çimen, T; Dural, M; Erat, M; Felekoğlu, MA; Guliyev, İ; Sunman, H; Tulmaç, M, 2019
)
2.18
"Ticagrelor is an antiplatelet agent used for treatment of coronary artery disease via inhibition of the P2Y12 receptor. "( Successful intravenous thrombolysis for ischemic stroke as a complication of coronary intervention in patients with ticagrelor pretreatment.
Choi, PMC; Fink, JN; Ho, R; Jahangiri, B; Smyth, DW; Wright, SL; Wu, TY, 2020
)
2.21
"Ticagrelor is an antagonist of both platelet adenosine diphosphate (ADP) receptor P2Y"( Offset of ticagrelor prior to coronary artery bypass graft surgery for acute coronary syndromes: effects on platelet function and cellular adenosine uptake.
Briffa, NP; Hanson, J; Judge, HM; Ow, KW; Parker, WAE; Porter, MM; Storey, RF; Thomas, MR, 2020
)
2.4
"Ticagrelor is a reversibly binding, direct-acting, oral, P"( Ticagrelor and preconditioning in patients with stable coronary artery disease (TAPER-S): a randomized pilot clinical trial.
Aurigemma, C; Borovac, JA; Buffon, A; Burzotta, F; Canonico, F; Ceccarelli, I; Crea, F; D'Amario, D; Flex, A; Franceschi, F; Francese, F; Galli, M; Leone, AM; Limbruno, U; Migliaro, S; Montone, RA; Niccoli, G; Porto, I; Restivo, A; Tinelli, G; Trani, C; Vergallo, R, 2020
)
3.44
"Ticagrelor is a safe and effective SAPT for the prevention of TEE after FD. "( Safety and efficacy of ticagrelor as single antiplatelet therapy in prevention of thromboembolic complications associated with the Pipeline Embolization Device (PED): multicenter experience.
Elbassiouny, A; English, SW; Hegazy, A; Khedr, E; Mohammaden, MH; Shoyb, A; Stapleton, CJ, 2020
)
2.31
"Ticagrelor is an antiplatelet agent acting through direct and reversible competitive inhibition of the platelet P2Y"( An updated drug profile of ticagrelor with considerations on the treatment of patients with coronary artery disease and diabetes mellitus.
Angiolillo, DJ; Calderone, D; Capodanno, D, 2020
)
2.3
"Ticagrelor is a potent and orally active P2Y"( Ticagrelor in the management of coronary artery disease.
Adamson, PD; Loganath, K; Moss, AJ, 2021
)
3.51
"Ticagrelor is an antiplatelet agent approved for the treatment of patients with an acute coronary syndrome or a history of myocardial infarction. "( An evaluation of ticagrelor for the treatment of sickle cell anemia.
Adorno, EV; Barbosa, CG; Ferreira, JRD; Goncalves, MS; Leite, IPR; Lyra, IM; Neres, JSDS; Pina, ETG; Pitanga, TN; Ribeiro-Filho, J; Santana, SS; Yahouédéhou, SCMA, 2020
)
2.34
"Ticagrelor is a recommended P2Y"( Ticagrelor Does Not Protect Against Endothelial Ischemia-Reperfusion Injury in Patients With Coronary Artery Disease.
Ekström, M; Pernow, J; Saleh, N; Settergren, M; Sörensson, P; Verouhis, D, 2021
)
3.51
"Ticagrelor is a successful purinergic drug directly targeting ADP-mediated P2Y"( Ticagrelor: a cardiometabolic drug targeting erythrocyte-mediated purinergic signaling?
Erlinge, D; Pernow, J; Wernly, B; Zhou, Z, 2021
)
2.79
"Ticagrelor is a novel antiplatelet agent that is frequently used for secondary prevention in coronary artery disease and has emerging evidence in stroke after the recent results of SOCRATES and THALES trials. "( Stroke Thrombolysis in Patients Taking Ticagrelor -Two Successful Cases and a Review of the Literature.
English, S; Frankel, M; Landzberg, DR; Navalkele, D, 2021
)
2.33
"Ticagrelor is a potent reversible P2Y12 inhibitor with proven superiority over clopidogrel. "( A rare case of late-onset ticagrelor-induced sinus arrest.
Aranganathan, P; Balasundaram, R; Boopathi, A; Rangan, A; Wilson, B, 2021
)
2.36
"Ticagrelor is an antiplatelet agent which is extensively metabolized in an active metabolite: AR-C124910XX. "( Validation of an HPLC-MS/MS Method for the Determination of Plasma Ticagrelor and Its Active Metabolite Useful for Research and Clinical Practice.
Davani, S; Lagoutte-Renosi, J; Rabani, V; Royer, B, 2021
)
2.3
"Ticagrelor is an effective antiplatelet that is unaffected by the CYP2C19 polymorphism."( Short- and long-term cost-effectiveness analysis of CYP2C19 genotype-guided therapy, universal clopidogrel, versus universal ticagrelor in post-percutaneous coronary intervention patients in Qatar.
Al-Badriyeh, D; AlMukdad, S; Arafa, S; Elewa, H, 2021
)
1.55
"Ticagrelor is an adenosine diphosphate (ADP) receptor antagonist antithrombotic that can inhibit ADP-dependent platelet activation and aggregation."( The effect of ticagrelor on microarterial thrombosis in an experimental model.
Altun, S; Çetinbaş, A; Okur, Mİ; Özercan, İ; Öztan, M; Yıldız Altun, A, 2021
)
1.7
"Ticagrelor is a first-line clinical drug for the treatment of acute coronary syndrome, but its oral bioavailability is relatively low. "( Untargeted metabolomics reveals the mechanism of quercetin enhancing the bioavailability of ticagrelor.
Sun, Y; Tang, Y; Wei, B; Wei, S; Xu, X; Zhang, W, 2021
)
2.28
"Ticagrelor is a part of dual antiplatelet therapy (DAPT) which has proven benefits in patients with acute coronary syndrome especially in those undergoing percutaneous coronary intervention (PCI). "( Severe diarrhoea due to use of P2Y12 inhibitor ticagrelor: a rarely reported adverse event.
Elzouki, AN; Rashid, K; Rehman, HU; Waheed, MA, 2021
)
2.32
"Ticagrelor is a novel P2Y12 antagonist, and little is known about its efficacy and safety in the endovascular treatment of aneurysms. "( Ticagrelor versus Clopidogrel in the Dual Antiplatelet Regimen for Intracranial Stenting or Flow-Diverter Treatment for Unruptured Cerebral Aneurysms: A Single-Center Cohort Study.
Agid, R; Hilario, A; Kortman, H; Kostynskyy, A; Krings, T; Nicholson, P; Ozaki, T; Park, KY; Pereira, VM, 2021
)
3.51
"Ticagrelor is a potent oral platelet P2Y"( Ticagrelor: clinical development and future potential.
Parker, WAE; Sanderson, NC; Storey, RF, 2021
)
2.79
"Ticagrelor is an oral antiplatelet drug that can reversibly bind to the platelet P2Y12 receptor. "( A review of the effects of ticagrelor on adenosine concentration and its clinical significance.
Akkaif, MA; Daud, NAA; Ibrahim, B; Ng, ML; Sha'aban, A; Sk Abdul Kader, MA, 2021
)
2.36
"Ticagrelor is a P2Y12 receptor inhibitor, constituting the first-line treatment for STEMI and NSTEMI."( Comparison of Ticagrelor Pharmacokinetics and Pharmacodynamics in STEMI and NSTEMI Patients (PINPOINT): protocol for a prospective, observational, single-centre study.
Adamski, P; Buszko, K; Koziński, M; Krintus, M; Kubica, J; Marszałł, MP; Obońska, K; Ostrowska, M; Sikora, J; Sypniewska, G, 2017
)
1.54
"Ticagrelor is a safe and effective agent for prevention of thromboembolic complications following flow diverter deployment when compared to clopidogrel. "( A Multicenter Cohort Comparison Study of the Safety, Efficacy, and Cost of Ticagrelor Compared to Clopidogrel in Aneurysm Flow Diverter Procedures.
Adeeb, N; Griessenauer, CJ; Gupta, R; Moore, JM; Ogilvy, CS; Patel, AS; Shallwani, H; Siddiqui, A; Thomas, AJ; Youn, R, 2017
)
2.13
"Ticagrelor is an effective antiplatelet therapy among patients with atherosclerotic disease and, therefore, could be more effective than aspirin in preventing recurrent stroke and cardiovascular events among patients with embolic stroke of unknown source (ESUS), which includes patients with ipsilateral stenosis <50% and aortic arch atherosclerosis."( Ticagrelor Versus Aspirin in Acute Embolic Stroke of Undetermined Source.
Albers, GW; Amarenco, P; Denison, H; Easton, JD; Evans, SR; Held, P; Hill, MD; Johnston, SC; Jonasson, J; Kasner, SE; Ladenvall, P; Minematsu, K; Molina, CA; Wang, Y; Wong, KSL, 2017
)
3.34
"Ticagrelor is a direct acting and reversibly binding P2Y12 antagonist approved for the prevention of thromboembolic events. "( Effects of ticagrelor in a mouse model of ischemic stroke.
Hara, H; Imai, T; Iwama, T; Shimazawa, M; Yamauchi, K, 2017
)
2.29
"Ticagrelor is an antiplatelet agent that inhibits platelet activation via P2Y12 antagonism. "( Impact of ticagrelor on P2Y1 and P2Y12 localization and on cholesterol levels in platelet plasma membrane.
Davani, S; Meneveau, N; Montange, D; Rabani, V, 2018
)
2.33
"Ticagrelor is a direct-acting P2Y12 inhibitor and, unlike clopidogrel and prasugrel, does not require metabolic activation."( Effect of Chewing vs Swallowing Ticagrelor on Platelet Inhibition in Patients With ST-Segment Elevation Myocardial Infarction: A Randomized Clinical Trial.
Abu-Much, A; Asher, E; Barbash, I; Beigel, R; Chernomordik, F; Elian, D; Fefer, P; Guetta, V; Katz, M; Matetzky, S; Mazin, I; Narodistky, M; Regev, E; Sabbag, A; Segev, A; Tal, S, 2017
)
1.46
"Ticagrelor is a first drug of a new chemical class cyclopentyltriazolopyrimidines. "( Ticagrelor in modern cardiology - an up-to-date review of most important aspects of ticagrelor pharmacotherapy.
Danielak, D; Główka, F; Karaźniewicz-Łada, M, 2018
)
3.37
"Ticagrelor is an orally administered, reversibly binding, direct-acting P2Y"( Safety and Incidence of Cardiovascular Events in Chinese Patients with Acute Coronary Syndrome Treated with Ticagrelor: the 12-Month, Phase IV, Multicenter, Single-Arm DAYU Study.
Gao, R; Han, Y; Leonsson-Zachrisson, M; Liu, H; Liu, L; Shen, L; Su, G; Wang, Y; Wang, Z; Wu, Y; Yuan, Z; Zhang, A; Zhang, H; Zheng, Y, 2018
)
2.14
"Ticagrelor is an antiplatelet agent with low resistance rates but unknown efficacy and safety in neurovascular patients."( Dual Antiplatelet Therapy Combining Aspirin and Ticagrelor for Intracranial Stenting Procedures: A Retrospective Single Center Study of 154 Consecutive Patients With Unruptured Aneurysms.
Amelot, A; Angoulvant, D; Bibi, R; Gruel, Y; Herbreteau, D; Janot, K; Narata, AP, 2019
)
1.49
"Ticagrelor is a reversible P2Y"( Is ticagrelor worth its high cost and side-effects?
Ennezat, PV; Guerbaai, RA; Le Jemtel, TH; Mahata, I; Maréchaux, S, 2019
)
2.58
"Ticagrelor is a P2Y"( Ticagrelor Use in Acute Myocardial Infarction: Insights From the National Cardiovascular Data Registry.
Alam, M; Ballantyne, CM; Basra, SS; Bozkurt, B; Chiswell, K; Denktas, AE; Deswal, A; Jneid, H; Nambi, V; Peterson, ED; Simon, DN; Virani, SS; Wang, TY, 2018
)
3.37
"Ticagrelor is a direct and reversible competitive antagonist of the P2Y12 receptor and inhibits platelet activation. "( Lethal cerebral hemorrhage after ticagrelor intoxication: a specific antidote is urgently needed.
Böhle, H; Fonrose, X; Francony, G; Jourdil, JF; Marlu, R; Stanke-Labesque, F; Willeman, T, 2018
)
2.2
"Ticagrelor is a P2Y"( Does Ticagrelor Improve Endothelial Function?
Alexopoulos, D; Moulias, A; Xanthopoulou, I, 2019
)
2.47
"Ticagrelor is a P2Y12 receptor antagonist with evidence of cardiovascular event reduction in patients with acute coronary syndromes and those with a previous myocardial infarction."( Ticagrelor and the Prevention of Microvascular Complications in Diabetes Patients with Lower Extremity Arterial Disease; Rationale and Design of the Hema-Kinesis Trial.
Chen, Q; Cho, DJ; Lee, ML; Najera, SD; Rosenson, RS, 2018
)
2.64
"Ticagrelor is a state-of-the-art antiplatelet agent used for the treatment of patients with acute coronary syndromes (ACS). "( Metabolism of ticagrelor in patients with acute coronary syndromes.
Adamski, P; Barańska, M; Buszko, K; Gorog, DA; Kubica, J; Navarese, EP; Niezgoda, P; Ostrowska, M; Paciorek, P; Sikora, J, 2018
)
2.28
" Ticagrelor is an anti-platelet agent that is indicated for prevention of thrombosis after acute coronary syndrome or intra-coronary artery stent implantation, but it increases the risk of bleeding. "( In Vitro Reversal of the Anti-Aggregant Effect of Ticagrelor Using Untreated Platelets.
Bhagirath, VC; Chan, NC; Dale, B; de Vries, TAC; Eikelboom, JW; Ginsberg, JS; Hirsh, J; Kruger, PC; Xu, K, 2018
)
1.64
"Ticagrelor is an antiplatelet agent for adults with coronary artery disease. "( Ticagrelor does not impact patient-reported pain in young adults with sickle cell disease: a multicentre, randomised phase IIb study.
Abboud, MR; Amilon, C; Gottfridsson, C; Kanter, J; Kaya, B; Leonsson-Zachrisson, M; Nduba, V; Rensfeldt, M, 2019
)
3.4
"Ticagrelor is an alternative not requiring platelet inhibition testing."( Comparison of two preventive dual antiplatelet regimens for unruptured intracranial aneurysm embolization with flow diverter/disrupter: A matched-cohort study comparing clopidogrel with ticagrelor.
Backchine, S; Foussier, C; Gawlitza, M; Litré, CF; Manceau, PF; Pierot, L; Soize, S, 2019
)
1.43
"Ticagrelor is an orally administered platelet aggregation inhibitor with a cyclopentyl-triazolopyrimidine structure; it is a selective reversible P2Y12 receptor antagonist, which prevents P2Y12-mediated and ADP-mediated platelet activation and aggregation. "( Analytical methodologies for the determination of ticagrelor.
Hancu, G; Kelemen, H; Papp, LA, 2019
)
2.21
"Ticagrelor is an oral P2Y"( Antibody-Based Ticagrelor Reversal Agent in Healthy Volunteers.
Arnold, SE; Bhatt, DL; Jennings, LK; Lee, JS; Mays, MC; Pollack, CV; Umstead, BR; Weitz, JI; Xu, S, 2019
)
2.31
"Ticagrelor is an intriguing antiplatelet agent with a potentially beneficial impact on endothelial dysfunction and confers a mortality benefit beyond 1 month after acute coronary syndrome (ACS). "( Ticagrelor Does Not Improve Endothelial Dysfunction in Stable Survivors of Acute Coronary Syndrome.
Chang, K; Choi, IJ; Choo, EH; Chung, WS; Hwang, BH; Kim, CJ; Lee, JM; Lee, KY; Lim, S, 2019
)
3.4
"Ticagrelor is a cornerstone of modern antithrombotic therapy alongside aspirin in patients with acute coronary syndrome and after percutaneous coronary intervention. "( Premature Ticagrelor Discontinuation in Secondary Prevention of Atherosclerotic CVD: JACC Review Topic of the Week.
Arora, S; Das, SR; Garg, SK; Gupta, A; Khalili, H; Kumbhani, DJ; Mayo, H; Pandey, A; Qamar, A; Shemisa, K; Vaduganathan, M, 2019
)
2.36
"Ticagrelor is an oral, reversible, direct-acting P2Y"( YINGLONG: A Multicenter, Prospective, Non-Interventional Study Evaluating the Safety and Tolerability of Ticagrelor in Chinese Patients with Acute Coronary Syndrome.
Bai, L; Du, X; Ge, J; Leonsson-Zachrisson, M; Ma, CS; Ma, S; Su, X; Sun, J; Wang, X; Yang, P; Yu, Z; Zheng, Y, 2019
)
2.17
"Ticagrelor is a reversibly binding oral P2Y(12) inhibitor, which belongs to a novel chemical class of antiplatelet agents named cyclopentyl-triazolo-pyrimidines. "( Cost-effectiveness of ticagrelor in acute coronary syndromes.
Henriksson, M; Janzon, M, 2013
)
2.15
"Ticagrelor is a direct-acting, reversibly binding, oral P2Y12 platelet inhibitor that reduces thrombotic cardiovascular events in patients with acute coronary syndrome. "( Effect of ticagrelor on pulmonary function in healthy elderly volunteers and asthma or chronic obstructive pulmonary disease patients.
Butler, K; Maya, J; Teng, R, 2013
)
2.23
"Ticagrelor is a reversible inhibitor of platelet-aggregation, and is used instead of clopidogrel in the treatment of acute coronary syndrome (ACS). "( [Gastrointestinal bleeding after treatment with ticagrelor].
Hauge, J; Kragh, R; Poulsen, BK, 2013
)
2.09
"Ticagrelor is a novel antiplatelet drug developed to reduce atherothrombosis. "( Lifetime cost-effectiveness analysis of ticagrelor in patients with acute coronary syndromes based on the PLATO trial: a Singapore healthcare perspective.
Chin, CT; Chua, TS; Matchar, DB; Mellstrom, C, 2013
)
2.1
"Ticagrelor is a reversibly binding P2Y12 receptor antagonist for the prevention of atherothrombotic events in patients with acute coronary syndrome. "( A pharmacokinetic interaction study of ticagrelor and digoxin in healthy volunteers.
Butler, K; Teng, R, 2013
)
2.1
"Ticagrelor is a new reversible ADP P2Y12 platelet receptor inhibitor with no known resistance."( Safety and efficacy of ticagrelor for neuroendovascular procedures. A single center initial experience.
Dixon, T; Freeman, WD; Hanel, RA; Johns, G; Miller, DA; Navarro, R; Nordeen, JD; Sapin, M; Taussky, P; Tawk, RG, 2014
)
1.43
"Ticagrelor (Brilinta®) is a new oral reversible antiplatelet agent approved by the FDA in July 2011 based on the results of the PLATO (Platelet Inhibition and Patient Outcomes) trial. "( Changes of ticagrelor formulary tiers in the USA: targeting private insurance providers away from government-funded plans.
Dinicolantonio, JJ; Serebruany, VL, 2013
)
2.22
"Ticagrelor is a P2Y12 receptor antagonist, with superior effects but also ensuing enhanced bleeding risk as compared to clopidogrel. "( Comparison of a new ELISA-based with the flow cytometric assay for vasodilator-associated stimulated phosphoprotein phosphorylation to assess P2Y12 -inhibition after ticagrelor intake.
Derhaschnig, U; Hobl, EL; Jilma, B; Jilma-Stohlawetz, P; Schoergenhofer, C; Schwameis, M,
)
1.77
"Ticagrelor is a potent P2Y12 adenosine diphosphate receptor antagonist characterized by a rapid onset, consistent and reversible antiplatelet effect, and an acceptable safety profile compared with existing adenosine diphosphate receptor blockers. "( Ticagrelor for acute coronary syndromes.
Bansilal, S; Bonaca, MP; Sabatine, MS, 2013
)
3.28
"Ticagrelor is a direct-acting P2Y12-adenosine diphosphate receptor blocker. "( Ticagrelor increases adenosine plasma concentration in patients with an acute coronary syndrome.
Bonello, L; Camoin-Jau, L; Condo, J; Dignat-George, F; Frere, C; Fromonot, J; Gariboldi, V; Guieu, R; Helal, O; Kipson, N; Laine, M; Mancini, J; Paganelli, F; Thuny, F, 2014
)
3.29
"Ticagrelor (Brilique®) is a novel reversible platelet inhibitor at P2Y12 receptor used in patients with acute coronary syndrome and patients undergoing percutaneous coronary interventions. "( Perioperative outcomes of cardiac surgery patients with ongoing ticagrelor therapy: boon and bane of a new drug.
Bauer, M; Bräuer, A; Danner, BC; Hinz, J; Meyer, K; Mohite, PN; Popov, AF; Schöndube, FA; Schotola, H; Sossalla, S, 2014
)
2.08
"Ticagrelor is a reversibly binding and selective P2Y12 -receptor antagonist approved for the prevention of atherothrombotic events in patients with acute coronary syndromes. "( The effect of desmopressin on bleeding time and platelet aggregation in healthy volunteers administered ticagrelor.
Butler, K; Mitchell, PD; Teng, R, 2014
)
2.06
"Ticagrelor is a recently approved P2Y12 receptor antagonist that is subject to drug-drug interactions involving the hepatic cytochrome P450-3A4 enzyme system because of its metabolic elimination pathway."( Improved ticagrelor antiplatelet effect on discontinuation of phenytoin.
Nathan, S; Raissi, F; Sieg, A; Vahdat, K; Weeks, P, 2014
)
1.54
"Ticagrelor is a potent, reversibly binding P2Y12 receptor-antagonist that has been shown to be superior to clopidogrel in patients with acute coronary syndromes for up to 1 year."( Design and rationale for the Prevention of Cardiovascular Events in Patients With Prior Heart Attack Using Ticagrelor Compared to Placebo on a Background of Aspirin-Thrombolysis in Myocardial Infarction 54 (PEGASUS-TIMI 54) trial.
Bhatt, DL; Bonaca, MP; Braunwald, E; Cohen, M; Held, P; Jensen, EC; Sabatine, MS; Steg, PG; Storey, RF, 2014
)
1.34
"Ticagrelor is a reversibly binding P2Y12 receptor antagonist used clinically for the prevention of atherothrombotic events in patients with acute coronary syndromes (ACS). "( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
2.09
"Ticagrelor is a more potent platelet inhibitor, but data supporting concurrent use of ticagrelor and warfarin (dual antithrombotic therapy, DT) is limited."( Concomitant use of warfarin and ticagrelor as an alternative to triple antithrombotic therapy after an acute coronary syndrome.
Bico, B; Braun, OÖ; Chaudhry, U; Gustav Smith, J; Jovinge, S; Koul, S; Scherstén, F; Svensson, PJ; Tydén, P; van der Pals, J; Wagner, H, 2015
)
1.42
"Ticagrelor is a direct-acting and reversible P2Y12-adenosine diphosphate (ADP) receptor blocker used as antiplatelet drug. "( Identification of the major degradation pathways of ticagrelor.
Akrout, W; Amrani, F; Bernard, M; Do, B; Henriet, T; Sadou Yayé, H; Secrétan, PH; Tilleul, P; Yagoubi, N, 2015
)
2.11
"Ticagrelor is a direct-acting reversibly binding P2Y12 antagonist and is widely used as an antiplatelet therapy for the prevention of cardiovascular events in acute coronary syndrome patients. "( Structural and functional characterization of a specific antidote for ticagrelor.
Antonsson, T; Austin, M; Buchanan, A; Gennemark, P; Howells, G; Inghardt, T; Janefeldt, A; Keyes, F; Newton, P; Nylander, S; Öster, L; Pehrsson, S; Penney, M; Sandinge, AS; Sjögren, T; Spooner, J; Svensson, P; Vaughan, T, 2015
)
2.09
"Ticagrelor is an oral platelet P2Y12 receptor antagonist which is recommended for patients suffering from myocardial infarction, both with and without persistent ST segment elevation. "( Influence of Morphine on Pharmacokinetics and Pharmacodynamics of Ticagrelor in Patients with Acute Myocardial Infarction (IMPRESSION): study protocol for a randomized controlled trial.
Adamski, P; Grześk, G; Koziński, M; Kubica, J; Laskowska, E; Obońska, E; Obońska, K; Ostrowska, M; Paciorek, P; Winiarski, P, 2015
)
2.1
"Ticagrelor is an oral antiplatelet agent of the cyclopentyltriazolopyrimidine class and also acts through the P2Y12 receptor."( Ticagrelor: Pharmacokinetic, Pharmacodynamic and Pharmacogenetic Profile: An Update.
Teng, R, 2015
)
2.58
"Ticagrelor is a novel ADP receptor blocker that has shown greater, more rapid and more consistent platelet inhibition than clopidogrel."( Ticagrelor: a safe and effective approach for overcoming clopidogrel resistance in patients with stent thrombosis?
Duraj, L; Fedor, M; Galajda, P; Kovář, F; Kubisz, P; Mokáň, M; Samoš, M; Stančiaková, L; Staško, J, 2016
)
2.6
"Ticagrelor is a novel direct-acting P2Y12 receptor antagonist used for preventing atherothrombotic events in patients with acute coronary syndromes (ACS). "( Comparison of half- and standard-dose ticagrelor in Chinese patients with NSTE-ACS.
Dong, XW; Dong, ZX; Guo, H; Kong, YH; Li, JQ; Li, Y; Liu, B; Pan, YJ; Shao, Q; Sheng, L; Shi, J; Sun, DH; Wang, DY; Xue, HJ; Xue, JY; Yang, HP; Zhang, L; Zhou, YY, 2016
)
2.15
"Ticagrelor is a cost-effective strategy for the treatment of patients with acute coronary syndrome in Colombia."( Cost-effectiveness analysis of ticagrelor compared to clopidogrel for the treatment of patients with acute coronary syndrome in Colombia.
Atehortúa, S; Ceballos, M; Mejía, A; Mejía, ME; Ramírez, C; Saldarriaga, C; Senior, JM; Toro, JM,
)
1.86
"Ticagrelor is a newer P2Y12 receptor antagonist with established clinical benefit."( Spontaneous subdural hematoma and antiplatelet therapy: Does efficacy of Ticagrelor come with added risk?
Hegde, AV; Javali, M; Mahale, R; Srinivasa, R; Suryanarayana Sharma, PM; Tekkatte Jagannatha, A, 2015
)
1.37
"Ticagrelor is an orally administered antiplatelet agent used to reduce thrombotic events in patients with acute coronary syndromes. "( Population pharmacokinetics of ticagrelor in patients with acute coronary syndromes.
Husted, S; Li, J; Storey, RF; Tang, W; Teng, R, 2016
)
2.16
"Ticagrelor is a direct acting on the P2Y12 receptor blocker, which provides faster and greater platelet inhibition than clopidogrel. "( Design and Rationale of the APELOT Trial: A Randomized, Open-Label, Multicenter, Phase IV Study to Evaluate the Antiplatelet Effect of Different Loading Dose of Ticagrelor in Patients With Non-ST Acute Coronary Syndrome Undergoing Percutaneous Coronary In
Ding, P; Han, W; Jin, ZG; Liu, HL; Liu, Y; Luo, JP; Ma, DX; Wei, YJ; Yang, SL; Zhang, J, 2016
)
2.07
"Ticagrelor is a potent antiplatelet drug metabolized by cytochrome (CYP)3A. "( Coadministration of ticagrelor and ritonavir: Toward prospective dose adjustment to maintain an optimal platelet inhibition using the PBPK approach.
Daali, Y; Desmeules, JA; Fontana, P; Marsousi, N; Reny, JL; Rudaz, S; Samer, CF, 2016
)
2.2
"Ticagrelor is an antagonist of the platelet P2Y"( Studies of the interaction of ticagrelor with the P2Y
Balduini, A; Becker, RC; Björquist, A; Cattaneo, M; Di Buduo, CA; Femia, EA; Nylander, S; Storey, RF, 2016
)
2.17
"Ticagrelor seems to be an attractive option for patients with renal dysfunction, peripheral arterial disease, or following a brief P2Y12-receptor antagonist interruption, whereas clopidogrel may be advised in the presence of cost and availability issues."( Long-Term P2Y12-Receptor Antagonists in Post-Myocardial Infarction Patients: Facing a New Trilemma?
Alexopoulos, D; Lekakis, J; Moulias, A; Xanthopoulou, I, 2016
)
1.16
"Ticagrelor is an oral P2Y12 antagonist that is used as a standard treatment in patients after acute myocardial infarction."( Ticagrelor promotes atherosclerotic plaque stability in a mouse model of advanced atherosclerosis.
Bea, F; Blessing, E; Katus, HA; Mogler, C; Preusch, MR; Rusnak, J; Sievers, P; Staudacher, I; Staudacher, K; Uhlmann, L, 2016
)
2.6
"Ticagrelor is a potent antagonist of the P2Y"( Inverse agonism at the P2Y12 receptor and ENT1 transporter blockade contribute to platelet inhibition by ticagrelor.
Aungraheeta, R; Butler, M; Conibear, A; Kelly, E; Mumford, A; Mundell, SJ; Nylander, S, 2016
)
2.09
"Ticagrelor is a direct-acting inhibitor of the adenosine diphosphate receptor P2Y12 that has a more rapid onset and offset than clopidogrel."( Efficacy and safety of ticagrelor versus clopidogrel with different dosage in high-risk patients with acute coronary syndrome.
Gao, Y; Guan, QG; Guo, L; Jia, DL; Li, YZ; Qi, GX; Sun, YX; Tian, W; Xin, YG; Xu, F; Yu, HJ; Zhang, HS; Zhang, XG; Zhang, YL, 2017
)
1.49
"Ticagrelor is a direct-acting P2Y12 receptor antagonist. "( No Effect of SLCO1B1 and CYP3A4/5 Polymorphisms on the Pharmacokinetics and Pharmacodynamics of Ticagrelor in Healthy Chinese Male Subjects.
Chen, X; Hu, X; Hu, Y; Li, H; Li, M; Tang, J; Wen, Z; Xiao, J; Zhang, D; Zhang, Y, 2017
)
2.12
"Ticagrelor is a reversible and direct-acting oral antagonist of the adenosine diphosphate receptor P2Y12. "( Ticagrelor induced systemic inflammatory response syndrome.
Buser, PT; Haschke, M; Krisai, P; Mueller, C, 2017
)
3.34
"Ticagrelor is an orally administered, direct, and reversible inhibitor of the P2Y"( Long-Term Use of Ticagrelor in Patients with Coronary Artery Disease.
Ariotti, S; Gargiulo, G; Valgimigli, M, 2017
)
2.24
"Ticagrelor is a potent but more expensive alternative antiplatelet agent that is not affected by CYP2C19 polymorphism."( Cost-effectiveness of cytochrome P450 2C19 *2 genotype-guided selection of clopidogrel or ticagrelor in Chinese patients with acute coronary syndrome.
Lee, VWY; Liew, D; Wang, Y; Yan, BP, 2018
)
1.42
"Ticagrelor is a direct acting P2Y12 inhibitor and, unlike clopidogrel and prasugrel, does not require metabolic activation."( Chewing versus Swallowing Ticagrelor to Accelerate Platelet Inhibition in Acute Coronary Syndrome - the CHEERS study. For The PLATIS (Platelets and Thrombosis in Sheba) Study Group.
Abu-Much, A; Asher, E; Barbash, I; Beigel, R; Berkovitch, A; Erez, A; Frydman, S; Katz, M; Kukuy, A; Matetzky, S; Mazin, I; Mazo, A; Narodistky, M; Regev, E; Sabbag, A; Segev, A, 2017
)
1.48
"Ticagrelor is an effective antiplatelet therapy for patients with coronary atherosclerotic disease and might be more effective than aspirin in preventing recurrent stroke and cardiovascular events in patients with acute cerebral ischaemia of atherosclerotic origin. "( Efficacy and safety of ticagrelor versus aspirin in acute stroke or transient ischaemic attack of atherosclerotic origin: a subgroup analysis of SOCRATES, a randomised, double-blind, controlled trial.
Albers, GW; Amarenco, P; Denison, H; Easton, JD; Evans, SR; Held, P; Hill, MD; Johnston, SC; Jonasson, J; Kasner, SE; Ladenvall, P; Minematsu, K; Molina, CA; Wang, Y; Wong, KSL, 2017
)
2.21
"Ticagrelor is an orally active ADP P2Y12 receptor antagonist in development by AstraZeneca plc for the reduction of recurrent ischemic events in patients with acute coronary syndromes (ACS). "( Ticagrelor, a platelet aggregation inhibitor for the potential prevention and treatment of arterial thrombosis and acute coronary syndromes.
Doggrell, SA, 2009
)
3.24
"Ticagrelor is an oral reversible P2Y12 antagonist with greater platelet inhibition compared with clopidogrel."( Emerging P2Y12 receptor antagonists: role in coronary artery disease.
Blade, CL; Das, K; Das, P; Doby, JB; Mukherjee, D; Oliphant, CS, 2010
)
1.08
"Ticagrelor is an oral, reversible, direct-acting inhibitor of the adenosine diphosphate receptor P2Y12 that has a more rapid onset and more pronounced platelet inhibition than clopidogrel."( Ticagrelor versus clopidogrel in patients with acute coronary syndromes.
Becker, RC; Budaj, A; Cannon, CP; Emanuelsson, H; Freij, A; Harrington, RA; Held, C; Horrow, J; Husted, S; James, S; Katus, H; Mahaffey, KW; Scirica, BM; Skene, A; Steg, PG; Storey, RF; Thorsén, M; Wallentin, L, 2009
)
3.24
"Ticagrelor seems to be a better option than clopidogrel for patients with acute coronary syndromes for whom an early invasive strategy is planned."( Comparison of ticagrelor with clopidogrel in patients with a planned invasive strategy for acute coronary syndromes (PLATO): a randomised double-blind study.
Ardissino, D; Becker, RC; Cannon, CP; Emanuelsson, H; Harrington, RA; Husted, S; James, S; Katus, H; Keltai, M; Khurmi, NS; Kontny, F; Lewis, BS; Steg, PG; Storey, RF; Wallentin, L; Wojdyla, D, 2010
)
2.16
"Ticagrelor (AZD6140) is a new antiplatelet agent in clinical development for reduction of thrombotic events in patients with ACS."( Pharmacokinetics, pharmacodynamics, safety and tolerability of multiple ascending doses of ticagrelor in healthy volunteers.
Butler, K; Teng, R, 2010
)
1.3
"Ticagrelor is a more efficacious treatment for acute coronary syndromes than is clopidogrel, irrespective of CYP2C19 and ABCB1 polymorphisms. "( Effect of CYP2C19 and ABCB1 single nucleotide polymorphisms on outcomes of treatment with ticagrelor versus clopidogrel for acute coronary syndromes: a genetic substudy of the PLATO trial.
Armstrong, M; Barratt, BJ; Becker, RC; Horrow, J; Husted, S; James, S; Katus, H; Shah, SH; Steg, PG; Storey, RF; Wallentin, L, 2010
)
2.02
"Ticagrelor is an orally administered, antiplatelet agent that inhibits the prothrombotic effects of ADP on the platelet by antagonizing the P2Y(12) receptor. "( In vitro evaluation of potential drug-drug interactions with ticagrelor: cytochrome P450 reaction phenotyping, inhibition, induction, and differential kinetics.
Andersson, TB; Grimm, SW; Zhou, D, 2011
)
2.05
"Ticagrelor is a novel, reversibly binding, oral, direct-acting P2Y(12)-receptor antagonist. "( Ticagrelor versus clopidogrel in patients with acute coronary syndromes undergoing coronary artery bypass surgery: results from the PLATO (Platelet Inhibition and Patient Outcomes) trial.
Asenblad, N; Bassand, JP; Becker, RC; Cannon, CP; Claeys, MJ; Harrington, RA; Held, C; Horrow, J; Husted, S; James, SK; Mahaffey, KW; Nicolau, JC; Scirica, BM; Storey, RF; Vintila, M; Wallentin, L; Ycas, J, 2011
)
3.25
"Ticagrelor is a drug in a new chemical class that reversibly binds the P2Y12 receptor and noncompetitively blocks adenosine diphosphate-induced platelet activation."( Ticagrelor: a novel reversible oral antiplatelet agent.
Clark, SM; Nawarskas, JJ,
)
2.3
"Ticagrelor is a direct-acting and reversible inhibitor of the P2Y(12) receptor with potentially more pleiotropic effects."( [Myocardial infarction: Role of new antiplatelet agents].
Bellemain, A; Collet, JP; Ecollan, P; Montalescot, G; Silvain, J, 2011
)
1.09
"Ticagrelor is a reversibly binding and selective oral P2Y(12) antagonist, developed for the prevention of atherothrombotic events in patients with acute coronary syndromes. "( Disposition and metabolism of ticagrelor, a novel P2Y12 receptor antagonist, in mice, rats, and marmosets.
Grimm, SW; Landqvist, C; Li, Y, 2011
)
2.1
"Ticagrelor is an oral, reversible blocker of the P2Y12 adenosine receptor. "( [Ticagrelor: a novel antiplatelet agent for patients with acute coronary syndrome].
Hinneburg, I, 2011
)
2.72
"Ticagrelor is an antiplatelet drug belonging to a different chemical class than clopidogrel."( Ticagrelor. Acute coronary syndromes: nothing new.
, 2011
)
2.53
"Ticagrelor is a direct-acting, oral, reversibly binding P2Y(12) receptor antagonist. "( Evaluating the risk-benefit profile of the direct-acting P2Y(12) inhibitor ticagrelor in acute coronary syndromes.
Husted, S, 2011
)
2.04
"Ticagrelor (Brilinta™) is an antithrombotic agent that reversibly binds to P2Y(12) receptors and inhibits adenosine diphosphate-induced platelet aggregation. "( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
2.06
"Ticagrelor is a new oral antagonist of the platelet P2Y₁₂ receptor that offers several potential advantages compared to clopidogrel including faster and more effective inhibition of platelet aggregation. "( Ticagrelor in ST-elevation myocardial infarction.
Niccoli, G; Sgueglia, GA; Tarantini, G, 2012
)
3.26
"Ticagrelor is a nonthienopyridine antiplatelet agent and is the first reversible oral antagonist of the P2Y(12) receptors."( Ticagrelor: oral reversible P2Y(12) receptor antagonist for the management of acute coronary syndromes.
Cheng, JW, 2012
)
2.54
"Ticagrelor is a new, direct acting, reversibly binding P2Y12 receptor antagonist with more potent inhibition of platelets than clopidogrel and which does not require metabolic activation. "( Lessons from platelet inhibition and patient outcomes.
Held, C, 2012
)
1.82
"Ticagrelor is a direct-acting, oral, reversibly binding P2Y(12) receptor antagonist. "( Antiplatelet therapy in acute coronary syndromes: ticagrelor.
Husted, S, 2012
)
2.07
"Ticagrelor is a promising P2Y(12) receptor antagonist with characteristics that offer advantages for patients beyond those currently demonstrated by other P2Y(12) receptor antagonists. "( Review of ticagrelor in the management of acute coronary syndromes.
Burgess, S; Juergens, CP; Mallard, TA, 2012
)
2.21
"Ticagrelor is a novel, non-thienopyridine ADP inhibitor that reversibly blocks the P2Y(12) receptor, preventing platelet activation and aggregation. "( Safety profile and bleeding risk of ticagrelor compared with clopidogrel.
Lincoff, AM; May, CH, 2012
)
2.1
"Ticagrelor is a new antiplatelet agent that was pitted against clopidogrel in the Platelet Inhibition and Patient Outcomes (PLATO) trial. "( Angiotensin receptor blockers worsen renal function and dyspnea on ticagrelor: a potential ticagrelor-angiotensin receptor blocker interaction?
DiNicolantonio, JJ; Serebruany, VL, 2012
)
2.06
"Ticagrelor is a novel antiplatelet agent which has a faster onset of action, produces high level of platelet inhibition with minimal inter patient variability."( Ticagrelor: molecular discovery to clinical evidence: ticagrelor: a novel antiplatelet agent.
Sinha, N,
)
2.3
"Ticagrelor is a potent oral inhibitor of platelet activity."( [Medication of the month. Ticagrelor (Brilique): potent oral antagonist of platelet activity].
Lancellotti, P, 2012
)
1.4
"Ticagrelor is a P2Y(12) receptor antagonist that showed superior clinical benefit versus clopidogrel in a phase III trial (PLATO [Platelet Inhibition and Patient Outcomes]). "( Ticagrelor enhances adenosine-induced coronary vasodilatory responses in humans.
Brandrup-Wognsen, G; Emanuelsson, H; Gan, LM; Jonasson, J; Nylander, S; van Giezen, JJ; Wittfeldt, A, 2013
)
3.28

Effects

Ticagrelor has a bactericidal effect in vitro, and clinical studies suggest a beneficial effect in infections. It has a faster onset of action and provides greater inhibition of platelet aggregation than clopidogrel.

Ticagrelor has been shown to significantly decrease circulating levels of several pro-inflammatory cytokines in patients after acute myocardial infarction with ST-elevation (STEMI) The findings across studies were inconsistent.

ExcerptReferenceRelevance
"Ticagrelor has a bactericidal effect in vitro, and clinical studies suggest a beneficial effect in infections. "( Ticagrelor and Infection Risk in Patients with Coronary Artery Disease.
Alcalá, L; Bruña, V; Devesa, C; Fernández-Avilés, F; Juárez, M; Martínez-Sellés, M; Muñoz, P; Sousa-Casasnovas, I; Vicent, L,
)
3.02
"Ticagrelor has a Class I recommendation for use following percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS). "( Comparison of ticagrelor with clopidogrel on quality of life in patients with acute coronary syndrome.
Jo, S; Jo, YS; Kim, SJ; Moon, H; Park, K, 2021
)
2.42
"Ticagrelor has a higher risk of dyspnea than clopidogrel, which was not observed in patients using prasugrel."( The risk of dyspnea in patients treated with third-generation P2Y
Li, O; Xu, W; Zhang, B; Zhang, N, 2020
)
2
"Ticagrelor has a reducing effect on thrombosis in the microarterial tuck model."( The effect of ticagrelor on microarterial thrombosis in an experimental model.
Altun, S; Çetinbaş, A; Okur, Mİ; Özercan, İ; Öztan, M; Yıldız Altun, A, 2021
)
1.7
"Ticagrelor has an improved safety and efficacy profile in patients with acute coronary syndrome; however, data regarding stroke prevention remain controversial."( Network Meta-Analysis of Ticagrelor for Stroke Prevention in Patients at High Risk for Cardiovascular or Cerebrovascular Events.
Bálint, A; El Alaoui El Abdallaoui, O; Komócsi, A; Kupó, P; Tornyos, D, 2021
)
1.65
"Ticagrelor has a similar efficacy and safety profile in men and women."( The efficacy of ticagrelor is maintained in women with acute coronary syndromes participating in the prospective, randomized, PLATelet inhibition and patient Outcomes (PLATO) trial.
Bach, RG; Becker, RC; Budaj, A; Heras, M; Himmelmann, A; Horrow, J; Husted, S; James, SK; Katus, HA; Lassila, R; Morais, J; Nicolau, JC; Steg, PG; Storey, RF; Wallentin, L; Wojdyla, D, 2014
)
1.47
"Ticagrelor has a faster onset of action and provides greater inhibition of platelet aggregation than clopidogrel."( Ticagrelor: a review of its use in adults with acute coronary syndromes.
Dhillon, S, 2015
)
2.58
"Ticagrelor has a greater antiplatelet efficacy than clopidogrel but may be accompanied by an increased risk of bleeding. "( Low-dose ticagrelor yields an antiplatelet efficacy similar to that of standard-dose ticagrelor in healthy subjects: an open-label randomized controlled trial.
Cai, Q; Chen, L; Gao, L; Gu, Y; Li, P; Liu, J; Ma, L; Qin, Y; Wang, Z; Yang, Y; Zhao, X, 2016
)
2.29
"Ticagrelor has an important role as an antiplatelet agent in the settings of acute coronary syndrome and percutaneous coronary intervention and once accepted will be in widespread use."( Ticagrelor for the treatment of arterial thrombosis.
Gurbel, PA; Kereiakes, DJ; Tantry, US, 2010
)
3.25
"As ticagrelor has been shown to significantly decrease circulating levels of several pro-inflammatory cytokines in patients after acute myocardial infarction with ST-elevation (STEMI), we sought to investigate a potential suppressive effect of ticagrelor over prasugrel on cardiac magnetic resonance (CMR) T1 and T2 values in remote myocardium."( Effect of ticagrelor and prasugrel on remote myocardial inflammation in patients with acute myocardial infarction with ST-elevation: a CMR T1 and T2 mapping study.
Demirkiran, A; El Messaoudi, S; Everaars, H; Hoeven, NWV; Konijnenberg, LSF; Nijveldt, R; Riksen, NP; Rodwell, L; Royen, NV; van Leeuwen, MAH; van Rossum, AC; Zugwitz, D, 2023
)
1.83
"Ticagrelor has been used across ACS types and in different management strategies in real world settings in India. "( Therapeutic experience of ticagrelor in Indian patients with acute coronary syndrome: A non-interventional, prospective, and observational study.
Bansal, S; Dalal, J; Kahali, D; Mullasari, A; Sawhney, JPS,
)
1.87
"Ticagrelor has been shown to provide greater absolute reduction in ischemic risk following acute coronary syndrome (ACS) in those with versus without IRF."( Impact of renal function on clinical outcomes after PCI in ACS and stable CAD patients treated with ticagrelor: a prespecified analysis of the GLOBAL LEADERS randomized clinical trial.
Anderson, R; Angiolillo, DJ; Capodanno, D; Chichareon, P; Curzen, N; Gao, C; Garg, S; Gori, T; Hamm, C; Hara, H; Haude, M; Kawashima, H; Klimczak-Tomaniak, D; Kochman, J; Kogame, N; Modolo, R; Montalescot, G; Ono, M; Onuma, Y; Rademaker-Havinga, T; Serruys, PW; Storey, RF; Takahashi, K; Tomaniak, M; Valgimigli, M; Vranckx, P; Wang, R; Windecker, S, 2020
)
1.5
"Ticagrelor has been shown to reduce the risk of pneumonia and improve lung function, but the findings across studies were inconsistent. "( Risk of infections in patients treated with ticagrelor vs. clopidogrel: a systematic review and meta-analysis.
Cheung, BMY; Fei, Y; Feng, Q; Li, HL; Tsoi, MF, 2021
)
2.33
"Ticagrelor has been a popular alternative antiplatelet agent for such patients."( Utility of P2Y
Bohan, CO; Dalal, S; Goren, O; Grassi, DM; Griessenauer, CJ; Hendrix, P; Islak, C; Schirmer, CM; Weiner, G; Wirtz, MM, 2020
)
1.28
"Ticagrelor has been shown to offer potential outcome benefits in acute coronary syndromes and for the long-term cardiovascular prevention, reducing mortality and the recurrence of ischemic events. "( Ticagrelor as compared to conventional antiplatelet agents in coronary artery disease: A comprehensive meta-analysis of 15 randomized trials.
De Luca, G; Dudek, D; Kedhi, E; Savonitto, S; Verdoia, M, 2021
)
3.51
"Ticagrelor has been reported to decrease cardiovascular mortality compared with clopidogrel. "( Ticagrelor protects against AngII-induced endothelial dysfunction by alleviating endoplasmic reticulum stress.
Han, X; Han, Y; Li, M; Li, Y; Wang, X; Zhang, Y; Zhao, S, 2018
)
3.37
"Ticagrelor has been acknowledged as a new oral antagonist of P2Y12-adenosine diphosphate receptor, as a strategy with more rapid onset as well as more significant platelet inhibition function in acute coronary syndrome (ACS) patients. "( Compared efficacy of clopidogrel and ticagrelor in treating acute coronary syndrome: a meta-analysis.
Cui, XR; Jia, M; Li, RB; Wang, D; Yang, XH; Zhang, JD, 2018
)
2.2
"Ticagrelor has been reported to increase plasma adenosine levels, which might have a protective effect on the microcirculation."( Evaluation of Microvascular Injury in Revascularized Patients With ST-Segment-Elevation Myocardial Infarction Treated With Ticagrelor Versus Prasugrel.
de Waard, GA; Diletti, R; Escaned, J; Everaars, H; Janssens, GN; Lemkes, JS; Nap, A; Nijveldt, R; Piek, JJ; Riksen, NP; Ten Cate, TJF; Valgimigli, M; van de Ven, PM; van der Hoeven, NW; van Leeuwen, MAH; van Mieghem, NM; van Rossum, AC; van Royen, N; von Birgelen, C, 2019
)
1.44
"Ticagrelor has been widely accepted in clinical practice for treatment of acute myocardial infarction (AMI), however its clinical safety and efficacy have not been revealed sufficiently in Asian populations."( One-year clinical outcomes of ticagrelor compared with clopidogrel after percutaneous coronary intervention in patients with acute myocardial infarction: From Korean Health Insurance Review and Assessment Data.
Ahn, CM; Choi, D; Hong, MK; Hong, SJ; Jang, Y; Kim, BK; Kim, C; Kim, DS; Kim, JS; Ko, YG; Lee, H; Oh, SK; Park, J; Shin, DH, 2019
)
2.25
"Ticagrelor has been promoted to reduce the rate of definite stent thrombosis compared to clopidogrel from the The Platelet Inhibition and Patient Outcomes (PLATO) trial. "( Challenging ticagrelor's claimed reduction in the rate of definite stent thrombosis versus clopidogrel: insights from the FDA reports.
Biondi-Zoccai, G; Dinicolantonio, JJ, 2013
)
2.21
"Ticagrelor has been shown in vitro to be a weak inhibitor of cytochrome P-450 (CYP) 2D6, a clinically important enzyme for the metabolism of many drugs."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
1.37
"Ticagrelor has been shown to improve outcomes in patients with ACS. "( Angiographic and electrocardiographic parameters of myocardial reperfusion in angioplasty of patients with ST elevation acute myocardial infarction loaded with ticagrelor or clopidogrel (MICAMI-TICLO trial).
Guarda, E; Lindefjeld, DS; Martínez, A; Méndez, M; Mestas, M; Pérez, O; Valdebenito, M; Veas, N; Winter, JL; Zuanic, K,
)
1.77
"Ticagrelor and prasugrel have shown superiority over clopidogrel. "( High on-treatment platelet reactivity with ticagrelor versus prasugrel: a systematic review and meta-analysis.
Bauters, C; Hamon, M; Lemesle, G; Schurtz, G, 2015
)
2.12
"Ticagrelor has been shown to have antiplatelet effects superior to those of clopidogrel, with subsequent reduced clinical ischemic events."( Effect of Modifying Antiplatelet Treatment to Ticagrelor in High-Risk Coronary Patients With Low Response to Clopidogrel (MATTIS).
Arbel, Y; Lev, EI; Mosseri, M; Musallam, A; Orvin, K; Perl, L; Roguin, A, 2016
)
1.41
"Ticagrelor has been demonstrated to provide a more rapid and powerful inhibition of platelet aggregation compared with clopidogrel in coronary artery disease (CAD) patients. "( One-quarter standard-dose ticagrelor better than standard-dose clopidogrel in Chinese patients with stable coronary artery disease: A randomized, single-blind, crossover clinical study.
Dong, X; Han, Y; He, M; Li, M; Li, Y; Liu, B; Lu, S; Pan, Y; Shi, J; Sun, D; Zhao, S; Zheng, W, 2016
)
2.18
"Ticagrelor has shown greater, more rapid and more consistent platelet inhibition than clopidogrel. "( Randomised trial to compare a protective effect of Clopidogrel Versus TIcagrelor on coronary Microvascular injury in ST-segment Elevation myocardial infarction (CV-TIME trial).
Baek, YS; Kim, DH; Kwan, J; Kwon, SW; Lee, MJ; Park, KS; Park, SD; Shin, SH; Woo, SI, 2016
)
2.11
"Ticagrelor has been endorsed by guidelines as the P2Y"( A randomised study for optimising crossover from ticagrelor to clopidogrel in patients with acute coronary syndrome. The CAPITAL OPTI-CROSS Study.
Bernick, J; Chong, AY; Dick, A; Froeschl, M; Glover, C; Hibbert, B; Labinaz, M; Le May, MR; Lugomirski, P; Marquis, JF; Maze, R; Pourdjabbar, A; Ramirez, FD; Simard, T; So, DY; Wells, G, 2017
)
2.15
"Ticagrelor has been associated with dyspnea and bradyarrhythmias, both attributed to increased adenosine exposure."( Successful Reversal of Bradycardia and Dyspnea With Aminophylline After Ticagrelor Load.
Chung, BB; Minner, SA; Shah, AP; Simone, P, 2018
)
1.43
"Ticagrelor has been put forward for approval to the European Medical Agency (EMEA) and the Food and Drug Administration (FDA) as an investigational oral antiplatelet treatment for the reduction of major adverse cardiac events in patients with acute coronary syndrome."( Ticagrelor.
Davies, SL, 2010
)
2.52
"Ticagrelor has shown a significant ischemic benefit and an increase in non-surgical bleeding over clopidogrel in the large phase 3 Platelet Inhibition and Patient Outcomes trial."( Emerging oral antiplatelet therapies for acute coronary syndromes.
Pollack, CV, 2010
)
1.08
"Ticagrelor has been shown to be superior to clopidogrel in patients presenting with acute myocardial infarction who undergo early invasive treatment. "( The use of ticagrelor in a patient at increased risk of stent thrombosis resistant to multiple thienopyridines.
Chauhan, A; More, RS; Morgan, KP, 2011
)
2.2
"Ticagrelor has been authorised in the European Union for patients with acute coronary syndromes, in combination with aspirin."( Ticagrelor. Acute coronary syndromes: nothing new.
, 2011
)
2.53
"Ticagrelor has been compared to clopidogrel in the PLATelet inhibition and patient Outcomes (PLATO) trial in a broad population of patients with acute coronary syndrome showing a reduction of the 12-month risk of death from vascular causes, myocardial infarction and stroke without increasing the overall risk of major bleeding."( Ticagrelor in ST-elevation myocardial infarction.
Niccoli, G; Sgueglia, GA; Tarantini, G, 2012
)
2.54
"Ticagrelor has been shown to inhibit cell uptake of adenosine and enhance adenosine-mediated hyperemia responses in a dog model."( Ticagrelor enhances adenosine-induced coronary vasodilatory responses in humans.
Brandrup-Wognsen, G; Emanuelsson, H; Gan, LM; Jonasson, J; Nylander, S; van Giezen, JJ; Wittfeldt, A, 2013
)
2.55

Actions

The ticagrelor group had lower incidence of all-cause death and cardiac death compared with the clopidogrel group, and the difference was significant (P < .05). Ticgrelor reached a lower plasma concentration in morphine group (MD = -481.8 ng/ml, 95% CI =  -841.2 to -122.4 ng/ml) with a higher vomiting rate.

ExcerptReferenceRelevance
"The ticagrelor group had lower incidence of all-cause death and cardiac death compared with the clopidogrel group, and the difference was significant (P < .05)."( A Comparative Study on Ticagrelor and Clopidogrel in Patients With Acute Coronary Syndrome Treated With Primary Percutaneous Coronary Intervention.
Jia, S; Wu, H, 2023
)
1.7
"Ticagrelor reached a lower plasma concentration in morphine group (MD = -481.8 ng/ml, 95% CI = -841.2 to -122.4 ng/ml, p < 0.01) with a higher vomiting rate (odds = 5.3, 95% CI = 2.5-11.1, p < 0.01)."( Effect of morphine use on oral P2Y12 platelet inhibitors in acute myocardial infarction: Meta-analysis.
Ghafghazi, S; Khan, A; Vaidya, GN,
)
0.85
"Ticagrelor reduced all-cause mortality by a small margin compared with rest of treatments."( Comparative Efficacy and Safety of Prasugrel, Ticagrelor, and Standard-Dose and High-Dose Clopidogrel in Patients Undergoing Percutaneous Coronary Intervention: A Network Meta-analysis.
Grewal, N; Khosla, S; Singh, M; Singh, S,
)
1.11
"Ticagrelor can lower the resting heart rate of patients and cause bradyarrhythmias in the 12th month after PCI."( Ticagrelor vs. clopidogrel in non-ST-elevation acute coronary syndromes.
Dong, C; Liu, X; Ren, C; Ren, Q; Zhang, X, 2016
)
3.32
"Ticagrelor exhibited lower platelet reactivity than clopidogrel by all assays irrespective of 2C19 genotype or metabolizer status (P<0.01)."( First analysis of the relation between CYP2C19 genotype and pharmacodynamics in patients treated with ticagrelor versus clopidogrel: the ONSET/OFFSET and RESPOND genotype studies.
Armstrong, M; Bliden, KP; Butler, K; Gurbel, PA; Storey, RF; Tantry, US; Wei, C, 2010
)
1.3
"Ticagrelor is known to increase adenosine concentrations by inhibiting red blood cell reuptake, but the potency of this effect may be too low to fully explain the adenosine related effects. "( Ticagrelor induces adenosine triphosphate release from human red blood cells.
Albinsson, S; Erlinge, D; Kudira, R; Ohman, J; Olde, B, 2012
)
3.26

Treatment

Ticagrelor treatment for 20 weeks attenuated atherosclerotic lesion progression in the aortic arch compared with control (p’< 0.05). Ticgrelor treated patients were significantly more likely to stop/switch therapy as compared to prasugrel (15.9% vs. 15.8%)

ExcerptReferenceRelevance
"Ticagrelor treatment was associated with increased CFR in this high-risk population. "( Ticagrelor Treatment is Associated With Increased Coronary Flow Reserve in Survivors of Myocardial Infarction.
Erlinge, D; Gan, LM; Omerovic, E; Rylance, R; Svedlund, S; Torngren, K, 2023
)
3.8
"Ticagrelor treatment resulted in significantly lower PRU [10 (7-39) vs. "( Increased platelet inhibition after switching from prasugrel to low-dose ticagrelor in Japanese patients with prior myocardial infarction.
Fujimoto, Y; Kitahara, H; Kobayashi, Y; Nakayama, T; Saito, Y; Tateishi, K, 2020
)
2.23
"Ticagrelor treatment in diabetic mice lowered urinary albumin excretion, it prevented diabetes-induced mesangial matrix expansion, podocyte effacement, and glomerular endothelial cell injury, which includes loss of endothelial fenestrations, ICAM-1 expression, and PECAM expression."( Platelet inhibition by ticagrelor is protective against diabetic nephropathy in mice.
Butter, LM; Claessen, N; Florquin, S; Larsen, PW; Roelofs, JJTH; Uil, M, 2020
)
1.59
"Ticagrelor treatment was associated with a marked reduction in tumor cell-platelet aggregates in the lungs at 10, 30 and 60 min post-intravenous inoculation."( Ticagrelor inhibits platelet-tumor cell interactions and metastasis in human and murine breast cancer.
Bezuhly, M; Brien, C; Gareau, AJ; Gebremeskel, S; Johnston, B; Liwski, RS, 2018
)
2.64
"Ticagrelor pretreatment versus ticagrelor given in the catheterization laboratory in patients with ST-segment-elevation myocardial infarction undergoing primary PCI did not improve the composite end point of all-cause mortality or MI or stent thrombosis or its individual components at 30 days."( No Benefit of Ticagrelor Pretreatment Compared With Treatment During Percutaneous Coronary Intervention in Patients With ST-Segment-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention.
Alfredsson, J; Erlinge, D; Götberg, M; James, S; Jensen, J; Koul, S; Lagerqvist, B; Omerovic, E; Persson, J; Redfors, B; Smith, JG; Venetsanos, D, 2018
)
2.28
"Ticagrelor treatment for 20 weeks attenuated atherosclerotic lesion progression in the aortic arch compared with control (p < 0.05). "( Ticagrelor, a P2Y12 antagonist, attenuates vascular dysfunction and inhibits atherogenesis in apolipoprotein-E-deficient mice.
Fukuda, D; Ganbaatar, B; Higashikuni, Y; Hirata, Y; Nishimoto, S; Salim, HM; Sata, M; Soeki, T; Tanaka, K; Yagi, S, 2018
)
3.37
"Ticagrelor treatment caused fewer major adverse cardiovascular events (MACEs) and more episodes of minor bleeding than the other two treatments."( DAPT Plus Cilostazol is Better Than Traditional DAPT or Aspirin Plus Ticagrelor as Elective PCI for Intermediate-to-Highly Complex Cases: Prospective, Randomized, PRU-Based Study in Taiwan.
Chang, CC; Chen, SM; Chen, YC; Cheng, SM; Chuang, CL; Lin, FY; Lin, RH; Lin, YW; Sheu, JS; Tsai, CS, 2019
)
1.47
"Ticagrelor treated patients were significantly more likely to stop/switch therapy as compared to prasugrel (15.9% vs."( Incidence, predictors, and prognosis of premature discontinuation or switch of prasugrel or ticagrelor: the ATLANTIS - SWITCH study.
Hengstenberg, C; Kolesnik, E; Prüller, F; Siller-Matula, JM; von Lewinski, D; Wallner, M; Winter, MP, 2019
)
1.46
"Ticagrelor treats HPR more effectively compared to high dose clopidogrel therapy."( Ticagrelor versus high dose clopidogrel in ST-segment elevation myocardial infarction patients with high platelet reactivity post fibrinolysis.
Akinosoglou, K; Alexopoulos, D; Barampoutis, N; Hahalis, G; Karvounis, H; Koniari, I; Panagiotidis, T; Patsilinakos, S; Perperis, A; Xanthopoulou, I; Ziakas, A, 2015
)
2.58
"Ticagrelor treated patients have overall lower PR than patients on prasugrel, independent of DM status or insulin treatment."( Diabetes mellitus and platelet reactivity in patients under prasugrel or ticagrelor treatment: an observational study.
Alexopoulos, D; Pentara, I; Perperis, A; Stavrou, K; Vlassopoulou, N; Vogiatzi, C; Xanthopoulou, I, 2015
)
1.37
"All ticagrelor treatments improved left ventricular ejection fraction, acute (69.5%±1.6%), chronic (69.2%±1.0%), and acute+chronic (76.3%±1.2%), whereas clopidogrel had no effect (37.4%±3.7%)."( Ticagrelor protects the heart against reperfusion injury and improves remodeling after myocardial infarction.
Birnbaum, GD; Birnbaum, Y; Nanhwan, MK; Nylander, S; Perez-Polo, JR; Ye, Y, 2015
)
2.34
"Ticagrelor treatment has the side effect of increased incidence of dyspnea. "( Design and rationale of TROCADERO: A TRial Of Caffeine to Alleviate DyspnEa Related to ticagrelOr.
Braun, OÖ; Christersson, C; Grove, EL; Halvorsen, S; James, SK; Lindholm, D; Storey, RF; Varenhorst, C, 2015
)
2.08
"Ticagrelor treatment could provide a marginally favorable effect at the expense of an increased risk of dyspnea in real-life situations. "( Efficacy and safety of ticagrelor versus clopidogrel in acute coronary syndrome in Taiwan: A multicenter retrospective pilot study.
Chao, TH; Chen, IC; Chen, Y; Cheng, CL; Fang, CC; Lee, CH; Li, YH; Lin, CC; Lin, CY; Yu, CL, 2016
)
2.19
"Ticagrelor treatment at the time of heart rhythm device procedures does not seem to be associated with an increased risk of significant bleeding complications. "( [Safety of device implantation under antipatelet therapy with ticagrelor: About 20 cases].
Akret, C; Amara, W; Cheggour, S; Dompnier, A; Galuscan, G; M'Zoughi, S; Naccache, S, 2016
)
2.12
"Ticagrelor treatment was well tolerated in DISPERSE-2, and discontinuation rates were comparable to those observed for clopidogrel."( Ticagrelor: the first reversibly binding oral P2Y12 receptor antagonist.
Husted, S; van Giezen, JJ, 2009
)
2.52
"Treatment with ticagrelor was associated with a 29% lower risk of developing OA compared to treatment with clopidogrel over 5 years of follow-up. "( Reduction in Osteoarthritis Risk After Treatment With Ticagrelor Compared to Clopidogrel: A Propensity Score-Matching Analysis.
Ahuja, N; Baker, MC; Robinson, WH; Rohatgi, N; Weng, Y, 2020
)
1.16
"Treatment with ticagrelor was not associated with a lower risk for the primary end point (adjusted odds ratio [aOR], 1.20; 95% CI, 0.87-1.61;"( Ticagrelor is Not Superior to Clopidogrel in Patients With Acute Coronary Syndromes Undergoing PCI: A Report from Swedish Coronary Angiography and Angioplasty Registry.
Albertsson, P; Angerås, O; Dworeck, C; Haraldsson, I; Hirlekar, G; Ioanes, D; Myredal, A; Odenstedt, J; Omerovic, E; Petursson, P; Råmunddal, T; Redfors, B; Völz, S, 2020
)
2.34
"Treatment with ticagrelor was not associated with a reduced risk of gram-negative infections (HR, 0.48; 95% CI, 0.21 to 1.06; p = 0.07)."( Effect of Ticagrelor on Reducing the Risk of Gram-Positive Infections in Patients With Acute Coronary Syndrome.
Banai, S; Hershkoviz, R; Isakov, O; Lupu, L; Shepshelovich, D, 2020
)
1.3
"Treatment with ticagrelor was associated with a significantly lower 1-year risk of SAB, sepsis, and pneumonia compared with clopidogrel."( Ticagrelor and the risk of Staphylococcus aureus bacteraemia and other infections.
Andersen, PS; Bruun, NE; Bundgaard, H; Butt, JH; Fosbøl, EL; Gerds, TA; Gislason, GH; Havers-Borgersen, E; Iversen, K; Køber, L; Larsen, AR; Olesen, JB; Petersen, A; Skov, RL; Torp-Pedersen, C; Østergaard, L, 2022
)
2.52
"Treatment with ticagrelor also increases the expression of several actors of the endoplasmic reticulum (ER) stress pathways, suggesting activation of the unfolded protein response (UPR)."( Inhibiting P2Y12 in Macrophages Induces Endoplasmic Reticulum Stress and Promotes an Anti-Tumoral Phenotype.
Gerwins, P; Heindryckx, F; Kopsida, M; Pavlović, N, 2020
)
0.9
"Pretreatment with ticagrelor before coronary anatomy is known as a widely adopted strategy."( Downstream or upstream administration of P2Y12 receptor blockers in non-ST elevated acute coronary syndromes: study protocol for a randomized controlled trial.
Andò, G; Angiolillo, DJ; Caporale, R; Castiglioni, B; Cernetti, C; Cirillo, P; De Cesare, N; Favero, L; Ferlini, M; Ferri, L; Gasparetto, V; Gregori, D; Guiducci, V; La Manna, A; Limbruno, U; Lupi, A; Marchese, A; Martinato, M; Mauro, C; Mojoli, M; Musumeci, G; Penzo, C; Pierini, S; Ricci, R; Rigattieri, S; Ronco, F; Roncon, L; Russo, A; Saia, F; Santarelli, A; Sganzerla, P; Tarantini, G; Tarantino, F; Trabattoni, D; Varbella, F, 2020
)
0.88
"Treatment with ticagrelor on discharge was associated with improved survival rates during 4 years of follow-up."( Risk definition and outcomes with the application of the PEGASUS-TIMI 54 trial inclusion criteria to a "real world" STEMI population: results from the Italian "CARDIO-STEMI SANREMO" registry.
Boasi, V; Cannarile, P; Cattunar, S; Gomez, L; Mascelli, G; Perri, D; Pingelli, N; Sanchez, F; Tacchi, C; Vercellino, M, 2021
)
0.96
"Treatment with ticagrelor seems independently associated with less in-hospital moderate and severe bleeding events compared to clopidogrel."( Clopidogrel vs. prasugrel vs. ticagrelor in patients with acute myocardial infarction complicated by cardiogenic shock: a pooled IABP-SHOCK II and CULPRIT-SHOCK trial sub-analysis.
Clemmensen, P; Desch, S; Dudek, D; Feistritzer, HJ; Freund, A; Fuernau, G; Geisler, T; Haller, P; Hausleiter, J; Huber, K; Kleeberger, J; Massberg, S; Montalescot, G; Neumer, A; Noc, M; Orban, M; Ouarrak, T; Schneider, S; Thiele, H; Zeymer, U, 2021
)
1.25
"Treatment with ticagrelor monotherapy did not significantly affect ischemic stroke (risk ratio, 0.88 [95% CI, 0.77–1.00]; P=0.05)."( Network Meta-Analysis of Ticagrelor for Stroke Prevention in Patients at High Risk for Cardiovascular or Cerebrovascular Events.
Bálint, A; El Alaoui El Abdallaoui, O; Komócsi, A; Kupó, P; Tornyos, D, 2021
)
1.26
"The treatment of ticagrelor combined with tirofiban significantly attenuated inflammation response and improved the prognosis of UA patients."( Comparison of the effect of ticagrelor combined with tirofiban versus clopidogrel combined with tirofiban on inflammation response and prognosis of patients with unstable angina pectoris in long term follow-up.
Deng, L; Jia, HZ; Li, MC; Zhu, W, 2021
)
1.24
"Treatment with ticagrelor as compared with clopidogrel in patients with MI was associated with lower risk for the composite of death, MI or stroke and a higher bleeding risk across all strata of eGFR. "( Outcomes in patients treated with ticagrelor versus clopidogrel after acute myocardial infarction stratified by renal function.
Carrero, JJ; Edfors, R; Evans, M; James, SK; Jernberg, T; Lagerqvist, B; Renlund, H; Sahlén, A; Spaak, J; Szummer, K; Varenhorst, C, 2018
)
1.11
"Treatment with ticagrelor appears to yield greater net benefit for patients when the probability of ACS >8%. "( Optimising antiplatelet utilisation in the acute care setting: a novel threshold for medical intervention in suspected acute coronary syndromes.
Body, R; Jarman, H; Morris, N; Moss, P; Reynard, C, 2019
)
0.87
"Treatment with ticagrelor with or without aspirin reduced high-shear BV by 5%, in both cases, while aspirin monotherapy increased high-shear BV by 3.4% (p < 0.0001)."( Ticagrelor improves blood viscosity-dependent microcirculatory flow in patients with lower extremity arterial disease: the Hema-kinesis clinical trial.
Chen, Q; Cho, DJ; Krishnan, P; Lee, ML; Najera, SD; Rosenson, RS, 2019
)
2.3
"Oral treatment with ticagrelor protected photoreceptors in the ABCA4-/- mouse, which is consistent with enhanced lysosomal function. "( Oral Delivery of the P2Y12 Receptor Antagonist Ticagrelor Prevents Loss of Photoreceptors in an ABCA4-/- Mouse Model of Retinal Degeneration.
Campagno, KE; Carlsson, LG; Cenaj, A; Laties, AM; Lu, W; Mitchell, CH; Tso, HY, 2019
)
1.09
"Treatment with ticagrelor improves peripheral endothelial function compared to no ADP blocker, clopidogrel, or prasugrel treatment."( Ticagrelor improves peripheral arterial function in patients with a previous acute coronary syndrome.
Erlinge, D; Larsson, J; Ohman, J; Salmi, H; Torngren, K, 2013
)
2.19
"Treatment with Ticagrelor was associated to an incremental cost of 1,228 Euros per year, an increase in 0.1652 life years gained, and 0.1365 years adjusted by quality of life, as compared to Clopidogrel. "( [Long-term cost-effectiveness of ticagrelor versus clopidogrel in acute coronary syndrome in Spain].
Mateo-Carrasco, H; Molina-Cuadrado, E; Nieto-Guindo, P; Rodríguez-Gómez, P, 2014
)
1.04
"Treatment with ticagrelor versus clopidogrel reduced the occurrence of definite stent thrombosis (HR 0.58, 95% CI 0.37 to 0.89, p=0.013)."( Safety and efficacy of ticagrelor and clopidogrel in primary percutaneous coronary intervention.
Abtan, J; Angiolillo, DJ; Ardissino, D; Gabriel Steg, P; Harrington, RA; Hellkamp, A; Himmelmann, A; Husted, S; James, SK; Katus, HA; Meier, B; Schulte, PJ; Storey, RF; Velders, MA; Wallentin, L, 2016
)
1.08
"Treatment with ticagrelor among nonresponders resulted in a >10%, >30%, and >50% decrease in platelet aggregation from baseline in 100%, 75%, and 13% of patients, respectively."( Response to ticagrelor in clopidogrel nonresponders and responders and effect of switching therapies: the RESPOND study.
Antonino, MJ; Bliden, KP; Butler, K; Eikelboom, JW; Gurbel, PA; Henderson, D; Husted, S; Kereiakes, DJ; Nielsen, T; Patel, DV; Rasmussen, L; Sabe-Affaki, G; Storey, RF; Tantry, US; Teng, R; Wei, C, 2010
)
1.08
"Treatment with ticagrelor 180 mg/day was effective in reducing the platelet reactivity."( Resistance to high-maintenance dose of prasugrel treated by ticagrelor: a case report.
Alexopoulos, D; Goudas, P; Kassimis, G; Stavrou, EF; Xanthopoulou, I, 2013
)
0.97
"Treatment with ticagrelor was associated with increased health-care costs of €362 and a QALY gain of 0.13 compared with generic clopidogrel, yielding a cost per QALY gained with ticagrelor of €2753."( Cost-effectiveness of treating acute coronary syndrome patients with ticagrelor for 12 months: results from the PLATO study.
Hauch, O; Henriksson, M; Janzon, M; Nikolic, E; Wallentin, L, 2013
)
0.96

Toxicity

Ticagrelor significantly reduced the risk of the composite of major adverse cardiovascular (CV) events in stable patients with a prior myocardial infarction (MI) 1-3 years earlier.

ExcerptReferenceRelevance
" Ticagrelor was well tolerated, with no serious or dose-related adverse events or notable changes in laboratory values observed."( Pharmacokinetics, pharmacodynamics, tolerability and safety of single ascending doses of ticagrelor, a reversibly binding oral P2Y(12) receptor antagonist, in healthy subjects.
Butler, K; Teng, R, 2010
)
1.49
" Ticagrelor was well tolerated in both groups, and no adverse events were reported."( Pharmacokinetics, pharmacodynamics, and safety of ticagrelor in volunteers with mild hepatic impairment.
Butler, K; Teng, R, 2011
)
1.53
" Ticagrelor was well tolerated in both groups with few adverse events."( Pharmacokinetics, pharmacodynamics, and safety of ticagrelor in volunteers with severe renal impairment.
Butler, K; Teng, R, 2012
)
1.54
" Other common adverse effects of ticagrelor such as dyspnea and ventricular pauses appear to be mild and self-limited."( Safety profile and bleeding risk of ticagrelor compared with clopidogrel.
Lincoff, AM; May, CH, 2012
)
0.94
" No patient experienced any adverse effects in the postoperative period related to the use of ticagrelor."( Safety and efficacy of ticagrelor for neuroendovascular procedures. A single center initial experience.
Dixon, T; Freeman, WD; Hanel, RA; Johns, G; Miller, DA; Navarro, R; Nordeen, JD; Sapin, M; Taussky, P; Tawk, RG, 2014
)
0.93
" All of our patients showed immediate platelet inhibition after a loading dose of 180 mg of ticagrelor, with no adverse effects."( Safety and efficacy of ticagrelor for neuroendovascular procedures. A single center initial experience.
Dixon, T; Freeman, WD; Hanel, RA; Johns, G; Miller, DA; Navarro, R; Nordeen, JD; Sapin, M; Taussky, P; Tawk, RG, 2014
)
0.93
" However, the comparative risks of gastrointestinal (GI) adverse events during DAPT are not clear."( Gastrointestinal adverse events after dual antiplatelet therapy: clopidogrel is safer than ticagrelor, but prasugrel data are lacking or inconclusive.
Can, MM; Dinicolantonio, JJ; Kuliczkowski, W; Pershukov, IV; Serebruany, VL, 2013
)
0.61
"The study stopping criteria were met when 3 of the 6 volunteers receiving ticagrelor 1,260 mg experienced moderate gastrointestinal adverse events (AE); none were observed with placebo."( Safety, tolerability, pharmacokinetics and pharmacodynamics of high single-ascending doses of ticagrelor in healthy volunteers.
Butler, K; Teng, R, 2013
)
0.84
" We analysed adverse events (AEs) consistent with either pulmonary infection or sepsis, and subsequent mortality, in 18,421 PLATO patients treated with ticagrelor or clopidogrel."( Lower mortality following pulmonary adverse events and sepsis with ticagrelor compared to clopidogrel in the PLATO study.
Åsenblad, N; Becker, RC; Cannon, CP; Held, C; Husted, SE; James, SK; Siegbahn, A; Steg, PG; Storey, RF; Varenhorst, C; Wallentin, L; Ycas, J, 2014
)
0.84
" However, in addition to bleeding, distinctive adverse effects of this new chemical entity have not been reported with the thienopyridine P2Y12 -receptor inhibitors."( Ticagrelor: pharmacokinetics, pharmacodynamics, clinical efficacy, and safety.
Dobesh, PP; Oestreich, JH, 2014
)
1.85
"NSTE-ACS management with DAPT and DES is probably safe and effective in class II G6PD-deficient patients."( Antiplatelet and invasive treatment in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency and acute coronary syndrome. The safety of aspirin.
Kafkas, NV; Liakos, CI; Mouzarou, AG, 2015
)
0.42
"73 m(2) pre-specified for analysis of the effect of ticagrelor on the primary efficacy composite of cardiovascular death, MI, or stroke (major adverse cardiovascular events, MACE) and the primary safety endpoint of TIMI major bleeding."( Efficacy and safety of ticagrelor for long-term secondary prevention of atherothrombotic events in relation to renal function: insights from the PEGASUS-TIMI 54 trial.
Ardissino, D; Aylward, P; Bhatt, DL; Bonaca, MP; Braunwald, E; Cohen, M; Corbalan, R; Dellborg, M; Goudev, AR; Held, P; Im, K; Isaza, D; Jensen, EC; Kontny, F; Kuder, J; Magnani, G; Medina, F; Parkhomenko, A; Sabatine, MS; Steg, G; Storey, RF, 2016
)
1
" An understanding of stroke mechanisms and causes is important to deliver safe and efficacious treatments for early stroke prevention."( Efficacy and safety of ticagrelor versus aspirin in acute stroke or transient ischaemic attack of atherosclerotic origin: a subgroup analysis of SOCRATES, a randomised, double-blind, controlled trial.
Albers, GW; Amarenco, P; Denison, H; Easton, JD; Evans, SR; Held, P; Hill, MD; Johnston, SC; Jonasson, J; Kasner, SE; Ladenvall, P; Minematsu, K; Molina, CA; Wang, Y; Wong, KSL, 2017
)
0.77
" Outcomes were evaluated for major adverse cardiovascular events (MACE) and bleeding at 1 year."( Comparative Effectiveness and Safety Analysis of Dual Antiplatelet Therapies Within an Integrated Delivery System.
Boyd, A; Chambers, A; Chanas, T; Coons, JC; Eckardt, J; Ensor, CR; Iasella, CJ; Lemon, LS; Lyons, J; Merkel, A; Rihtarchik, L; Smith, R; Wang, N; Williams, K, 2017
)
0.46
"Thromboembolic and hemorrhagic complications are among the most feared adverse events in the endovascular treatment of aneurysms, and this is particularly the case for flow diverter devices."( A Multicenter Cohort Comparison Study of the Safety, Efficacy, and Cost of Ticagrelor Compared to Clopidogrel in Aneurysm Flow Diverter Procedures.
Adeeb, N; Griessenauer, CJ; Gupta, R; Moore, JM; Ogilvy, CS; Patel, AS; Shallwani, H; Siddiqui, A; Thomas, AJ; Youn, R, 2017
)
0.69
"Ticagrelor is a safe and effective agent for prevention of thromboembolic complications following flow diverter deployment when compared to clopidogrel."( A Multicenter Cohort Comparison Study of the Safety, Efficacy, and Cost of Ticagrelor Compared to Clopidogrel in Aneurysm Flow Diverter Procedures.
Adeeb, N; Griessenauer, CJ; Gupta, R; Moore, JM; Ogilvy, CS; Patel, AS; Shallwani, H; Siddiqui, A; Thomas, AJ; Youn, R, 2017
)
2.13
" The aim of this study was to analyse the safety profile of these drugs using data from spontaneous reporting of suspected adverse reactions (ADRs)."( Safety of Antiplatelet Agents: Analysis of 'Real-World' Data from the Italian National Pharmacovigilance Network.
Benfatto, G; Drago, F; Gozzo, L; Longo, L; Mansueto, S; Navarria, A; Pani, L; Salomone, S; Sottosanti, L, 2017
)
0.46
"The US Food and Drug Administration Adverse Event Reporting System (FAERS) is a global passive surveillance database that relies on voluntary reporting by health care professionals and consumers as well as required mandatory reporting by pharmaceutical manufacturers."( Filing Sources after Oral P2Y12 Platelet Inhibitors to the Food and Drug Administration Adverse Event Reporting System (FAERS).
Cabrera-Fuentes, HA; Cherepanov, V; Kim, MH; Litvinov, O; Marciniak, TA; Serebruany, VL,
)
0.13
"From the FAERS database we extracted and examined adverse event cases coreported with oral P2Y12 platelet inhibitors."( Filing Sources after Oral P2Y12 Platelet Inhibitors to the Food and Drug Administration Adverse Event Reporting System (FAERS).
Cabrera-Fuentes, HA; Cherepanov, V; Kim, MH; Litvinov, O; Marciniak, TA; Serebruany, VL,
)
0.13
"Overall, 2015 annual adverse events were more commonly coreported with clopidogrel (n = 13,234) with known source filers (n = 12,818, or 96."( Filing Sources after Oral P2Y12 Platelet Inhibitors to the Food and Drug Administration Adverse Event Reporting System (FAERS).
Cabrera-Fuentes, HA; Cherepanov, V; Kim, MH; Litvinov, O; Marciniak, TA; Serebruany, VL,
)
0.13
" Patients filed most adverse events for clopidogrel and prasugrel, while physicians originated most ticagrelor complaints."( Filing Sources after Oral P2Y12 Platelet Inhibitors to the Food and Drug Administration Adverse Event Reporting System (FAERS).
Cabrera-Fuentes, HA; Cherepanov, V; Kim, MH; Litvinov, O; Marciniak, TA; Serebruany, VL,
)
0.35
" Safety was evaluated via PLATO-defined bleeding events, adverse events (AEs), serious AEs, and laboratory measurements."( Safety and Incidence of Cardiovascular Events in Chinese Patients with Acute Coronary Syndrome Treated with Ticagrelor: the 12-Month, Phase IV, Multicenter, Single-Arm DAYU Study.
Gao, R; Han, Y; Leonsson-Zachrisson, M; Liu, H; Liu, L; Shen, L; Su, G; Wang, Y; Wang, Z; Wu, Y; Yuan, Z; Zhang, A; Zhang, H; Zheng, Y, 2018
)
0.69
" Major adverse cardiac and cerebrovascular events (MACCE) [death, myocardial infarction (MI), stroke, and unplanned reintervention] and thrombolysis in myocardial infarction (TIMI) bleeding (major/minor) were registered during hospitalization and follow-up."( Safety and Efficacy in Prasugrel- Versus Ticagrelor-Treated Patients With ST-Elevation Myocardial Infarction.
Dannenberg, L; Dimitroulis, D; Golabkesh, M; Helten, C; Jung, C; Kelm, M; Knoop, B; Naguib, D; Pöhl, M; Polzin, A; Zeus, T, 2018
)
0.75
" We analyzed the occurrence of major adverse cardiovascular events and periprocedural myocardial infarction."( Efficacy and Safety of Loading Doses With P2Y12-Receptor Antagonists in Patients Without Dual Antiplatelet Therapy Undergoing Elective Coronary Intervention.
Abellán-Huerta, J; Jurado-Román, A; López-Lluva, MT; Lozano-Ruiz Poveda, F; Piqueras-Flores, J; Sánchez-Pérez, I, 2019
)
0.51
" At the end of follow-up, major adverse cardiovascular event rate was not different between groups."( Efficacy and Safety of Loading Doses With P2Y12-Receptor Antagonists in Patients Without Dual Antiplatelet Therapy Undergoing Elective Coronary Intervention.
Abellán-Huerta, J; Jurado-Román, A; López-Lluva, MT; Lozano-Ruiz Poveda, F; Piqueras-Flores, J; Sánchez-Pérez, I, 2019
)
0.51
" Secondary outcomes were adverse bleeding events (safety outcome)."( Efficacy and safety of alternative oral administrations of P2Y12-receptor inhibitors: Systematic review and meta-analysis.
Bilotta, F; Campo, G; Parodi, G; Pavasini, R; Serenelli, M; Tonet, E; Vitali, F, 2019
)
0.51
" Compared with nonsmokers within the first year of follow-up, the reductions of stroke and major adverse cardiovascular event rate were 18% ( P=0."( Effectiveness and Safety of Platelet ADP -P2Y12 Receptor Inhibitors Influenced by Smoking Status: A Systematic Review and Meta-Analysis.
Chen, S; Cui, Y; Gong, Y; Hu, K; Jiang, J; Liu, Z; Mu, G; Wang, Z; Xiang, Q; Xie, Q; Zhou, S, 2019
)
0.51
" Primary outcomes were the incidence of adverse events (AEs), in particular, PLATelet inhibition and patient Outcomes (PLATO)-defined bleeding AEs, and other serious AEs during the 1-year follow-up."( YINGLONG: A Multicenter, Prospective, Non-Interventional Study Evaluating the Safety and Tolerability of Ticagrelor in Chinese Patients with Acute Coronary Syndrome.
Bai, L; Du, X; Ge, J; Leonsson-Zachrisson, M; Ma, CS; Ma, S; Su, X; Sun, J; Wang, X; Yang, P; Yu, Z; Zheng, Y, 2019
)
0.73
"In PEGASUS-TIMI 54, ticagrelor significantly reduced the risk of the composite of major adverse cardiovascular (CV) events by 15-16% in stable patients with a prior myocardial infarction (MI) 1-3 years earlier."( Efficacy and safety with ticagrelor in patients with prior myocardial infarction in the approved European label: insights from PEGASUS-TIMI 54.
Ardissino, D; Bengtsson, O; Bhatt, DL; Bonaca, MP; Braunwald, E; Budaj, A; Cohen, M; Dellborg, M; Hamm, C; Himmelmann, A; Im, KA; Johanson, P; Kamensky, G; Kiss, RG; Kontny, F; Lopez-Sendon, J; Montalescot, G; Oude Ophuis, T; Sabatine, MS; Spinar, J; Steg, PG; Storey, RF; Van de Werf, F, 2019
)
1.14
" This practice, especially in complex PCI, could be affected by a higher rate of peri-procedural adverse events."( Safe and Effective Management of Antiplatelet Therapy in a Clopidogrel-Naive Patient Undergoing "Ad Hoc" Complex Coronary Intervention: A Case Report.
Colombo, A; Marchese, A; Resta, F; Tito, A, 2020
)
0.56
" The primary efficacy endpoint was major adverse cardiovascular events (MACE) defined by each study, and the safety endpoint was TIMI non-CABG major bleeding."( Efficacy and Safety of Potent Oral P2Y
Han, Y; Jiang, Z; Li, Y; Li, Z; Ma, S; Song, H; Yu, P, 2020
)
0.56
" However, an increased risk of ticagrelor-related adverse events prompted the evaluation of low-dose regimens."( Efficacy and safety of different ticagrelor regimens versus clopidogrel in patients with coronary artery disease: a retrospective multicenter study (SUPERIOR).
Cang, H; He, M; Li, J; Li, Y; Liu, G; Mu, H; Shi, J; Sun, D; Wang, J; Wang, W; Xu, M; Zhang, C; Zhang, H; Zhang, Z; Zhao, C; Zhao, S, 2021
)
1.19
" The primary endpoint was major adverse cardiovascular events (MACE), including cardiovascular (CV) death, all-cause death, myocardial infarction (MI), stent thrombosis and stroke."( Efficacy and safety of clopidogrel versus prasugrel and ticagrelor for coronary artery disease treatment in patients with CYP2C19 LoF alleles: a systemic review and meta-analysis.
Gwak, HS; Lee, N; Seong, JM; Yoon, HY, 2020
)
0.8
"Ticagrelor is a safe and effective SAPT for the prevention of TEE after FD."( Safety and efficacy of ticagrelor as single antiplatelet therapy in prevention of thromboembolic complications associated with the Pipeline Embolization Device (PED): multicenter experience.
Elbassiouny, A; English, SW; Hegazy, A; Khedr, E; Mohammaden, MH; Shoyb, A; Stapleton, CJ, 2020
)
2.31
" The endpoints were major adverse cardiac events (MACEs), death, stroke, myocardial infarction (MI), stent thrombosis, and bleeding events."( Efficacy and Safety of Ticagrelor Compared to Clopidogrel in Patients Undergoing Percutaneous Coronary Intervention: A Meta-Analysis.
Li, D; Li, X; Shen, S; Wu, H; Xiang, X, 2020
)
0.87
" The primary endpoint for efficacy was the rate of major adverse cardiac events (MACEs)."( Efficacy and safety of low dose ticagrelor in patients with acute coronary syndrome: a systematic review and meta-analysis.
Chen, Q; Li, D; Lu, C; Wang, C; Wang, S; Wang, Y; Wang, Z; Xu, T; Xuan, H; Zhang, H; Zhang, Y, 2020
)
0.84
" The aim of this study is to investigate the efficacy and safety of switching from ticagrelor to clopidogrel in AMI patients with no adverse event during the first month after the index PCI with newer-generation DES."( A prospective, multicentre, randomised, open-label trial to compare the efficacy and safety of clopidogrel versus ticagrelor in stabilised patients with acute myocardial infarction after percutaneous coronary intervention: rationale and design of the TALO
Ahn, Y; Chang, K; Choo, EH; Hwang, BH; Jeon, DS; Jeong, MH; Kim, CJ; Kim, HY; Kim, MC; Park, CS; Park, MW; Seung, KB; Yoo, KD, 2021
)
1.06
"TALOS-AMI is a multicentre, randomised, open-label study enrolling 2,590 AMI patients with no adverse events during the first month after the index PCI."( A prospective, multicentre, randomised, open-label trial to compare the efficacy and safety of clopidogrel versus ticagrelor in stabilised patients with acute myocardial infarction after percutaneous coronary intervention: rationale and design of the TALO
Ahn, Y; Chang, K; Choo, EH; Hwang, BH; Jeon, DS; Jeong, MH; Kim, CJ; Kim, HY; Kim, MC; Park, CS; Park, MW; Seung, KB; Yoo, KD, 2021
)
0.83
"The antiplatelet agents ticagrelor and eptifibatide were safe in DSS colitis mice, suggesting their potential in humans suffering from ulcerative colitis, and supporting future safety studies."( Antiplatelet agents'-ticagrelol and eptifibatide-safety in experimental colitis in mice.
Brcerevic, IA; Cikota, BM; Doder, RB; Magic, ZM; Majstorovic, IJ; Manojlovic, NS; Obradovic, SD; Perisic, NJ; Petrovic, MD; Petrovic, SS; Rancic, NK; Tarabar, DK; Vasiljevska, MM, 2020
)
0.87
" Random-effects model was used to calculate an unadjusted odds ratio (OR) for major adverse cardiovascular and cerbrovascular events (MACCE) and its components."( Meta-Analysis Comparing the Safety and Efficacy of Prasugrel and Ticagrelor in Acute Coronary Syndrome.
Ali, Z; Fischman, DL; Khan, S; Mamas, MA; Rafiq, A; Sabouret, P; Sadiq, U; Ullah, W, 2020
)
0.8
" Major adverse cardiovascular and cerebrovascular events (MACCEs) and bleeding events according to ticagrelor or clopidogrel use were compared."( Efficacy and Safety of Ticagrelor and Clopidogrel in Patients with Stable Coronary Artery Disease Undergoing Percutaneous Coronary Intervention.
Gao, R; Guo, T; Li, J; Li, Y; Qiao, S; Qiu, H; Tang, Y; Wang, Y; Xu, B; Yan, L; Yang, Y; Zheng, J, 2021
)
1.15
" On the other hand, the difference between ticagrelor and clopidogrel for net adverse clinical events was significant (4."( Efficacy and Safety of Ticagrelor and Clopidogrel in Patients with Stable Coronary Artery Disease Undergoing Percutaneous Coronary Intervention.
Gao, R; Guo, T; Li, J; Li, Y; Qiao, S; Qiu, H; Tang, Y; Wang, Y; Xu, B; Yan, L; Yang, Y; Zheng, J, 2021
)
1.19
" To the best of our knowledge this is the first thrombotic coronary side effect ever reported."( Coronary Plaque Erosion after Abemaciclib Treatment Onset: An Unknown Side Effect?
Alfonso, F; Alvarado-Casas, T; Rivero, F; Salamanca, J; Vera, A, 2021
)
0.62
"It is safe and feasible of low-dose ticagrelor in patients with STEMI."( Safety and feasibility of low-dose ticagrelor in patients with ST-segment elevation myocardial infarction.
Fu, Y; Hao, G; Jiang, Y; Wang, Q; Wang, Y; Zheng, S; Zhi, W; Zhou, J, 2021
)
1.17
" The incidence of major adverse cardiac events (MACE), bleeding events were compared between the two groups within 6 months of follow-up."( Safety and feasibility of low-dose ticagrelor in patients with ST-segment elevation myocardial infarction.
Fu, Y; Hao, G; Jiang, Y; Wang, Q; Wang, Y; Zheng, S; Zhi, W; Zhou, J, 2021
)
0.9
"It is safe and feasible of low-dose ticagrelor for patients with STEMI based on the monitoring of PAR."( Safety and feasibility of low-dose ticagrelor in patients with ST-segment elevation myocardial infarction.
Fu, Y; Hao, G; Jiang, Y; Wang, Q; Wang, Y; Zheng, S; Zhi, W; Zhou, J, 2021
)
1.17
"Prasugrel/ticagrelor, compared to clopidogrel, reduces risk of major adverse cardiovascular event (MACE) in Hong Kong ACS population."( Efficacy and safety comparing prasugrel/ticagrelor and clopidogrel in Hong Kong post-acute coronary syndrome patients-A 10-year cohort study.
Lam, ASM; Lee, VWY; Yan, BPY, 2021
)
1.29
" The primary effectiveness endpoint was a major adverse cardiovascular event (MACE), and the primary safety endpoint was a major bleeding event."( Comparison of effectiveness and safety between ticagrelor and clopidogrel in patients with acute coronary syndrome and on dialysis in Taiwan.
Hsieh, KP; Hwang, SJ; Li, YS; Wang, SH; Yang, YH, 2022
)
0.98
" However, like most other drugs, it can lead to undesired and adverse effects such as dyspnoea, easy bruising and gastrointestinal bleeding."( Severe diarrhoea due to use of P2Y12 inhibitor ticagrelor: a rarely reported adverse event.
Elzouki, AN; Rashid, K; Rehman, HU; Waheed, MA, 2021
)
0.88
" The primary endpoint was net adverse clinical event, defined as the primary efficacy endpoint of death, myocardial infarction, or cerebrovascular accident and the primary safety endpoint of any bleeding event."( Safety and Efficacy of Triple Therapy With Ticagrelor or Prasugrel Versus Clopidogrel After Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction.
Flahive, J; Fraielli, K; Gill, K; Servati, N, 2021
)
0.88
"This small cohort study suggests, in patients with ST-elevation myocardial infarction undergoing percutaneous coronary intervention, the net adverse clinical event rate does not differ between clopidogrel and potent P2Y12 inhibitors in the setting of triple antithrombotic therapy."( Safety and Efficacy of Triple Therapy With Ticagrelor or Prasugrel Versus Clopidogrel After Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction.
Flahive, J; Fraielli, K; Gill, K; Servati, N, 2021
)
0.88
" The Safe and Timely Antithrombotic Removal - Ticagrelor (STAR-T) Trial is a multi-center, double-blind, randomized, controlled trial enrolling patients who require cardiothoracic surgery on cardiopulmonary bypass (CPB) within 48 hours of last ticagrelor dose."( Rationale and design of the safe and timely antithrombotic removal - ticagrelor (STAR-T) trial: A prospective, multi-center, double-blind, randomized controlled trial evaluating reductions in postoperative bleeding with intraoperative removal of ticagrelo
Cutlip, DE; Deliargyris, EN; Doros, G; Gibson, CM; Kroger, H; Lee, VT; Mack, MJ; Ohman, EM; Schneider, DJ; Sellke, FW; Thourani, VH, 2022
)
1.21
"In the TWILIGHT trial, ticagrelor monotherapy after a short course of dual antiplatelet therapy (DAPT) was shown to be a safe bleeding avoidance strategy in high-risk patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stents (DES)."( Safety and efficacy of ticagrelor monotherapy according to drug-eluting stent type: the TWILIGHT-STENT study.
Angiolillo, DJ; Baber, U; Briguori, C; Camaj, A; Cao, D; Cohen, D; Collier, T; Dangas, G; Dudek, D; Escaned, J; Gibson, CM; Gil, R; Giustino, G; Goel, R; Han, YL; Huber, K; Kastrati, A; Kaul, U; Kornowski, R; Krucoff, MW; Kunadian, V; Mehran, R; Mehta, S; Moliterno, DJ; Nicolas, J; Ohman, EM; Oldroyd, KG; Pocock, S; Sardella, G; Sartori, S; Sharma, S; Shlofmitz, R; Steg, PG; Weisz, G; Witzenbichler, B; Zhang, Z, 2022
)
1.34
"To establish the safety and efficacy of different dual antiplatelet therapy (DAPT) combinations in patients with acute coronary syndrome (ACS) according to their baseline ischaemic and bleeding risk estimated with a machine learning derived model [machine learning-based prediction of adverse events following an acute coronary syndrome (PRAISE) score]."( Safety and efficacy of different P2Y12 inhibitors in patients with acute coronary syndromes stratified by the PRAISE risk score: a multicentre study.
Abu-Assi, E; Bruno, F; Cerrato, E; Chieffo, A; Conrotto, F; D'Ascenzo, F; De Ferrari, GM; De Filippo, O; Dominguez-Rodriguez, A; Elia, E; Gallone, G; Henriques, JPS; Iannaccone, M; Kinnaird, T; Leonardi, S; Liebetrau, C; Manzano-Fernández, S; Omedè, P; Patti, G; Piroli, F; Raposeiras-Roubin, S; Wańha, W, 2022
)
0.72
" Major adverse cardiovascular events and bleeding events were assessed by using Mantel-Haenszel-pooled risk ratio and 95% con- fidence interval."( Efficacy and Safety of Ticagrelor in East Asian Patients with Acute Coronary Syndrome: A Meta-Analysis of Randomized Controlled Trials.
Lin, J; Qin, Q; Xie, C; Zhu, J, 2022
)
1.03
" The effectiveness outcome was major adverse cardiovascular events (MACE) defined as a composite of recurrent myocardial infarction, repeat revascularization, stroke, or cardiovascular death at 12 months."( Effectiveness and safety of P2Y12 inhibitors in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention: a nationwide registry-based study.
Bhatt, DL; Butt, JH; Christensen, MK; Fosbøl, EL; Gislason, G; Godtfredsen, SJ; Jørgensen, SH; Kragholm, KH; Køber, L; Leutscher, P; Pareek, M; Sessa, M; Torp-Pedersen, C, 2022
)
0.72
" Effectiveness endpoints were evaluated by the major adverse cardiovascular events, encompassing all-cause death, non-fatal myocardial infarction, and clinically driven revascularization."( Comparative Effectiveness and Safety of Ticagrelor Versus Clopidogrel for Elderly Chinese Patients Undergoing Percutaneous Coronary Intervention: A Single-Center Retrospective Cohort Study.
Chen, Y; Gao, H; Han, P; Li, C; Lian, K; Liang, Y; Liu, Y; Tan, Z; Tao, F; Wang, Q; Wang, Z; Xu, S; Yang, L; Zhang, A; Zhang, Y; Zhao, S; Zhu, B, 2022
)
0.99
"Ticagrelor was associated with a lower incidence of major adverse cardiovascular events than clopidogrel at 12 months in elderly Chinese patients with coronary artery disease, without a significant increase of Bleeding Academic Research Consortium bleeding events."( Comparative Effectiveness and Safety of Ticagrelor Versus Clopidogrel for Elderly Chinese Patients Undergoing Percutaneous Coronary Intervention: A Single-Center Retrospective Cohort Study.
Chen, Y; Gao, H; Han, P; Li, C; Lian, K; Liang, Y; Liu, Y; Tan, Z; Tao, F; Wang, Q; Wang, Z; Xu, S; Yang, L; Zhang, A; Zhang, Y; Zhao, S; Zhu, B, 2022
)
2.43
"The first 3 months after percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) is a high-risk period for adverse events, including ischemic and bleeding events, which decrease greatly with time."( Efficacy and Safety of Clopidogrel Versus Ticagrelor for Stabilized Patients With Acute Coronary Syndromes After Percutaneous Coronary Intervention: Results From a Real-World Registry in China.
Li, X; Lin, Y; Peng, W; Zhang, Y, 2023
)
1.17
" Major adverse cardiovascular and cerebrovascular events (MACCE) were considered the primary end point, and major bleeding was considered the secondary end point."( Efficacy and Safety of Clopidogrel Versus Ticagrelor for Stabilized Patients With Acute Coronary Syndromes After Percutaneous Coronary Intervention: Results From a Real-World Registry in China.
Li, X; Lin, Y; Peng, W; Zhang, Y, 2023
)
1.17
" There was no significant difference between the two groups regarding hemorrhagic adverse effects."( A randomized pilot study of the efficacy and safety of loading ticagrelor in acute ischemic stroke.
Aref, HM; El-Khawas, H; Elbassiouny, A; Roushdy, TM; Shokri, HM; Zeinhom, MG, 2023
)
1.15
" The adverse events and the hemorrhage events 30 days after the operation were observed and recorded."( Safety of Bivalirudin Combined with Ticagrelor in the Emergency PCI in Patients with Acute ST-Segment Elevation Myocardial Infarction.
Chen, YX; Li, P; Liang, XW; Liao, W; Liu, M; Wang, ZD; Xie, WC; Zhu, XZ,
)
0.41
"Immature or reticulated platelets are associated with impaired efficacy of antiplatelet drugs and adverse events in cardiovascular patients."( Immature Platelet Fraction Predicts Adverse Events in Patients With Acute Coronary Syndrome: the ISAR-REACT 5 Reticulated Platelet Substudy.
Anetsberger, A; Angiolillo, DJ; Bernlochner, I; Bongiovanni, D; Fegers-Wustrow, I; Gosetti, R; Holdenrieder, S; Kastrati, A; Laugwitz, KL; Mayer, K; Schreiner, N; Schunkert, H; Schüpke, S; Sibbing, D; von Scheidt, M, 2023
)
0.91
"Independently from drug treatment, IPF was associated with the primary end point and therefore is a promising biomarker for the prediction of adverse cardiovascular events in patients with acute coronary syndrome treated with prasugrel or ticagrelor."( Immature Platelet Fraction Predicts Adverse Events in Patients With Acute Coronary Syndrome: the ISAR-REACT 5 Reticulated Platelet Substudy.
Anetsberger, A; Angiolillo, DJ; Bernlochner, I; Bongiovanni, D; Fegers-Wustrow, I; Gosetti, R; Holdenrieder, S; Kastrati, A; Laugwitz, KL; Mayer, K; Schreiner, N; Schunkert, H; Schüpke, S; Sibbing, D; von Scheidt, M, 2023
)
1.09
" The primary comprehensive endpoint was a major adverse cardiovascular event (MACE) composite of cardiovascular death, stroke, or myocardial infarction, while the secondary endpoints were cardiovascular death, all-cause stroke, ischemic stroke, myocardial infarction, and all-cause death."( Prophylactic Efficacy and Safety of Antithrombotic Regimens in Patients with Stable Atherosclerotic Cardiovascular Disease (S-ASCVD): A Bayesian Network Meta-Regression Analysis.
Chen, X; Jiang, L; Liu, C; Su, J; Zheng, N; Zhong, J, 2023
)
0.91
" Our meta-analysis aimed to demonstrate whether intensified antithrombotic regimens with ticagrelor plus aspirin have more beneficial effects and fewer adverse events compared to those of clopidogrel plus aspirin in East Asian patients with ACS undergoing PCI."( Safety and Efficacy of Ticagrelor versus Clopidogrel in East Asian Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Treated with Dual Antiplatelet Therapy: A Meta-Analysis of Randomized Controlled Trials.
He, X; Li, J; Ma, S; Qiu, M; Qu, X; Wang, Q; Wang, X; Wu, C; Zhang, L, 2023
)
1.44
" The primary endpoint was bleeding events, and the secondary endpoints were major adverse cardiovascular and cerebrovascular events (MACCEs, including cardiovascular death, nonfatal myocardial infarction [MI], and stroke), all-cause death, and definite/probable/possible stent thrombosis."( Safety and Efficacy of Ticagrelor versus Clopidogrel in East Asian Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Treated with Dual Antiplatelet Therapy: A Meta-Analysis of Randomized Controlled Trials.
He, X; Li, J; Ma, S; Qiu, M; Qu, X; Wang, Q; Wang, X; Wu, C; Zhang, L, 2023
)
1.22
" The primary outcomes were major adverse cardiovascular and cerebrovascular events (MACCE), defined as a composite of death, myocardial infarction, and stroke occurring from 12 months after discharge to follow-up visit."( Efficacy and Safety of Prolonged Dual Antiplatelet Therapy after Percutaneous Coronary Intervention in Acute Coronary Syndrome Patients.
Han, J; Lin, B; Lin, Y; Shi, X; Wang, Y; Yan, J; Zhang, R; Zhang, Y, 2023
)
0.91
" Outcomes included major adverse cardiovascular events, all cause death, major bleeding and myocardial infarction."( Comparison efficacy and safety of different antiplatelet or anticoagulation drugs in chronic coronary syndromes patients: A Bayesian network meta-analysis.
Liu, C; Ma, L, 2023
)
0.91
" In head-to-head comparison, no significant difference was observed between all antithrombotic treatment strategies with respect to primary endpoint of major adverse cardiovascular events."( Comparison efficacy and safety of different antiplatelet or anticoagulation drugs in chronic coronary syndromes patients: A Bayesian network meta-analysis.
Liu, C; Ma, L, 2023
)
0.91

Pharmacokinetics

Ticagrelor had no effect on levonorgestrel pharmacokinetic parameters versus placebo (90% CI: AUC(0-τ) 0.5%). Ticag Relor demonstrated faster onset and more potent inhibition of platelet aggregation than clopidogrel.

ExcerptReferenceRelevance
" The mean terminal-phase half-life (t(1/2)) was approximately 7-8."( Pharmacokinetics, pharmacodynamics, tolerability and safety of single ascending doses of ticagrelor, a reversibly binding oral P2Y(12) receptor antagonist, in healthy subjects.
Butler, K; Teng, R, 2010
)
0.58
"This report is the first to demonstrate the superior pharmacodynamic effect of ticagrelor compared with clopidogrel irrespective of CYP2C19 genotype."( First analysis of the relation between CYP2C19 genotype and pharmacodynamics in patients treated with ticagrelor versus clopidogrel: the ONSET/OFFSET and RESPOND genotype studies.
Armstrong, M; Bliden, KP; Butler, K; Gurbel, PA; Storey, RF; Tantry, US; Wei, C, 2010
)
0.8
" This has led to the development of other P2Y12 receptor inhibitors, such as prasugrel and ticagrelor, with different pharmacokinetic characteristics that influence their pharmacodynamics."( Beyond efficacy: pharmacokinetic differences between clopidogrel, prasugrel and ticagrelor.
Cohen Arazi, H; Di Girolamo, G; Giorgi, MA; Gonzalez, CD, 2011
)
0.82
" However, the pharmacokinetic advantages of both prasugrel and ticagrelor allow clinicians to center patient management by selecting the best drug for the appropriate subject."( Beyond efficacy: pharmacokinetic differences between clopidogrel, prasugrel and ticagrelor.
Cohen Arazi, H; Di Girolamo, G; Giorgi, MA; Gonzalez, CD, 2011
)
0.84
" Pharmacokinetic parameters were evaluated on cycle day 21, and endogenous hormones assayed on cycle days 1, 7, 14 and 21."( Effect of ticagrelor on the pharmacokinetics of ethinyl oestradiol and levonorgestrel in healthy volunteers.
Butler, K; Teng, R, 2011
)
0.77
" Ticagrelor and AR-C124910XX (a major pharmacologically active metabolite) plasma concentrations were quantified for pharmacokinetic analysis."( Lack of significant food effect on the pharmacokinetics of ticagrelor in healthy volunteers.
Butler, K; Mitchell, PD; Teng, R, 2012
)
1.53
" The objectives of this study were to assess the pharmacokinetic parameters of ticagrelor and its active metabolite AR-C124910XX, and the safety and tolerability of ticagrelor in healthy Chinese subjects, following single and multiple oral doses of ticagrelor."( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
0.84
" On days 1 and 10 of both dosing schedules, blood samples for pharmacokinetic analyses were collected for 72 hours."( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
0.62
"Following single and multiple doses at both dose levels, ticagrelor was rapidly absorbed (median time [t(max)] to reach maximum plasma concentration [C(max)] 2 hours) with a mean elimination half-life (t(1/2;)) of 10."( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
0.86
" Mean terminal elimination half-life was slightly longer in women vs."( Effect of age and gender on pharmacokinetics and pharmacodynamics of a single ticagrelor dose in healthy individuals.
Butler, K; Mitchell, P; Teng, R, 2012
)
0.61
" The recently approved oral antiplatelet agent ticagrelor has the potential to overcome some of the limitations of current therapy due to its unique pharmacokinetic and pharmacodynamic profiles."( Pharmacokinetic, pharmacodynamic and pharmacogenetic profile of the oral antiplatelet agent ticagrelor.
Teng, R, 2012
)
0.86
" In the ONSET-OFFSET study (parallel group trial) and the RESPOND study (crossover trial), the pharmacodynamic effects of ticagrelor were compared with clopidogrel in patients with coronary artery disease (CAD)."( Pharmacokinetics and pharmacodynamics of ticagrelor in patients with stable coronary artery disease: results from the ONSET-OFFSET and RESPOND studies.
Bliden, K; Butler, K; Gurbel, PA; Husted, SE; Høimark, L; Storey, RF; Tantry, US; Teng, R; Wei, C, 2012
)
0.85
" Expression of the 3435T/T genetic variant encoding the MDR1 gene for the P-glycoprotein efflux transporter results in a significantly reduced maximum drug concentration and area under the plasma concentration-time curve as intestinal absorption of clopidogrel is reduced; and the expression of the mutant *2 allele of CYP2C19 results in similar pharmacokinetic effects as the two cytochrome P450 (CYP)-mediated steps required for the production of the active metabolite of clopidogrel are impaired."( Comparative pharmacokinetics and pharmacodynamics of platelet adenosine diphosphate receptor antagonists and their clinical implications.
Ferro, A; Floyd, CN; Passacquale, G, 2012
)
0.38
"As ticagrelor, clopidogrel and cangrelor therapies may be used in the same clinical setting, their potential pharmacodynamic interactions are of interest."( Evaluation of ticagrelor pharmacodynamic interactions with reversibly binding or non-reversibly binding P2Y(12) antagonists in an ex-vivo canine model.
Emanuelsson, BM; Ravnefjord, A; van Giezen, JJ; Weilitz, J, 2012
)
1.36
" No pharmacodynamic interaction occurred between ticagrelor and cangrelor."( Evaluation of ticagrelor pharmacodynamic interactions with reversibly binding or non-reversibly binding P2Y(12) antagonists in an ex-vivo canine model.
Emanuelsson, BM; Ravnefjord, A; van Giezen, JJ; Weilitz, J, 2012
)
0.99
"The extent of the pharmacodynamic drug-drug interactions observed between clopidogrel and cangrelor or ticagrelor apparently depends on the level of receptor occupancy when clopidogrel is administered."( Evaluation of ticagrelor pharmacodynamic interactions with reversibly binding or non-reversibly binding P2Y(12) antagonists in an ex-vivo canine model.
Emanuelsson, BM; Ravnefjord, A; van Giezen, JJ; Weilitz, J, 2012
)
0.95
" Ticagrelor and AR-C124910XX plasma concentrations were quantified for pharmacokinetic analysis (n = 14); inhibition of platelet aggregation (IPA) was also assessed (n = 14)."( Effect of rifampicin on the pharmacokinetics and pharmacodynamics of ticagrelor in healthy subjects.
Butler, K; Mitchell, P; Teng, R, 2013
)
1.53
" At steady-state ticagrelor (50 mg bid, or 200 mg bid), concomitant aspirin (300 mg qd) had no effect on mean maximum plasma concentration (Cmax), median time to Cmax (tmax), or mean area under the plasma concentration-time curve for the dosing interval (AUC0-τ) for ticagrelor and its primary metabolite, AR-C124910XX."( Evaluation of the pharmacokinetics and pharmacodynamics of ticagrelor co-administered with aspirin in healthy volunteers.
Butler, K; Maya, J; Teng, R, 2013
)
0.97
" Plasma concentrations of tolbutamide, 4-hydroxytolbutamide, ticagrelor, and AR-C124910XX were determined for pharmacokinetic analyses."( Evaluation of the pharmacokinetic interaction between ticagrelor and tolbutamide, a cytochrome P450 2C9 substrate, in healthy volunteers.
Butler, K; Mitchell, P; Teng, R, 2013
)
0.88
"Ticagrelor had no effect on tolbutamide or 4-hydroxytolbutamide pharmacokinetic parameters."( Evaluation of the pharmacokinetic interaction between ticagrelor and tolbutamide, a cytochrome P450 2C9 substrate, in healthy volunteers.
Butler, K; Mitchell, P; Teng, R, 2013
)
2.08
" Pharmacokinetic parameters of digoxin and ticagrelor were evaluated following co-administration of ticagrelor 400 mg qd or placebo on days 1-16, and digoxin (0."( A pharmacokinetic interaction study of ticagrelor and digoxin in healthy volunteers.
Butler, K; Teng, R, 2013
)
0.92
" The objective of the present study was to evaluate the pharmacokinetic profile after different subcutaneous (s."( Evaluation of systemic exposure of nanoparticle suspensions subcutaneously administered to mice regarding stabilization, volume, location, concentration and size.
Palmer, M; Sigfridsson, K, 2014
)
0.4
"The goal of this study was to evaluate the pharmacodynamic effects of switching patients from ticagrelor to prasugrel."( Pharmacodynamic evaluation of switching from ticagrelor to prasugrel in patients with stable coronary artery disease: Results of the SWAP-2 Study (Switching Anti Platelet-2).
Angiolillo, DJ; Curzen, N; Effron, MB; Gurbel, P; Jakubowski, JA; Li, W; Lipkin, F; Trenk, D; Vaitkus, P; Zettler, M, 2014
)
0.88
" Pharmacodynamic assessments were defined according to P2Y12 reaction unit (PRU) (P2Y12 assay) and platelet reactivity index (vasodilator-stimulated phosphoprotein phosphorylation assay) at baseline (before and after the run-in phase) and 2, 4, 24, and 48 h and 7 days after randomization."( Pharmacodynamic evaluation of switching from ticagrelor to prasugrel in patients with stable coronary artery disease: Results of the SWAP-2 Study (Switching Anti Platelet-2).
Angiolillo, DJ; Curzen, N; Effron, MB; Gurbel, P; Jakubowski, JA; Li, W; Lipkin, F; Trenk, D; Vaitkus, P; Zettler, M, 2014
)
0.66
"In patients referred for PPCI, ticagrelor bolus following clopidogrel resulted in more rapid and profound platelet inhibition, demonstrating a positive pharmacodynamic interaction."( A comparative pharmacodynamic study of ticagrelor versus clopidogrel and ticagrelor in patients undergoing primary percutaneous coronary intervention: the CAPITAL RELOAD study.
Blondeau, M; Dick, A; Froeschl, M; Glover, C; Hibbert, B; Labinaz, M; Le May, MR; Marquis, JF; Maze, R; Moudgil, R; Pourdjabbar, A; Ramirez, FD; Simard, T; So, DY, 2014
)
0.96
"This study sought to determine pharmacodynamic effects during transition from intravenous cangrelor to oral ticagrelor and from oral ticagrelor to intravenous cangrelor."( Pharmacodynamic effects during the transition between cangrelor and ticagrelor.
Agarwal, Z; Gogo, P; Keating, FK; Schneider, DJ; Seecheran, N, 2014
)
0.85
" Pharmacodynamic effects (light transmission platelet aggregation in response to 20 and 5 μmol/l adenosine diphosphate, VerifyNow, P2Y12 assay (Accumetrics, San Diego, California), vasodilator-stimulated phosphoprotein index, and flow cytometry) were assessed during and after the cangrelor infusion."( Pharmacodynamic effects during the transition between cangrelor and ticagrelor.
Agarwal, Z; Gogo, P; Keating, FK; Schneider, DJ; Seecheran, N, 2014
)
0.64
"Ticagrelor given before or during infusion of cangrelor did not attenuate the pharmacodynamic effects of cangrelor."( Pharmacodynamic effects during the transition between cangrelor and ticagrelor.
Agarwal, Z; Gogo, P; Keating, FK; Schneider, DJ; Seecheran, N, 2014
)
2.08
" This study assessed the potential pharmacokinetic drug-drug interaction between ticagrelor and cyclosporine."( Pharmacokinetic interaction study of ticagrelor and cyclosporine in healthy volunteers.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.9
" Plasma concentrations of ticagrelor and its active metabolite (AR-C124910XX) and blood concentrations of cyclosporine were analyzed, and pharmacokinetic parameters were calculated."( Pharmacokinetic interaction study of ticagrelor and cyclosporine in healthy volunteers.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.98
"Co-administration of cyclosporine with ticagrelor increased exposure to ticagrelor and its active metabolite and had no effect on cyclosporine pharmacokinetic parameters."( Pharmacokinetic interaction study of ticagrelor and cyclosporine in healthy volunteers.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.94
" The impact of venlafaxine on ticagrelor pharmacokinetic parameters was also investigated."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.94
" Plasma concentrations of ticagrelor, venlafaxine, and their metabolites (AR-C124910XX and O-desmethylvenlafaxine [ODV], respectively) were quantified for pharmacokinetic analyses."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.95
" Venlafaxine Cmax was increased by 22% in the presence of ticagrelor (121."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.9
" In pharmacodynamic studies, ticagrelor demonstrated faster onset and more potent inhibition of platelet aggregation than clopidogrel."( Ticagrelor: pharmacokinetics, pharmacodynamics, clinical efficacy, and safety.
Dobesh, PP; Oestreich, JH, 2014
)
2.14
"The objective was to compare the pharmacodynamic (PD) and pharmacokinetic (PK) effects of ticagrelor with clopidogrel among subjects of Hispanic ethnicity, as the PD and PK effects of antiplatelet agents among Hispanics are not specifically known."( A randomised trial of the pharmacodynamic and pharmacokinetic effects of ticagrelor compared with clopidogrel in Hispanic patients with stable coronary artery disease.
Angiolillo, DJ; Caplan, R; Carlson, G; Clavijo, L; Maya, J; Price, MJ; Teng, R, 2015
)
0.87
" The aim of this study was to evaluate the pharmacodynamic profile of 5 different anti-platelet treatments in the acute phase of STEMI in patients undergoing primary PCI."( A pharmacodynamic comparison of 5 anti-platelet protocols in patients with ST-elevation myocardial infarction undergoing primary PCI.
Andell, P; Björnsson, S; Erlinge, D; Götberg, M; Harnek, J; Koul, S; Martinsson, A; Norström, E; Scherstén, F; Smith, JG, 2014
)
0.4
" We describe the unique pharmacokinetic and pharmacodynamic properties of this drug and the extensive data obtained by preclinical and Phase II and III clinical studies."( Pharmacokinetics and pharmacodynamics of ticagrelor when treating non-ST elevation acute coronary syndromes.
Aspromonte, N; Caldarola, P; Chiatto, M; Iacoviello, M; Monitillo, F; Valle, R, 2015
)
0.68
" In light of new data, this review provides an update on the pharmacokinetic, pharmacodynamic and pharmacogenetic profiles of ticagrelor in different study populations."( Ticagrelor: Pharmacokinetic, Pharmacodynamic and Pharmacogenetic Profile: An Update.
Teng, R, 2015
)
2.07
"The aim of this study was to assess the impact of ticagrelor dosing regimens on pharmacodynamic (PD) profiles in patients on maintenance ticagrelor therapy."( Pharmacodynamic Effects of Ticagrelor Dosing Regimens in Patients on Maintenance Ticagrelor Therapy: Results From a Prospective, Randomized, Double-Blind Investigation.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
0.97
" (Impact of Ticagrelor Re-Load Pharmacodynamic Profiles; NCT01731041)."( Pharmacodynamic Effects of Ticagrelor Dosing Regimens in Patients on Maintenance Ticagrelor Therapy: Results From a Prospective, Randomized, Double-Blind Investigation.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
1.09
"The objective of this study was to assess the pharmacokinetic and pharmacodynamic behavior of ticagrelor administered either as crushed (in the semi-upright sitting position) or as integral (in the supine position) tablets in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI)."( Crushed Versus Integral Tablets of Ticagrelor in ST-Segment Elevation Myocardial Infarction Patients: A Randomized Pharmacokinetic/Pharmacodynamic Study.
Alexopoulos, D; Barampoutis, N; Davlouros, P; Gkizas, V; Hahalis, G; Koutsogiannis, N; Nylander, S; Parodi, G; Tsigkas, G; Vogiatzi, C; Xanthopoulou, I, 2016
)
0.93
" In this study, we compared the pharmacodynamic efficacy of prasugrel and ticagrelor in East Asian patients with acute coronary syndrome (ACS)."( A pharmacodynamic study of the optimal P2Y12 inhibitor regimen for East Asian patients with acute coronary syndrome.
Ahn, MS; Ahn, SG; Kang, YS; Kim, JY; Lee, JH; Lee, JW; Lee, SH; Park, B; Park, SW; Yoo, BS; Yoon, J; Youn, YJ, 2015
)
0.65
"The goal of this study was to assess the pharmacokinetic (PK) and pharmacodynamic (PD) profiles of escalating ticagrelor loading dose (LD) regimens in primary percutaneous coronary intervention (PPCI)."( Impact of Escalating Loading Dose Regimens of Ticagrelor in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Results of a Prospective Randomized Pharmacokinetic and Pharmacodynamic Investigati
Angiolillo, DJ; Bass, TA; Bhatti, M; Carraway, E; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Nanavati, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
0.89
" Pharmacodynamic assessments were conducted using three assays (vasodilator-stimulated phosphoprotein, VerifyNow P2Y12, and light transmittance aggregometry, LTA) at baseline, 30 min, 2, 24 h, and 1 week."( A head-to-head pharmacodynamic comparison of prasugrel vs. ticagrelor after switching from clopidogrel in patients with coronary artery disease: results of a prospective randomized study.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Singh, K; Wilson, RE; Zenni, MM, 2016
)
0.68
"This study sought to assess the pharmacodynamic (PD) effects of switching to ticagrelor patients who were treated with prasugrel after undergoing percutaneous coronary intervention in the setting of an acute coronary syndrome."( Pharmacodynamic Effects of Switching From Prasugrel to Ticagrelor: Results of the Prospective, Randomized SWAP-3 Study.
Aggarwal, N; Angiolillo, DJ; Antoun, P; Bass, TA; Been, L; Cho, JR; Durairaj, A; Faz, GT; Franchi, F; Guzman, LA; Hu, J; Kureti, M; Park, Y; Rollini, F; Suryadevara, S; Thano, E; Zenni, MM, 2016
)
0.91
"The aim of the study was to assess ticagrelor's effects on inhibition of platelet aggregation (IPA), P2Y12 reaction units (PRU, measure of platelet P2Y12 receptor blockade), pharmacokinetic (PK) parameters and safety in Chinese patients with stable coronary artery disease (CAD)."( Pharmacodynamics, pharmacokinetics, and safety of ticagrelor in Chinese patients with stable coronary artery disease.
Carlson, GF; Guo, J; Li, H; Teng, R, 2016
)
0.96
" 90 mg twice daily) in ticagrelor Cmax (616 [37] vs."( Pharmacodynamics, pharmacokinetics, and safety of ticagrelor in Chinese patients with stable coronary artery disease.
Carlson, GF; Guo, J; Li, H; Teng, R, 2016
)
1
" However, the mean pharmacodynamic differences between 45 and 60 mg doses were small."( Pharmacodynamics, pharmacokinetics, and safety of ticagrelor in Chinese patients with stable coronary artery disease.
Carlson, GF; Guo, J; Li, H; Teng, R, 2016
)
0.69
" Data from two studies in patients with acute coronary syndromes with large amounts of pharmacokinetic (PK) data (phase IIb DISPERSE-2 study (n = 609)); phase III PLATO PK substudy (n = 6,381)), along with non-linear mixed effects modeling software, were used to develop population PK models for ticagrelor and its metabolite, AR-C124910XX, and to evaluate the impact of demographic and clinical factors on the PK of ticagrelor and AR-C124910XX."( Population pharmacokinetics of ticagrelor in patients with acute coronary syndromes.
Husted, S; Li, J; Storey, RF; Tang, W; Teng, R, 2016
)
0.9
"To complete a systematic review evaluating the currently available evidence regarding the pharmacokinetic and pharmacodynamic activity of orally administered clopidogrel, prasugrel and ticagrelor during the acute phase of a myocardial infarction in relation to mechanical reperfusion with primary percutaneous coronary angioplasty."( Pharmacokinetics and pharmacodynamics of oral P2Y12 inhibitors during the acute phase of a myocardial infarction: A systematic review.
Cotton, JM; Cox, AR; Khan, N, 2016
)
0.63
"Twelve papers were included in our final analysis; seven relating to pharmacodynamic studies, one to a pharmacokinetic study and four to pharmacokinetic/pharmacodynamic studies."( Pharmacokinetics and pharmacodynamics of oral P2Y12 inhibitors during the acute phase of a myocardial infarction: A systematic review.
Cotton, JM; Cox, AR; Khan, N, 2016
)
0.43
" However, the dynamic interaction of ticagrelor, the ticagrelor active metabolite (TAM), and MEDI2452, makes pharmacokinetic (PK) analysis nontrivial and mathematical modeling becomes essential to unravel the complex behavior of this system."( Unraveling the pharmacokinetic interaction of ticagrelor and MEDI2452 (Ticagrelor antidote) by mathematical modeling.
Almquist, J; Gennemark, P; Goodman, J; Janefeldt, A; Madalli, S; Maqbool, S; Nylander, S; Pehrsson, S; Penney, M; Sandinge, AS, 2016
)
0.97
" Whether these findings may be attributed to differences in the pharmacodynamic profiles of these drugs in DM patients remains poorly explored and represented the aim of this study."( Pharmacodynamic Comparison of Prasugrel Versus Ticagrelor in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease: The OPTIMUS (Optimizing Antiplatelet Therapy in Diabetes Mellitus)-4 Study.
Aggarwal, N; Angiolillo, DJ; Bass, TA; Been, L; Cho, JR; Duarte, VE; Durairaj, A; Franchi, F; Hu, J; Kureti, M; Rollini, F; Zenni, MM, 2016
)
0.69
"In this prospective, randomized, double-blind, double-dummy, crossover pharmacodynamic study, aspirin-treated DM patients (n=50) with coronary artery disease were randomly assigned to receive prasugrel (60 mg loading dose [LD]/10 mg maintenance dose once daily) or ticagrelor (180 mg LD/90 mg maintenance dose twice daily) for 1 week."( Pharmacodynamic Comparison of Prasugrel Versus Ticagrelor in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease: The OPTIMUS (Optimizing Antiplatelet Therapy in Diabetes Mellitus)-4 Study.
Aggarwal, N; Angiolillo, DJ; Bass, TA; Been, L; Cho, JR; Duarte, VE; Durairaj, A; Franchi, F; Hu, J; Kureti, M; Rollini, F; Zenni, MM, 2016
)
0.87
" Pharmacodynamic assessments measured by vasodilator-stimulated phosphoprotein, light transmittance aggregometry, and Multiplate were similar between prasugrel and ticagrelor at each time point, including at 1 week."( Pharmacodynamic Comparison of Prasugrel Versus Ticagrelor in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease: The OPTIMUS (Optimizing Antiplatelet Therapy in Diabetes Mellitus)-4 Study.
Aggarwal, N; Angiolillo, DJ; Bass, TA; Been, L; Cho, JR; Duarte, VE; Durairaj, A; Franchi, F; Hu, J; Kureti, M; Rollini, F; Zenni, MM, 2016
)
0.89
" Inhibition in platelet aggregation (IPA) was assessed and the area under the time-effect curve (AUEC) for the IPA was calculated as pharmacodynamic parameters."( No Effect of SLCO1B1 and CYP3A4/5 Polymorphisms on the Pharmacokinetics and Pharmacodynamics of Ticagrelor in Healthy Chinese Male Subjects.
Chen, X; Hu, X; Hu, Y; Li, H; Li, M; Tang, J; Wen, Z; Xiao, J; Zhang, D; Zhang, Y, 2017
)
0.67
" Thus, we designed a pharmacokinetic and pharmacodynamic study setting the feasibility of platelet inhibition with a loading dose of ticagrelor given as crushed tablets sublingually compared with two other ticagrelor loading dose administration strategies: integral tablet given orally and crushed tablet given orally in patients with unstable angina."( Crushed sublingual versus oral ticagrelor administration strategies in patients with unstable angina. A pharmacokinetic/pharmacodynamic study.
Alexopoulos, D; Barańska, M; Buszko, K; Fabiszak, T; Jilma, B; Kubica, J; Marszałł, MP; Niezgoda, P; Siemińska, E; Sikora, A; Sikora, J; Siller-Matula, JM, 2017
)
0.94
" This is coherent with the emergence of an uninhibited subpopulation of reticulated platelets during treatment with aspirin plus thienopyridine, explained by the short pharmacokinetic half-lives of these drugs."( Newly Formed Reticulated Platelets Undermine Pharmacokinetically Short-Lived Antiplatelet Therapies.
Armstrong, PC; Chan, MV; Ferreira, PM; Hayman, MA; Hoefer, T; Knowles, RB; Tucker, AT; Warner, TD, 2017
)
0.46
"In this single-center, prospective, randomized pharmacodynamic study, 52 ESRD patients on HD were prescribed clopidogrel (300mg loading dose [LD], then 75mg daily), standard-dose ticagrelor (180mg LD, then 90mg twice daily), or low-dose ticagrelor (90mg LD, then 90mg daily) for 14days."( The pharmacodynamics of low and standard doses of ticagrelor in patients with end stage renal disease on hemodialysis.
Ihm, CG; Jeong, KH; Kim, JB; Kim, JS; Kim, KS; Kim, W; Kim, WS; Lee, TW; Woo, JS, 2017
)
0.9
" This post hoc analysis investigated the pharmacodynamic effects of ticagrelor versus clopidogrel loading dose (LD) in troponin-negative acute coronary syndrome patients with or without DM undergoing percutaneous coronary intervention in the Ad Hoc PCI study."( Impact of Diabetes Mellitus on the Pharmacodynamic Effects of Ticagrelor Versus Clopidogrel in Troponin-Negative Acute Coronary Syndrome Patients Undergoing Ad Hoc Percutaneous Coronary Intervention.
Angiolillo, DJ; Carlson, GF; Dangas, G; Franchi, F; Khan, ND; Mehran, R; Raveendran, G; Rollini, F; Sweeny, JM; Teng, R; Waksman, R; Zhao, Y, 2017
)
0.93
"The long-term pharmacodynamic effects of Ticagrelor versus Clopidogrel in patients undergoing early percutaneous coronary intervention (PCI) after fibrinolytic therapy is unknown."( Long-term pharmacodynamic effects of Ticagrelor versus Clopidogrel in fibrinolytic-treated STEMI patients undergoing early PCI.
Bagai, A; Booker, J; Cantor, WJ; Cheema, AN; Crawford, JJ; Dehghani, P; Goodman, SG; Harenberg, S; Kelly, S; Lavi, S; Lavoie, A; Mehta, SR; Pon, Q; Yang, A; Zimmermann, RH, 2018
)
1.02
" Log-transformed pharmacokinetic parameters of ticagrelor and AR-C124910XX obtained from the trials were compared by the mean of two one-sided t-test."( Effects of food and gender on pharmacokinetics of ticagrelor and its main active metabolite AR-C124910XX in healthy Chinese subjects
.
Ding, L; Feng, W; Liu, D; Liu, F; Shi, X; Sun, L; Wang, Y, 2018
)
0.99
"Platelet function data were integrated with plasma concentration data of ticagrelor and its active metabolite AR-C1249010XX in a population pharmacokinetic (PK) and pharmacodynamic (PD) model, based on two clinical studies."( Pharmacokinetic-pharmacodynamic modelling of platelet response to ticagrelor in stable coronary artery disease and prior myocardial infarction patients.
Amilon, C; Angiolillo, DJ; Åstrand, M; Bonaca, MP; Gurbel, PA; Hamrén, B; Himmelmann, A; Röshammar, D; Storey, RF, 2019
)
0.98
" Clopidogrel has long been the gold standard but has major pharmacological limitations such as a slow onset and long duration of effect, as well as weak platelet inhibition with high inter-individual pharmacokinetic and pharmacodynamic variability."( Pharmacokinetics and Pharmacodynamics of Approved and Investigational P2Y12 Receptor Antagonists.
Dingemanse, J; Schilling, U; Ufer, M, 2020
)
0.56
" Plasma samples were collected for pharmacokinetic analysis."( Effect of tea polyphenols on the oral and intravenous pharmacokinetics of ticagrelor in rats and its in vitro metabolism.
Cai, WM; Liu, SB; Sun, H; Tang, ZJ; Wang, ZT; Xue, Y; Zhang, Z, 2020
)
0.79
" A preliminary pharmacokinetic study in rats was conducted and could be used to monitor plasma ticagrelor levels in humans."( Rapid fluorometric determination of ticagrelor in tablets and rat plasma: Application to pharmacokinetics study.
Belal, F; Elmansi, H; Zayed, S, 2020
)
1.05
" The aim of this review was to discuss the rationale and summarize the current pharmacodynamic and clinical outcomes-based evidence from reduced MD of ticagrelor in patients with coronary artery disease (CAD)."( Pharmacodynamic and clinical efficacy of reduced ticagrelor maintenance doses in patients with coronary artery disease.
Adamski, P; Kubica, J; Navarese, EP; Ostrowska, M, 2021
)
1.07
" The pre-determined inclusion criteria were: (1) randomized or observational trials; (2) presentation of clinical or pharmacodynamic results; (3) evaluation of any ticagrelor MD below 90 mg BID in patients with CAD."( Pharmacodynamic and clinical efficacy of reduced ticagrelor maintenance doses in patients with coronary artery disease.
Adamski, P; Kubica, J; Navarese, EP; Ostrowska, M, 2021
)
1.07
" The method was then successfully applied for pharmacokinetic study of ticagrelor, its two metabolites and four major constituents of TPs in rat plasma after oral administration of ticagrelor and tea polyphenol extracts."( A Validated LC-MS/MS Method for the Simultaneous Determination of Ticagrelor, Its Two Metabolites and Major Constituents of Tea Polyphenols in Rat Plasma and Its Application in a Pharmacokinetic Study.
Cai, W; Liu, S; Tian, X; Wang, Z; Xue, Y, 2021
)
1.09
" How CKD status affects the pharmacodynamic (PD) and pharmacokinetic (PK) profiles of different ticagrelor maintenance dose regimens in patients with DM is unknown."( Impact of chronic kidney disease on the pharmacodynamic and pharmacokinetic effects of ticagrelor in patients with diabetes mellitus and coronary artery disease.
Abou Jaoude, P; Angiolillo, DJ; Bass, TA; Been, L; Briceno, M; Franchi, F; Jia, S; Lee, CH; Maaliki, N; Pineda, AM; Rivas, A; Rollini, F; Soffer, D; Suryadevara, S; Zenni, MM; Zhou, X, 2022
)
1.16
" Human PK and pharmacodynamic data from sequential dose cohorts were used to initially define and then refine model parameters."( Population pharmacokinetic-pharmacodynamic modeling of PB2452, a monoclonal antibody fragment being developed as a ticagrelor reversal agent, in healthy volunteers.
Arnold, SE; Bhatt, DL; Kathman, SJ; Lee, JS; Wheeler, JJ, 2022
)
0.93
"This investigation was a substudy analysis conducted in selected cohorts of patients with stable atherosclerotic disease enrolled from a larger prospective, open-label, parallel-group pharmacodynamic (PD) study."( Platelet P2Y12 inhibiting therapy in adjunct to vascular dose of rivaroxaban or aspirin: a pharmacodynamic study of dual pathway inhibition vs. dual antiplatelet therapy.
Angiolillo, DJ; Bass, TA; Been, L; Franchi, F; Galli, M; Geisler, T; Jaoude, PA; Jennings, LK; Jia, S; Lee, CH; Maaliki, N; Pineda, AM; Rivas, A; Rollini, F; Soffer, D; Suryadevara, S; Zenni, MM; Zhou, X, 2022
)
0.72

Compound-Compound Interactions

Ticagrelor combined with aspirin has definite therapeutic effect on patients with coronary heart disease angina pectoris, with low prevalence of adverse reactions. Chronic atorvastatin treatment combined with ticgrelor loading prevents against endothelial dysfunction after acute forearm ischemia.

ExcerptReferenceRelevance
" This study assessed whether high-dose aspirin: a) provides additional anti-platelet efficacy, assessed in vivo and ex vivo, when combined with P2Y12 inhibition; and/or b) has a negative effect on vascular function."( High-dose aspirin in dogs increases vascular resistance with limited additional anti-platelet effect when combined with potent P2Y12 inhibition.
Björkman, JA; Forsberg, GB; Hansson, GI; Nylander, S; von Bahr, H; Warner, TD; Zachrisson, H, 2013
)
0.39
"The risk and benefit of GP-IIb/IIIa Inhibition (GPI) in combination with recent antiplatelet regimens in acute coronary syndromes (ACS) remain unassessed."( Safety and efficacy of IIb/IIIa inhibitors in combination with highly active oral antiplatelet regimens in acute coronary syndromes: A meta-analysis of pivotal trials.
Agueznai, M; Ardouin, P; Beygui, F; Blanchart, K; Collet, JP; Lemaître, A; Milliez, P; Montalescot, G; Roule, V; Sabatier, R, 2017
)
0.46
" In conclusion, cangrelor in combination with ticagrelor results in consistent and strong P2Y12 inhibition during and after infusion and cangrelor may bridge the gap until oral P2Y12 inhibitors achieve effect in real-world STEMI patients undergoing primary PCI."( Cangrelor in combination with ticagrelor provides consistent and potent P2Y12-inhibition during and after primary percutaneous coronary intervention in real-world patients with ST-segment-elevation myocardial infarction.
Andell, P; Erlinge, D; Götberg, M; James, S; Koul, S; Mohammad, MA; Scherstén, F, 2017
)
1
" This study aimed to investigate the influences of dual-dose clopidogrel, clopidogrel combined with tongxinluo, and ticagrelor on the platelet activity and MACE events of patients with CYP2C19*2 gene function deficiency and poor clopidogrel response after PCI."( Effects of Dual-Dose Clopidogrel, Clopidogrel Combined with Tongxinluo Capsule, and Ticagrelor on Patients with Coronary Heart Disease and CYP2C19*2 Gene Mutation After Percutaneous Coronary Interventions (PCI).
Chen, S; Geng, Y; Gu, J; Hao, Q; Qi, P; Wang, H; Wang, L; Zhang, Y, 2017
)
0.89
"The present case demonstrates that a potential drug-drug interaction (DDI) may lead to a life-threatening drug adverse reaction especially in special subjects."( Ticagrelor-induced life-threatening bleeding via the cyclosporine-mediated drug interaction: A case report.
Cui, M; Gu, Z; Liu, X; Shen, L; Zhang, C, 2017
)
1.9
" Three months later, he was noted to have elevated creatine kinase (CK), thought to be related to a potential drug-drug interaction between ticagrelor and atorvastatin."( Elevated Creatine Kinase due to Potential Drug Interaction With Ticagrelor and Atorvastatin.
Beavers, JC, 2019
)
0.95
"A probable drug-drug interaction occurred with concomitant ticagrelor and atorvastatin."( Elevated Creatine Kinase due to Potential Drug Interaction With Ticagrelor and Atorvastatin.
Beavers, JC, 2019
)
1
" We studied the effect of high-dose atorvastatin combined with ticagrelor loading on endothelial dysfunction in a model of forearm vascular ischemia-reperfusion (IR) injury."( Atorvastatin combined with ticagrelor prevent ischemia-reperfusion induced vascular endothelial dysfunction in healthy young males - A randomized, placebo-controlled, double-blinded study.
Kerbel, T; Litschauer, B; Weisshaar, S; Wolzt, M, 2018
)
1.02
"Chronic atorvastatin treatment combined with ticagrelor loading prevents against endothelial dysfunction after acute forearm ischemia."( Atorvastatin combined with ticagrelor prevent ischemia-reperfusion induced vascular endothelial dysfunction in healthy young males - A randomized, placebo-controlled, double-blinded study.
Kerbel, T; Litschauer, B; Weisshaar, S; Wolzt, M, 2018
)
1.04
"This study aimed to investigate the effect of ticagrelor combined with omeprazole on patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PCI)."( Effects (MACE and bleeding events) of ticagrelor combined with omeprazole on patients with acute myocardial infarction undergoing primary PCI.
Hou, Y; Liu, F; Su, S; Wang, Z; Wu, F; Zhang, F; Zhang, L; Zhao, L,
)
0.66
" The objective of this study is to investigate the efficacy and safety of ticagrelor combined with a lower dose of aspirin (50 mg) than that recommended by guidelines (75-100 mg)."( Combined with ticagrelor, 50 mg aspirin daily can reduce bleeding events without increasing ischemic risk compared with 75-100 mg aspirin daily in coronary artery disease patients: insights from the TIFU (Ticagrelor in Fuwai Hospital) study.
Chen, R; Chen, Y; Li, J; Liu, C; Sheng, Z; Song, L; Tan, Y; Yan, H; Zhao, H; Zhou, J; Zhou, P, 2020
)
1.15
"This study aims to explore the clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and the effects on N terminal pro B type natriuretic peptide (NT-ProBNP) and creatine kinase-MB (CK-MB) levels."( Clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and its effects on NT-ProBNP and CK-MB levels.
Chen, LL; Lu, WL; Tang, DD; Wang, JP; Wang, W; Yan, SR; Zhao, LH, 2020
)
1.13
"Ticagrelor combined with aspirin has definite therapeutic effect on patients with coronary heart disease angina pectoris, with low prevalence of adverse reactions."( Clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and its effects on NT-ProBNP and CK-MB levels.
Chen, LL; Lu, WL; Tang, DD; Wang, JP; Wang, W; Yan, SR; Zhao, LH, 2020
)
2.32
"Coronary endarterectomy (CE) combined with coronary artery bypass grafting (CABG) can be the only option for complete revascularization in some patients with diffuse coronary artery disease."( Comparison of dual antiplatelet therapies after coronary endarterectomy combined with coronary artery bypass grafting: a cohort study.
Feng, W; Song, Y; Tiemuerniyazi, X; Xu, F; Yan, H, 2020
)
0.56
"This study evaluated the cardioprotective effects of NXT alone and in combination with ticagrelor (TIC) and atorvastatin (ATO)."( Protective effects of Naoxintong capsule alone and in combination with ticagrelor and atorvastatin in rats with Qi deficiency and blood stasis syndrome.
He, Y; Li, PB; Lin, QW; Liu, H; Su, WW; Wang, YG; Wu, H; Yan, ZH; Yao, HL; Zhang, WJ, 2020
)
1.01
"To investigate the effect of ticagrelor combined with tirofiban versus clopidogrel combined with tirofiban on inflammation response and prognosis of patients with unstable angina pectoris (UA)."( Comparison of the effect of ticagrelor combined with tirofiban versus clopidogrel combined with tirofiban on inflammation response and prognosis of patients with unstable angina pectoris in long term follow-up.
Deng, L; Jia, HZ; Li, MC; Zhu, W, 2021
)
1.21
"To explore the clinical efficacy of tirofiban combined with ticagrelor and aspirin in acute myocardial infarction treatment by percutaneous coronary intervention and its effect on patients' cardiac function."( The Clinical Efficacy of Tirofiban Combined with Ticagrelor and Aspirin in Treating Acute Myocardial Infarction by Percutaneous Coronary Intervention and Its Effect on Patients' Cardiac Function.
Li, F; Peng, R, 2022
)
1.22
" On the basis of conventional treatment, patients were separated into a joint group (tirofiban combined with ticagrelor and aspirin) comprising 55 cases and a control group (conventional ticagrelor and aspirin dual treatment) involving 47 cases."( The Clinical Efficacy of Tirofiban Combined with Ticagrelor and Aspirin in Treating Acute Myocardial Infarction by Percutaneous Coronary Intervention and Its Effect on Patients' Cardiac Function.
Li, F; Peng, R, 2022
)
1.19
" The aim of our study was to investigate if the Syk inhibitor fostamatinib could be repurposed as an antiplatelet drug, either alone or in combination with conventional antiplatelet therapy."( Antithrombotic Effects of Fostamatinib in Combination with Conventional Antiplatelet Drugs.
Alenazy, FO; Harbi, MH; Nicolson, PLR; Smith, CW; Thomas, MR; Tiwari, A; Watson, SP, 2022
)
0.72
"The present study aimed to investigate the application safety of bivalirudin combined with ticagrelor in the emergency percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI)."( Safety of Bivalirudin Combined with Ticagrelor in the Emergency PCI in Patients with Acute ST-Segment Elevation Myocardial Infarction.
Chen, YX; Li, P; Liang, XW; Liao, W; Liu, M; Wang, ZD; Xie, WC; Zhu, XZ,
)
0.63
"Compared with unfractionated heparin combined with ticagrelor in patients with STEMI undergoing emergency PCI treatment, bivalirudin combined with ticagrelor could significantly reduce the occurrence of mild hemorrhage events, and it would not increase the incidence of MACE during the 30 days of follow-up."( Safety of Bivalirudin Combined with Ticagrelor in the Emergency PCI in Patients with Acute ST-Segment Elevation Myocardial Infarction.
Chen, YX; Li, P; Liang, XW; Liao, W; Liu, M; Wang, ZD; Xie, WC; Zhu, XZ,
)
0.66

Bioavailability

Ticagrelor is a first-line clinical drug for the treatment of acute coronary syndrome, but its oral bioavailability is relatively low. The aim of this study is to improve the bioavailability of ticgrelor using solid dispersion technique.

ExcerptReferenceRelevance
"To compare the bioavailability and safety profile of crushed ticagrelor tablets suspended in water and administered orally or via nasogastric tube, with that of whole tablets administered orally."( An open-label, randomized bioavailability study with alternative methods of administration of crushed ticagrelor tablets in healthy volunteers.
Carlson, G; Hsia, J; Teng, R, 2015
)
0.87
"A one-compartment model with population mean PK parameters of firstorder absorption rate constant (0."( Population pharmacokinetics of ticagrelor in patients with acute coronary syndromes.
Husted, S; Li, J; Storey, RF; Tang, W; Teng, R, 2016
)
0.72
"Cell membrane permeability is an important determinant for oral absorption and bioavailability of a drug molecule."( Highly predictive and interpretable models for PAMPA permeability.
Jadhav, A; Kerns, E; Nguyen, K; Shah, P; Sun, H; Xu, X; Yan, Z; Yu, KR, 2017
)
0.46
"Data from available studies suggest that the presence of ST-elevation myocardial infarction (STEMI) may be associated with delayed and attenuated ticagrelor bioavailability and effect compared with non-ST-elevation myocardial infarction (NSTEMI)."( Comparison of bioavailability and antiplatelet action of ticagrelor in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: A prospective, observational, single-centre study.
Adamska, U; Adamski, P; Buszko, K; Gorog, DA; Kubica, A; Kubica, J; Laskowska, E; Marszałł, MP; Navarese, EP; Ostrowska, M; Paciorek, P; Rość, D; Sikora, A; Sikora, J; Skibińska, N; Sobczak, P; Umińska, JM, 2017
)
0.9
" Impaired bioavailability of ticagrelor and AR-C124910XX seen in STEMI subjects was associated with diminished platelet inhibition in this group, which was most pronounced during the initial hours of treatment."( Comparison of bioavailability and antiplatelet action of ticagrelor in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: A prospective, observational, single-centre study.
Adamska, U; Adamski, P; Buszko, K; Gorog, DA; Kubica, A; Kubica, J; Laskowska, E; Marszałł, MP; Navarese, EP; Ostrowska, M; Paciorek, P; Rość, D; Sikora, A; Sikora, J; Skibińska, N; Sobczak, P; Umińska, JM, 2017
)
0.99
" This reduced and delayed ticagrelor bioavailability was associated with weaker antiplatelet effect in STEMI."( Comparison of bioavailability and antiplatelet action of ticagrelor in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: A prospective, observational, single-centre study.
Adamska, U; Adamski, P; Buszko, K; Gorog, DA; Kubica, A; Kubica, J; Laskowska, E; Marszałł, MP; Navarese, EP; Ostrowska, M; Paciorek, P; Rość, D; Sikora, A; Sikora, J; Skibińska, N; Sobczak, P; Umińska, JM, 2017
)
1
"The aim of this study is to improve the bioavailability of ticagrelor, BCS class 4 drug, using solid dispersion technique, and to evaluate the potential of ticagrelor loaded-solid dispersion, as a new formulation."( A novel composition of ticagrelor by solid dispersion technique for increasing solubility and intestinal permeability.
Bang, KH; Cho, CW; Huh, HW; Kim, SJ; Lee, HJ; Lee, HK; Na, YG; Wang, M, 2019
)
1.07
"Ticagrelor (TCG) is used to inhibit platelet aggregation in patients with acute coronary syndrome, but its poor solubility and low bioavailability limit its in vivo efficacy."( Strategic approach to developing a self-microemulsifying drug delivery system to enhance antiplatelet activity and bioavailability of ticagrelor.
Bang, KH; Byeon, JJ; Cho, CW; Huh, HW; Jeon, SH; Kim, SJ; Lee, HJ; Lee, HK; Na, YG; Son, GH; Wang, M, 2019
)
2.16
"These results suggest that the developed TCG-SM could be successfully used as an efficient method to achieve the enhanced antiplatelet activity and bioavailability of TCG."( Strategic approach to developing a self-microemulsifying drug delivery system to enhance antiplatelet activity and bioavailability of ticagrelor.
Bang, KH; Byeon, JJ; Cho, CW; Huh, HW; Jeon, SH; Kim, SJ; Lee, HJ; Lee, HK; Na, YG; Son, GH; Wang, M, 2019
)
0.72
" Similar bioavailability of ticagrelor (and AR-C124910XX) was demonstrated for all comparisons tested."( Development Strategy and Relative Bioavailability of a Pediatric Tablet Formulation of Ticagrelor.
Berggren, AR; Johanson, P; Karlsson, C; Niazi, M; Wissmar, J, 2019
)
1.03
"Similar bioavailability of a new pediatric dispersible tablet formulation of ticagrelor for use across a wide age range of pediatric patients was demonstrated compared with other oral ticagrelor formulations."( Development Strategy and Relative Bioavailability of a Pediatric Tablet Formulation of Ticagrelor.
Berggren, AR; Johanson, P; Karlsson, C; Niazi, M; Wissmar, J, 2019
)
0.97
"The aim of this study was to solidify a ticagrelor loaded self-microemulsifying drug delivery system (TCG-SM) with enhanced dissolution and bioavailability of ticagrelor (TCG) for developing TCG-SM granules and tablets."( Statistical approach for solidifying ticagrelor loaded self-microemulsifying drug delivery system with enhanced dissolution and oral bioavailability.
Bang, KH; Byeon, JJ; Cho, CW; Han, MG; Huh, HW; Kim, MK; Lee, HK; Na, YG; Wang, M, 2019
)
1.05
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
"In this study, we developed ticagrelor-dispersed nanosuspension (TCG-NSP) to enhance the dissolution and oral bioavailability of ticagrelor (TCG) through a statistical design approach."( Development and evaluation of TPGS/PVA-based nanosuspension for enhancing dissolution and oral bioavailability of ticagrelor.
Baek, JS; Byeon, JJ; Cho, CW; Han, MG; Kim, MK; Lee, HK; Na, YG; Pham, TMA, 2020
)
1.06
" We highlighted a mechanism triggered mainly by the increased extracellular bioavailability of adenosine, which activates A2B and A3 receptors on the endothelium."( Ticagrelor Prevents Endothelial Cell Apoptosis through the Adenosine Signalling Pathway in the Early Stages of Hypoxia.
Brassart-Pasco, S; Djerada, Z; Feliu, C; Millart, H; Nguyen, P; Oszust, F; Peyret, H; Poitevin, G, 2020
)
2
"Ticagrelor (TGR), being an antiplatelet agent, belongs to BCS class IV drug with low solubility and permeability that undergoes first-pass metabolism, leading to reduced bioavailability of 36%."( Formulation and In Vivo Evaluation of Ticagrelor Self-nanoemulsifying Drug Delivery Systems.
Aparna, A; Bhikshapathi, DVRN; Kumar, YS, 2021
)
2.34
" In vivo bioavailability studies of optimized SNEDDS are performed in Wistar rats."( Formulation and In Vivo Evaluation of Ticagrelor Self-nanoemulsifying Drug Delivery Systems.
Aparna, A; Bhikshapathi, DVRN; Kumar, YS, 2021
)
0.89
"Ticagrelor is a first-line clinical drug for the treatment of acute coronary syndrome, but its oral bioavailability is relatively low."( Untargeted metabolomics reveals the mechanism of quercetin enhancing the bioavailability of ticagrelor.
Sun, Y; Tang, Y; Wei, B; Wei, S; Xu, X; Zhang, W, 2021
)
2.28
"Unlike fentanyl, lignocaine does not impair the bioavailability or delay the antiplatelet effect of ticagrelor."( Effects of lignocaine vs. opioids on antiplatelet activity of ticagrelor: the LOCAL trial.
Duffy, SJ; Duong, T; Fernando, H; Huynh, K; Meikle, PJ; Myles, PS; Nehme, Z; Noonan, J; Peter, K; Shaw, J; Smith, K; Stub, D, 2021
)
1.08
"Ticagrelor (TG), an antiplatelet drug is employed to treat patients with acute coronary syndrome, but its inadequate oral bioavailability due to poor solubility and low permeability restricts its effectiveness."( pH-Responsive Nanocomposite Based Hydrogels for the Controlled Delivery of Ticagrelor; In Vitro and In Vivo Approaches.
Alqahtani, F; Alshehri, S; Erum, A; Imran, I; Majeed, A; Noorani, B; Rasool, MF; Shahid, N; Shoaib, QU; Tulain, UR; Zaman, M, 2021
)
2.29
"This contemporary work was aimed to design a novel pH-sensitive nanocomposite hydrogel (NCH) formulation incorporating thiolated chitosan (TCH) based nanoparticles (NPs) of Ticagrelor (TG), to enhance its oral bioavailability for effectively inhibiting platelet aggregation."( pH-Responsive Nanocomposite Based Hydrogels for the Controlled Delivery of Ticagrelor; In Vitro and In Vivo Approaches.
Alqahtani, F; Alshehri, S; Erum, A; Imran, I; Majeed, A; Noorani, B; Rasool, MF; Shahid, N; Shoaib, QU; Tulain, UR; Zaman, M, 2021
)
1.05
" The NCHs were evaluated by various physicochemical techniques and the selected formulation was subjected to in vivo bioavailability studies, confirming enhancement of bioavailability as indicated by prolonged half-life and multifold increase in area under the curve (AUC) as compared to pure TG."( pH-Responsive Nanocomposite Based Hydrogels for the Controlled Delivery of Ticagrelor; In Vitro and In Vivo Approaches.
Alqahtani, F; Alshehri, S; Erum, A; Imran, I; Majeed, A; Noorani, B; Rasool, MF; Shahid, N; Shoaib, QU; Tulain, UR; Zaman, M, 2021
)
0.85
" However, pharmacological use of endogenous ligands for these receptors is limited by their lack of specificity (PACAP binds with high affinity to VPAC1, VPAC2 and PAC1 receptors while VIP recognizes both VPAC1 and VPAC2 receptors), their poor oral bioavailability (VIP and PACAP are 27- to 38-amino acid peptides) and their short half-life."( Drug Repositioning For Allosteric Modulation of VIP and PACAP Receptors.
Langer, I; Latek, D, 2021
)
0.62
" In pharmacokinetic study, compared with raw TCG, the bioavailability of HL-NLC and S-HL-NLC was increased by 293% and 323%, respectively."( Development of a long-acting tablet with ticagrelor high-loaded nanostructured lipid carriers.
Bai, HW; Cho, CW; Han, SC; Jeon, WJ; Jin, M; Jung, M; Kang, KU; Kim, H; Lee, H; Lee, HK; Suh, H; Won, JH; Yoo, H, 2023
)
1.18

Dosage Studied

The study was conducted to validate whether vasodilatorstimulated phosphoprotein (VASP)-guided ticagrelor dosing individual therapy may result in more effective platelet inhibition and better clinical outcomes. Tolbutamide had no effect on the Cmax, area under the concentration cu.

ExcerptRelevanceReference
" AZD6140 (100 and 200 mg bid, 400 mg qd) rapidly and nearly completely inhibited ADP-induced platelet aggregation after initial dosing (day 1) and at day 28."( Pharmacodynamics, pharmacokinetics, and safety of the oral reversible P2Y12 antagonist AZD6140 with aspirin in patients with atherosclerosis: a double-blind comparison to clopidogrel with aspirin.
Emanuelsson, H; Heptinstall, S; Husted, S; Peters, G; Sandset, PM; Wickens, M, 2006
)
0.33
" Despite the unambiguous clinical benefit associated with clopidogrel, accumulating experience with this drug has also led to identification of some of its drawbacks, which are related to inadequate platelet inhibition with standard dosage regimens as well as to its irreversible antiplatelet effects."( ADP receptor antagonism: what's in the pipeline?
Angiolillo, DJ, 2007
)
0.34
" It is quickly absorbed and exhibits a rapid antiplatelet effect, with higher and more consistent levels of inhibition of platelet aggregation (IPA) being maintained across the dosing interval than with clopidogrel."( Ticagrelor: the first reversibly binding oral P2Y12 receptor antagonist.
Husted, S; van Giezen, JJ, 2009
)
1.8
" Optimal dosing strategy as determined by ticagrelor's pharmacokinetic and pharmacodynamic profile is a loading dose of 180 mg followed by 90 mg by mouth twice daily."( Efficacy and safety of ticagrelor: a reversible P2Y12 receptor antagonist.
Anderson, SD; Epstein, BJ; Shah, NK; Yim, J, 2010
)
0.94
"This study assesses the optimal dosing schedule for ticagrelor in healthy volunteers and compares the degree of IPA with clopidogrel."( Pharmacokinetics, pharmacodynamics, safety and tolerability of multiple ascending doses of ticagrelor in healthy volunteers.
Butler, K; Teng, R, 2010
)
0.83
"Multiple dosing provided predictable pharmacokinetics of ticagrelor and its metabolite over the dose range of 50-600 mg once daily and 50-300 mg twice daily with C(max) and AUC(0,t) increasing approximately dose-proportionally."( Pharmacokinetics, pharmacodynamics, safety and tolerability of multiple ascending doses of ticagrelor in healthy volunteers.
Butler, K; Teng, R, 2010
)
0.83
" However, different degrees of resistance to clopidogrel have been the subject of many recent studies that led to higher dosing regimens of clopidogrel."( A new era for antiplatelet therapy in patients with acute coronary syndrome.
Abu-Fadel, MS; Dib, C; Hanna, EB, 2010
)
0.36
" Based on these data, no ticagrelor dosage adjustment is needed in patients with mild hepatic impairment."( Pharmacokinetics, pharmacodynamics, and safety of ticagrelor in volunteers with mild hepatic impairment.
Butler, K; Teng, R, 2011
)
0.93
" The present article reviews data on the clinical impact of enhanced P2Y12 inhibition with either higher clopidogrel dosing or new oral antiplatelet agents, including prasugrel and ticagrelor, in the setting of STEMI, focusing on results in the setting of primary PCI."( Clinical impact of enhanced inhibition of P2Y12-mediated platelet aggregation in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention.
Capranzano, P; Dangas, G; Mehran, R; Stone, GW; Tamburino, C, 2010
)
0.55
"In the recent PLATO trial, the daily aspirin dosages in the USA were split between 81 and 325 mg while the vast majority of dosing outside of the USA was 75 or 100 mg."( Aspirin dose and ticagrelor benefit in PLATO: fact or fiction?
Serebruany, VL, 2010
)
0.7
" After completion of this phase, additional subjects (n = 14) were recruited into the ticagrelor 180 mg group, and received ticagrelor 180 mg under the same dosing schedule."( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
0.84
" Steady-state concentrations of ticagrelor and AR-C124910XX were rapidly established with both dosing regimens."( Pharmacokinetics and tolerability of single and multiple doses of ticagrelor in healthy Chinese subjects: an open-label, sequential, two-cohort, single-centre study.
Butler, K; Li, H; Teng, R; Yang, L; Yang, Z, 2012
)
0.9
" Whether this is worth both the risk of non-compliance with twice-a-day dosing in real-life patients lacking the same motivation as their trial-volunteer counterparts, and the 2000-fold difference in incremental cost, is the remaining matter for debate."( Quantitative comparison of clopidogrel 600 mg, prasugrel and ticagrelor, against clopidogrel 300 mg on major adverse cardiovascular events and bleeding in coronary stenting: synthesis of CURRENT-OASIS-7, TRITON-TIMI-38 and PLATO.
Davies, JE; Francis, DP; Nijjer, SS, 2012
)
0.62
" In RESPOND, ticagrelor mean C(max) and AUC(8) following 2-week dosing were comparable between clopidogrel responders (724 ng/mL and 3983 ng · h/mL, respectively) and non-responders (764 ng/mL and 3986 ng · h/mL, respectively)."( Pharmacokinetics and pharmacodynamics of ticagrelor in patients with stable coronary artery disease: results from the ONSET-OFFSET and RESPOND studies.
Bliden, K; Butler, K; Gurbel, PA; Husted, SE; Høimark, L; Storey, RF; Tantry, US; Teng, R; Wei, C, 2012
)
1.01
" The compound design was based on modifications of ticagrelor and its major metabolite (33) in order to ameliorate their pharmacokinetic properties and dosing profile."( Synthesis and biological evaluation of ticagrelor derivatives as novel antiplatelet agents.
Kong, L; Liu, J; Sun, H; Yao, H; Zhang, H; Zhang, L, 2012
)
0.9
" However, the reversible binding of ticagrelor to the P2Y(12) receptor requires a twice-daily dosing regimen."( Comparative pharmacokinetics and pharmacodynamics of platelet adenosine diphosphate receptor antagonists and their clinical implications.
Ferro, A; Floyd, CN; Passacquale, G, 2012
)
0.65
"Six male dogs all received 7 different dosing regimens separated by 1-5week washout periods: cangrelor (1μg/kg/min, intravenous infusion); ticagrelor (0."( Evaluation of ticagrelor pharmacodynamic interactions with reversibly binding or non-reversibly binding P2Y(12) antagonists in an ex-vivo canine model.
Emanuelsson, BM; Ravnefjord, A; van Giezen, JJ; Weilitz, J, 2012
)
0.94
" With clopidogrel dosed 3hours after ticagrelor, IPA was reduced after washout of ticagrelor to 38% at 24hrs vs."( Evaluation of ticagrelor pharmacodynamic interactions with reversibly binding or non-reversibly binding P2Y(12) antagonists in an ex-vivo canine model.
Emanuelsson, BM; Ravnefjord, A; van Giezen, JJ; Weilitz, J, 2012
)
1.01
" The comparator was standard dosage of clopidogrel."( Comparing newer oral anti-platelets prasugrel and ticagrelor in reduction of ischemic events-evidence from a network meta-analysis.
Chatterjee, S; Frankel, R; Ghose, A; Guha, G; Mukherjee, D; Sharma, A, 2013
)
0.64
" At steady-state ticagrelor (50 mg bid, or 200 mg bid), concomitant aspirin (300 mg qd) had no effect on mean maximum plasma concentration (Cmax), median time to Cmax (tmax), or mean area under the plasma concentration-time curve for the dosing interval (AUC0-τ) for ticagrelor and its primary metabolite, AR-C124910XX."( Evaluation of the pharmacokinetics and pharmacodynamics of ticagrelor co-administered with aspirin in healthy volunteers.
Butler, K; Maya, J; Teng, R, 2013
)
0.97
" Tolbutamide had no effect on the Cmax, area under the concentration curve over the 2-hour dosing interval (AUC0-τ), t1/2 or tmax of either ticagrelor or AR-C124910XX."( Evaluation of the pharmacokinetic interaction between ticagrelor and tolbutamide, a cytochrome P450 2C9 substrate, in healthy volunteers.
Butler, K; Mitchell, P; Teng, R, 2013
)
0.84
" Moreover, inappropriate statin dosing restrictions (underdosing of simvastatin and lovastatin) were deliberately utilized in PLATO, potentially contributing to the beneficial effect of ticagrelor."( Exploring the ticagrelor-statin interplay in the PLATO trial.
Dinicolantonio, JJ; Serebruany, VL, 2013
)
0.94
" For the oral dose, ticagrelor tablets were crushed using a mortar and pestle and transferred to a dosing cup."( Evaluation of crushed ticagrelor tablet doses: recovery following crushing and naso-gastric tube passage ex vivo.
Crean, B; Crosby, A; Finnie, C, 2013
)
1.03
" Future studies are required to test the effect of crushed dosing on pharmacokinetic and pharmacodynamic parameters."( Evaluation of crushed ticagrelor tablet doses: recovery following crushing and naso-gastric tube passage ex vivo.
Crean, B; Crosby, A; Finnie, C, 2013
)
0.7
" A review of data regarding aspirin use for secondary prevention of events in ACS demonstrated that low aspirin doses (75 to 160 mg/day) are consistently favored for short- and long-term use because of the lack of a dose-response relationship between increasing aspirin dose and improved efficacy, and a higher incidence of gastrointestinal bleeding with increasing aspirin dose."( Aspirin, clopidogrel, and ticagrelor in acute coronary syndromes.
Berger, JS, 2013
)
0.69
" In contrast, on an oral dosage basis (mg/kg), prasugrel showed more potent platelet inhibition compared to ticagrelor on ex vivo aggregation and VASP phosphorylation assays in monkeys."( Comparison of antiplatelet effects of prasugrel and ticagrelor in cynomolgus monkeys by an ELISA-based VASP phosphorylation assay and platelet aggregation.
Jakubowski, JA; Mizuno, M; Ohno, K; Sugidachi, A; Tomizawa, A, 2013
)
0.85
" Dans certaines situations de risque par contre, une adaption du dosage est conseillée pour minimiser les effets secondaires négatifs: Chez les patients de plus de 75 ans, et/ou d'un poids corporel de moins de 60 kg, une réduction du dosage de prasugrel est conseillée en raison d'un risque élevé d'hémorragie."( [Thrombocyte aggregation inhibitors: what are the risks?].
Curkovic, I; Egbring, M; Kullak-Ublick, GA, 2013
)
0.39
" In this situation, a number of alternatives to conventional dosing of clopidogrel have been investigated, including increasing the dosage of clopidogrel, switching from clopidogrel to either prasugrel or ticagrelor, or adding cilostazol to clopidogrel therapy."( Treatment options for patients with poor clopidogrel response.
Nawarskas, JJ; Roberts, DI,
)
0.32
" A clear dose-response was obtained after spiking whole blood with increasing amounts of PRP."( Reversal strategy in antagonizing the P2Y12 -inhibitor ticagrelor.
Derhaschnig, U; Firbas, C; Hobl, EL; Jilma, B; Schoergenhofer, C; Schwameis, M, 2013
)
0.64
"Clinicians may need to switch between more potent P2Y12 inhibitors because of adverse effects or switch to the use of a once-daily dosing regimen due to compliance issues."( Pharmacodynamic evaluation of switching from ticagrelor to prasugrel in patients with stable coronary artery disease: Results of the SWAP-2 Study (Switching Anti Platelet-2).
Angiolillo, DJ; Curzen, N; Effron, MB; Gurbel, P; Jakubowski, JA; Li, W; Lipkin, F; Trenk, D; Vaitkus, P; Zettler, M, 2014
)
0.66
" Bleeding times were >= 60 minutes in more Japanese than Caucasians with multiple dosing of 100 mg and 300 mg ticagrelor Adverse events were similar between groups (mild-to-moderate intensity)."( Pharmacokinetics, pharmacodynamics, and tolerability of single and multiple doses of ticagrelor in Japanese and Caucasian volunteers.
Butler, K; Teng, R, 2014
)
0.84
"Twice daily dosing is often perceived as inferior to once daily dosing due to a higher likelihood of missing a dose."( Projected inhibition of platelet aggregation with ticagrelor twice daily vs. clopidogrel once daily based on patient adherence data (the TWICE project).
Claeys, MJ; Legrand, V; Van de Werf, F; Vandendriessche, E; Vrijens, B, 2014
)
0.65
"Drug dosing histories of 5014 patients prescribed cardiovascular medications (primarily antihypertensive medicines) were extracted from an electronically compiled dosing history database."( Projected inhibition of platelet aggregation with ticagrelor twice daily vs. clopidogrel once daily based on patient adherence data (the TWICE project).
Claeys, MJ; Legrand, V; Van de Werf, F; Vandendriessche, E; Vrijens, B, 2014
)
0.65
" This modelling and simulation study suggests a therapeutic benefit of ticagrelor over clopidogrel when taking into account the most common dosing omissions."( Projected inhibition of platelet aggregation with ticagrelor twice daily vs. clopidogrel once daily based on patient adherence data (the TWICE project).
Claeys, MJ; Legrand, V; Van de Werf, F; Vandendriessche, E; Vrijens, B, 2014
)
0.89
" At the end of the dosing interval on day 28, mean final-extent IPA was 10."( Pharmacodynamics, pharmacokinetics and safety of ticagrelor in Asian patients with stable coronary artery disease.
Emanuelsson, H; Hiasa, Y; Teng, R, 2014
)
0.66
" Coagulation biomarkers in shed blood were assessed at 3 h after monotherapy with the medicines under study, at 3 h after triple therapy dosing and at steady state trough conditions."( Antithrombotic triple therapy and coagulation activation at the site of thrombus formation: a randomized trial in healthy subjects.
Eichinger, S; Gouya, G; Kapiotis, S; Kyrle, PA; Litschauer, B; Mayer, P; Smerda, L; Weisshaar, S; Wolzt, M, 2014
)
0.4
" In a double blind, placebo-controlled crossover trial in healthy volunteers, a single oral dosage of 180 mg ticagrelor reduced platelet-monocyte complex (PMC) formation."( Differential effects of platelets and platelet inhibition by ticagrelor on TLR2- and TLR4-mediated inflammatory responses.
de Groot, PG; de Mast, Q; Dinarello, CA; Fijnheer, R; Gasem, MH; Gomes, ME; Joosten, LA; Netea, MG; Riksen, N; Rongen, G; Tacke, S; Tunjungputri, RN; van de Veerdonk, FL; van den Berg, TN; van der Ven, AJ, 2015
)
0.87
"The aim of this study was to assess the impact of ticagrelor dosing regimens on pharmacodynamic (PD) profiles in patients on maintenance ticagrelor therapy."( Pharmacodynamic Effects of Ticagrelor Dosing Regimens in Patients on Maintenance Ticagrelor Therapy: Results From a Prospective, Randomized, Double-Blind Investigation.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
0.97
"Many patients on maintenance P2Y12-inhibiting therapies may require coronary revascularization procedures, raising a common clinical question with regard to the dosing regimen of the P2Y12-inhibiting agent to be used."( Pharmacodynamic Effects of Ticagrelor Dosing Regimens in Patients on Maintenance Ticagrelor Therapy: Results From a Prospective, Randomized, Double-Blind Investigation.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
0.71
"This was a prospective, randomized, double-blind, placebo-controlled study assessing the PD effects of 2 dosing regimens of ticagrelor in patients on standard aspirin and ticagrelor maintenance therapy."( Pharmacodynamic Effects of Ticagrelor Dosing Regimens in Patients on Maintenance Ticagrelor Therapy: Results From a Prospective, Randomized, Double-Blind Investigation.
Angiolillo, DJ; Bass, TA; Bhatti, M; Cho, JR; DeGroat, C; Dunn, EC; Ferrante, E; Franchi, F; Guzman, LA; Muniz-Lozano, A; Rollini, F; Suryadevara, S; Zenni, MM, 2015
)
0.92
" We sought to evaluate platelet reactivity during loading and maintenance dosing of ticagrelor versus clopidogrel, and the pharmacokinetic profile of ticagrelor and its metabolite AR-C124910XX, in black patients with stable CAD taking low-dose aspirin (acetylsalicylic acid)."( Ticagrelor Versus Clopidogrel in Black Patients With Stable Coronary Artery Disease: Prospective, Randomized, Open-Label, Multiple-Dose, Crossover Pilot Study.
Angiolillo, DJ; Caplan, RJ; Carlson, GF; Ferdinand, KC; Maya, J; Teng, R; Waksman, R, 2015
)
2.08
" In mice dosed to complete P2Y12 inhibition, boosting coagulation by administration of rhFVIIa or rhFII within 90s after bleeding initiation can partly reverse ticagrelor-enhanced bleeding."( Boosting the coagulation restores haemostasis in ticagrelor-treated mice.
Hansson, K; Nelander, K; Nylander, S; Pehrsson, S, 2016
)
0.89
" Newer P2Y12 antagonists with faster onset and greater inhibition of platelet activity have improved cardiovascular outcomes but have created uncertainty with the appropriate dosing when switching between agents."( In-stent thrombosis when switching ticagrelor to clopidogrel after percutaneous coronary intervention.
Brice, AE; Haynick, M; Hernandez, GA; Mendoza, CE; Sanchez, M, 2017
)
0.73
"The optimal dosing of novel oral P2Y12 receptor platelet inhibitors such as prasugrel or ticagrelor is unclear and especially challenging in East Asians."( A Prospective, Randomized, Open-Label, Blinded, Endpoint Study Exploring Platelet Response to Half-Dose Prasugrel and Ticagrelor in Patients with the Acute Coronary Syndrome: HOPE-TAILOR Study.
Bang, J; Jin, C; Kim, MH; Serebruany, V,
)
0.56
" Simulation for dosage regimen was performed based on the final PK-PD model."( Population pharmacokinetics and pharmacodynamics of ticagrelor and AR-C124910XX in Chinese healthy male subjects.
Liu, S; Shi, X; Sun, Z; Tian, X; Xue, L; Zhang, X; Zhu, Z, 2018
)
0.73
" Simulation results indicated that a lower dosage regimen of 30 mg maintenance dose (MD) could produce an anticipated anti-platelet response in comparison to the routine clinical dosage regimen (180 mg loading dose (LD), 90 mg MD)."( Population pharmacokinetics and pharmacodynamics of ticagrelor and AR-C124910XX in Chinese healthy male subjects.
Liu, S; Shi, X; Sun, Z; Tian, X; Xue, L; Zhang, X; Zhu, Z, 2018
)
0.73
"Our study developed a population PK-PD model for ticagrelor and further simulation for dosage regimen was performed based on the final model."( Population pharmacokinetics and pharmacodynamics of ticagrelor and AR-C124910XX in Chinese healthy male subjects.
Liu, S; Shi, X; Sun, Z; Tian, X; Xue, L; Zhang, X; Zhu, Z, 2018
)
0.99
"This was a prospective, randomized, open-label study conducted in patients on maintenance dosing (MD) of aspirin (81 mg/d) and clopidogrel (75 mg/d)."( Pharmacodynamic Effects of Switching From Ticagrelor to Clopidogrel in Patients With Coronary Artery Disease: Results of the SWAP-4 Study.
Agarwal, M; Angiolillo, DJ; Bass, TA; Been, L; Briceno, M; Franchi, F; Kureti, M; Moon, JY; Nagaraju, D; Nawaz, A; Rivas Rios, J; Rivas, A; Rollini, F; Shaikh, Z; Soffer, D; Suryadevara, S; Wali, M; Zenni, MM, 2018
)
0.75
" In the PEGASUS-TIMI 54 platelet function substudy, PK and platelet function were assessed during maintenance dosing in 180 prior MI patients receiving placebo, ticagrelor 60 mg or ticagrelor 90 mg twice daily."( Pharmacokinetic-pharmacodynamic modelling of platelet response to ticagrelor in stable coronary artery disease and prior myocardial infarction patients.
Amilon, C; Angiolillo, DJ; Åstrand, M; Bonaca, MP; Gurbel, PA; Hamrén, B; Himmelmann, A; Röshammar, D; Storey, RF, 2019
)
0.95
" Oral dosing with vehicle, ticagrelor (300mg/kg/d), aspirin (20mg/kg/d), their combination or prasugrel (15mg/kg/d) started 7days after infarction."( Ticagrelor Improves Remodeling, Reduces Apoptosis, Inflammation and Fibrosis and Increases the Number of Progenitor Stem Cells After Myocardial Infarction in a Rat Model of Ischemia Reperfusion.
Birnbaum, Y; Chen, H; Nylander, S; Sampaio, LC; Tran, D; Ye, Y, 2019
)
2.25
" Recent studies have provided important information to guide choice and dosing of antiplatelet agents as well as the length of treatment."( Evolving Approaches to Antithrombotics in Stroke Prevention and Treatment.
Amireh, A; Javalkar, V; Kelley, RE; Kuybu, O, 2020
)
0.56
" Of which, there were 2 cases which changed the dosage of clopidogrel to 75 mg BID, 14 cases who changed clopidogrel to ticagrelor."( Effects of individualized antiplatelet therapy based on CYP2C19 genotype and platelet function on the prognosis of patients after PCI.
Gao, M; Hou, YL; Jia, XM; Ma, LP; Ren, MY; Wang, JR; Zhang, M; Zhang, P; Zhang, Y, 2020
)
0.77
" A decreased MACCE rate was also observed in patients administered the double dosage of clopidogrel, but the bleeding risk was increased compared with the control group."( Efficacy and safety of ticagrelor versus clopidogrel with different dosages in acute coronary syndrome patients with high GRACE and CRUSADE scores.
Lan, Y; Xiao, P; Xie, F,
)
0.44
" The study was conducted to validate whether vasodilatorstimulated phosphoprotein (VASP)-guided ticagrelor dosing individual therapy may result in more effective platelet inhibition and better clinical outcomes."( Modified ticagrelor loading doses according to the vasodilator-stimulated phosphoprotein phosphorylation index improve the clinical outcome in ST-elevation myocardial infarction patients with high on-treatment platelet reactivity.
Gao, Y; Kang, S; Li, X; Liu, Y; Liu, Z; Wang, X, 2023
)
1.55
" Up to 2 additional boluses of ticagrelor (every additional dosing was 90 mg) were prescribed after the first LD, and the VASP index was assessed 2 hours after each administration until a VASP index < 50% was obtained or up to 3 dosages (360 mg)."( Modified ticagrelor loading doses according to the vasodilator-stimulated phosphoprotein phosphorylation index improve the clinical outcome in ST-elevation myocardial infarction patients with high on-treatment platelet reactivity.
Gao, Y; Kang, S; Li, X; Liu, Y; Liu, Z; Wang, X, 2023
)
1.61
"The incremental ticagrelor dosing strategy decreases the rate of MACE after PCI without increasing major and minor bleeding."( Modified ticagrelor loading doses according to the vasodilator-stimulated phosphoprotein phosphorylation index improve the clinical outcome in ST-elevation myocardial infarction patients with high on-treatment platelet reactivity.
Gao, Y; Kang, S; Li, X; Liu, Y; Liu, Z; Wang, X, 2023
)
1.67
" To better understand this apparent paradox, we measured ARS gene expression and score in volunteers to determine aspirin dose-response and ticagrelor relationships with ARS score and separately in patients to assess whether ARS is associated with incident bleeding."( An antiplatelet response gene expression signature is associated with bleeding.
Friede, KA; Gales, J; Ginsburg, GS; Kraus, WE; Myers, RA; Ortel, TL; Shah, SH; Voora, D; Zhbannikov, I, 2023
)
1.11
"A fixed dose of ticagrelor, without adjusting the dosing regimen other than covariates of FOOD/WT/SEX, could be used in patients with acute coronary syndromes, and the standard regimen could be used in Chinese patients from the perspective of exposure."( Integrated Pharmacokinetics/Pharmacodynamics Model and Simulation of the Ticagrelor Effect on Patients with Acute Coronary Syndrome.
Cui, Y; Guo, L; Guo, N; Huang, J; Huang, Y; Jiang, J; Li, J; Liu, Y; Liu, Z; Mu, G; Song, H; Wang, Z; Xiang, Q; Xie, Q; Yang, G; Yuan, D; Zhang, H; Zhou, S, 2023
)
1.48
"The objective of the study was to fabricate tailored extended-release tablets of blood thinner Ticagrelor as once-daily dosing using additive manufacturing for better compliance in heart failure therapy."( Facile fabrication of an extended-release tablet of Ticagrelor using three dimensional printing technology.
Akrami, M; Asadi, M; Haririan, I; Panahi, Z; Rastpeiman, S, 2024
)
1.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
platelet aggregation inhibitorA drug or agent which antagonizes or impairs any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.
P2Y12 receptor antagonistAn antagonist at the P2Y12 receptor
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (5)

ClassDescription
triazolopyrimidines
organofluorine compoundAn organofluorine compound is a compound containing at least one carbon-fluorine bond.
aryl sulfideAny organic sulfide in which the sulfur is attached to at least one aromatic group.
secondary amino compoundA compound formally derived from ammonia by replacing two hydrogen atoms by organyl groups.
hydroxyetherAny ether carrying a hydroxy group at unspecified position.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (3)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency7.07950.009610.525035.4813AID1479145
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
P2Y purinoceptor 13Homo sapiens (human)IC50 (µMol)1.39801.39801.39801.3980AID1896871
P2Y purinoceptor 12Homo sapiens (human)IC50 (µMol)1.10280.00041.048910.0000AID1298772; AID1462749; AID1684289; AID1850679; AID1881430
P2Y purinoceptor 12Homo sapiens (human)Ki0.00800.00202.82209.8300AID309606; AID703441
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (29)

Processvia Protein(s)Taxonomy
biological_processP2Y purinoceptor 13Homo sapiens (human)
G protein-coupled purinergic nucleotide receptor signaling pathwayP2Y purinoceptor 13Homo sapiens (human)
cellular response to organic cyclic compoundP2Y purinoceptor 13Homo sapiens (human)
G protein-coupled receptor signaling pathwayP2Y purinoceptor 13Homo sapiens (human)
G protein-coupled adenosine receptor signaling pathwayP2Y purinoceptor 12Homo sapiens (human)
monoatomic ion transportP2Y purinoceptor 12Homo sapiens (human)
substrate-dependent cell migration, cell extensionP2Y purinoceptor 12Homo sapiens (human)
G protein-coupled receptor signaling pathwayP2Y purinoceptor 12Homo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayP2Y purinoceptor 12Homo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayP2Y purinoceptor 12Homo sapiens (human)
hemostasisP2Y purinoceptor 12Homo sapiens (human)
calcium-mediated signalingP2Y purinoceptor 12Homo sapiens (human)
cerebral cortex radial glia-guided migrationP2Y purinoceptor 12Homo sapiens (human)
cell projection organizationP2Y purinoceptor 12Homo sapiens (human)
lamellipodium assemblyP2Y purinoceptor 12Homo sapiens (human)
platelet activationP2Y purinoceptor 12Homo sapiens (human)
positive regulation of integrin activation by cell surface receptor linked signal transductionP2Y purinoceptor 12Homo sapiens (human)
positive regulation of cell adhesion mediated by integrinP2Y purinoceptor 12Homo sapiens (human)
G protein-coupled purinergic nucleotide receptor signaling pathwayP2Y purinoceptor 12Homo sapiens (human)
positive regulation of monoatomic ion transportP2Y purinoceptor 12Homo sapiens (human)
response to axon injuryP2Y purinoceptor 12Homo sapiens (human)
regulation of chemotaxisP2Y purinoceptor 12Homo sapiens (human)
positive regulation of chemotaxisP2Y purinoceptor 12Homo sapiens (human)
establishment of localization in cellP2Y purinoceptor 12Homo sapiens (human)
positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transductionP2Y purinoceptor 12Homo sapiens (human)
platelet aggregationP2Y purinoceptor 12Homo sapiens (human)
cellular response to ATPP2Y purinoceptor 12Homo sapiens (human)
visual system developmentP2Y purinoceptor 12Homo sapiens (human)
positive regulation of ruffle assemblyP2Y purinoceptor 12Homo sapiens (human)
regulation of microglial cell migrationP2Y purinoceptor 12Homo sapiens (human)
positive regulation of microglial cell migrationP2Y purinoceptor 12Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (5)

Processvia Protein(s)Taxonomy
protein bindingP2Y purinoceptor 13Homo sapiens (human)
G protein-coupled purinergic nucleotide receptor activityP2Y purinoceptor 13Homo sapiens (human)
G protein-coupled adenosine receptor activityP2Y purinoceptor 12Homo sapiens (human)
G protein-coupled ADP receptor activityP2Y purinoceptor 12Homo sapiens (human)
guanyl-nucleotide exchange factor activityP2Y purinoceptor 12Homo sapiens (human)
G protein-coupled purinergic nucleotide receptor activityP2Y purinoceptor 12Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (7)

Processvia Protein(s)Taxonomy
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
endoplasmic reticulumP2Y purinoceptor 13Homo sapiens (human)
plasma membraneP2Y purinoceptor 13Homo sapiens (human)
plasma membraneP2Y purinoceptor 12Homo sapiens (human)
cell surfaceP2Y purinoceptor 12Homo sapiens (human)
membraneP2Y purinoceptor 12Homo sapiens (human)
cell projection membraneP2Y purinoceptor 12Homo sapiens (human)
cell body membraneP2Y purinoceptor 12Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (73)

Assay IDTitleYearJournalArticle
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1508591NCATS Rat Liver Microsome Stability Profiling2020Scientific reports, 11-26, Volume: 10, Issue:1
Retrospective assessment of rat liver microsomal stability at NCATS: data and QSAR models.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1645848NCATS Kinetic Aqueous Solubility Profiling2019Bioorganic & medicinal chemistry, 07-15, Volume: 27, Issue:14
Predictive models of aqueous solubility of organic compounds built on A large dataset of high integrity.
AID1508612NCATS Parallel Artificial Membrane Permeability Assay (PAMPA) Profiling2017Bioorganic & medicinal chemistry, 02-01, Volume: 25, Issue:3
Highly predictive and interpretable models for PAMPA permeability.
AID1881417Antiplatelet activity against ADP-induced human platelet in platelet rich plasma assessed as inhibition of platelet aggregation preincubated for 2 mins followed by ADP stimulation and measured for 5 mins by aggregometry2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1061841Antagonist activity at P2Y12 receptor in human platelet-rich plasma assessed as inhibition of ADP-induced platelet aggregation incubated for 5 mins prior to ADP-challenge by light transmission-based assay2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID309606Displacement of [125I] labeled ligand from human P2Y12 receptor in human platelets2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1881421Toxicity in mouse assessed as bleeding time at 5 mg/kg, po administered via gavage measured after 1 hr by bleeding tail test (Rvb = 5.2 mins)2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1061817Inhibition of ADP-induced platelet aggregation in Sprague-Dawley rat assessed as blood loss volume at 2.5 mg/kg, po administered 2 hrs prior to transection measured for 30 mins (Rvb = < 0.5 ml)2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1684332Toxicity in Sprague-Dawley rat model of tail-snip bleeding assessed as bleeding time at 10 mg/kg, po administered via gavage as single dose measured within 2 hrs post tail snip (Rvb = 17.69 min)2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1186077Permeability across human Caco2 cells2014Journal of medicinal chemistry, Sep-11, Volume: 57, Issue:17
N-[6-(4-butanoyl-5-methyl-1H-pyrazol-1-yl)pyridazin-3-yl]-5-chloro-1-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indole-3-carboxamide (SAR216471), a novel intravenous and oral, reversible, and directly acting P2Y12 antagonist.
AID1061829AUC in dog at 1 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1881430Inhibition of P2Y12 receptor in human platelet assessed as reduction in ADP-induced VASP phosphorylation by flow cytometry2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1061840Antagonist activity at P2Y12 receptor in rat platelet-rich plasma assessed as inhibition of ADP-induced platelet aggregation incubated for 5 mins prior to ADP-challenge by light transmission-based assay2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID766347In vivo antithrombotic activity in Beagle dog modified Folts model assessed as increase in blood flow administered as bolus infusion measured after 30 mins2013Journal of medicinal chemistry, Sep-12, Volume: 56, Issue:17
Lead optimization of ethyl 6-aminonicotinate acyl sulfonamides as antagonists of the P2Y12 receptor. separation of the antithrombotic effect and bleeding for candidate drug AZD1283.
AID1061837Apparent volume of distribution during terminal phase in rat at 10 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1737158Inhibition of collagen-induced platelet aggregation in human platelet preincubated for 5 mins followed by collagen-stimulation and measured after 6 mins by lumi-aggregometric method
AID703442Inhibition of ADP-stimulated platelet aggregation in human platelet rich plasma by 96-well format based turbidimetric method2012Journal of medicinal chemistry, Oct-25, Volume: 55, Issue:20
Identification of high-affinity P2Y₁₂ antagonists based on a phenylpyrazole glutamic acid piperazine backbone.
AID1737160Selectivity index, ratio of IC50 for inhibition of TRAP6-induced platelet aggregation in human platelet to IC50 for inhibition of collagen-induced platelet aggregation in human platelet
AID1061831Half life in dog at 1 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1737159Inhibition of TRAP6-induced platelet aggregation in human platelet preincubated for 5 mins followed by TRAP6-stimulation and measured after 6 mins by lumi-aggregometric method
AID1684289Antagonist activity at P2Y12 in human whole blood assessed as suppression of ADP-induced decrease in PGE1-induced VASP phosphorylation measured after 10 mins by immunostaining based flow cytometric analysis2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1881422Toxicity in mouse assessed as blood loss at 5 mg/kg, po administered via gavage measured after 1 hr by bleeding tail test (Rvb = 34.92 uL)2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1061832Apparent volume of distribution during terminal phase in dog at 1 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1061830Cmax in dog at 1 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1684329Antithrombotic activity in FeCl3-induced Sprague-Dawley rat model of arterial thrombosis assessed as reduction in thrombus weight at 10 mg/kg, po qd administered as single dose for 7 days and measured 2 hrs post last dose2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID309614Volume of distribution at steady state in dog at 1 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1186087Ex vivo inhibition of platelet aggregation in po dosed Sprague-Dawley rat after 2 hrs2014Journal of medicinal chemistry, Sep-11, Volume: 57, Issue:17
N-[6-(4-butanoyl-5-methyl-1H-pyrazol-1-yl)pyridazin-3-yl]-5-chloro-1-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indole-3-carboxamide (SAR216471), a novel intravenous and oral, reversible, and directly acting P2Y12 antagonist.
AID1684333Toxicity in Sprague-Dawley rat model of tail snip bleeding assessed as bleeding weight at 10 mg/kg, po administered via gavage as single dose measured within 2 hrs post tail snip(Rvb = 0.08 g)2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1881416Antiplatelet activity against ADP-induced human platelet in platelet rich plasma assessed as inhibition of platelet aggregation at 3 uM preincubated for 2 mins followed by ADP stimulation and measured for 5 mins by aggregometry relative to control2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1881415Antiplatelet activity against ADP-induced human platelet in platelet rich plasma assessed as inhibition of platelet aggregation at 10 uM preincubated for 2 mins followed by ADP stimulation and measured for 5 mins by aggregometry relative to control2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID309615Half life in dog at 1 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1462749Inhibition of P2Y12 in human platelet rich plasma assessed as reduction in ADP-induced platelet aggregation pre-incubated before ADP addition and measured after 10 mins by Bruker spectrophotometry2017Bioorganic & medicinal chemistry, 10-15, Volume: 25, Issue:20
Facile alkylation of 4-nitrobenzotriazole and its platelet aggregation inhibitory activity.
AID309612Metabolic stability in human hepatocytes in presence of NADPH relative to dextromethorphan2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID309609Half life in rat at 3 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1298772Antagonist activity at P2Y12 receptor (unknown origin)2016Bioorganic & medicinal chemistry letters, 06-15, Volume: 26, Issue:12
State of affairs: Design and structure-activity relationships of reversible P2Y12 receptor antagonists.
AID1684336Agonist activity at P2Y12 in human whole blood assessed as decrease in PGE1-induced VASP phosphorylation at 4 to 10 uM measured after 10 mins in absence of ADP by immunostaining based flow cytometric analysis2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1061838Apparent oral clearance in rat at 10 mg/kg2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1743130Antibacterial activity against methicillin-resistant Staphylococcus aureus BAA-1556 by broth microdilution method2020European journal of medicinal chemistry, Dec-15, Volume: 208Synthesis of ticagrelor analogues belonging to 1,2,3-triazolo[4,5-d]pyrimidines and study of their antiplatelet and antibacterial activity.
AID1881420Antiplatelet activity against ADP-induced platelet aggregation in mouse assessed as inhibition of platelet aggregation at 5 mg/kg, po measured after 1 hr by turbidimetric method relative to control2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1061822Inhibition of ADP-induced platelet aggregation in Sprague-Dawley rat assessed as bleeding time at 2.5 mg/kg, po after 2 hrs (Rvb = 9.4 mins)2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1684291Inhibition of bovine xanthine oxidase assessed as reduction in uric acid formation at 10 uM using xanthine as substrate preincubated for 15 mins followed by substrate addition measured at 30 sec interval for upto 2 mins by spectrophotometric analysis rela2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1896871Antagonist activity at human P2Y13R expressed in HEK293 cells assessed as inhibition of 2MeSADP-induced cAMP production preincubated for 0.5 hrs followed by 2MeSADP stimulation by cAMP-glo assay2022Journal of medicinal chemistry, 12-08, Volume: 65, Issue:23
Discovery of a Series of 5-Amide-1
AID1222793Dissociation constant, pKa of the compound2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Which metabolites circulate?
AID309611Metabolic stability in human hepatocytes in presence of UDPGA relative to zileuton2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1881419Antiplatelet activity against ADP-induced platelet aggregation in mouse assessed as inhibition of platelet aggregation at 2.5 mg/kg, iv measured after 1 hr by turbidimetric method relative to control2021RSC medicinal chemistry, Aug-18, Volume: 12, Issue:8
Synthesis and biological evaluation of
AID1186076Antagonist activity at P2Y12 receptor in Sprague-Dawley rat platelet rich plasma assessed as inhibition of ADP-induced aggregation2014Journal of medicinal chemistry, Sep-11, Volume: 57, Issue:17
N-[6-(4-butanoyl-5-methyl-1H-pyrazol-1-yl)pyridazin-3-yl]-5-chloro-1-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indole-3-carboxamide (SAR216471), a novel intravenous and oral, reversible, and directly acting P2Y12 antagonist.
AID1462750Binding affinity to P2Y12 in human platelets assessed as blocking of ADP-induced inhibition of PGE1-stimulated VASP phosphorylation by measuring remaining VASP phosphorylation level at 200 uM by CY-QUANT VASP/P2Y12 ELISA method2017Bioorganic & medicinal chemistry, 10-15, Volume: 25, Issue:20
Facile alkylation of 4-nitrobenzotriazole and its platelet aggregation inhibitory activity.
AID309610Oral bioavailability in rat at 3 to 10 mg/kg2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1061835Cmax in rat at 10 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID766345Therapeutic index, ratio of ED50 for antithrombotic activity in Beagle dog modified Folts model to dose required to increase in bleeding time by 3.5 fold in Beagle dog modified Folts model2013Journal of medicinal chemistry, Sep-12, Volume: 56, Issue:17
Lead optimization of ethyl 6-aminonicotinate acyl sulfonamides as antagonists of the P2Y12 receptor. separation of the antithrombotic effect and bleeding for candidate drug AZD1283.
AID309607Plasma clearance in rat at 3 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID703441Displacement of [33P]2-MeS-ADP from human recombinant P2Y12 receptor expressed in CHO cell membranes by scintillation counting method2012Journal of medicinal chemistry, Oct-25, Volume: 55, Issue:20
Identification of high-affinity P2Y₁₂ antagonists based on a phenylpyrazole glutamic acid piperazine backbone.
AID1186078Metabolic stability in human liver microsomes assessed as compound metabolism after 20 mins incubation in presence of 1 mM NADPH2014Journal of medicinal chemistry, Sep-11, Volume: 57, Issue:17
N-[6-(4-butanoyl-5-methyl-1H-pyrazol-1-yl)pyridazin-3-yl]-5-chloro-1-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indole-3-carboxamide (SAR216471), a novel intravenous and oral, reversible, and directly acting P2Y12 antagonist.
AID1743129Antiplatelet activity in human platelet-rich plasma assessed as inhibition of ADP-induced platelet aggregation at 1.8 uM preincubated for 10 mins followed by ADP addition and measured for 10 mins by light transmission aggregometry relative to control2020European journal of medicinal chemistry, Dec-15, Volume: 208Synthesis of ticagrelor analogues belonging to 1,2,3-triazolo[4,5-d]pyrimidines and study of their antiplatelet and antibacterial activity.
AID1684287Antiplatelet activity in rabbit platelet-rich plasma assessed as inhibition of ADP-induced platelet aggregation preincubated for 5 mins followed by ADP addition measured every 1 min for up to 6 mins by microplate reader analysis2020Journal of medicinal chemistry, 12-24, Volume: 63, Issue:24
Switching a Xanthine Oxidase Inhibitor to a Dual-Target Antagonist of P2Y
AID1850679Inhibition of P2Y12 (unknown origin)2022Bioorganic & medicinal chemistry letters, 09-01, Volume: 71Strategies for targeting the P2Y
AID309616Oral bioavailability in dog at 1 mg/kg2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1061834AUC in rat at 10 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID309613Plasma clearance in dog at 1 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID661901Antiplatelet activity in Sprague-Dawley rat assessed as ex-vivo inhibition of ADP-induced platelet aggregation at 5 mg/kg, po at 0.5 hrs by Born's method relative to vehicle-treated control2012Bioorganic & medicinal chemistry letters, Jun-01, Volume: 22, Issue:11
Synthesis and biological evaluation of ticagrelor derivatives as novel antiplatelet agents.
AID1061836Half life in rat at 10 mg/kg, po2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1061825Inhibition of ADP-induced platelet aggregation in Sprague-Dawley rat plasma at 2.5 mg/kg, po treated 2.5 hrs prior to ADP-challenge measured after 2 mins by light transmission-based assay2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID309608Volume of distribution at steady state in rat at 3 mg/kg, iv2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
AID1061833Apparent oral clearance in dog at 1 mg/kg2014Bioorganic & medicinal chemistry letters, Jan-01, Volume: 24, Issue:1
Synthesis and biological evaluation of cyclopentyl-triazolol-pyrimidine (CPTP) based P2Y12 antagonists.
AID1346320Human P2Y12 receptor (P2Y receptors)2014Journal of thrombosis and haemostasis : JTH, Nov, Volume: 12, Issue:11
Competitive mode and site of interaction of ticagrelor at the human platelet P2Y12 -receptor.
AID1345166Human Equilibrative nucleoside transporter 1 (SLC29 family)2014Journal of cardiovascular pharmacology and therapeutics, Mar, Volume: 19, Issue:2
Characterization of the adenosine pharmacology of ticagrelor reveals therapeutically relevant inhibition of equilibrative nucleoside transporter 1.
AID1346320Human P2Y12 receptor (P2Y receptors)2012Journal of medicinal chemistry, Oct-25, Volume: 55, Issue:20
Identification of high-affinity P2Y₁₂ antagonists based on a phenylpyrazole glutamic acid piperazine backbone.
AID1346320Human P2Y12 receptor (P2Y receptors)2007Bioorganic & medicinal chemistry letters, Nov-01, Volume: 17, Issue:21
From ATP to AZD6140: the discovery of an orally active reversible P2Y12 receptor antagonist for the prevention of thrombosis.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,358)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's49 (2.08)29.6817
2010's1420 (60.22)24.3611
2020's889 (37.70)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 109.16

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index109.16 (24.57)
Research Supply Index8.01 (2.92)
Research Growth Index6.04 (4.65)
Search Engine Demand Index201.18 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (109.16)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials594 (24.49%)5.53%
Reviews440 (18.14%)6.00%
Case Studies122 (5.03%)4.05%
Observational126 (5.20%)0.25%
Other1,143 (47.13%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (400)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Mechanistic Study in Patients With Non-Dialysis Chronic Kidney Disease to Investigate Altered Platelet Response to Antiplatelet Therapy (CKD-Platelet Study) [NCT03649711]Phase 376 participants (Actual)Interventional2018-11-01Completed
A 30 Day International, Randomized, Parallel-group, Double-blind, Placebo-controlled Phase IV Study to Evaluate Efficacy and Safety of Pre-hospital vs. In-hospital Initiation of Ticagrelor Therapy in STEMI Patients Planned for PCI. [NCT01347580]Phase 41,875 participants (Actual)Interventional2011-09-30Completed
Efficacy and Safety of Sequential Monotherapy of Ticagrelor and Clopidogrel in Patients Undergoing Percutaneous Coronary Intervention With Acute Coronary Syndrome [NCT04937699]Phase 42,690 participants (Anticipated)Interventional2023-03-28Recruiting
A Phase 2B, Randomized, Double-blind, Multicenter, Placebo-controlled Study to Evaluate the Efficacy of Bentracimab (PB2452) in Reversing Ticagrelor in Subjects Aged 50 to 80 Years Old [NCT04122170]Phase 2205 participants (Actual)Interventional2019-09-24Completed
A Phase I, Single Centre, Open Study to Assess the Pharmacokinetics of Oral AZD6140 After Single Dose in Healthy Japanese Male Volunteers [NCT01588626]Phase 112 participants (Actual)Interventional2012-05-31Completed
Can Very Low Dose Rivaroxaban in Addition to Dual Antiplatelet Therapy (DAPT) Improve Thrombotic Status in Acute Coronray Syndrome (ACS) ACS [NCT03775746]Phase 4150 participants (Anticipated)Interventional2019-01-08Recruiting
A Randomised, Double-Blind, Parallel-Group, Multicentre, Phase III Study to Evaluate the Effect of Ticagrelor Versus Placebo in Reducing the Rate of Vaso-Occlusive Crises in Paediatric Patients With Sickle Cell Disease (HESTIA3) [NCT03615924]Phase 3193 participants (Actual)Interventional2018-09-26Terminated(stopped due to Recommendation from an independent data monitoring committee (DMC) and accepted by AstraZeneca.)
A Phase 2A, Randomized, Double-blind, Placebo-controlled, Single Dose, Sequential Group Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PB2452 With Ticagrelor Pretreatment in Older and Elderly Subjects and With High-D [NCT03928353]Phase 223 participants (Actual)Interventional2019-04-16Completed
A Randomized, Single Center Trial to Assess the Endothelial Function With Ticagrelor Monotherapy Compared to Aspirin Monotherapy in Patients With History of Acute Coronary Syndrome [NCT03881943]Phase 4200 participants (Actual)Interventional2017-01-31Completed
Comparison of TIcagrelor and Clopidogrel in Patients With Coronary Artery diseaSe and Type 2 Diabetes Mellitus (TICS-DM): a Randomized Pharmacodynamic Study [NCT02457130]Phase 430 participants (Anticipated)Interventional2015-04-30Recruiting
A Sequential, Open Label Study to Compare the Pharmacokinetics, Safety and Tolerability of Ticagrelor and Venlafaxine Given Concomitantly in Healthy Subjects Aged 18 to 45 Years [NCT01350921]Phase 122 participants (Actual)Interventional2011-05-31Completed
Reducing Micro Vascular Dysfunction In Revascularized ST-elevation Myocardial Infarction Patients by Off-target Properties of Ticagrelor [NCT02422888]Phase 4110 participants (Actual)Interventional2015-05-31Active, not recruiting
Ticagrelor in Comparison to Prasugrel for Inhibition of Platelet Reactivity, in Patients With Acute Coronary Syndrome (ACS) Presenting Resistance to the Usual Clopidogrel Dose After PCI [NCT01360437]Phase 344 participants (Actual)Interventional2011-05-31Completed
Impact of Genetic Variation in CES1 on Antiplatelet Therapy [NCT03161678]Phase 489 participants (Actual)Interventional2017-08-22Completed
Registry of Patients Admitted by Acute Coronary Syndrome to University Hospital of Vigo [NCT03664388]8,000 participants (Anticipated)Observational2016-02-01Recruiting
Comparison of the Effects of Ticagrelor Versus Clopidogrel on Endothelial Dysfunction and Vascular Inflammation in Patients With Prior Non-ST-segment Acute Coronary Syndrome [NCT02379676]Phase 438 participants (Anticipated)Interventional2015-01-31Recruiting
Pharmacodynamic Comparison of Prasugrel Versus Ticagrelor in Patients With CYP2C19 Loss-of-function Genotype: a Validation Study in Patients With Stable Coronary Artery Disease [NCT03489863]Phase 414 participants (Actual)Interventional2018-05-30Completed
The Optimal Strategy of Switching From Clopidogrel to Ticagrelor in Patients With Complexity of Coronary Artery Disease [NCT03577652]108 participants (Actual)Interventional2017-07-10Completed
Switching From Ticagrelor to Prasugrel in Patients With Acute Coronary Syndrome-a Stepped Wedge Cluster Randomized Evaluation in the SWEDEHEART-registry [NCT05183178]Phase 416,000 participants (Anticipated)Interventional2022-02-01Recruiting
[NCT02037412]Phase 4148 participants (Actual)Interventional2014-01-31Terminated(stopped due to The patient registration was not successful.)
Effects of TIcaGREloR on Circulating Microparticles and Micro-RNAs in Patients With Non ST Elevation Acute Coronary Syndromes [NCT02071966]Phase 455 participants (Anticipated)Interventional2012-11-30Terminated(stopped due to slow enrollment)
The Effect of Ticagrelor and Apixaban With or Without Acetylsalicylic Acid on Markers of Coagulation Activation at the Site of Thrombus Formation in Vivo in Healthy Male Subjects and in an ex Vivo Perfusion Chamber Model at High and Low Shear Rate [NCT02080858]Phase 140 participants (Actual)Interventional2014-05-31Completed
The Effect of Clopidogrel and Ticagrelor With and Without Acetylsalicylic Acid (ASA) on Hemostatic System Activation at the Site of Plug Formation in Vivo in Man [NCT02120092]Phase 289 participants (Actual)Interventional2010-10-31Completed
Tailored Versus Coventional AntiPlaTelet Strategy Intended After OPTIMIZEd Drug [NCT05418556]Phase 43,944 participants (Anticipated)Interventional2022-10-21Recruiting
Study of Clopidogrel and Ticagrelor Anti-Platelet Treatment Using an Individualized Strategy Based on Genotyping in Chinese ACS Patients [NCT02048228]Phase 2/Phase 3200 participants (Anticipated)Interventional2014-10-31Not yet recruiting
Optimal Dose of Ticagrelor(90 mg qd)and Double Standard-dose Clopidogrel on Platelet Aggregation in Clopidogrel Resistance's Patients With Coronary Heart Disease [NCT03614832]Phase 4100 participants (Anticipated)Interventional2018-05-01Recruiting
The Early De-escalation Strategy With Ticagrelor 60 mg or 45 mg on Platelet Reactivity and Clinical Outcomes in Korean Patients With Acute Myocardial Infarction [NCT05210595]Phase 4120 participants (Anticipated)Interventional2022-01-01Recruiting
[NCT02032290]Phase 488 participants (Anticipated)Interventional2014-02-28Not yet recruiting
The Impact of Aspirin Dose Modification on the Innate Immune Response - Will Lower Dose Aspirin Therapy Reduce the Response to Endotoxin [NCT03869268]Phase 472 participants (Actual)Interventional2019-04-24Completed
Ticagrelor and Aspirin for the Prevention of Cardiovascular Events After Coronary Artery Bypass Surgery (CABG) [NCT01373411]Phase 470 participants (Actual)Interventional2011-09-30Completed
a Single Centre Open Pilot Study to Explore if the Efficacy of PLAtelet Aggregation Inhibition by Ticagrelor Mediated P2Y12 Blockade Dependent Upon Endogenous Endothelial Nitric OXide? [NCT02169596]Phase 474 participants (Actual)Interventional2015-06-30Completed
Ticagrelol Versus Aspirin in Ischemic Stroke [NCT03884530]Phase 3169 participants (Actual)Interventional2019-05-01Completed
Clopidogrel With Aspirin in High-risk Patients With Acute Non-disabling Cerebrovascular Events II [NCT04078737]Phase 36,412 participants (Actual)Interventional2019-09-23Completed
An Open-label Study Evaluating the Acute Efficacy of Treatment With Ticagrelor Versus Clopidogrel on Myocardial Tissue-level Perfusion Assessed by TMPFC and MRI in Patients With High-risk NSTE-ACS Undergoing Early PCI(EARLY-MYO II) [NCT02201667]Phase 4444 participants (Anticipated)Interventional2014-08-31Not yet recruiting
Peripheral Endothelial Function Assessment of Patients on Ticagrelor vs. Clopidogrel Who Have Undergone Percutaneous Coronary Intervention - a Randomised, Crossover Study. [NCT02469740]Phase 461 participants (Actual)Interventional2015-07-31Completed
Prospective, Randomized Trial of Ticagrelor Versus Prasugrel in Patients With Acute Coronary Syndrome - Intracoronary Stenting and Antithrombotic Regimen: Rapid Early Action for Coronary Treatment (ISAR-REACT) 5 [NCT01944800]Phase 44,018 participants (Actual)Interventional2013-09-15Completed
The Effects of Crushed Ticagrelor Versus Eptifibatide Bolus +Clopidogrel in Troponin-Negative ACS Patients Undergoing Coronary Intervention [NCT02925923]Phase 2100 participants (Actual)Interventional2016-11-01Completed
A comParison on Platelet Resistance With Ticagrelor or Standard-Dose Clopidogrel Study Among SeVerE Chronic Kidney Disease/ End-Stage-Renal-Disease Patients With Recent Acute Coronary Syndrome. [NCT02459288]Phase 480 participants (Anticipated)Interventional2014-01-31Recruiting
"High on Treatment Platelet Reactivity in the Intensive Care Unit" [NCT02285751]Phase 2200 participants (Anticipated)Interventional2012-11-30Recruiting
Impact of Renal Function on Ticagrelor-Induced Antiplatelet Effects in Coronary Artery Disease Patients [NCT02323971]80 participants (Anticipated)Observational2014-12-31Recruiting
A Single Centre, Cross-over, Single Dose, Two Period, Randomized, Open Label Bioequivalence Study of Anplag® 90mg (Ticagrelor) Tablet With Brilinta® 90 mg (Ticagrelor) Tablet in Healthy Adult Male Pakistani Subjects Under Fasting Condition [NCT04941196]Phase 130 participants (Actual)Interventional2020-10-16Completed
[NCT02032303]Phase 488 participants (Anticipated)Interventional2014-02-28Not yet recruiting
Evaluation of the Safety and Efficacy of an Edoxaban-based Compared to a Vitamin K Antagonist-based Antithrombotic Regimen in Subjects With Atrial Fibrillation Following Successful Percutaneous Coronary Intervention (PCI) With Stent Placement. [NCT02866175]Phase 31,506 participants (Actual)Interventional2017-02-24Completed
[NCT02817789]Phase 350 participants (Actual)Interventional2016-05-09Completed
Study of Two Regimens of TicagrElor Compared to Clopidogrel in Patients Undergoing ELective Percutaneous Coronary Intervention [NCT02327624]Phase 4180 participants (Actual)Interventional2015-06-30Completed
Effects of P2Y12 Receptor Inhibitors on Central and Peripheral Chemoreceptors' Sensitivity [NCT05080478]50 participants (Anticipated)Observational2018-11-01Recruiting
A Single Center Phase II Assessor-Blinded RaNdomised Active Controlled Parallel-Group Trial to COmpare Ticagrelor Versus Clopidogrel on the REduction of ArteriaL STiffness and Wave Reflections in Patients With CoronarY Artery Disease. [NCT02071212]Phase 2120 participants (Actual)Interventional2014-02-28Completed
Comparison of Ticagrelor and Clopidogrel on Reperfusion in Patients With AMI Undergoing PPCI Evaluated by SPECT [NCT02233790]Phase 4600 participants (Anticipated)Interventional2014-12-31Not yet recruiting
The Laboratory AntiPlatelet Efficacy and Clinical Outcome Registry [NCT02264912]2,016 participants (Actual)Observational [Patient Registry]2008-07-31Completed
Real-TICA Real Life Long-term Adherence to Ticagrelor After PCI for Acute Coronary Syndromes. Evaluation of Antiplatelet Therapy After 12 Months in Patients Undergoing PCI and Treated With Ticagrelor During the Acute Phase of an ACS. [NCT02265068]700 participants (Actual)Observational2014-08-31Completed
Ticagrelor Plus Aspirin vs Clopidogrel Plus Aspirin in Mild Non-cardioembolic Ischemic Stroke: A Randomized, Active Comparator Arm, Outcome Assessor Blind, Controlled, Feasibility Study [NCT04738097]Phase 390 participants (Actual)Interventional2021-08-08Completed
Dual Antithrombotic Therapy With Dabigatran and Ticagrelor in Patients With Acute Coronary Syndrome and Non-valvular Atrial Fibrillation Undergoing Percutaneous Coronary Intervention (ADONIS-PCI) [NCT04695106]Phase 42,230 participants (Anticipated)Interventional2021-10-25Recruiting
Differential Effect of Ticagrelor vs Prasugrel or Clopidogrel Loading on Fractional Flow Reserve [NCT02108808]Phase 476 participants (Actual)Interventional2014-04-30Completed
Randomized Evaluation of Short-term DUal Anti Platelet Therapy in Patients With Acute Coronary Syndrome Treated With the COMBO Dual-therapy stEnt [NCT02118870]Phase 41,500 participants (Actual)Interventional2014-06-10Completed
Comparison of The Influence of Ticagrelor And Clopidogrel on Inflammatory Biomarkers And Vascular Endothelial Function For Patients With ST-Segment Elevation Myocardial Infarction Receiving Emergency Percutaneous Coronary Intervention [NCT02123004]Phase 4350 participants (Anticipated)Interventional2014-04-30Not yet recruiting
A Randomized, Open-Label, Parallel, Multi-Center, Phase IV Study to Assess the Effect of Ticagrelor vs Clopidogrel on Adenosine-Induced Myocardial Blood Flow in Peripheral Artery Disease (PAD)Patients [NCT02121288]Phase 40 participants (Actual)Interventional2014-12-31Withdrawn
PANDDA Study: Pharmacokinetics of Antiplatelet Drugs in Diabetic pAtients [NCT02302508]Phase 40 participants (Actual)Interventional2019-09-01Withdrawn(stopped due to Funding)
Tailoring P2Y12 Inhibiting Therapy in Patients Requiring Oral Anticoagulation After Undergoing Percutaneous Coronary Intervention:The Switching Anti-Platelet and Anti-Coagulant Therapy (SWAP-AC) - 2 Study [NCT04483583]Phase 480 participants (Anticipated)Interventional2020-12-08Recruiting
Combined Effect of Diabetes and cyp2c19 Polymorphism on Clopidogrel VS Ticagrelor Antiplatelet Activity in Patients of Anterior ST Elevation Myocardial Infarction Undergoing Primary PCI [NCT03613857]1,022 participants (Actual)Observational [Patient Registry]2017-04-15Completed
Platelet Reactivity in Patients With End Stage Renal Disease Receiving Clopidogrel Compared With Ticagrelor [NCT02163954]Phase 316 participants (Actual)Interventional2013-01-31Completed
Anti-platelet Therapy in the Primary Prevention of Cardiovascular Disease in Patients With Chronic Obstructive Pulmonary Disease [NCT03487406]Phase 2120 participants (Actual)Interventional2015-09-30Completed
A Randomized Non-inferiority Study of Low-dose and Standard-dose Ticagrelor After Intervention for Acute Coronary Syndrome [NCT04255602]Phase 42,120 participants (Anticipated)Interventional2020-02-19Recruiting
A Randomized, Open-label, Single Dose, Crossover Study to Evaluate Pharmacokinetic Profiles and Safety/Tolerability of CKD-357 in Healthy Volunteers [NCT03671941]Phase 131 participants (Actual)Interventional2018-05-25Completed
Stent-Assisted Coiling Followed by Ticagrelor Monotherapy Instead of Dual Antiplatelet Therapy in Endovascular Treatment of Unruptured Intracranial Aneurysm (SAC-TIDE) ---a Pilot Study [NCT06015477]180 participants (Anticipated)Interventional2023-09-01Not yet recruiting
A Randomized, Open Label, Pilot Study to Assess the Pharmacodynamics Using Vefiynow and VASP Assay; and Pharmacokinetics of Ticagrelor vs Clopidogrel in Patients Undergoing PCI With History of Fibrinolysis in 24-48 Hours [NCT02048085]Phase 40 participants (Actual)Interventional2014-01-02Withdrawn(stopped due to unable to get study up and enrolling)
CYP2C19 Genotype-GUided Dual Antiplatelet theRapy in pAtieNts Treated With New Generation Drug Eluting stEnts (the GUARANTEE Study) [NCT03783351]4,009 participants (Anticipated)Interventional2019-05-27Recruiting
ST-segment Elevation Myocardial infArction Treated With a Polymer-free Sirolimus-based nanocarrieR Eluting Stent and a P2Y12 Inhibitor-based Aspirin-free Single Antiplatelet Strategy Versus Conventional Dual AntiPlatelet Therapy [NCT05785897]350 participants (Anticipated)Interventional2024-06-01Not yet recruiting
A Prospective Randomized Double Blind Study to Evaluate the Effect of Ticagrelor on Endothelial Function [NCT02261922]Phase 420 participants (Anticipated)Interventional2014-10-31Recruiting
A Randomized, Open-label, Parallel Group, Multicenter Phase IV Study to Assess Safety and Efficacy of Ticagrelor Versus Clopidogrel in Asian/KOREAn Patients With Acute Coronary Syndromes Intended for Invasive Management:TICAKOREA Trial [NCT02094963]Phase 4800 participants (Actual)Interventional2014-07-05Completed
Assessment of Loading With the P2Y12 Inhibitor Ticagrelor or Clopidogrel to Halt Ischemic Events in Patients Undergoing Elective Coronary Stenting: The ALPHEUS Study [NCT02617290]Phase 31,900 participants (Actual)Interventional2017-01-09Completed
Comparison of 1-month Versus 12-month Dual Antiplatelet Therapy After Implantation of Drug-Eluting Stents Guided by Either Intravascular Ultrasound or Angiography in Patients With Acute Coronary Syndrome: The Prospective, Multicenter, Randomized, Placebo- [NCT03971500]3,710 participants (Actual)Interventional2019-08-20Active, not recruiting
A Randomized, Double-blind, Placebo Controlled, Crossover, Single Centre Phase I Study to Assess the Effect of Ticagrelor on Adenosine-induced Coronary Blood Flow Velocity in Healthy Male Subjects [NCT01226602]Phase 139 participants (Actual)Interventional2010-12-31Completed
Assessment of Platelet REACtivity After Transcatheter Aortic Valve Implantation [NCT02224066]Phase 465 participants (Actual)Interventional2016-01-31Completed
Comparison of Analgesia With Fentanyl and Morphine on Platelet Inhibition After Pre-hospital Ticagrelor Administration in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT02531165]38 participants (Actual)Interventional2015-09-30Completed
High PlatElet Inhibition With TicAgrelor to Improve Left Ventricular RemodeLING in Patients With ST-segment ElevAtion Myocardial Infarction: the HEALING-AMI Trial. [NCT02224534]Phase 4326 participants (Anticipated)Interventional2014-10-31Recruiting
Study on the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SHR2285 Tablets Combined With Aspirin, Clopidogrel or Ticagrelor in Healthy Subjects [NCT04945616]Phase 152 participants (Actual)Interventional2021-07-13Completed
Effect of Ticagrelor on Adenosine-Induced Coronary Flow Reserve in Patients With Microvascular Angina [NCT02284048]Phase 4140 participants (Anticipated)Interventional2014-11-30Not yet recruiting
Ticagrelor and Clopidogrel on Platelet Effects in Chinese Patients With Stable Coronary Artery Disease: a Randomized, Single-blind, Crossover Clinical Study [NCT04001894]Phase 450 participants (Actual)Interventional2019-07-02Completed
Ticagrelor Versus Clopidogrel in Ischemic Stroke. a Randomized Double-blinded Controlled Trial [NCT05553613]Phase 3900 participants (Actual)Interventional2022-10-01Completed
Phase III, Randomized, International, Multicenter, Open Label, With Blinded Adjudication of Outcomes, Non-Inferiority Clinical Trial to Explore the Safety and Efficacy of Ticagrelor Compared With Clopidogrel in Patients With Acute Coronary Syndrome With S [NCT02298088]Phase 33,799 participants (Actual)Interventional2015-08-31Completed
Ticagrelor or Prasugrel Versus Clopidogrel in Elderly Patients With an Acute Coronary Syndrome and a High Bleeding Risk: Optimization of Antiplatelet Treatment in High-risk Elderly [NCT02317198]Phase 41,011 participants (Actual)Interventional2013-06-30Active, not recruiting
High On-treatment Platelet Reactivity to Adenosine Diphosphate Identified by Multiple Platelet Function Assay Guide to Modify Anti-platelet Strategy in Patients Undergoing Percutaneous Coronary Intervention [NCT02699008]477 participants (Actual)Interventional2014-01-31Completed
A Randomised, Double-Blind, Placebo-Controlled, International, Multicentre, Phase III Study to Investigate the Efficacy and Safety of Ticagrelor and ASA Compared With ASA in the Prevention of Stroke and Death in Patients With Acute Ischaemic Stroke or Tra [NCT03354429]Phase 311,016 participants (Actual)Interventional2018-01-22Completed
Hunting for the Off-Target Properties of Ticagrelor on Endothelial Function and Other Circulating Biomarkers in Humans [NCT02587260]Phase 454 participants (Actual)Interventional2015-12-17Completed
Incidence and Models of Ticagrelor Discontinuation in Patients With Acute Coronary Syndrome [NCT03129867]480 participants (Actual)Observational2017-01-01Completed
Low Dose EPInephrine to Improve Platelet Reactivity in TICagrelor-treated Subjects: A Proof of Concept Study in Healthy Volunteers (EPITIC) [NCT03441412]Phase 110 participants (Actual)Interventional2018-02-28Completed
A Prospective, Randomised, Open-labeled, Parallel Group Study to Assess the Efficacy and Safety of Low Dose Ticagrelor Compared With Standard Dose Ticagrelor in Patients With Unstable Angina Pectoris After Drug Eluting Stent Implantation [NCT03620760]Phase 42,036 participants (Anticipated)Interventional2018-08-07Recruiting
Dual Antiplatelet Therapy in Patients With Clopidogrel Resistance Following Off-Pump Coronary Artery Bypass: Prospective, Randomized Controlled Trial [NCT05166538]Phase 4204 participants (Anticipated)Interventional2022-02-01Not yet recruiting
Impact of Chronic Kidney Disease on the Pharmacodynamic and Pharmacokinetic Effects of Ticagrelor in Patients With Diabetes Mellitus and Coronary Artery Disease [NCT02539160]Phase 4101 participants (Actual)Interventional2016-02-29Completed
A Randomized, Pharmacodynamic Comparison of Low Dose Ticagrelor (60mg Bid) to Low Dose Prasugrel (5mg od) in Patients With Prior Myocardial Infarction [NCT03387826]Phase 420 participants (Actual)Interventional2018-01-11Completed
Comparison Between Ticagrelor and Clopidogrel Effect on Endothelial, Platelet and Inflammation Parameters in Patients With Stable Coronary Artery Disease and Chronic Obstructive Pulmonary Disease Undergoing PCI [NCT02519608]Phase 244 participants (Actual)Interventional2015-09-30Completed
TicagRelor Or Clopidogrel in Severe and Terminal Chronic Kidney Disease Patients Undergoing PERcutaneous Coronary Intervention for an Acute Coronary Syndrome. [NCT03357874]Phase 3514 participants (Anticipated)Interventional2018-10-28Recruiting
Comparison of Clopidogrel and Ticagrelor on Microvascular Dysfunction in Acute Coronary Syndrome Patients: The Index of MIcrocirculatory Resistance After PCI in STEMI Patients (TIME Study) [NCT02026219]Phase 476 participants (Actual)Interventional2013-10-31Completed
Effects of Different Doses of Ticagrelor and Standard-dose Clopidogrel on Platelet Aggregation and Endothelial Function in Diabetic Patients With Stable Coronary Artery Disease [NCT02889549]Phase 2/Phase 360 participants (Anticipated)Interventional2016-08-31Recruiting
Multivariate Analysis of Platelet Reactivity Variety in Patients With Coronary Heart Disease After PCI [NCT02888652]1,500 participants (Actual)Observational [Patient Registry]2015-09-30Completed
COmparison of the Pharmacodynamics and Pharmacokinetics of Ticagrelor Versus Clopidogrel in Patients With Chronic Kidney Disease and Non-ST-Elevation Acute Coronary Syndromes(OPT-CKD Trial) [NCT02578537]Phase 460 participants (Anticipated)Interventional2015-10-31Recruiting
KF2019#1-tutkimus: Verihiutaleiden estäjän Vaikutus kolesterolilääkkeeseen [NCT05373277]Phase 110 participants (Anticipated)Interventional2022-05-11Recruiting
Ticagrelor Versus Clopidogrel for Platelet Inhibition in Patients Undergoing Neurovascular Stenting for Intracranial Aneurysm [NCT02675205]Phase 3100 participants (Actual)Interventional2015-12-31Completed
Safety and Effectiveness of Ticagrelor in Patients Undergoing Carotid Stenting [NCT04091074]Phase 126 participants (Anticipated)Interventional2022-01-01Not yet recruiting
A Prospective Randomized Controlled Clinical Trial of Comparing ticagreLor Versus clopidogrEl on mIcrocirculation in Patients With Acute cOronary Syndrome Study [NCT02618733]120 participants (Actual)Interventional2014-12-31Completed
A Randomised, Double-Blind, Outpatient, Crossover Study of the Anti-platelet Effects of Ticagrelor Compared With Clopidogrel in Patients With Stable Coronary Artery Disease Previously Identified as Clopidogrel Non-responders or Responders [RESPOND] [NCT00642811]Phase 298 participants (Actual)Interventional2008-05-31Completed
An Open-label, Randomised, 3-period, 3-treatment, Crossover, Single-centre, Single-dose, Bioavailability Study With Alternative Methods of Administration of Crushed Ticagrelor Tablets, 90 mg, Compared to Whole Ticagrelor Tablets, 90 mg, in Healthy Volunte [NCT01887626]Phase 136 participants (Actual)Interventional2013-07-31Completed
Ticagrelor Versus Clopidogrel for Coronary Microvascular Dysfunction in Patients With Acute Myocardial Infarction: A Retrospective Study Based on the Angiography-derived Index of Microcirculatory Resistance [NCT05978726]325 participants (Actual)Observational2017-07-01Completed
Chinese People's Liberation Army General Hospital [NCT02798874]240 participants (Anticipated)Interventional2016-05-31Enrolling by invitation
Ticagrelor Versus Clopidogrel in Myocardial Salvage in Patients With ST-elevation Myocardial Infarction (STEMI) Undergoing Primary Percutaneous Coronary Intervention: A Magnetic Resonance Imaging Study (TIGER Study) [NCT02792712]Phase 4200 participants (Anticipated)Interventional2016-01-31Recruiting
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PB2452 (Bentracimab) With and Without Ticagrelor Pretreatment in Chinese Healthy Volunteer [NCT05162131]Phase 140 participants (Anticipated)Interventional2021-12-25Recruiting
A Randomized, Open-label Study to Compare the Platelet Inhibition With VerifyNow Assay of Ticagrelor Versus Clopidogrel in Troponin Negative Acute Coronary Syndrome Subjects Undergoing Ad Hoc Percutaneous Coronary Intervention [NCT01603082]Phase 4343 participants (Actual)Interventional2012-07-31Completed
TIcagrelor in Rotational Atherectomy to Reduce TROPonin Enhancement: the TIRATROP Study, a Randomized Controlled Trial [NCT02505399]Phase 4180 participants (Actual)Interventional2015-11-30Completed
Single Antiplatelet Treatment With Ticagrelor or Aspirin After Transcatheter Aortic Valve Implantation: Multicenter Randomized Clinical Trial [NCT05283356]Phase 41,206 participants (Anticipated)Interventional2022-01-21Recruiting
Aspirin Plus Ticagrelor for 1 Month Followed by 5 Months Ticagrelor Monotherapy Versus Aspirin Plus Ticagrelor for 12 Months in Acute Coronary Syndrome Patients With Drug-coated Balloon: a Multicentre, Randomized, Non-inferiority Trial [NCT04971356]1,948 participants (Actual)Interventional2021-11-01Active, not recruiting
Pharmacodynamic Effect of Loading And Maintenance Doses Of Clopidogrel Versus Half Doses of Ticagrelor In Healthy Subjects [NCT02086903]Phase 312 participants (Actual)Interventional2014-02-28Completed
Dual Antiplatelet Therapy to Inhibit Coronary Atherosclerosis and Myocardial Injury in Patients With Necrotic High-Risk Coronary Plaque Disease [NCT02110303]Phase 2/Phase 3220 participants (Actual)Interventional2015-03-31Completed
Half-dose Ticagrelor Overcomes High-dose Clopidogrel in Acute Coronary Syndrome Patients With High On-Clopidogrel Platelet Reactivity [NCT03062462]Phase 2/Phase 380 participants (Anticipated)Interventional2017-02-10Recruiting
Does Ticagrelor Inhibit Growth of Small Abdominal Aortic Aneurysms? A Randomised Controlled Trial (TicAAA) [NCT02070653]Phase 2145 participants (Actual)Interventional2014-03-31Completed
A Randomised, Open-label, Parallel Group, Multi-center Study Using OCT to Comparing the Efficacy and Safety of Ticagrelor With Clopidogrel in the Prevention of Subclinical Thrombus in Patients After Drug-eluting Stent Implantation [NCT02140801]Phase 4352 participants (Actual)Interventional2014-05-01Completed
A Multicenter Trial to Assess the MIcrovascular Integrity and Left Ventricular Function Recovery After Clopidogrel or TicagrelOr Administration, in Patients With STEMI Treated With Thrombolysis - The 'MIRTOS' Study [NCT02429271]Phase 3336 participants (Actual)Interventional2015-08-31Completed
Safety and Efficacy of Ticagrelor Single Antiplatelet Therapy in Patients With High Risk of Bleeding After Drug-coated Balloons for Coronary Small Vessel Disease: A Prospective, Randomized, Open-label, Blinded-endpoint Evaluation, Single-center Study [NCT06088433]Phase 4292 participants (Anticipated)Interventional2023-11-15Not yet recruiting
A Randomized Controlled Trial of Patients Undergoing Percutaneous Coronary Intervention Who Receive Ticagrelor and Fentanyl [NCT03476369]Phase 480 participants (Anticipated)Interventional2018-04-18Recruiting
Study to Investigate the Effects of AZD6140 in Patients With Renal Impairment and in Healthy Volunteers [NCT00733265]Phase 124 participants (Anticipated)Interventional2007-02-28Completed
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia [NCT02735707]Phase 310,000 participants (Anticipated)Interventional2016-04-11Recruiting
A Randomized, Open-label, Active-controlled, Parallel-group Study to Investigate the Platelet Inhibition of Ticagrelor Versus Clopidogrel in Patients With Stable Coronary Artery Disease and Type 2 Diabetes Mellitus After Recent Elective Percutaneous Coron [NCT02748330]Phase 440 participants (Actual)Interventional2016-06-30Completed
Post-operative Treatment of Diabetic Peripheral Arterial Disease Guided by Platelet Reactivity Unit [NCT02762864]200 participants (Anticipated)Interventional2016-05-31Enrolling by invitation
Comparison of Prasugrel and Ticagrelor in the Treatment of Acute Myocardial Infarction [NCT02808767]Phase 41,226 participants (Actual)Interventional2013-01-31Completed
30-d Rand, Eval-blind, Controlled, Multi-centre, Parallel, ph III Study to Evaluate Effect of a Low Maint Dose Ticagrelor Regimen vs Standard Dose Clopidogrel on Coronary Flow Reserve in DM Patients With Impaired Microvascular Function Without Prior MI or [NCT04069234]Phase 30 participants (Actual)Interventional2019-09-15Withdrawn(stopped due to Sponsor decided to stop the study due to commercial reasons.)
Safety and Efficacy of Century Clot-Guided Prophylactic Rivaroxaban Therapy for Post ST-Segment Elevation Myocardial Infarction Complicating Left Ventricular Thrombus Compared With Conventional Antiplatelet Therapy [NCT06013020]Phase 4374 participants (Anticipated)Interventional2023-08-28Recruiting
Differential EFfects of Dual antIplatelet and Dual aNtithrombotic thErapy on Hemostasis in Chronic Coronary Syndrome Patients: Define CCS Study, a Prospective Randomized Crossover Clinical Trial. [NCT05116995]Phase 430 participants (Anticipated)Interventional2021-11-01Recruiting
DEVELOPMENT OF PROGNOSTIC PLATELET RNA BIOMARKERS TO TAILOR ANTIPLATELET THERAPY [NCT05278637]Early Phase 1135 participants (Actual)Interventional2013-11-01Completed
Prasugrel Or Ticagrelor In ST-Elevation Myocardial Infarction Patients With Diabetes Mellitus [NCT01531114]Phase 350 participants (Actual)Interventional2013-05-31Completed
The Effect of Ticagrelor on 15-Epi-Lipoxin A4 and Inflammation [NCT02626169]Phase 40 participants (Actual)Interventional2015-12-31Withdrawn(stopped due to Pharmaceutical company sponsor withdrew support prior to enrollment of subjects.)
The Effect of Ticagrelor on the Inflammatory Response to Human Endotoxemia [NCT02612480]40 participants (Actual)Interventional2015-10-31Completed
Pharmacokinetic/Pharmacodynamic Effects of add-on Antiplatelet Therapy With Parenteral Cangrelor as Compared to Standard Dual Antiplatelet Treatment in Patients With ST-elevation Myocardial Infarction Complicated by Out-of-hospital Cardiac Arrest and Trea [NCT03273075]Phase 460 participants (Anticipated)Interventional2017-09-30Recruiting
Prevention of Cerebral Ischaemia in Stent Treatment for Carotid Artery Stenosis - A Randomised Multi-centre Phase II Trial Comparing Ticagrelor Versus Clopidogrel With Outcome Assessment on MRI (PRECISE-MRI) [NCT02677545]Phase 2210 participants (Actual)Interventional2016-12-31Completed
A Randomized, Double-Blind, Placebo Controlled, Parallel Group, Multinational Trial, to Assess the Prevention of Thrombotic Events With Ticagrelor Compared to Placebo on a Background of Acetyl Salicylic Acid (ASA) Therapy in Patients With History of Myoca [NCT01225562]Phase 321,379 participants (Actual)Interventional2010-10-31Completed
A Randomized, Pharmacodynamic Comparison of Low Dose Ticagrelor to Clopidogrel in Patients With Prior Myocardial Infarction [NCT02663713]Phase 420 participants (Actual)Interventional2017-01-31Completed
Ticagrelor in Remote Ischemic Preconditioning Study [NCT04174261]Phase 4245 participants (Actual)Interventional2017-01-29Completed
Rapid P2Y12 Receptor Inhibition Attenuates Inflammatory Cell Infiltration in Thrombus Aspirated From the Infarct-related Artery in STEMI Patients: A Prospective Randomized Trial of Ticagrelor Versus Clopidogrel [NCT02639143]Phase 450 participants (Actual)Interventional2015-12-31Completed
A Randomized Controlled sTudy of Low Dose vs Standard Dose of tIcaGrelor on Platelet Function After intErvention for Acute Coronary syndRome in Diabetes Mellitus Patients [NCT04307511]Phase 440 participants (Anticipated)Interventional2020-04-20Recruiting
SMart Angioplasty Research Team: Comparison Between P2Y12 Inhibitor MonotHerapy and Dual Antiplatelet Therapy in Patients UndergOing Implantation of Coronary BiorEsorbable Scaffold II: (SMART-CHOICE II) Trial [NCT03119012]Phase 41,520 participants (Anticipated)Interventional2017-04-19Suspended(stopped due to cannot use bioabsorbable scaffold)
Safety and Efficacy of Ticagrelor With Low-dose Aspirin Versus Regular Aspirin in Patients With Acute Coronary Syndrome at High-risk for Ischemia After Percutaneous Coronary Intervention: A Prospective, Randomized, Open-label, Blinded-endpoint Evaluation, [NCT04240834]Phase 31,220 participants (Anticipated)Interventional2020-02-29Not yet recruiting
LOwer Maintenance Dose TICagrelor in Acute Coronary Syndrome Patients Undergoing Percutaneous Coronary Intervention [NCT04060914]Phase 4225 participants (Anticipated)Interventional2019-08-30Not yet recruiting
A Randomized Controlled Trial on the Switch From Ticagrelor to Clopidogrel in Acute Coronary Syndrome Patients After Percutaneous Coronary Intervention--OPTImal Management of Antithrombotic Agents: OPTIMA-5 [NCT04116931]Phase 480 participants (Anticipated)Interventional2020-06-22Recruiting
A Randomized, Open-label, Pharmacodynamic and Pharmacokinetic Trial Assessing the Effect of Lowering Ticagrelor Maintenance Dose Early After Myocardial Infarction on Platelet Inhibition (ELECTRA Pilot Study). [NCT03251859]Phase 352 participants (Actual)Interventional2017-08-11Completed
Paclitaxel-Coated Balloon Versus Zotarolimus-Eluting Stent for Treatment of De Novo Coronary Artery Lesions: an Open-label, Multicenter, Randomized, Non-inferiority Trial [NCT05209412]370 participants (Anticipated)Interventional2022-02-01Recruiting
Single-center, Prospective, Controlled Study of the Safety and Efficacy of Aspirin and Clopidogrel in Ischemic Cardiovascular and Cerebrovascular Patients Complications With CAA [NCT04654026]43 participants (Anticipated)Observational2021-02-20Not yet recruiting
One Month Dual Antiplatelet Therapy With Ticagrelor in Coronary Artery Bypass Graft Patients [NCT05997693]Phase 3700 participants (Anticipated)Interventional2024-01-31Not yet recruiting
The Effect of an Acute Dose of Ticagrelor or Clopidogrel and of Treatment for 14 Days on Ischemia-reperfusion Induced Endothelial Dysfunction of the Forearm Vasculature in Healthy Male Subjects. [NCT02580149]Phase 424 participants (Actual)Interventional2015-10-31Completed
A Multi-centre Randomised, Double-blind, Double-dummy Parallel Group Study of the Onset and Offset of Antiplatelet Effects of Ticagrelor Compared With Clopidogrel and Placebo With Aspirin as Background Therapy in Patients With Stable Coronary Artery Disea [NCT00528411]Phase 2123 participants (Actual)Interventional2007-10-31Completed
A Randomised, Double-blind, Two-way Crossover Study to Determine the Effects of Co-administration of AZD6140 and Nordette® (Combination of Levonorgestrel and Ethinyl Estradiol) After Multiple Oral Doses in Healthy Female Volunteers [NCT00685906]Phase 124 participants (Anticipated)Interventional2008-04-30Completed
Efficacy and Safety of Early Versus Late Loading Dose of Ticagrelol in Patients With ST Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT04267224]800 participants (Anticipated)Observational2020-03-01Not yet recruiting
Personalization of Long-Term Antiplatelet Therapy Using a Novel Combined Demographic/Pharmacogenomic Strategy - The RAPID EXTEND Randomized Study [NCT03729401]Phase 4390 participants (Anticipated)Interventional2019-08-22Suspended(stopped due to Testing supplies unavailable.)
Harmonizing Optimal Strategy for Treatment of Coronary Artery Stenosis - Coronary Intervention With Next Generation Drug-Eluting Stent Platforms and Abbreviated Dual Antiplatelet Therapy (HOST-IDEA) Trial [NCT02601157]Phase 42,173 participants (Actual)Interventional2016-01-18Completed
The Success of Opening Single CTO Lesions to Improve Myocardial Viability Study (SOS-comedy) [NCT02767401]Phase 4200 participants (Actual)Interventional2015-09-15Completed
Platelet Sub-study of the TWILIGHT Trial [NCT04001374]40 participants (Actual)Observational2015-06-28Completed
REACTIC-TAVI Trial: Platelet REACtivity According to TICagrelor Dose After Transcatheter AorticValve Implantation. A Pilot Study. [NCT04331145]Phase 440 participants (Actual)Interventional2020-06-23Completed
Comparison of Ticagrelor Pharmacokinetics and Pharmacodynamics in ST-elevation Myocardial Infarction and Non-ST-elevation Myocardial Infarction Patients [NCT02602444]73 participants (Actual)Observational2015-10-31Completed
Optical Coherence Tomography-Guided PCI With Single-Antiplatelet Therapy [NCT04766437]Phase 275 participants (Actual)Interventional2021-02-19Completed
Effect of Pretreatment With Ticagrelor on Residual Thrombus After Percutaneous Coronary Intervention (PCI) in Patients Presenting With Acute Coronary Syndrome in Comparison With Delayed Treatment at the Time of PCI: an Optical Coherence Tomography Study [NCT01916902]Phase 40 participants (Actual)Interventional2014-02-28Withdrawn(stopped due to Despite a large number of patients screened, very few met eligibility guidelines.)
The Safety and Efficacy of Ticagrelor for Coronary Stenting Post Thrombolysis (SETFAST) Trial. [NCT01930591]Phase 3140 participants (Actual)Interventional2014-05-31Completed
Plaque Erosion: A New in Vivo Diagnosis and Paradigm Shift in the Treatment of Patients With Acute Coronary Syndrome [NCT02041650]Phase 4250 participants (Anticipated)Interventional2014-08-31Completed
Reassessment of Anti-Platelet Therapy Using InDividualized Strategies - Modifying Acute CoroNary Syndrome Algorithms Based on Genetic and Demographic Evaluation: The RAPID-MANAGE Study [NCT02044146]Phase 2/Phase 3120 participants (Actual)Interventional2014-09-30Completed
OraL Crushed and dIspersed Ticagrelor 180mg Compared to Whole Tablets of eQUal Dose in STEMI Patients unDergoing Primary PCI: a Pharmacokinetic/Pharmacodynamic Study [NCT02046486]Phase 420 participants (Anticipated)Interventional2014-01-31Completed
An Open-label, Randomized, Prospective Study Exploring Half Dose of Prasugrel and Ticagrelor in Platelet Response After Acute Coronary Syndromes [NCT02944123]Phase 3120 participants (Actual)Interventional2016-09-30Completed
A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Effect of Atorvastatin Treatment for 14 Days in Combination With an Acute Dose of Ticagrelor on Ischemia Reperfusion Induced Endothelial Dysfunction of the Forearm Vasculat [NCT02910778]Phase 432 participants (Actual)Interventional2016-10-31Completed
A Randomised, Double-blind, Parallel Group, Phase 3, Efficacy and Safety Study of Ticagrelor Compared With Clopidogrel for Prevention of Vascular Events in Patients With Non-ST or ST Elevation Acute Coronary Syndromes (ACS) [PLATO- a Study of PLATelet Inh [NCT00391872]Phase 318,624 participants (Actual)Interventional2006-10-31Completed
A Single Dose, Open-label, One Sequence, 2-period, Crossover Study to Characterize the Pharmacokinetics and Pharmacodynamics of Ticagrelor and Prasugrel in Healthy Male Adult Subjects [NCT01876797]Phase 112 participants (Actual)Interventional2013-07-31Completed
XANTHIPPE: Examining the Effect of Ticagrelor on Platelet Activation, Platelet-Leukocyte Aggregates, and Acute Lung Injury in Pneumonia [NCT01883869]Phase 160 participants (Actual)Interventional2013-06-30Completed
ComPArison of the Effect of Ticagrelor Versus Clopidogrel on Myocardial Blood Flow (MBF) and Reserve (MBFR) Measured With Positron Emission TomograpHy (PET) in Patients With Coronary Artery Disease (CAD): The PATH Study [NCT01894789]Phase 2/Phase 336 participants (Actual)Interventional2013-03-31Completed
Comparison of Clopidogrel Versus Ticagrelor Therapy for Atherosclerotic Plaque Inflammation: Serial FDG PET/CT Imaging Study of Carotid Artery and Ascending Aorta [NCT01905566]Phase 450 participants (Actual)Interventional2013-09-30Completed
A Randomized Controlled sTudy of Low Dose vs Standard tIcaGrelor on Platelet Function After intErvention for Acute Coronary syndRome in Senior Patients [NCT04307485]Phase 440 participants (Anticipated)Interventional2020-03-10Recruiting
3 Months Versus 12 Months Dual Antiplatelet Therapy After Second Generation Sirolimus Stent Implantation in ST-elevation Myocardial Infarction(BULK-STEMI) [NCT04570345]Phase 41,002 participants (Anticipated)Interventional2021-01-01Recruiting
Randomized, Placebo-controlled, Single Blind, Trial to Determine the Safety and Efficacy of Ticagrelor for Maintaining Patency of Arterio-Venous Fistulae Created for Hemodialysis [NCT02335099]Phase 1/Phase 254 participants (Actual)Interventional2014-12-31Completed
Pharmacodynamic Assessment of Ticagrelor vs High Dose Clopidogrel in Patients With ST Elevation Myocardial Infarction Exhibiting High Platelet Reactivity Post Fibrinolysis [NCT01950416]Phase 456 participants (Actual)Interventional2013-03-31Completed
Intensified Antiplatelet Therapy in Post-PCI Patients With High On-treatment Platelet Reactivity: the OPTIMA-2 Trial [NCT01955200]Phase 41,724 participants (Actual)Interventional2013-10-05Completed
Differential Effect of Ticagrelor Versus Prasugrel Maintenance Dose on Endothelial Function of Peripheral Vessels in Patients With Coronary Artery Disease [NCT01957540]Phase 422 participants (Actual)Interventional2014-06-30Completed
Platelet Reactivity After Ticagrelor Loading Dose Versus Clopidogrel Loading Dose and Reloading With Ticagrelor, in Patients With ST-elevation Myocardial Infarction (STEMI) Undergoing Primary Percutaneous Coronary Intervention (PCI). [NCT01961856]Phase 374 participants (Actual)Interventional2013-09-30Completed
Genotype Guided Versus Conventional Approach in Selection of Oral P2Y12 Receptor Blocker in Chinese Patients Suffering From Acute Coronary Syndrome [NCT01994941]Phase 4133 participants (Actual)Interventional2013-08-31Completed
The Effect of Ticagrelor on the Adenosine System [NCT01996735]Phase 414 participants (Actual)Interventional2013-04-30Completed
[NCT02012140]Phase 4200 participants (Anticipated)Interventional2014-01-31Not yet recruiting
A Prospective, Multicenter, Randomized, Open-label Trial to Compare Efficacy and Safety of Clopidogrel vs Ticagrelor in Stabilized Patients With Acute Myocardial Infarction After Percutaneous Coronary Intervention; TicAgrelor Versus CLOpidogrel in Stabili [NCT02018055]Phase 42,590 participants (Actual)Interventional2014-02-14Completed
Ticagrelor Versus Clopidogrel in Large Vessel Ischemic Stroke, a Randomized Controlled Trial [NCT06120725]Phase 3580 participants (Actual)Interventional2021-09-01Completed
Cangrelor Versus Ticagrelor In Patients With Acute Myocardial Infarction Complicated With Initial Cardiogenic Shock [NCT03551964]Phase 4550 participants (Anticipated)Interventional2018-08-01Recruiting
Pragmatic Randomized Controlled Trial Comparing Treatment Effectiveness of Guideline Indicated Anti-platelet Therapy for Acute Coronary Syndrome in Patients With Chronic Kidney Disease [NCT03150667]Phase 4220 participants (Anticipated)Interventional2017-04-10Recruiting
Pharmacodynamic Evaluation of Antiplatelet Effect of Swallowing Versus Chewing Ticagrelor in Patients With Acute Coronary Syndrome [NCT04567290]Phase 450 participants (Anticipated)Interventional2020-10-07Recruiting
TIcaGrEloR and ABSORB Bioresorbable Vascular Scaffold Implantation for Recovery of Vascular Function After Successful Chronic Total Occlusion Recanalization [NCT02211066]Phase 459 participants (Actual)Interventional2014-10-31Completed
Inflammation and Thrombosis in Patients With Severe Aortic Stenosis After Transcatheter Aortic Valve Replacement (TAVR) [NCT02486367]Phase 460 participants (Actual)Interventional2015-06-30Completed
An Open Label, Two Arms, Randomized Controlled Pilot Study Comparing the Arachidonic Acid-induced Platelet Aggregation Rate in Patients With Stable Coronary Artery Disease Treated With Ticagrelor Monotherapy or Ticagrelor and Asprin [NCT02219412]Phase 470 participants (Actual)Interventional2014-08-31Completed
Τicagrelor Versus Prasugrel in Diabetic Patients: a Pharmacodynamic Study [NCT01642940]Phase 430 participants (Actual)Interventional2012-06-30Completed
Drug-eluting Stenting Versus Medical Treatment Alone for Patients With Extracranial Vertebral Artery Stenosis: The VISTA Trial [NCT05885932]472 participants (Anticipated)Interventional2023-08-25Recruiting
The Risk of Major Bleeding With Novel Anti-platelets: A Comparison of Ticagrelor With Clopidogrel in a Real World Population of 5000 Patients Treated for Acute Coronary Syndrome [NCT02484924]5,225 participants (Actual)Observational2010-06-30Completed
A Two-Cohort, Open-Label, Single and Multiple Dose Pharmacokinetic Study of 90 mg and 180 mg Doses of AZD6140 in Healthy Chinese Volunteers Living in China [NCT00721448]Phase 124 participants (Anticipated)Interventional2008-06-30Completed
A Randomised, Double-Blind, Two-Period Crossover Study to Assess the Effect of AZD6140 on Uric Acid Levels in Healthy Male Volunteers [NCT00738842]Phase 124 participants (Actual)Interventional2008-05-31Completed
A Study of Platelet Function Test in the Application of Prevention of Ischemic Events After Stent Placement in Intracranial Aneurysms [NCT03989557]Phase 4314 participants (Actual)Interventional2019-07-01Completed
The Effect of Intravenous Cangrelor and Oral Ticagrelor on Platelets, the Microcirculation and Myocardial Damage in Patients Admitted With STEMI Treated by Primary Percutaneous Coronary Intervention: A Randomized Controlled Pilot Trial [NCT02733341]Phase 4100 participants (Actual)Interventional2016-07-21Completed
A Phase 2a Single Dose Study to Evaluate the Effect of BMS-986141 Added on to Aspirin or Ticagrelor or the Combination, on Thrombus Formation in an Ex Vivo Thrombosis Chamber Model in Patients With Stable Coronary Artery Disease and Healthy Participants [NCT05093790]Phase 258 participants (Actual)Interventional2022-03-25Completed
A Randomised, Double-Blind, Parallel Group, Asian, Multicenter Study, to Assess Pharmacokinetic and Pharmacodynamic Profile of 2 Doses of Ticagrelor on Top of Low Dose Acetyl Salicylic Acid (ASA) Therapy on Platelet Aggregation in Japanese and Asian Patie [NCT01118325]Phase 2146 participants (Actual)Interventional2010-04-30Completed
Chewing Versus Traditional Oral Administration of Ticagrelor in ST-elevation Myocardial Infarction Patients - A Platelet Reactivity Study [NCT02725099]Phase 450 participants (Actual)Interventional2016-05-31Completed
Optimizing Timing of Coronary Artery Bypass Surgery in Patients Presenting With Acute Coronary Syndrome and Treated With Second Generation ADP Receptor Antagonist [NCT02627521]Phase 4260 participants (Anticipated)Interventional2015-07-31Recruiting
The Effects of loW Dose tIcagrelor on Platelet Function Testing in Patients With Stable Coronary arTery Disease: TWIST Trial [NCT04206176]Phase 1/Phase 225 participants (Actual)Interventional2019-10-01Completed
The Application of Ticagrelor Combined With Low Molecular Weight Heparin During PCI [NCT02658838]Phase 4300 participants (Anticipated)Interventional2015-04-30Active, not recruiting
Prasugrel Or Ticagrelor De-escalation in Non-ST-elevation Acute Coronary Syndrome [NCT05779059]Phase 350 participants (Anticipated)Interventional2023-04-01Not yet recruiting
Impact of Morphine Treatment on Platelet Inhibition in Acute Myocardial Infarction [NCT02627950]Phase 4138 participants (Actual)Interventional2015-12-31Completed
Evaluation of Safety and Efficacy of Two Ticagrelor-based De-escalation Antiplatelet Strategies in Acute Coronary Syndrome: the Randomized, Multicenter, Double-blind ELECTRA RCT Study [NCT04718025]Phase 34,500 participants (Anticipated)Interventional2022-02-07Recruiting
Influence of METHoxyflurane on ANtiplatelet Effect of Ticagrelor in Patients With Unstable Angina Pectoris - METHANE Study [NCT04442919]Phase 475 participants (Anticipated)Interventional2020-06-01Recruiting
Dual Antiplatelet Therapy With Ticagrelor and Acetylsalicylic Acid (ASA) vs. ASA Only After Isolated Coronary Artery Bypass Grafting in Patient With Acute Coronary Syndrome [NCT03560310]Phase 42,200 participants (Anticipated)Interventional2018-06-29Recruiting
Effect of Ticagrelor on Endothelial Function [NCT01805596]Phase 345 participants (Anticipated)Interventional2013-04-30Completed
The Impact of Administration Strategy of Ticagrelor on Its Pharmacokinetics and Pharmacodynamics in Patients With Unstable Angina Pectoris - a Randomized, Single-center, Open-label Pilot Study [NCT02612116]Phase 449 participants (Actual)Interventional2015-09-30Completed
Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis (CAPTIVA) [NCT05047172]Phase 31,683 participants (Anticipated)Interventional2022-08-02Recruiting
MULTIcentric Study About RESistance to CLOpidogrel in Dual Antiplatelet Therapy for Carotid Stenting [NCT05566301]1,140 participants (Anticipated)Observational2021-09-02Recruiting
ANTIPLATELET TREATMENT IN ACUTE CORONARY SYNDROMES. SAFETY AND EFFICACY OF ANTIPLATELET SWITCHING Safety and Efficacy of Ticagrelor vs Clopidogrel in Patients With Acute Coronary Syndrome [NCT04630288]1,900 participants (Actual)Observational2019-07-02Active, not recruiting
Evaluation the Effect of Ticagrelor and Clopidogrel in Stable Coronary Syndrome A Randomized Clinical Trial [NCT05858918]476 participants (Actual)Interventional2022-10-01Completed
Overcoming High On-Treatment Platelet Reactivity (HPR) During Prasugrel Therapy [NCT01869309]Phase 4400 participants (Anticipated)Interventional2014-01-31Recruiting
RE-DUAL PCI Real Life Registry Dual Therapy With Dabigatran/Ticagrelor Versus Dual Therapy With Dabigatran/Clopidogrel in ACS Patients With Indication for NOAC Undergoing PCI [NCT04688723]Phase 41,000 participants (Anticipated)Interventional2020-12-23Recruiting
Platelet Function Evaluation in Patients With Acute Coronary Syndromes on Potent P2Y12 Inhibitor Monotherapy Versus Dual Antiplatelet Therapy With Aspirin and a Potent P2Y12 Inhibitor [NCT05767723]Phase 448 participants (Anticipated)Interventional2023-02-06Recruiting
Effects of Ticagrelor Versus Prasugrel on Coronary Microcirculation in Patients Undergoing Elective Percutaneous Coronary Intervention: Results of the PROtecting MICROcirculation During Coronary Angioplasty (PROMICRO)-3 Randomised Study [NCT05643586]Phase 450 participants (Actual)Interventional2017-12-01Completed
Ticagrelor Monotherapy After Coronary Stenting in Patients With Acute Myocardial Infarction - A Prospective Single-centre, Single-arm Phase II Study [NCT05149560]Phase 2200 participants (Anticipated)Interventional2021-12-04Recruiting
Cangrelor Administration Following Ticagrelor Loading vs Ticagrelor Loading Alone in ST Segment Elevation Myocardial Infarction Patients: A Randomized, Pharmacodynamic Study [NCT02943369]Phase 430 participants (Actual)Interventional2017-07-28Completed
Differences in the Pharmacokinetic and Pharmacodynamic Profile of Ticagrelor and Its Active Metabolite AR-C124900XX Between Patients With Unstable Angina Pectoris Treated With Crushed Ticagrelor and a Combination of Morphine and Metoclopramide or Morphine [NCT02939235]Phase 432 participants (Actual)Interventional2016-07-31Completed
A Randomised, Double-blind, Double-dummy, Parallel Group, International (Asian), Multicenter, Phase 3 Study to Assess Safety and Efficacy of AZD6140 on Top of Low Dose Acetyl Salicylic Acid (ASA) Versus Clopidogrel on Top of Low Dose ASA in Asian/Japanese [NCT01294462]Phase 3801 participants (Actual)Interventional2011-02-28Completed
Comparison of Circadian Variability of Platelet Inhibition in Patients With Myocardial Infarction Treated With Prasugrel and Ticagrelor [NCT03454841]73 participants (Actual)Observational2018-02-26Completed
The Effect of Early Administration of Dapagliflozin in ST Elevation Myocardial Infarction Patients Presenting With Left Ventricular Systolic Dysfunction [NCT05045274]300 participants (Anticipated)Interventional2021-12-31Not yet recruiting
The Impact of Genotype on Pharmacokinetics and Antiplatelet Effects of Ticagrelor in Healthy Chinese [NCT03092076]Phase 151 participants (Actual)Interventional2015-05-20Completed
[NCT03016611]Phase 4100 participants (Anticipated)Interventional2017-02-28Not yet recruiting
Study of the Effect of Ticagrelor and Clopidogrel on the Immune Response of Healthy Volunteers [NCT01846559]Phase 430 participants (Actual)Interventional2013-04-30Completed
Prospective, Randomized, Open Label Trial of 6 Months vs. 12 Months Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation In ST-elevation Myocardial Infarction [NCT01459627]Phase 41,100 participants (Anticipated)Interventional2011-12-31Completed
Standard Versus Low Dose Maintenance Ticagrelor After Primary Percutaneous Intervention for STEMI in Diabetic Patients: a Randomized Controlled Trial [NCT05831462]Phase 1/Phase 2400 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Switching From Standard of Care Dual Antiplatelet Treatment (DAPT) Regimens With Aspirin Plus a P2Y12 Inhibitor to Dual Pathway Inhibition (DPI) With Low-dose Rivaroxaban in Adjunct to Aspirin in Patients With Coronary Artery Disease: The Switching Anti-P [NCT04006288]Phase 490 participants (Actual)Interventional2019-09-06Completed
Effect of Antiplatelet Therapies in Patients With Depression and Coronary Disease [NCT05821062]400 participants (Anticipated)Observational2022-04-14Recruiting
CLOpidogrel Versus TIcagreLor for Antiplatelet Maintenance in DIAbetic Patients Treated With Percutaneous Coronary Intervention: Results of the CLOTILDIA Study [NCT02742987]Phase 442 participants (Actual)Interventional2014-03-31Completed
Differences in the Pharmacokinetic and Pharmacodynamic Profile of Ticagrelor and Its Active Metabolite AR-C124900XX Between Patients With Unstable Angina Pectoris Treated With Crushed Ticagrelor and a Combination of Morphine and Naloxone or Morphine Alone [NCT02939248]Phase 430 participants (Actual)Interventional2016-10-31Completed
Single Versus Dual Antiplatelet Therapy in Patients With Incomplete Revascularization After Coronary Artery Bypass Graft Surgery [NCT03789916]Phase 3800 participants (Anticipated)Interventional2019-01-02Recruiting
Ticagrelor Compared to Clopidogrel in Acute Coronary Syndromes - the TC4 Comparative Effectiveness Study [NCT04057300]Phase 41,038 participants (Actual)Interventional2018-10-01Completed
A Randomised, Double Blind, Parallel Group, Multicentre, Phase III Study to Evaluate the Effect of Ticagrelor Versus Placebo in Reducing the Number of Vaso-Occlusive Crises in Paediatric Patients Aged 6 Months to <18 Years With Sickle Cell Disease (HESTIA [NCT04293172]Phase 30 participants (Actual)Interventional2020-06-30Withdrawn(stopped due to Study halted prematurely, prior to enrolment of first patient.)
A Dose Blocked-randomized, Double-blind, Active and Placebo Controlled, Single and Multiple Dosing, Dose-escalation Clinical Trial to Investigate the Safety, Tolerability, Pharmacokinetic/Pharmacodynamic Characteristics and Food Effect [NCT01526577]Phase 1113 participants (Actual)Interventional2012-03-31Completed
An Open Label, Single Centre, Randomised, Phase IV, Pharmacokinetic, Pharmacodynamic, and Safety Study to Evaluate Single and Multiple Doses of 45, 60, and 90 mg of Ticagrelor in Chinese Patients With Stable Coronary Heart Disease [NCT02064985]Phase 461 participants (Actual)Interventional2014-02-28Completed
The Safety of Ticagrelor Monotherapy After Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction and the Effect on Intramyocardial Haemorrhage [NCT05986968]200 participants (Anticipated)Interventional2023-07-06Recruiting
Comparison of Therapy With TICAGRELOR, Prasugrel and High Clopidogrel Dose in PCI Patients With High on Treatment Platelet Reactivity and Genotype Variation [NCT01543932]Phase 381 participants (Actual)Interventional2012-07-31Completed
Efficacy, Safety and Tolerability of PrasugrEl 5mg or TIcagrelor 60mg in COmplex and Higher-Risk Indicated PCI/PatieNts: The Prospective, Randomized, Open-labeled, Blinded Endpoint (PROBE), Multi-center E5TION Trial [NCT04734353]Phase 4492 participants (Anticipated)Interventional2020-01-15Recruiting
Rapid Activity of Platelet Inhibitor Drugs Study (RAPID 2) [NCT01805570]Phase 450 participants (Actual)Interventional2012-11-30Completed
A Prospective, Multi-center, Optical Coherence Tomography Guided Reperfusion Strategy in Patients With STEMI (EROSION II) [NCT03062826]347 participants (Actual)Observational2017-01-11Active, not recruiting
Standard (180mg) Versus Double (360mg) Loading Dose of Ticagrelor in Patients With ST-elevation Myocardial Infarction (STEMI), Undergoing Primary Percutaneous Coronary Intervention (PCI): a Multi-center Randomized Parallel Pharmacodynamic Study. [NCT01575795]Phase 483 participants (Actual)Interventional2012-04-30Completed
[NCT02487732]Phase 460 participants (Actual)Interventional2015-07-31Completed
Platelet Aggregation and Adenosine Levels Among Patients With Stable Chronic Coronary Artery Disease Taking Ticagrelor or Prasugrel [NCT05247385]Phase 487 participants (Actual)Interventional2017-03-20Completed
THE CAPITAL PCI AF Study: The Safety and Efficacy of Rivaroxaban and Ticagrelor for Patients With Atrial Fibrillation After Percutaneous Coronary Intervention [NCT03331484]Phase 340 participants (Actual)Interventional2018-11-01Active, not recruiting
A Pharmacodynamic Study Comparing Prasugrel Versus Ticagrelor in Patients With Coronary Artery Disease Undergoing PCI With CYP2C19 Loss-of-function Genotypes: A Feasibility Study With Point-of-care Pharmacodynamic and Genetic Testing [NCT02065479]Phase 465 participants (Actual)Interventional2014-03-31Completed
Impact of CYP2C19 Genotype-guided Clopidogrel and Ticagrelor Treatment on Platelet Function Test and Metabolomics Profile Among Coronary Artery Disease (CAD) Patients Undergoing Percutaneous Coronary Intervention (PCI) [NCT05516784]Phase 480 participants (Actual)Interventional2019-09-01Completed
A Study of the Transition From Cangrelor to Ticagrelor, and Ticagrelor to Cangrelor in Patients With Coronary Artery Disease [NCT01766466]Phase 212 participants (Actual)Interventional2013-01-31Completed
Normalizing Platelet Reactivity After Treatment With Ticagrelor [NCT02201394]Phase 420 participants (Actual)Interventional2014-07-31Completed
Sampling P2Y12 Receptor Inhibition With Prasugrel and Ticagrelor in Patients Submitted to Thrombolysis After Loading Dose of Clopidogrel [NCT02215993]Phase 450 participants (Actual)Interventional2013-07-31Completed
Differential Effect of Ticagrelor Versus Prasugrel on the Adenosine-induced Coronary Vasodilatory Responses in Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention. [NCT01642966]Phase 456 participants (Actual)Interventional2012-09-30Completed
A Single-Center,Open-Label,Randomized,3-Treatment,3-Period Cross-Over Study to Investigate the Potential Effect of Cyclosporine on the Pharmacokinetics, Safety, and Tolerability of Ticagrelor and the Effect of Ticagrelor on the Pharmacokinetics, Safety, a [NCT01504906]Phase 120 participants (Actual)Interventional2012-01-31Completed
Rapid Activity of Platelet Inhibitor Drugs Study [NCT01510171]Phase 450 participants (Actual)Interventional2012-01-31Completed
Ticagrelor in Clopidogrel Resistant Patients Undergoing Chronic Hemodialysis [NCT01511471]Phase 320 participants (Actual)Interventional2012-01-31Completed
Effect of Modifying Anti-platelet Treatment to Ticagrelor in Patients With Diabetes and Low Response to Clopidogrel [NCT01643031]Phase 4500 participants (Anticipated)Interventional2012-08-31Not yet recruiting
A Randomised Mechanistic Study Comparing the Effects of Different Anti-platelet Combinations (Ticagrelor vs. Placebo/ Clopidogrel) With Aspirin in Patients Presenting With Anterior STEMI Treated With Primary PCI [NCT03145194]Phase 2140 participants (Anticipated)Interventional2017-01-30Recruiting
Reassessment of Anti-Platelet Therapy Using InDividualized Strategies -Ticagrelor in Patients With Acute Coronary Syndromes Treated by Coronary Artery Bypass Graft Surgery - A Pharmacodynamic and Clinical Study to Decrease Bleeding Risks and Ischemic Comp [NCT02668562]143 participants (Actual)Interventional2016-02-29Completed
Ticagrelor vs. Tirofiban, Comparison of Anti-platelet Effects in Patients With Non-ST Elevation Acute Coronary Syndrome(TE-CLOT Trial : Ticagrelor's Effect for CLOT Prevention) ; A Single Center, Open-label Randomized Controlled Study [NCT01660373]Phase 3100 participants (Anticipated)Interventional2012-08-31Recruiting
Comparative Efficacy of Ticagrelor Versus Aspirin on Blood Viscosity in Peripheral Artery Disease (PAD) Patients With Type 2 Diabetes (T2D) [NCT02325466]Phase 370 participants (Actual)Interventional2015-04-30Completed
Effects of Clopidogrel vs Prasugel vs Ticagrelor on Endothelial Function, Inflammatory and Oxidative Stress Parameters and Platelet Function in Patients Undergoing Coronary Artery Stenting. A Randomised, Prospective Study. [NCT01700322]Phase 4126 participants (Actual)Interventional2012-08-31Completed
Smart Angioplasty Research Team: Safety of 6-month Duration of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention in Patients With Acute Coronary Syndromes (SMART-DATE) [NCT01701453]2,712 participants (Actual)Interventional2012-08-31Active, not recruiting
A Single Center, Randomized, Open Label, Multiple Dose, Crossover Study of the Antiplatelet Effects of Ticagrelor Versus Clopidogrel in American Indian Patients With Stable Coronary Artery Disease [NCT01706510]Phase 428 participants (Actual)Interventional2012-12-31Completed
Effects of Ticagrelor and Intracoronary Morphine on Myocardial Salvage in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT01738100]Phase 2100 participants (Anticipated)Interventional2012-09-30Recruiting
On-treatment PLAtelet Reactivity-guided Therapy Modification FOR ST-segment Elevation Myocardial Infarction (PLATFORM) [NCT01739556]Phase 3242 participants (Actual)Interventional2015-06-30Terminated(stopped due to An interim analysis showed that there is no difference in the primary endpoint, given the small number of events in the groups examined.)
A Open Label, Randomized, Crossover and Potential Parallel, Single Dose Study of Ticagrelor 180 mg and Acetylsalicylic Acid (ASA) in Healthy Volunteers Followed by Autologous in Vivo Platelet Transfusion to Determine the Effects of Platelet Supplementatio [NCT01744288]Phase 1258 participants (Actual)Interventional2012-12-31Completed
A Randomized, Parallel Group, Double-Blind Study of Ticagrelor Compared With Aspirin for Prevention of Vascular Events in Patients Undergoing Coronary Artery Bypass Graft Operation TiCAB- Ticagrelor in CABG [NCT01755520]Phase 31,893 participants (Actual)Interventional2013-04-24Terminated(stopped due to DSMB Interim Analyses)
Safety and P2Y12 Receptor Inhibition Effects of Ticagrelor and Clopidogrel in Vietnamese Patients With Coronary Heart Disease: A Randomized, Open Label, Crossover Study [NCT01757262]Phase 30 participants (Actual)Interventional2013-01-31Withdrawn
A REAl-life Study on Short-term Dual Antiplatelet Treatment in Patients With Ischemic Stroke or Transient Ischemic Attack [NCT05476081]1,067 participants (Anticipated)Observational [Patient Registry]2021-02-03Recruiting
A Prospective, Randomized, Controlled, Analyst-blinded, Parallel Group Study to Investigate the Effect of Antithrombotic Triple Therapy With Ticagrelor and Acetylsalicylic Acid in Combination With Dabigatran or Rivaroxaban or Phenprocoumon on Markers of C [NCT01812200]Phase 460 participants (Actual)Interventional2012-10-31Completed
The Effect of Ticagrelor on Acute Coronary Syndrome Patients With Clopidogrel Resistance Undergoing Percutaneous Coronary Intervention [NCT01812330]Phase 3180 participants (Anticipated)Interventional2013-01-31Recruiting
Bedside Testing of the CYP2C19 Gene to Asses Effectiveness of Clopidogrel in Coronary Artery Disease Patients Treated With Percutaneous Coronary Intervention : Individualized Antiplatelet Drugs Treatment to Improve Prognosis [NCT01823185]Phase 41,500 participants (Anticipated)Interventional2013-03-31Recruiting
Comparison of Ticagrelor Versus Clopidogrel on Residual Thrombus Burden During Percutaneous Coronary Intervention: an Optical Coherence Tomography Study [NCT01826175]Phase 40 participants (Actual)Interventional2013-05-31Withdrawn(stopped due to Study terminated mutually by sponsor & PI due to no enrollment)
The ACS Ethnicity Platelet Function Study [NCT01829659]4 participants (Actual)Observational2013-05-31Completed
Relationship of Dose of Ticagrelor and Anti-inflammatory Effect in Patients With End Stage Renal Disease on Hemodialysis: PIANO-6 Randomized Crossover Study [NCT02406911]Phase 325 participants (Anticipated)Interventional2015-02-28Recruiting
Pharmacodynamic Effects of Ticagrelor and Eptifibatide Bolus-Only Versus Ticagrelor and Eptifibatide Bolus Plus Abbreviated Infusion in Patients Undergoing Percutaneous Coronary Intervention [NCT01919723]Phase 270 participants (Actual)Interventional2014-02-28Completed
Tailored Antiplatelet Initiation to Lesson Outcomes Due to Decreased Clopidogrel Response After Percutaneous Coronary Intervention (TAILOR-PCI) [NCT01742117]Phase 45,276 participants (Actual)Interventional2013-05-31Completed
Impact of Ticagrelor Re-load on Pharmacodynamic Profiles in Patients on Maintenance Ticagrelor Therapy [NCT01731041]60 participants (Actual)Interventional2013-01-31Completed
A head-to Head Comparison of the Pharmacodynamic Effects of Prasugrel Compared With Ticagrelor in Patients With Coronary Artery Disease [NCT01852175]110 participants (Actual)Interventional2012-01-31Completed
A Prospective, Randomized, Open-Label, Multicenter Study Assessing Efficacy and Safety of Ticagrelor De-escalation Strategy in East Asian Acute Myocardial Infarction With Coronary Intervention: EASTYLE Trial [NCT04755387]Phase 42,000 participants (Anticipated)Interventional2021-02-15Recruiting
A U.S. Post-Approval Study of the PROMUS Element™ Plus Everolimus-Eluting Platinum Chromium Coronary Stent System [NCT01589978]Phase 42,681 participants (Actual)Interventional2012-05-31Completed
Antiplatelet Therapy Effect on Platelet Extracellular Vesicles in Acute Myocardial Infarction [NCT02931045]Phase 460 participants (Actual)Interventional2017-12-30Completed
Randomized, Crossover Study of the Antithrombotic Effects of Ticagrelor Plus Aspirin Versus Clopidogrel Plus Aspirin When Administered With Bivalirudin [NCT01642238]Phase 415 participants (Actual)Interventional2012-07-31Completed
Pharmacodynamic Evaluation of Switching From Ticagrelor to Clopidogrel in Patients With Coronary Artery Disease [NCT02287909]Phase 487 participants (Actual)Interventional2014-12-31Completed
A Phase IV, Randomised, Multi-Centre, Open Label Study, Comparing Ticagrelor Versus Clopidogrel in Non-ST Elevation Acute Coronary Syndrome (NSTE-ACS) Patients Undergoing Percutaneous Coronary Intervention (PCI) With Bivalirudin [NCT02052635]Phase 434 participants (Actual)Interventional2014-09-30Terminated(stopped due to Patient recruitment challenges, low enrolment, and a forecasted inability to complete the study in an acceptable timeframe)
Comparative Study of the Antithrombotic Effects of Ticagrelor and Clopidogrel in Type 2 Diabetic Patients [NCT01823510]Phase 420 participants (Actual)Interventional2013-07-31Completed
Tailoring Bleeding Reduction Approaches in Patients Undergoing Percutaneous Coronary Interventions: Comparative Pharmacodynamic Effects of Potent P2Y12 Inhibitor Monotherapy Versus Dual Antiplatelet Therapy De-escalation [NCT05681702]Phase 490 participants (Anticipated)Interventional2023-02-15Recruiting
Replication of the ISAR-REACT 5 Antiplatelet Trial in Healthcare Claims Data [NCT05086081]28,389 participants (Actual)Observational2020-10-10Completed
Replication of the PLATO Antiplatelet Trial in Healthcare Claims Data [NCT04237935]27,960 participants (Actual)Observational2019-09-22Completed
Ticagrelor in Comparison to Prasugrel for Early Inhibition of Platelet Reactivity in Patients With ST-elevation Myocardial Infarction (STEMI), Undergoing Primary Percutaneous Coronary Intervention (PCI) [NCT01463163]Phase 450 participants (Actual)Interventional2011-10-31Completed
Platelet Inhibition With Ticagrelor 60 mg Versus Ticagrelor 90 mg Twice Daily in Elderly Patients With Acute Coronary Syndrome (ACS) [NCT04739384]Phase 350 participants (Actual)Interventional2021-04-01Completed
A Randomized Comparison of Platelet Inhibition Using a Low Maintenance Dose Ticagrelor Regimen Versus Standard Dose Clopidogrel in Diabetes Mellitus Patients Without Prior Major Cardiovascular Events Undergoing Elective Percutaneous Coronary Intervention: [NCT03437044]Phase 440 participants (Actual)Interventional2018-03-14Completed
Efficacy and Safety of Different Ticagrelor Regimens Versus Clopidogrel in Patients With Coronary Artery Disease: a Retrospective Multicenter Study (SUPERIOR) [NCT03381742]Phase 2/Phase 33,043 participants (Actual)Interventional2017-12-13Completed
A Multi-centre, Phase I, Open-label, Single-dose Study to Investigate Pharmacokinetics (PK) of Ticagrelor in Infants and Toddlers, Aged 0 to Less Than 24 Months, With Sickle Cell Disease (HESTIA4) [NCT03492931]Phase 121 participants (Actual)Interventional2018-03-28Completed
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MEDI2452 (PB2452) With and Without Ticagrelor Pretreatment in Healthy Volunteers [NCT03492385]Phase 164 participants (Actual)Interventional2018-04-03Completed
Prospective, Randomized Study of the Platelet Inhibitory Efficacy of Ticagrelor Versus Prasugrel in Clopidogrel Low Responders After Percutaneous Coronary Intervention [NCT01456364]Phase 470 participants (Anticipated)Interventional2011-09-30Recruiting
The Impact of Ticagrelor on Coronary Atherosclerotic Lipid Pool and Inflammation Assessed by Near-Infrared Spectroscopy [NCT02282332]Phase 430 participants (Actual)Interventional2014-06-30Completed
A Pharmacodynamic Evaluation of Switching From Ticagrelor to Prasugrel in Subjects With Stable Coronary Artery Disease: 2nd Switching Antiplatelet Agents [NCT01587651]Phase 4110 participants (Actual)Interventional2012-03-31Completed
Comparison of Prasugrel vs. Ticagrelor on Myocardial Injury in Revascularized ST Elevation Acute Myocardial Infarction Patients [NCT03435133]61 participants (Actual)Interventional2015-11-23Completed
24-month Ticagrelor-based Dual-antiplatelet Therapy Versus Clopidogrel-based Dual-antiplatelet theRapy aftEr 12 Months of DrUg-eluting Stent Implantation in High isChEmic Risk Patients: P-REDUCE Trial [NCT04989257]3,488 participants (Anticipated)Interventional2021-08-31Not yet recruiting
A Multinational, Randomised, Double-Blind, Placebo-Controlled Trial to Evaluate the Effect of Ticagrelor Twice Daily on the Incidence of Cardiovascular Death, Myocardial Infarction or Stroke in Patients With Type 2 Diabetes Mellitus (THEMIS - Effect of Ti [NCT01991795]Phase 319,271 participants (Actual)Interventional2014-02-10Completed
In Vitro Pharmacodynamic Effects of Cangrelor on Platelet P2Y12 Receptor Mediated Signaling in Ticagrelor Treated Patients [NCT02081443]60 participants (Actual)Interventional2014-04-30Completed
Single-center, Double-blind (ACT-246475), Open-label (Clopidogrel, Prasugrel, and Ticagrelor), Placebo-controlled, Randomized, Two-way Crossover Study to Investigate the Pharmacodynamics, Safety, and Tolerability of a Single Oral Dose of Clopidogrel or, P [NCT03430661]Phase 177 participants (Actual)Interventional2018-01-24Completed
A Multicenter, Single Arm, Open Label, Phase IV Study to Evaluate Safety and to Describe the Incidence of Major Cardiovascular Events of Ticagrelor in Chinese Patients With Acute Coronary Syndrome(ACS) [NCT01870921]Phase 42,004 participants (Actual)Interventional2013-06-26Completed
Ticagrelor Antiplatelet Therapy to Reduce Graft Events and Thrombosis (TARGET Trial): Does Ticagrelor Improve Graft Patency After Coronary Bypass? [NCT02053909]Phase 4250 participants (Actual)Interventional2014-09-30Completed
Effect of Upstream Treatment With High Intensity Statin on the Outcomes of ST Segment Elevation Myocardial Infarction Patients Treated With Primary Percutaneous Coronary Intervention [NCT04754789]Phase 3160 participants (Anticipated)Interventional2021-02-20Not yet recruiting
Individualizing Dual Antiplatelet Therapy After Percutaneous Coronary Intervention - The IDEAL-PCI Registry [NCT01515345]Phase 31,008 participants (Actual)Interventional2011-07-31Completed
Clopidogrel or Ticagrelor in Acute Coronary Syndrome Patients Treated With Newer-Generation Drug-Eluting Stents: CHANGE DAPT [NCT03197298]2,062 participants (Actual)Observational [Patient Registry]2012-12-21Completed
Testing P2Y12 Platelet Inhibitors Generics Beyond Bioequivalence: A Parallel Single-blinded Randomized Trial [NCT05474053]Phase 329 participants (Actual)Interventional2021-11-13Completed
Comparison of Coronary Artery Bypass Graft Surgery Related Bleeding Complications in Patients Treated With Ticagrelor or Clopidogrel [NCT04431349]1,097 participants (Actual)Observational2016-01-01Completed
Evaluation of Platelet Aggregation and Adenosine Levels in Patients With Coronary Artery Disease and Chronic Kidney Dysfunction Taking Dual Antiplatelet Therapy With Aspirin and Clopidogrel or Ticagrelor [NCT03039205]Phase 290 participants (Actual)Interventional2017-11-07Completed
An Open-label, Randomised, Four-period, Four-treatment, Crossover, Single-centre, Single-dose Study to Assess the Bioavailability of Ticagrelor Orodispersible Tablets, Compared to Ticagrelor Immediate-release Tablets in Healthy Subjects [NCT02400333]Phase 1100 participants (Actual)Interventional2015-06-30Completed
Reducing Inflammation in Ischemic Stroke With Colchicine, and Ticagrelor in High-risk Patients-extended Treatment in Ischemic Stroke [NCT05476991]Phase 32,800 participants (Anticipated)Interventional2023-05-17Recruiting
Escalated Single Platelet Inhibition for One Month Plus Direct Oral Anticoagulation in Patients With Atrial Fibrillation and acUte coRonary Syndrome Undergoing percutaneoUS Coronary Intervention [NCT04981041]Phase 42,334 participants (Anticipated)Interventional2021-12-16Recruiting
[NCT02494895]Phase 43,056 participants (Anticipated)Interventional2015-08-01Recruiting
Chewed Versus Integral Pill of Ticagrelor in All Patients Undergoing Percutaneous Coronary intervention--a Platelet Reactivity and Patient Outcomes Study. [NCT03708588]Phase 4112 participants (Actual)Interventional2018-09-19Completed
A Phase II Multicentre, Randomised, Double-Blind, Controlled, Parallel-Group Study to Evaluate the Walking Time Effect of Long-Term Ticagrelor in Comparison to Long-Term Aspirin Administration in Ambulatory Patients With Peripheral Artery Disease Undergoi [NCT02227368]Phase 240 participants (Actual)Interventional2014-10-20Terminated
Non-interventional Prospective Data Collection on Persistence and Adherence on Ticagrelor in ACS Adult Patients in Serbia [NCT03444012]269 participants (Actual)Observational2018-03-05Completed
The Use of BRILInta to Optimize ANTiplatelet Therapy (BRILIANT) Registry: The BRILIANT KOREA Registry [NCT02521038]2,000 participants (Anticipated)Observational [Patient Registry]2015-07-31Recruiting
Adjunctive Vorapaxar Therapy in Patients With Prior Myocardial Infarction Treated With New Generation P2Y12 Receptor Inhibitors Prasugrel and Ticagrelor (VORA-PRATIC): A Prospective, Randomized, Pharmacodynamic Study [NCT02545933]Phase 4130 participants (Actual)Interventional2016-02-29Completed
A Randomized, Double-Blind, Double-Dummy, Active-controlled, Parallel-group, Multicenter Study to Compare the Safety of Rivaroxaban Versus Acetylsalicylic Acid in Addition to Either Clopidogrel or Ticagrelor Therapy in Subjects With Acute Coronary Syndrom [NCT02293395]Phase 23,037 participants (Actual)Interventional2015-04-20Completed
Establishing the Microcirculatory Effects of Ticagrelor on Tissue Perfusion in Critical Limb Ischemia [NCT02230527]Phase 2/Phase 346 participants (Actual)Interventional2014-10-31Terminated(stopped due to Lack of enrollment)
A Multicenter, Single Arm, Open Label, Phase IV Study to Evaluate Safety and to Describe the Cumulative Incidence of Major Cardiovascular Events of Ticagrelor in Taiwanese Patients With Non ST-segment Elevation Myocardial Infarction [NCT02406248]Phase 4108 participants (Actual)Interventional2015-04-23Completed
Switch to Ticagrelor in Critical Limb Ischemia Anti-platelet Study [NCT02091921]Phase 1/Phase 253 participants (Actual)Interventional2014-02-16Completed
Ticagrelor Administered as Standard Tablet or orodispersiblE foRmulation [NCT03822377]Phase 3130 participants (Actual)Interventional2019-06-27Completed
Investigation of Drug-drug Interaction of Dabigatran and Ticagrelor Under Steady State Conditions in Healthy Male Subjects [NCT01734772]Phase 148 participants (Actual)Interventional2012-11-30Completed
Randomized Trial of Ticagrelor for Severe Community Acquired Pneumonia [NCT01998399]Phase 225 participants (Actual)Interventional2014-08-31Terminated(stopped due to poor enrollment, unable to meet recruitment goals)
Safety of Ticagrelor Plus Warfarin Versus Clopidogrel+Aspirin+Warfarin in Patients With Persistent or Permanent Atrial Fibrillation and Undergoing PCI-S: A Randomized, Open, Controlled, Parallel Group, Multi-center Trial [NCT02206815]Phase 4296 participants (Actual)Interventional2014-09-19Completed
Safety and Efficacy of Drug-Coated Balloon Angioplasty for the Treatment of Chronic Total Occlusions [NCT04744571]200 participants (Anticipated)Interventional2021-02-28Enrolling by invitation
Mojito Study (Mashed Or Just Integral Pill of TicagrelOr ? ) [NCT01992523]Phase 382 participants (Actual)Interventional2013-11-30Completed
Randomized Trial of Different Loading Dose of Ticagrelor for Antiplatelet Effect in Patients With Non -ST-segment Elevation ACS Undergoing Percutaneous Coronary Intervention [NCT01962428]Phase 4250 participants (Actual)Interventional2014-06-30Completed
Effect of the Peripheral Opioid Receptor Antagonist Methylnaltrexone on the Pharmacokinetic and Pharmacodynamic Profiles of Ticagrelor in Patients Receiving Morphine: a Prospective, Randomized Placebo-controlled Trial [NCT02403830]Phase 430 participants (Actual)Interventional2015-08-31Completed
Pharmacokinetics and Pharmacodynamics of Platelet P2Y12 Inhibitors in Patients Undergoing Percutaneous Coronary Intervention (PCI) for Acute Myocardial Infarction: A Pilot Study [NCT02376283]Phase 487 participants (Actual)Interventional2015-03-09Completed
A Prospective, Randomised, Open-labeled, Parallel Group Study to Assess the Effect of Optimized Antiplatelet Therapy on the Prognosis of ACS Patients With Non-predominant Coronary Artery Disease After PCI [NCT04338919]2,020 participants (Anticipated)Interventional2020-04-14Recruiting
Ticagrelor in Methotrexate-Resistant Rheumatoid Arthritis [NCT02874092]Phase 49 participants (Actual)Interventional2016-11-15Completed
Efficacy and Safety of Ticagrelor Combined With ASA Versus ASA Alone in Preventing Stroke and Death in Patients With Acute Ischemic Stroke or Transient Ischemic Attack: a Randomized, Double-blind, Placebo-controlled, International Multicenter Phase III Cl [NCT04962451]Phase 413,000 participants (Actual)Interventional2017-09-01Completed
Determine the Safety/Efficacy of Ticagrelor in Post-transplant Patients With Hepatic Artery Thrombosis (HAT) [NCT04946929]Phase 350 participants (Anticipated)Interventional2021-07-31Not yet recruiting
A Randomized, Double-Blind, Placebo-Controlled Trial Investigating The Effect Of Ticagrelor On Saphenous Vein Graft Patency In Patients Undergoing Coronary Artery Bypass Grafting Surgery (The POPular CABG Study) [NCT02352402]Phase 3487 participants (Anticipated)Interventional2015-03-31Active, not recruiting
A Single-center, Prospective,Randomized Study of Antiplatelet Effects of Ticagrelor Versus Clopidogrel in Patients With Dual Anti-platelet Therapy After Coronary Artery Bypass Grafting [NCT02330640]Phase 4137 participants (Actual)Interventional2016-01-31Completed
Pivotal Study of the AggreGuide A-100 Adenosine Diphosphate (ADP) Assay to Evaluate the Detection of Platelet Dysfunction Due to P2Y12 Antiplatelet Drugs [NCT03111420]280 participants (Actual)Interventional2017-01-09Completed
Ticagrelor Versus High-dose Clopidogrel in Patients With High Platelet Reactivity on Clopidogrel After Percutaneous Coronary Intervention: The PL-PLATELET Randomized Trial [NCT03078465]Phase 30 participants (Actual)Interventional2017-06-20Withdrawn(stopped due to Competitive studies were conducted at the same time, and enrollment was suspended.)
Reassessment of Long-Term Dual Anti-Platelet Therapy Using InDividualized Strategies - Using a Novel Combined Demographic and Pharmacogenomic Strategy: The RAPID EXTEND Pilot Study [NCT03224923]Phase 45 participants (Actual)Interventional2017-08-18Terminated(stopped due to Competing study to be started in November 2018)
Antiplatelet Therapy in Elderly Patients Undergoing Percutaneous Coronary Intervention [NCT04999293]1,505 participants (Actual)Observational2021-07-20Completed
Cangrelor vs. Ticagrelor for Early Platelet Inhibition in ST-elevation Myocardial Infarction [NCT03182855]Phase 480 participants (Anticipated)Interventional2018-09-01Not yet recruiting
Safety and Efficacy of Low-Dose Ticagrelor in Chinese Patients With Non-ST-Elevation Acute Coronary Syndrome: A Randomized Clinical Trial [NCT02415803]Phase 375 participants (Anticipated)Interventional2014-12-31Recruiting
Dose Adaptation to Offset the Pharmacokinetic Interaction Between Ticagrelor and Ritonavir in Healthy Volunteers by Population-based PK Modeling (Simcyp®) [NCT02435563]Phase 222 participants (Actual)Interventional2014-08-31Completed
A Single Dose, Randomized, Open-Label, Parallel Group Study Comparing the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Ticagrelor in Hemodialysis Patients to Subjects With Normal Renal Function [NCT02022748]Phase 127 participants (Actual)Interventional2013-12-29Completed
Investigation of Anti-platelet Drug Single Dose Exposure on Platelet mRNA Splicing in Healthy Subjects [NCT04088123]0 participants (Actual)Observational2020-04-01Withdrawn(stopped due to Inability to commence enrollment at institution, terminated on 9/23/20)
The Relationship Between Genotype and Platelet Reactivity in Patients Treated With Ticagrelor Versus Clopidogrel: PIANO Genotype Study [NCT02394145]Phase 320 participants (Anticipated)Interventional2009-09-30Recruiting
Effect of Continue vs. Stop P2Y12 Inhibitor on Bleeding in Patient Receiving Dual-antiplatelet Therapy Undergoing Dental Procedure. [NCT03103685]Phase 4428 participants (Anticipated)Interventional2017-05-01Not yet recruiting
Reversal of the Anti-platelet Effects of Ticagrelor in Healthy Persons and Patients With Coronary Artery Disease [NCT02383771]Phase 464 participants (Actual)Interventional2015-03-31Completed
Ndividualized and Combined Effects of Diabetes and Smoking on the Antiplatelet Activity of Ticagrelor in Acute Myocardial Infarction Patients Undergoing Primary PCI [NCT05911659]60 participants (Anticipated)Observational [Patient Registry]2023-05-01Recruiting
Evaluation of the Effects and Plasma Concentration of the Potent Platelet Inhibitor Ticagrelor, After Crushed and Non-crushed Intake, After Semi-urgent Coronary Bypass and in Patients After Cardiac Arrest. [NCT02341729]Phase 440 participants (Actual)Interventional2015-03-31Completed
Comparison of Prasugrel and Ticagrelor Antiplatelet Effects in Korean Patients Presenting With ST-segment Elevation Myocardial Infarction [NCT02075125]Phase 339 participants (Actual)Interventional2014-01-31Terminated(stopped due to Enrolling participants has halted prematurely and will not resume)
EndoTic - Endothelium and Ticagrelor: Pharmacological Effects Beyond Antiplatelet Therapy [NCT02244710]109 participants (Actual)Interventional2015-03-31Completed
Multicenter, Open-label, Randomised, Pharmacokinetic (PK) and Pharmacodynamic (PD) Dose-ranging Phase II Study of Ticagrelor Followed by a Double-blind, Randomised, Parallel-group, Placebo-controlled 4 Weeks Extension Phase in Paediatric Patients With Sic [NCT02214121]Phase 246 participants (Actual)Interventional2014-09-11Completed
A Pharmacodynamic Comparison of Prasugrel vs. Ticagrelor in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease [NCT01852214]50 participants (Actual)Interventional2013-02-28Completed
An Open-label, Randomized, Three-period, Three-treatment, Crossover, Single-centre, Single-dose Study to Assess the Bioequivalence Between Ticagrelor Orodispersible Tablets and Ticagrelor Immediate-release Tablets in Healthy Japanese Subjects. [NCT02436577]Phase 151 participants (Actual)Interventional2015-06-30Completed
A Randomized, Double-blind, Parallel Group, Multicentre Phase IIIb Study to Compare Ticagrelor With Clopidogrel Treatment on the Risk of Cardiovascular Death, Myocardial Infarction and Ischemic Stroke in Patients With Established Peripheral Artery Disease [NCT01732822]Phase 313,885 participants (Actual)Interventional2012-12-04Completed
SYNergy Stent® System Implantation With Mandatory Intra-VascularUltra-Sound Guidance to Examine the Safety of Cessation of Dual Anti-Platelet Therapy in High Bleeding Risk Patients at One Month [NCT03606642]Phase 250 participants (Actual)Interventional2018-11-19Active, not recruiting
"The Value of Screening for High on Treatment Platelet Reactivity in Patients Undergoing Lower Extremity Arterial Endovascular Interventions" [NCT04007055]Phase 3296 participants (Anticipated)Interventional2019-08-09Recruiting
GLOBAL LEADERS: A Clinical Study Comparing Two Forms of Anti-platelet Therapy After Stent Implantation [NCT01813435]Phase 315,991 participants (Actual)Interventional2013-07-01Completed
Efficacy and Safety of Individualized P2Y12 Receptor Antagonists Treatment Based on Agregometry Versus Fixed Dose Regimen in Patients After Acute Myocardial Infarction [NCT04369534]Phase 4120 participants (Actual)Interventional2015-12-01Completed
Pharmacodynamic Effects of Different Ticagrelor Maintenance Dosing Regimens With and Without Aspirin in Patients With Diabetes Mellitus: The OPTIMUS (Optimizing Antiplatelet Therapy in Diabetes Mellitus)-7 Study [NCT04484259]Phase 463 participants (Anticipated)Interventional2021-03-31Recruiting
Pharmacodynamic Profiles of Ticagrelor in Patients With ST Elevation Myocardial Infarction: A Randomized Comparison of Different Loading Dosage Regimens [NCT01898442]Phase 252 participants (Actual)Interventional2013-09-30Completed
Platelet Aggregation During Pharmacological Shift From Clopidogrel to Ticagrelor in Patients With Acute Coronary Syndrome [NCT01795820]50 participants (Actual)Interventional2012-11-30Completed
A Prospective Multi-center Open-label Controlled Trial of Comparison 3 vs 12 Months of Dual Anti-Platelet Therapy After Implantation of Firehawk Sirolimus Target- Eluting Stent in Patients With Stable Coronary Artery Disease [NCT03008083]Phase 42,446 participants (Anticipated)Interventional2019-01-10Recruiting
Ticagrelor Therapy for RefrACTORy Migraine Study Pilot (TRACTOR) [NCT02518464]Phase 440 participants (Actual)Interventional2015-10-31Completed
Reversal of the Antiplatelet Effects of Ticagrelor in Combination With Aspirin, Using Normal Platelets [NCT03005704]10 participants (Anticipated)Interventional2017-01-31Recruiting
Investigation of Pharmacodynamic Effects of Dabigatran and Ticagrelor (Part 1 and 2, Open, Non-randomised, 2 Parallel Groups) and Assessment of Ticagrelor Interaction Potential With Dabigatran (Part 3, Open, Randomised, Two-period Cross-over) in Healthy M [NCT01595854]Phase 136 participants (Actual)Interventional2012-05-31Completed
"Evaluation of Antiplatelet Effects and Safety of Intraoperative Administration of Ticagrelor Versus Clopidogrel in Patients Undergoing One-stop Hybrid Coronary Revascularization" [NCT02513004]Phase 460 participants (Anticipated)Interventional2015-06-30Recruiting
A Randomized, Open-label, Active-Controlled and Blinded-Endpoint Trial Comparing the Antiplatelet Effects of Ticagrelor Plus Aspirin Versus Clopidogrel Plus Aspirin in Chinese Patients With High-risk Transient Ischemic Attack or Minor Stroke. [NCT02506140]Phase 2/Phase 3675 participants (Actual)Interventional2015-08-31Completed
Safety and Efficacy of Low-dose Ticagrelor in Chinese Patients With Stable Coronary Artery Disease: a Randomized, Single-blind, Crossover Clinical Trial [NCT02514642]Phase 430 participants (Anticipated)Interventional2015-07-31Recruiting
Comparison of Low-Dose, Standard-Dose Ticagrelor and Clopidogrel for Inhibition of Platelet Reactivity in Patients With Acute Coronary Syndromes; Pharmacodynamics and Pharmacokinetics Study [NCT02319941]Phase 265 participants (Actual)Interventional2015-05-20Completed
A Prospective, Multicentre, Randomized, Open Label, Blinded Endpoint, Phase 3 Trial to Assess the Safety and Efficacy of Prophylactic TicagrelOr With Acetylsalicylic Acid Versus CLopidogrel With Acetylsalicylic Acid in the Development of Cerebrovascular E [NCT02989558]Phase 390 participants (Actual)Interventional2016-12-31Completed
A Phase 1, Randomized, Single-blind, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AZD3366 in Healthy Men and Women of Non-Childbearing Potential Following: Part A: Single Ascending Dose Administrati [NCT04588727]Phase 1103 participants (Actual)Interventional2020-10-15Completed
An Open-label, Randomized, Controlled, Multicenter Study to Evaluate DUAL Antithrombotic Therapy With Rivaroxaban Plus Ticagrelor vs. Rivaroxaban Plus Clopidogrel in Patients With Atrial Fibrillation and Acute Coronary Syndrome [NCT04023630]Phase 44,000 participants (Anticipated)Interventional2019-10-01Not yet recruiting
Evaluation of Ticagrelor Pharmacokinetics in Patients With Non-ST Elevation Myocardial Infarction After a 180 mg Ticagrelor Loading Dose [NCT02292277]63 participants (Actual)Observational2014-10-31Completed
Ticagrelor With Aspirin or Alone in High-Risk Patients After Coronary Intervention [NCT02270242]Phase 49,006 participants (Actual)Interventional2015-07-31Completed
A Randomised, Double-blind, Double-dummy, Parallel-group, Multicenter, Phase IIb Study to Evaluate the Effect of Ticagrelor Versus Placebo in Reducing the Number of Days With Pain in Young Adults With Sickle Cell Disease [NCT02482298]Phase 287 participants (Actual)Interventional2015-07-09Completed
A Prospective Randomised, Open Label, Blinded Endpoint (PROBE) Study to Evaluate DUAL Antithrombotic Therapy With Dabigatran Etexilate (110mg and 150mg b.i.d.) Plus Clopidogrel or Ticagrelor vs. Triple Therapy Strategy With Warfarin (INR 2.0 - 3.0) Plus C [NCT02164864]Phase 32,725 participants (Actual)Interventional2014-07-22Completed
Low-dose of Ticagrelor and Standard-dose Clopidogrel on Platelet Effects in Chinese Patients With Stable Coronary Artery Disease: a Randomized, Single-blind, Crossover Clinical Study [NCT03679091]Phase 436 participants (Actual)Interventional2018-08-29Completed
An Open-label, Randomized, 4-period, 4-treatment, Cross-over, Single-center, Single-dose Study to Assess the Relative Bioavailability of Ticagrelor in Different Formulations in Healthy Adult Subjects [NCT03126695]Phase 144 participants (Actual)Interventional2017-05-12Completed
Comparative Effectiveness and Safety Analysis of Low-dose and Standard-dose Ticagrelor in Chinese Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention [NCT03381755]Phase 4200 participants (Anticipated)Interventional2018-01-01Recruiting
A Randomized, Open-Label, Multiple Dose, Crossover, Multiple Center Study of the Antiplatelet Effects of Ticagrelor Versus Clopidogrel in Hispanic Patients With Stable Coronary Artery Disease [NCT01523366]Phase 453 participants (Actual)Interventional2012-04-30Completed
A Multicentre, Open-label, Randomized, 6-week, Phase IV Study of the Onset and Maintenance of the Antiplatelet Effect of Ticagrelor Compared With Clopidogrel With Aspirin as Background Therapy in Chinese Patients With Non-ST or ST Elevation Acute Coronary [NCT01864005]Phase 460 participants (Actual)Interventional2013-05-31Completed
Compare the Efficacy of Different Antiplatelet Therapy Strategy After Coronary Artery Bypass Graft Surgery [NCT02201771]Phase 4500 participants (Actual)Interventional2014-07-31Completed
An Open-label, Randomized, Controlled, Multicenter Study Exploring Two Treatment Strategies of Rivaroxaban and a Dose-Adjusted Oral Vitamin K Antagonist Treatment Strategy in Subjects With Atrial Fibrillation Who Undergo Percutaneous Coronary Intervention [NCT01830543]Phase 32,124 participants (Actual)Interventional2013-05-10Completed
Pharmacodynamic Outcomes in Patients With Coronary Artery Disease Undergoing Percutaneous Coronary Intervention Treated With an Individualized Treatment STRATEGY [NCT05773989]Phase 488 participants (Anticipated)Interventional2023-07-01Not yet recruiting
A Randomised, Double-Blind, Multinational Study to Prevent Major Vascular Events With Ticagrelor Compared to Aspirin (ASA) in Patients With Acute Ischaemic Stroke or TIA. [NCT01994720]Phase 313,307 participants (Actual)Interventional2014-01-07Completed
Pharmacodynamic Evaluation of Switching From Prasugrel to Ticagrelor: The SWAP (SWitching Anti Platelet)-3 Study [NCT02016170]82 participants (Actual)Interventional2014-03-31Completed
TIPRIS: Ticagrelor vs. Prasugrel Effects on Infarct Size: A Head to Head Comparison With Prasugrel [NCT02507323]Phase 20 participants (Actual)Interventional2016-02-29Withdrawn(stopped due to collaborator withdrew the study)
Effect of Haemodialysis on the Efficacy of Antiplatelet Agents [NCT03330223]60 participants (Anticipated)Observational2017-11-10Recruiting
The Success of Opening Concurrent Chronic Total Occlusion leSion to Improve Cardiac Function Trial in Patients With Multi-vessel Disease (SOS-moral): Study Protocol of a Prospective Multicenter Study [NCT03372785]240 participants (Anticipated)Observational [Patient Registry]2018-04-10Enrolling by invitation
A Multicenter, Adaptive, Randomized Controlled Platform Trial of the Safety and Efficacy of Antithrombotic and Additional Strategies in Hospitalized Adults With COVID-19 [NCT04505774]Phase 4880 participants (Actual)Interventional2020-09-04Active, not recruiting
Role of Innate and Adaptive Immunity After Acute Myocardial Infarction BATTLE-AMI Study (B And T Types of Lymphocytes Evaluation in Acute Myocardial Infarction) [NCT02428374]Phase 4300 participants (Anticipated)Interventional2015-05-31Recruiting
Impact of Ticagrelor and Aspirin Versus Clopidogrel and Aspirin in Patients With Claudication and Peripheral Arterial Disease (PAD): Thrombus Burden Assessed by Optical Coherence Tomography [NCT02407314]Phase 426 participants (Actual)Interventional2015-06-30Terminated(stopped due to AZ discontinued study)
Sub Lingual Versus Traditional Oral Administration of Ticagrelor in Acute Coronary Syndrome [NCT02402400]Phase 450 participants (Actual)Interventional2015-07-31Completed
An Open Label, Randomized Study to Determine the Rate of Cardiovascular Events at 1 yr for Patients With Elevated Troponins Post Major Non-cardiac Surgery and the Impact of Ticagrelor vs Aspirin on the Occurrence of Cardiovascular Events [NCT02291419]Phase 46 participants (Actual)Interventional2015-07-31Terminated(stopped due to Enrollment expectations were not met)
Comparison of Antiplatelet Therapy With Clopidogrel and Ticagrelor in Patients After Cardiac Arrest Treated With Therapeutic Hypothermia [NCT02224274]Phase 457 participants (Actual)Interventional2014-08-31Completed
A Single Center, Randomized, Open Label, Crossover Study With Ticagrelor and Prasugrel to Evaluate Ticagrelor Mechanism of Action in Inhibiting Juvenile Platelet ADP Response [NCT03027934]Phase 40 participants (Actual)Interventional2017-08-28Withdrawn(stopped due to Study population difficult to recruit)
A Randomized, Double-blind Study Evaluating the Influence of Morphine on Pharmacokinetics and Pharmacodynamics of Ticagrelor and Its Active Metabolite (AR-C124910XX) in Patients With ST-segment Elevation Myocardial Infarction and Non-ST-segment Elevation [NCT02217878]Phase 474 participants (Actual)Interventional2014-08-31Completed
A Randomized, Open-Label, Multiple Dose, Crossover, Multiple Center Study of the Antiplatelet Effects of Ticagrelor Versus Clopidogrel in African American Patients With Stable Coronary Artery Disease [NCT01523392]Phase 450 participants (Actual)Interventional2012-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00391872 (16) [back to overview]Participants With Any Event From the Composite of All-cause Mortality, MI, and Stroke
NCT00391872 (16) [back to overview]Participants With Major or Minor Bleeding
NCT00391872 (16) [back to overview]Participants With Non-CABG (Coronary Artery Bypass Graft) Related Major Bleeding
NCT00391872 (16) [back to overview]Participants With Stroke
NCT00391872 (16) [back to overview]Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24 Hour ECG Recorders for 1 Week at 1 Month Following Randomization
NCT00391872 (16) [back to overview]Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24-hour ECG Recorders for 1 Week Following Randomization
NCT00391872 (16) [back to overview]Participants With MI Event
NCT00391872 (16) [back to overview]Participants With Any Event From the Composite of Death From Vascular Causes, MI (Including Silent), Stroke, Recurrent Ischemia, Transient Ischemic Attack (TIA) and Other Arterial Thrombotic Events.
NCT00391872 (16) [back to overview]Participants With Non-procedural Major Bleeding
NCT00391872 (16) [back to overview]Participants With Death From Vascular Causes
NCT00391872 (16) [back to overview]Participants With Any Event From the Composite of Death From Vascular Causes, MI, and Stroke for the Subgroup of Patients With Intent for Invasive Management at Randomization
NCT00391872 (16) [back to overview]Participants With Any Event From the Composite of Death From Vascular Causes, Myocardial Infarction (MI), and Stroke
NCT00391872 (16) [back to overview]Participants With Death From Any Cause
NCT00391872 (16) [back to overview]Participants With Coronary Artery Bypass Graft (CABG) Major Fatal/Life-threatening Bleeding
NCT00391872 (16) [back to overview]Participants With Coronary Artery Bypass Graft (CABG) Major Bleeding
NCT00391872 (16) [back to overview]Participants With Any Major Bleeding Event
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Mean Forced Expiratory Flow Between 25% and 75% of the FVC (FEF25-75)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Functional Residual Capacity (FRC)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Forced Vital Capacity (FVC)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Forced Expiratory Volume in 1 Second (FEV1)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Ejection Fraction (EF)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Blood Oxygen Saturation Measured by Pulse Oximetry (SpO2)
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 8 Hours After Last Dose
NCT00528411 (45) [back to overview]Slope of Extent IPA Offset Curve 4 to 72 Hours After Last Dose of Study Drug
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: RR
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: RV
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: SpO2
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: TLC
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: VE
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: VT
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 8 Hours After First Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 0.5 Hours After First Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 1 Hour After First Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 120 Hours - Day 5 After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 168 Hours - Day 7 After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 2 Hours After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 24 Hours After First Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 24 Hours After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 240 Hours - Day 10 After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 0 Hour Before Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 4 Hours After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 48 Hours After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 72 Hours After Last Dose
NCT00528411 (45) [back to overview]Final Extent IPA Induced by 20 µM ADP at 4 Hours After First Dose
NCT00528411 (45) [back to overview]Final Extent Inhibition of Platelet Aggregation (IPA) Induced by 20 µM Adenosine Diphosphate (ADP) at 2 Hours After First Dose
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Single Breath Diffusing Capacity for the Lungs Using Carbon Monoxide (DLCOSB)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Respiratory Rate (RR)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Residual Volume (RV)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Ratio of Forced Expiratory Volume in 1 Second Over Forced Vital Capacity (FEV1/FVC Ratio)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: N-terminal Pro-brain Natriuretic Peptide (NT-proBNP)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Minute Ventilation (VE)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Tidal Volume (VT)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Baseline: Total Lung Capacity (TLC)
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Post 6-week Treatment: FEV1
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Post 6-week Treatment: FEV1/FVC Ratio
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters at Post 6-week Treatment: FVC
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: DLCOSB
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: EF
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: FEF25-75
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: FRC
NCT00528411 (45) [back to overview]Cardiopulmonary Parameters Post 6-week Treatment: NT-proBNP
NCT00642811 (6) [back to overview]Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Ticagrelor to Ticagrelor Versus Ticagrelor to Clopidogrel on Day 15
NCT00642811 (6) [back to overview]Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Ticagrelor to Ticagrelor Versus Ticagrelor to Clopidogrel on Day 28
NCT00642811 (6) [back to overview]Proportion of Clopidogrel Non-responders Who Responded to Clopidogrel or Ticagrelor. - Comparing Ticag. (Day 28 of Clop. to Ticag., and Day 14 of Ticag. to Clop.) Versus Clop. (Day 14 of Clop. to Ticag., and Day 28 of Ticag. to Clop.
NCT00642811 (6) [back to overview]Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Clopidogrel to Clopidogrel Versus Clopidogrel to Ticagrelor on Day 15
NCT00642811 (6) [back to overview]Proportion of Clopidogrel Non-responders Who Responded to Clopidogrel or Ticagrelor. - Comparing Ticag. (Day 28 of Clop. to Ticag., and Day 14 of Ticag. to Clop.) Versus Clop. (Day 14 of Clop. to Ticag., and Day 28 of Ticag. to Clop.)
NCT00642811 (6) [back to overview]Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Clopidogrel to Clopidogrel Versus Clopidogrel to Ticagrelor on Day 28
NCT01118325 (11) [back to overview]IPA Final Extent at 12 Hours Post Dose on Week 4 in Japanese Patients
NCT01118325 (11) [back to overview]AR-C124910XX (AUC0-tau) at Week 4
NCT01118325 (11) [back to overview]AR-C124910XX (Cmax) at Week 4
NCT01118325 (11) [back to overview]AR-C124910XX (Tmax) at Week 4
NCT01118325 (11) [back to overview]AZD6140 (AUC0-tau) at Week 4
NCT01118325 (11) [back to overview]AZD6140 (Cmax) at Week 4
NCT01118325 (11) [back to overview]AZD6140 (Tmax) at Week 4
NCT01118325 (11) [back to overview]Inhibition of Platelet Aggregation(IPA) Final Extent at 2 Hours Post Dose on Week 4 in Japanese Patients
NCT01118325 (11) [back to overview]IPA Final Extent at 24 Hours Post Dose on Week 4 in Japanese Patients
NCT01118325 (11) [back to overview]IPA Final Extent at 4 Hours Post Dose on Week 4 in Japanese Patients
NCT01118325 (11) [back to overview]IPA Final Extent at 8 Hours Post Dose on Week 4 in Japanese Patients
NCT01225562 (4) [back to overview]Kaplan-Meier Estimate of the Percentage of Patients Who Experienced Cardiovascular Death (CV Death) Within 3 Years From Randomization
NCT01225562 (4) [back to overview]Kaplan-Meier Estimate of the Percentage of Patients Who Died From Any Cause Within 3 Years From Randomization
NCT01225562 (4) [back to overview]Kaplan-Meier Estimate of the Percentage of Patients Who Experienced a TIMI Major Bleeding Within 3 Years From First Dose of Study Drug Units: Percentage of Patients
NCT01225562 (4) [back to overview]Kaplan-Meier Estimate of the Percentage of Patients Who Experienced Cardiovascular Death (CV Death), Myocardial Infarction (MI) or Stroke Within 3 Years From Randomization
NCT01294462 (4) [back to overview]Major Adverse Cardiac Events (MACE)
NCT01294462 (4) [back to overview]Composite of All-cause Mortality, MI or Stroke
NCT01294462 (4) [back to overview]Major Bleeding
NCT01294462 (4) [back to overview]Major and Minor Bleeding
NCT01347580 (12) [back to overview]Major Bleeds Within 48 Hours
NCT01347580 (12) [back to overview]Major Bleeds After 48 Hours
NCT01347580 (12) [back to overview]Definite Stent Thrombosis
NCT01347580 (12) [back to overview]2nd Composite Clinical Endpoint
NCT01347580 (12) [back to overview]1st Composite Clinical Endpoint
NCT01347580 (12) [back to overview]Minor and Major Bleeds After 48 Hours
NCT01347580 (12) [back to overview]Minor and Major Bleedings Within 48 Hours
NCT01347580 (12) [back to overview]TIMI Flow Grade 3 Post -PCI
NCT01347580 (12) [back to overview]Thrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCI
NCT01347580 (12) [back to overview]Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)
NCT01347580 (12) [back to overview]ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)
NCT01347580 (12) [back to overview]ST Segment Elevation Resolution Post-PCI >= 70%
NCT01515345 (3) [back to overview]Any Bleeding Event
NCT01515345 (3) [back to overview]Probable Stent Thrombosis
NCT01515345 (3) [back to overview]Definite Stent Thrombosis
NCT01523366 (5) [back to overview]Ticagrelor Plasma Concentrations After the Loading and Maintenance Doses
NCT01523366 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 2 and 8 Hours on Day 7 After Multiple Doses and at End of Dosing Interval on Day 8
NCT01523366 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 0.5 and 8 Hours After Loading Dose
NCT01523366 (5) [back to overview]AR-C124910XX (an Active Metabolite of Ticagrelor) Plasma Concentrations After the Loading and Maintenance Doses
NCT01523366 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by P2Y12 Reactions Units (PRU) From VerifyNow™ (a Platelet Function Test Developed by Accumetrics) at 2 Hours After Loading Dose
NCT01523392 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by Platelet Reaction Unit (PRU) From VerifyNow™ (a Platelet Function Test Developed by Accumetrics) at 2 Hours After Loading Dose
NCT01523392 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 2 Hours and 8 Hours on Day 7 After Multiple Doses and at End of Dosing Interval on Day 8
NCT01523392 (5) [back to overview]Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 0.5 Hour and 8 Hours After Loading Dose
NCT01523392 (5) [back to overview]AR-C124910XX (an Active Metabolite of Ticagrelor) Plasma Concentrations After the Loading and Maintenance Doses
NCT01523392 (5) [back to overview]Ticagrelor Plasma Concentrations After the Loading and Maintenance Doses
NCT01526577 (1) [back to overview]Pharmacodynamic Measurement
NCT01587651 (6) [back to overview]P2Y12 Reaction Units
NCT01587651 (6) [back to overview]P2Y12 Reaction Units
NCT01587651 (6) [back to overview]Percentage of Subjects With High On-treatment Platelet Reactivity
NCT01587651 (6) [back to overview]Platelet Reactivity Index
NCT01587651 (6) [back to overview]PRU Percent Inhibition (Calculated)
NCT01587651 (6) [back to overview]PRU Percent Inhibition (Device-reported)
NCT01589978 (21) [back to overview]All Death or Myocardial Infarction Rate
NCT01589978 (21) [back to overview]All Death Rate
NCT01589978 (21) [back to overview]ARC ST Rate in PLATINUM-like Population.
NCT01589978 (21) [back to overview]Cardiac Death or Myocardial Infarction (MI) Rate
NCT01589978 (21) [back to overview]Cardiac Death or Myocardial Infarction Rate in PLATINUM-like Patients
NCT01589978 (21) [back to overview]Cardiac Death Rate
NCT01589978 (21) [back to overview]Definite + Probable Stent Thrombosis (ST) Rate Based on Academic Research Consortium (ARC) Definition in All Patients
NCT01589978 (21) [back to overview]Major Adverse Cardiac Event Rate (MACE)
NCT01589978 (21) [back to overview]Myocardial Infarction (MI) Rate
NCT01589978 (21) [back to overview]Non-cardiac Death Rate
NCT01589978 (21) [back to overview]Rate of Cardiac Death Events Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Rate of Cardiac Death or Myocardial Infarction Events Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Rate of Longitudinal Stent Deformation
NCT01589978 (21) [back to overview]Rate of Major Adverse Cardiac Events Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Rate of Myocardial Infarction (MI) Events Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Rate of Target Vessel Failure (TVF) Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Rate of Target Vessel Revascularization (TVR) Events Related to the PROMUS Element Stent
NCT01589978 (21) [back to overview]Target Vessel Failure (TVF) Rate
NCT01589978 (21) [back to overview]Target Vessel Failure (TVF) Rate in PLATINUM-like Medically Treated Diabetic Patients
NCT01589978 (21) [back to overview]Target Vessel Revascularization (TVR) Rate
NCT01589978 (21) [back to overview]Definite + Probable Stent Thrombosis (ST) Rate Based on Academic Research Consortium (ARC) Definition in PLATINUM-like Patients
NCT01595854 (3) [back to overview]Number of Participants With Drug Related Adverse Events
NCT01595854 (3) [back to overview]Total Dabigatran: Maximum Measured Concentration (Cmax)
NCT01595854 (3) [back to overview]Total Dabigatran (Dabi): Area Under the Curve 0 to Infinity (AUC0-∞)
NCT01603082 (2) [back to overview]Inhibition of the P2Y12 Receptor at 0.5 Hours, End of PCI, and 8 Hours After Loading Doses of Ticagrelor and Clopidogrel as Measured by PRU From VerifyNow™
NCT01603082 (2) [back to overview]Inhibition of the P2Y12 Receptor at 2 Hours After Loading Doses of Ticagrelor and Clopidogrel as Measured by P2Y12 Reaction Units (PRU) From VerifyNow™
NCT01642238 (8) [back to overview]Platelet-thrombus Formation in an ex Vivo Model of Thrombosis
NCT01642238 (8) [back to overview]Platelet Reactivity
NCT01642238 (8) [back to overview]Blood Thrombogenicity
NCT01642238 (8) [back to overview]Platelet Reactivity
NCT01642238 (8) [back to overview]Platelet-thrombus Formation in an ex Vivo Model of Thrombosis
NCT01642238 (8) [back to overview]Platelet Reactivity
NCT01642238 (8) [back to overview]Blood Thrombogenicity
NCT01642238 (8) [back to overview]Blood Thrombogenicity
NCT01731041 (2) [back to overview]Platelet Reactivity Index (PRI) by Vasodilator-stimulated Phosphoprotein (VASP)
NCT01731041 (2) [back to overview]P2Y12 Reaction Units (PRU) Determined by VerifyNow P2Y12
NCT01732822 (24) [back to overview]MI
NCT01732822 (24) [back to overview]Any Revascularisation (Coronary, Peripheral [Limb, Mesenteric, Renal, Carotid and Other])
NCT01732822 (24) [back to overview]Composite of Cardiovascular (CV) Death/MI/Ischemic Stroke
NCT01732822 (24) [back to overview]Composite of CV Death, MI, and All-cause Stroke (Ischemic or Hemorrhagic)
NCT01732822 (24) [back to overview]Composite of CV Death, MI, Ischemic Stroke, and ALI
NCT01732822 (24) [back to overview]CV Death
NCT01732822 (24) [back to overview]CV-related Hospitalization
NCT01732822 (24) [back to overview]All-cause Mortality
NCT01732822 (24) [back to overview]Major Amputation Caused by PAD
NCT01732822 (24) [back to overview]Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/ALI/Major Amputation/Fatal Bleeding/Intracranial Bleeding)
NCT01732822 (24) [back to overview]Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/ALI/Major Amputation/TIMI Major Bleeding)
NCT01732822 (24) [back to overview]Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/Fatal Bleeding/Intracranial Bleeding)
NCT01732822 (24) [back to overview]Net Clinical Benefit (Composite of CV Death/MI/Ischemic Stroke/Fatal Bleeding/Intracranial Bleeding)
NCT01732822 (24) [back to overview]Non-CV Death
NCT01732822 (24) [back to overview]PLATO Major Bleeding Events
NCT01732822 (24) [back to overview]TIMI Major Bleeding Events
NCT01732822 (24) [back to overview]Changes in Rutherford Classification
NCT01732822 (24) [back to overview]TIMI Major or Minor Bleeding Events
NCT01732822 (24) [back to overview]Change in ABI/TBI From Baseline
NCT01732822 (24) [back to overview]Lower Extremity Revascularization
NCT01732822 (24) [back to overview]Changes in Fontaine Stage
NCT01732822 (24) [back to overview]ALI
NCT01732822 (24) [back to overview]Any Amputation Caused by PAD
NCT01732822 (24) [back to overview]Premature Permanent Discontinuation of Study Drug Due to Any Bleeding Event
NCT01734772 (2) [back to overview]Total Dabigatran: Maximum Measured Concentration at Steady State (Cmax,ss)
NCT01734772 (2) [back to overview]Total Dabigatran: Area Under the Concentration-time Curve at Steady State Over the Uniform Dosing Interval τ (AUCτ,ss)
NCT01742117 (4) [back to overview]Thrombolysis in Myocardial Infarction Major or Minor Bleeding
NCT01742117 (4) [back to overview]Thrombolysis in Myocardial Infarction Major or Minor Bleeding in Subjects Identified as CPY2C19 LOF Carriers by TaqMan.
NCT01742117 (4) [back to overview]Occurrence of the a Major Adverse Cardiovascular Event
NCT01742117 (4) [back to overview]Occurrence of the a Major Adverse Cardiovascular Event in Subjects Identified as CPY2C19 LOF Carriers by TaqMan.
NCT01766466 (3) [back to overview]Extent of Aggregation Response During Ticagrelor Treatment
NCT01766466 (3) [back to overview]Extent of Preservation of Inhibitory Effect Compared With Effect Observed During Cangrelor Treatment After Ticagrelor
NCT01766466 (3) [back to overview]Extent of Preservation of Inhibitory Effect Compared With Effect Observed With Cangrelor Alone (at Timepoint 1, Either at 0.5 Hours or 1.25 Hours) or Ticagrelor Alone (Measured 5.25 Hours After Initiation of Cangrelor on Day 1)
NCT01813435 (9) [back to overview]Number of Participants With a Stroke
NCT01813435 (9) [back to overview]Number of Participants With New Q-wave Myocardial Infarction
NCT01813435 (9) [back to overview]Number of Participants With Myocardial Infarction
NCT01813435 (9) [back to overview]Number of Participants With All-cause Mortality
NCT01813435 (9) [back to overview]Number of Participants With a Myocardial Revascularisation
NCT01813435 (9) [back to overview]Number of Participants With a Definite Stent Thrombosis
NCT01813435 (9) [back to overview]Number of Participants With a Composite of All-cause Mortality, Stroke, or New Q-wave Myocardial Infarction
NCT01813435 (9) [back to overview]Number of Participants With a Composite of All-cause Mortality or Non-fatal New Q-wave Myocardial Infarction (MI)
NCT01813435 (9) [back to overview]Number of Participants With a Bleeding Academic Research Consortium (BARC) 3 or 5 Bleeding
NCT01823510 (4) [back to overview]Platelet Reactivity Index (PRI)
NCT01823510 (4) [back to overview]Platelet Reactivity
NCT01823510 (4) [back to overview]P2Y12 Reaction Unit (PRU)
NCT01823510 (4) [back to overview]Thrombus Formation
NCT01830543 (9) [back to overview]Percentage of Participants With Stroke
NCT01830543 (9) [back to overview]Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Minor Bleeding
NCT01830543 (9) [back to overview]Percentage of Participants With Bleeding Requiring Medical Attention (BRMA)
NCT01830543 (9) [back to overview]Percentage of Participants With Cardiovascular Death
NCT01830543 (9) [back to overview]Percentage of Participants With Composite of Adverse Cardiovascular Events (Cardiovascular Death, Myocardial Infarction (MI) and Stroke)
NCT01830543 (9) [back to overview]Percentage of Participants With Clinically Significant Bleeding
NCT01830543 (9) [back to overview]Percentage of Participants With Myocardial Infarction
NCT01830543 (9) [back to overview]Percentage of Participants With Stent Thrombosis
NCT01830543 (9) [back to overview]Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding
NCT01852175 (3) [back to overview]Platelet Reactivity by Vasodilator-stimulated Phosphoprotein (VASP)
NCT01852175 (3) [back to overview]Platelet Reactivity Measured by Vasodilator-stimulated Phosphoprotein (VASP)
NCT01852175 (3) [back to overview]Platelet Reactivity Measured by Vasodilator-stimulated Phosphoprotein (VASP)
NCT01852214 (4) [back to overview]P2Y12 Reaction Units
NCT01852214 (4) [back to overview]Platelet Reactivity Index
NCT01852214 (4) [back to overview]Platelet Reactivity Index
NCT01852214 (4) [back to overview]P2Y12 Reaction Units
NCT01864005 (5) [back to overview]the Percentage Inhibition of the P2Y12 Receptor
NCT01864005 (5) [back to overview]the Percentage Inhibition of the P2Y12 Receptor
NCT01864005 (5) [back to overview]the Percentage Inhibition of the P2Y12 Receptor
NCT01864005 (5) [back to overview]the Percentage Inhibition of the P2Y12 Receptor
NCT01864005 (5) [back to overview]the Percentage Inhibition of the P2Y12 Receptor
NCT01870921 (3) [back to overview]Bleeding Events
NCT01870921 (3) [back to overview]Serious Adverse Events Other Than Bleeding
NCT01870921 (3) [back to overview]Major CV Events
NCT01898442 (6) [back to overview]Platelet Reactivity by VerifyNow P2Y12
NCT01898442 (6) [back to overview]Pharmacokinetic Profiles of Ticagrelor (Tmax)
NCT01898442 (6) [back to overview]Pharmacokinetic Profiles of Ticagrelor (Cmax)
NCT01898442 (6) [back to overview]Pharmacokinetic Profiles of Ticagrelor (AUC0-t)
NCT01898442 (6) [back to overview]Platelet Reactivity by VerifyNow P2Y12 at Other Time Points
NCT01898442 (6) [back to overview]Platelet Reactivity by Vasodilator-stimulated Phosphoprotein (VASP) at All Time Points
NCT01919723 (4) [back to overview]Bleeding Complications
NCT01919723 (4) [back to overview]Change in Percent Inhibition of Platelet Aggregation (%IPA)
NCT01919723 (4) [back to overview]Periprocedural Myocardial Infarction (PMI)
NCT01919723 (4) [back to overview]High On-treatment Platelet Reactivity (HPR)
NCT01962428 (1) [back to overview]Platelet Reactivity Index(PRI) Measured by VASP-P
NCT01991795 (9) [back to overview]TIMI Major Bleeding Event (Primary Safety Objective)
NCT01991795 (9) [back to overview]TIMI Major or Minor Bleeding Event
NCT01991795 (9) [back to overview]All-cause Death
NCT01991795 (9) [back to overview]Composite of Cardiovascular (CV) Death, MI or Stroke
NCT01991795 (9) [back to overview]CV Death
NCT01991795 (9) [back to overview]Ischaemic Stroke
NCT01991795 (9) [back to overview]MI
NCT01991795 (9) [back to overview]Permanent Discontinuation of Study Medication Due to Any Bleeding Event
NCT01991795 (9) [back to overview]PLATO Major Bleeding Event
NCT01992523 (4) [back to overview]Bleeding Events
NCT01992523 (4) [back to overview]Dyspnoea and/or Symptomatic Bradycardia
NCT01992523 (4) [back to overview]Residual Platelet Reactivity
NCT01992523 (4) [back to overview]High Residual Platelet Reactivity
NCT01994720 (18) [back to overview]Number of Participants With Composite of Ischaemic Stroke, MI and CV Death
NCT01994720 (18) [back to overview]Net Clinical Outcome
NCT01994720 (18) [back to overview]Number of Participants With All-Cause Death
NCT01994720 (18) [back to overview]Number of Participants by Severity of Stroke and Overall Disability
NCT01994720 (18) [back to overview]EQ-5D at Visit 2 (Day 7+-2d)
NCT01994720 (18) [back to overview]EQ-5D at Visit 1 (Enrolment)
NCT01994720 (18) [back to overview]EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit
NCT01994720 (18) [back to overview]EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit
NCT01994720 (18) [back to overview]Change in NIHSS
NCT01994720 (18) [back to overview]Number of Participants With Stroke
NCT01994720 (18) [back to overview]Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event
NCT01994720 (18) [back to overview]Number of Participants With PLATO Major Bleeding Event
NCT01994720 (18) [back to overview]Number of Participants With MI
NCT01994720 (18) [back to overview]Number of Participants With Ischaemic Stroke
NCT01994720 (18) [back to overview]Number of Participants With Fatal Stroke
NCT01994720 (18) [back to overview]Number of Participants With Disabling Stroke
NCT01994720 (18) [back to overview]Number of Participants With CV Death
NCT01994720 (18) [back to overview]Number of Participants With Composite of Stroke/MI/Death
NCT01998399 (13) [back to overview]Ventilator Free Days
NCT01998399 (13) [back to overview]Time to Initiation of Unassisted Breathing
NCT01998399 (13) [back to overview]Stroke, Myocardial Infarct, Mortality
NCT01998399 (13) [back to overview]Stroke
NCT01998399 (13) [back to overview]Hospital Length of Stay
NCT01998399 (13) [back to overview]Shock Free Days
NCT01998399 (13) [back to overview]Need for Re-instituting Assisted or Mechanical Ventilation After Achieving 48 Consecutive Hours of Unassisted Breathing or Comfort Care Chosen (Withdrawal of Support)
NCT01998399 (13) [back to overview]Need for Dialysis
NCT01998399 (13) [back to overview]Myocardial Infarction
NCT01998399 (13) [back to overview]In-hospital Mortality
NCT01998399 (13) [back to overview]ICU Length of Stay
NCT01998399 (13) [back to overview]All-cause Mortality
NCT01998399 (13) [back to overview]Hospital Free Days
NCT02016170 (2) [back to overview]Platelet Reactivity Measured as P2Y12 Reaction Units (PRU) Determined by Verify Now-P2Y12 Assay
NCT02016170 (2) [back to overview]Platelet Reactivity Index (PRI) Measured by Whole Blood Vasodilator-stimulated Phosphoprotein (VASP).
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter AUC0-∞ of AR-C124910XX
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter AUC0-∞ (Area Under the Plasma Concentration-time Curve From Time Zero to Infinity) of Ticagrelor
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter Cmax of AR-C124910XX
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter Cmax of Ticagrelor
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter t1/2 of AR-C124910XX
NCT02022748 (6) [back to overview]Pharmacokinetic Parameter t1/2 of Ticagrelor
NCT02052635 (2) [back to overview]P2Y12 Reaction Units (PRU) Using VerifyNow™ at 0.5 Hours After Loading Dose
NCT02052635 (2) [back to overview]P2Y12 Reaction Units (PRU) Using VerifyNow™ at 1 Hour After Loading Dose
NCT02053909 (2) [back to overview]Saphenous Vein Graft Stenosis
NCT02053909 (2) [back to overview]Saphenous Vein Graft Occlusion
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(1)
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Phosphate
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(1)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(2)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(3)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(4)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 1(1)
NCT02064985 (52) [back to overview]Safety---Hematology Laboratory Variables Over Time---Hemoglobin
NCT02064985 (52) [back to overview]Safety---Hematology Laboratory Variables Over Time---Leukocytes
NCT02064985 (52) [back to overview]Safety---Hematology Laboratory Variables Over Time---Platelets
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 7(3)
NCT02064985 (52) [back to overview]Safety---Vital Signs Over Time---Height
NCT02064985 (52) [back to overview]Safety---Vital Signs Over Time---Weight
NCT02064985 (52) [back to overview]TIPA(Max)---Day 1
NCT02064985 (52) [back to overview]TIPA(Max)---Day 7
NCT02064985 (52) [back to overview]IPA on Day 1
NCT02064985 (52) [back to overview]IPA on Day 7
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 7(1)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 7(2)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 7(4)
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Alanine Aminotransferase
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Albumin
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Alkaline Phosphatase
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Aspartate Aminotransferase
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Bicarbonate
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Blood Urea Nitrogen
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Chloride
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Creatinine
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Glucose
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Potassium
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Protein
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Sodium
NCT02064985 (52) [back to overview]AUEC(Final Extent) on Day 1
NCT02064985 (52) [back to overview]Safety---Hematology Laboratory Variables Over Time---Erythrocytes
NCT02064985 (52) [back to overview]Safety---Hematology Laboratory Variables Over Time---hematocrit
NCT02064985 (52) [back to overview]Percent Change From Baseline in PRU on Day 1
NCT02064985 (52) [back to overview]Percent Change From Baseline in PRU on Day 7
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(2)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(3)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 1(2)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Ticagrelor on Day 1(3)
NCT02064985 (52) [back to overview]Safety---All Allowed Concomitant Medications During Study Treatment
NCT02064985 (52) [back to overview]Safety---Causally Related Adverse Events by System Organ Class and Preferred Term
NCT02064985 (52) [back to overview]Safety---Physical Examination, Summary of Abnormalities
NCT02064985 (52) [back to overview]AUEC(Final Extent) on Day 7
NCT02064985 (52) [back to overview]Safety---Clinical Chemistry Variables Over Time---Total Bilirubin
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite : Parent on Day 1--AUC(0-inf)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite : Parent on Day 1--Cmax
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite : Parent on Day 7---AUC(0-12h)
NCT02064985 (52) [back to overview]Pharmacokinetics Parameters of Metabolite : Parent on Day 7---Cmax
NCT02064985 (52) [back to overview]Safety---Vital Signs Over Time---Blood Pressure
NCT02064985 (52) [back to overview]Safety---Vital Signs Over Time---Pulse Rate
NCT02065479 (1) [back to overview]Platelet Reactivity
NCT02075125 (7) [back to overview]Adverse Drug Reaction
NCT02075125 (7) [back to overview]Bleeding Event
NCT02075125 (7) [back to overview]Major Adverse Cardiac and Cerebrovascular Events
NCT02075125 (7) [back to overview]Pre-procedure P2Y12 Reaction Units (PRU)
NCT02075125 (7) [back to overview]Pre-procedure Platelet Reactivity Index (PRI)
NCT02075125 (7) [back to overview]Number of Participants With High Platelet Reactivity
NCT02075125 (7) [back to overview]Number of Participants With Low Platelet Reactivity
NCT02081443 (3) [back to overview]Platelet Reactivity Index (PRI) Determined by Whole Blood Vasodilator-stimulated Phosphoprotein (VASP)
NCT02081443 (3) [back to overview]PRI Measured by VASP
NCT02081443 (3) [back to overview]PRI Measured by VASP
NCT02091921 (4) [back to overview]To Determine Platelet Inhibition Before and After Switching for Two Weeks From Clopidogrel to Ticagrelor in Patients With CLI.
NCT02091921 (4) [back to overview]Establish the Number of Participants in the High On-treatment Platelet Reactivity (HPR) on Clopidogrel Group Who Demonstrated Appropriate Platelet Inhibition (API) After Switching to Ticagrelor for Two Weeks.
NCT02091921 (4) [back to overview]Evaluate the Correlation Between PRU and VASP-PRI in CLI Patients During Clopidogrel Versus Ticagrelor Antiplatelet Therapy.
NCT02091921 (4) [back to overview]Establish the Number of Participants With Appropriate Platelet Inhibition on Clopidogrel Who Demonstrated Appropriate Platelet Inhibition After Switching to Ticagrelor for Two Weeks.
NCT02164864 (13) [back to overview]Time to First Adjudicated Stroke
NCT02164864 (13) [back to overview]Time to First Adjudicated Unplanned Revascularisation by PCI/CABG
NCT02164864 (13) [back to overview]Time to First Adjudicated ST
NCT02164864 (13) [back to overview]Time to First Adjudicated SE
NCT02164864 (13) [back to overview]Time to First Adjudicated MI
NCT02164864 (13) [back to overview]Time to First Adjudicated ISTH MBE or CRNMBE
NCT02164864 (13) [back to overview]Time to Death or First Thrombotic Event or Unplanned Revascularisation by PCI/CABG
NCT02164864 (13) [back to overview]Time to Composite Endpoint of Death or First Thrombotic Event
NCT02164864 (13) [back to overview]Time to Composite Endpoint of Death + MI + Stroke
NCT02164864 (13) [back to overview]Time to Adjudicated Undetermined Cause of Death
NCT02164864 (13) [back to overview]Time to Adjudicated Non-CV
NCT02164864 (13) [back to overview]Time to Adjudicated CV
NCT02164864 (13) [back to overview]Time to Adjudicated All Cause Death
NCT02201394 (2) [back to overview]P2Y12 Reaction Unit (PRU)
NCT02201394 (2) [back to overview]Platelet Aggregation Using Multiplate Analyzer
NCT02201771 (6) [back to overview]The Number of Major Adverse Cardiovascular Event (MACE)
NCT02201771 (6) [back to overview]Number of the Major Bleeding Events
NCT02201771 (6) [back to overview]The Rate of Post-operative Atrial Fibrillation After CABG.
NCT02201771 (6) [back to overview]The Patency of Saphenous Vein Grafts
NCT02201771 (6) [back to overview]The Patency of Saphenous Vein Grafts
NCT02201771 (6) [back to overview]The Rate of Freedom From Angina According to Canadian Cardiovascular Society (CCS) Classification
NCT02214121 (30) [back to overview]Assessment of AR-C124910XX Concentration - Part A
NCT02214121 (30) [back to overview]P2Y12 Reaction Units (PRU) - Part A
NCT02214121 (30) [back to overview]P2Y12 Reaction Units (PRU) - Part A
NCT02214121 (30) [back to overview]P2Y12 Reaction Units (PRU) - Part A
NCT02214121 (30) [back to overview]P2Y12 Reaction Units (PRU) - Part B
NCT02214121 (30) [back to overview]Mean Intensity of Pain (Age >=4) - Part B
NCT02214121 (30) [back to overview]Maximum Plasma Concentration (Cmax) - Part B
NCT02214121 (30) [back to overview]Area Under the Plasma Concentration Time Curve (AUC) - Part A
NCT02214121 (30) [back to overview]Area Under the Plasma Concentration Time Curve (AUC) - Part B
NCT02214121 (30) [back to overview]Haemorrhagic Events - Part A
NCT02214121 (30) [back to overview]Haemorrhagic Events - Part B
NCT02214121 (30) [back to overview]Maximum Plasma Concentration (Cmax) - Part A
NCT02214121 (30) [back to overview]Number of Vaso-occlusive Crises - Part B
NCT02214121 (30) [back to overview]Number of Vaso-occlusive Crises Requiring Hospitalization or Emergency Department Visits - Part B
NCT02214121 (30) [back to overview]Oral Clearance (CL/F) - Part A
NCT02214121 (30) [back to overview]Oral Clearance (CL/F) - Part B
NCT02214121 (30) [back to overview]Percentage of Days Hospitalized for Vaso-occlusice Crisis or Other Complications of Sickle Cell Disease - Part B
NCT02214121 (30) [back to overview]Percentage of Days of Absence From School or Work (Age >=6) - Part B
NCT02214121 (30) [back to overview]Percentage of Days of Analgesic Use (Age >= 4) - Part B
NCT02214121 (30) [back to overview]Percentage of Days of Opioid Analgesic Use (Age >=4) - Part B
NCT02214121 (30) [back to overview]Percentage of Days With Pain (Age >=4) - Part B
NCT02214121 (30) [back to overview]Assessment of AR-C124910XX Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of AR-C124910XX Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of AR-C124910XX Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of AR-C124910XX Concentration - Part B
NCT02214121 (30) [back to overview]Assessment of Ticagrelor Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of Ticagrelor Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of Ticagrelor Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of Ticagrelor Concentration - Part A
NCT02214121 (30) [back to overview]Assessment of Ticagrelor Concentration - Part B
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-6h)
NCT02217878 (38) [back to overview]Maximum Concentration of AR-C124910XX
NCT02217878 (38) [back to overview]Maximum Concentration of Ticagrelor
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-12h)
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-6)
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-12h)
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With MEA
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VASP
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VerifyNow
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Time to Maximum Concentration for AR-C124910XX
NCT02217878 (38) [back to overview]Time to Maximum Concentration for Ticagrelor
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With MEA
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VASP
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VerifyNow
NCT02224274 (3) [back to overview]Multiplate ADP Test
NCT02224274 (3) [back to overview]VerifyNow P2Y12Test - % Inhibition
NCT02224274 (3) [back to overview]VerifyNow P2Y12Test - Platelet Reactivity
NCT02227368 (2) [back to overview]Change From Baseline in Log Transformed Claudication Onset Time (COT) at Week 26 or Early Termination (ET)
NCT02227368 (2) [back to overview]Change From Baseline in Log Transformed Peak Walking Time (PWT) at Week 26 or Early Termination (ET)
NCT02230527 (1) [back to overview]Absolute Change in TcPO2 From Baseline to Month 6
NCT02270242 (2) [back to overview]Number of Participants With BARC Type 2, 3, or 5
NCT02270242 (2) [back to overview]Number of Participants With Ischemic Episode
NCT02287909 (1) [back to overview]Platelet Reactivity Unit
NCT02291419 (6) [back to overview]Major Adverse Cardiovascular Events
NCT02291419 (6) [back to overview]Non-fatal Myocardial Infarction or Coronary Revascularization
NCT02291419 (6) [back to overview]Non-fatal Stroke
NCT02291419 (6) [back to overview]The Number of Participants With Bleeding According to Bleeding Academic Research Consortium (BARC) Definitions
NCT02291419 (6) [back to overview]All-cause Death
NCT02291419 (6) [back to overview]Cardiovascular Death
NCT02293395 (1) [back to overview]Number of Participants With Non Coronary Artery Bypass Graft-Related (Non CABG-related) Thrombolysis in Myocardial Infarction (TIMI) Clinically Significant Bleeding Events
NCT02325466 (4) [back to overview]Mean Change in Microvascular Blood Flow Composite Score
NCT02325466 (4) [back to overview]Mean Change in High Shear Blood Viscosity
NCT02325466 (4) [back to overview]Mean Change in Peripheral Arterial Blood Flow
NCT02325466 (4) [back to overview]Mean Change in Low Shear Blood Viscosity
NCT02335099 (2) [back to overview]Treatment Efficacy of Ticagrelor to Preserve Patency of Hemodialysis Vascular Access
NCT02335099 (2) [back to overview]Feasibility and Safety of Ticagrelor in Hemodialysis Patients
NCT02376283 (3) [back to overview]Pharmacodynamic Assessment of Degree of Platelet Inhibition as Determined by Verify Now Point of Care Assay and Expressed as P2Y12 Reaction Units (PRU)
NCT02376283 (3) [back to overview]Pharmacokinetic Quantification of Plasma Concentration of Clopidogrel and Prasugrel Active Metabolite and Ticagrelor Parent Compound and Active Metabolite Assessed Using Liquid Chromatography in Tandem With Mass Spectrometry (LC-MS/MS) Expressed as ng/ml
NCT02376283 (3) [back to overview]Pharmacodynamic Assessment of Degree of Platelet Inhibition as Determined by VASP (Vasodilator Stimulated Phosphoprotein Phosphorylation) Flow Cytometry and Expressed as %PRI (Platelet Reactivity Index)
NCT02400333 (13) [back to overview]Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC [0-∞]).
NCT02400333 (13) [back to overview]Ratio of Metabolite Cmax to Parent Cmax, Adjusted for Differences in Molecular Weights (MRCmax) of Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Ratio of Metabolite AUC(0-t) to Parent AUC(0-t), Adjusted for Differences in Molecular Weights (MRAUC[0-t]) of Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Ratio of Metabolite AUC [0-∞] to Parent AUC [0-∞], Adjusted for Differences in Molecular Weights (MRAUC [0-∞]) of Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Participants With Significant Findings in 12-Lead Electrocardiography (ECG).
NCT02400333 (13) [back to overview]Participants With Clinically Significant Findings in Hematology, Clinical Chemistry and Urinalysis.
NCT02400333 (13) [back to overview]Mean Change From Baseline for Vital Signs in Supine Pulse Rate.
NCT02400333 (13) [back to overview]Time to Reach Maximum Observed Concentration (Tmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Percentage of Participants With Adverse Events (AEs).
NCT02400333 (13) [back to overview]Mean Change From Baseline for Vital Signs of Supine Blood Pressure (SBP) and Diastolic BP (DBP).
NCT02400333 (13) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02400333 (13) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Analyte Concentration (AUC[0-t]) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02403830 (3) [back to overview]Platelet Reactivity Measured by VerifyNow P2Y12
NCT02403830 (3) [back to overview]AUC of Ticagrelor Plasma Levels
NCT02403830 (3) [back to overview]Platelet Reactivity Measured by VASP
NCT02436577 (16) [back to overview]MRCmax (Ratio of Metabolite Cmax to Parent Cmax, Adjusted for Differences in Molecular Weights) of Active Metabolite AR-C124910XX
NCT02436577 (16) [back to overview]Time to Reach Maximum Observed Concentration (Tmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02436577 (16) [back to overview]Terminal Elimination Rate Constant (λz) of Ticagrelor and Its Active Metabolite, AR-C124910XX.
NCT02436577 (16) [back to overview]Number of Participants With Adverse Events (AEs)
NCT02436577 (16) [back to overview]Mean Residence Time (MRT) of Ticagrelor and Its Active Metabolite AR-C124910XX
NCT02436577 (16) [back to overview]Participants With Clinically Significant Findings in Hematology, Clinical Chemistry and Urinalysis.
NCT02436577 (16) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02436577 (16) [back to overview]Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02436577 (16) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Analyte Concentration AUC (0-t) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02436577 (16) [back to overview]Mean Change From Baseline for Vital Signs of Supine Blood Pressure (SBP) and Diastolic BP (DBP)
NCT02436577 (16) [back to overview]Mean Change From Baseline for Vital Signs in Supine Pulse Rate.
NCT02436577 (16) [back to overview]Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC) of Ticagrelor and Its Active Metabolite AR-C124910XX.
NCT02436577 (16) [back to overview]Ratio of Metabolite AUC(0-t) to Parent AUC(0-t), Adjusted for Differences in Molecular Weights (MRAUC [0-t]) of Active Metabolite AR-C124910XX
NCT02436577 (16) [back to overview]Elimination Rate Constant (Kel) of Ticagrelor and Its Active Metabolite AR-C124910XX
NCT02436577 (16) [back to overview]Ratio of Metabolite AUC to Parent AUC, Adjusted for Differences in Molecular Weights (MRAUC) of Active Metabolite AR-C124910XX
NCT02436577 (16) [back to overview]Participants With Significant Findings in 12-Lead Electrocardiography (ECG).
NCT02482298 (5) [back to overview]Number of Major Bleeding or Clinically Relevant Non-major Bleeding Events (Events)
NCT02482298 (5) [back to overview]Change in Proportion of Days With Analgesic Use Measured by an eDiary
NCT02482298 (5) [back to overview]Average of the Daily Worst Pain Values Reported Via eDiary
NCT02482298 (5) [back to overview]Change in Proportion of Days With Pain Due to Sickle Cell Disease as Measured by an eDiary
NCT02482298 (5) [back to overview]Number of Major Bleeding or Clinically Relevant Non-major Bleeding Events (Patients)
NCT02486367 (8) [back to overview]Change in IL-6 as Measured by Blood Test.
NCT02486367 (8) [back to overview]Change in D-Dimer Levels as Measured by Blood Test
NCT02486367 (8) [back to overview]Change in Mono-2b3a as Measured by Blood Test
NCT02486367 (8) [back to overview]Change in Mono-CD62P as Measured by Blood Test
NCT02486367 (8) [back to overview]Change in IL-8 as Measured by Blood Test
NCT02486367 (8) [back to overview]Platelet Reactivity
NCT02486367 (8) [back to overview]Inflammatory Monocyte Proportion
NCT02486367 (8) [back to overview]Change in sCD14 as Measured by Blood Test.
NCT02518464 (1) [back to overview]Total Number of Responders
NCT02539160 (2) [back to overview]Platelet Reactivity Measured by Vasodilator Stimulated Phosphoprotein (VASP) Platelet Reactivity Index (PRI %)
NCT02539160 (2) [back to overview]Platelet Reactivity Measured by VerifyNow P2Y12
NCT02545933 (1) [back to overview]Maximal Platelet Aggregation
NCT02742987 (1) [back to overview]Flow-mediated Dilation of the Brachial Artery
NCT02866175 (7) [back to overview]Number of Participants With Adjudicated Major, Minor, and Minimal Bleeding by Thrombolysis in Myocardial Infarction (TIMI) Definition Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Adjudicated Major, Clinically Relevant Non-major and Minor Bleeding (All Events) Defined by International Society on Thrombosis and Haemostasis Following Edoxaban-based Regimen Compared With Vitamin K Antagonist-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Adjudicated Major or Clinically Relevant Non-major Bleeding As First Event Defined by International Society on Thrombosis and Haemostasis Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Bleeding Academic Research Consortium (BARC) Type 1, 2, 3, and 5 Bleeding According to the BARC Definitions Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Study Drug-related Treatment-emergent Adverse Events (TEAEs) Experienced by 2 or More Participants Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Treatment-emergent Adverse Events (TEAEs) Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02866175 (7) [back to overview]Number of Participants With Main Efficacy Endpoints For the Overall Study Period Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen
NCT02874092 (3) [back to overview]Visual Analog Scale Disease Activity
NCT02874092 (3) [back to overview]Disease Activity Score for 28-joint Counts (DAS28)
NCT02874092 (3) [back to overview]Change in Brachial Artery Diameter
NCT02925923 (12) [back to overview]Number of Participants With a Change in high-on Treatment Platelet Reactivity (HPR)
NCT02925923 (12) [back to overview]Change in Hemoglobin Levels (g/dL)
NCT02925923 (12) [back to overview]A Change in Hematocrit Levels
NCT02925923 (12) [back to overview]Number of Patients With Minor Bleeding Complications
NCT02925923 (12) [back to overview]Number of Patients With Minor Bleeding Complications
NCT02925923 (12) [back to overview]Number of Patients With Major Bleeding Complications
NCT02925923 (12) [back to overview]Number of Patients With Major Bleeding Complications
NCT02925923 (12) [back to overview]Number of Participants With a Periprocedural Myocardial Infarction and Injury (PMI)
NCT02925923 (12) [back to overview]Heparin Dose, Unit/Kg
NCT02925923 (12) [back to overview]Activated Clotting Time (ACT), Seconds
NCT02925923 (12) [back to overview]Platelet Aggregation Levels
NCT02925923 (12) [back to overview]Number of Patients With Negative Clinical Outcomes
NCT02931045 (1) [back to overview]Concentration of Platelet Extracellular Vesicles/ml
NCT03354429 (7) [back to overview]Composite of Subsequent Stroke or Death
NCT03354429 (7) [back to overview]ICH or Fatal Bleeding Event
NCT03354429 (7) [back to overview]Bleeding Event That Fulfils Serious Adverse Event Criteria and is Categorised as GUSTO Moderate/Severe
NCT03354429 (7) [back to overview]Bleeding Event That Fulfils Serious Adverse Event Criteria and is Categorised as GUSTO Severe
NCT03354429 (7) [back to overview]Ischaemic Stroke
NCT03354429 (7) [back to overview]Number of Participants With Modified Rankin Scale (mRS) Score >1 at Visit 3
NCT03354429 (7) [back to overview]Premature Permanent Discontinuation of IP Due to Bleeding
NCT03381742 (2) [back to overview]ADP-induced Platelet-fibrin Clot Strength (MA)
NCT03381742 (2) [back to overview]ADP-induced Inhibition of Platelet Aggregation
NCT03437044 (2) [back to overview]P2Y12 Reaction Units (PRU)
NCT03437044 (2) [back to overview]Platelet Reactivity Index (PRI)
NCT03489863 (1) [back to overview]P2Y12 Reaction Unit (PRU)
NCT03615924 (20) [back to overview]Percentage of Days of Absence From School or Work Due to Sickle Cell Disease
NCT03615924 (20) [back to overview]Type of Analgesics Used by Participants During Vaso-Occlusive Crisis Events
NCT03615924 (20) [back to overview]Number of Vaso-Occlusive Crisis Events Requiring Hospitalization or Emergency Department Visits
NCT03615924 (20) [back to overview]Number of Sickle Cell-Related Red Blood Cell (RBC) Transfusions
NCT03615924 (20) [back to overview]Number of Painful Crisis Events
NCT03615924 (20) [back to overview]Number of Days Hospitalized for Vaso-Occlusive Crisis Events
NCT03615924 (20) [back to overview]Number of Days Hospitalized for Acute Sickle Cell Disease Complications
NCT03615924 (20) [back to overview]Number of Acute Sickle Cell Disease Complications
NCT03615924 (20) [back to overview]Number of Vaso-Occlusive Crisis Events
NCT03615924 (20) [back to overview]Average Intensity of Worst Pain Daily During Vaso-Occlusive Crisis Events in Participants ≥5 Years of Age
NCT03615924 (20) [back to overview]Average Intensity of Worst Pain Daily During Vaso-Occlusive Crisis Events in Participants <5 Years of Age
NCT03615924 (20) [back to overview]Duration of Painful Crises
NCT03615924 (20) [back to overview]Number of Acute Chest Syndrome Events
NCT03615924 (20) [back to overview]Swallowability of the Study Treatment Assessed by Study Medication Palatability Assessment in Participants ≤4 Years of Age
NCT03615924 (20) [back to overview]Palatability of the Study Treatment Assessed by Study Medication Palatability Assessment (SMPA) in Participants ≤4 Years of Age
NCT03615924 (20) [back to overview]Palatability of the Study Treatment Assessed by Facial Hedonic Scale (FHS) in Participants ≥5 Years of Age
NCT03615924 (20) [back to overview]Health-Related Quality of Life Total Score Using the Pediatric Quality of Life Inventory (PedsQL) Sickle Cell Disease Module
NCT03615924 (20) [back to overview]Health-Related Quality of Life Total Score Using the Pediatric Quality of Life Inventory (PedsQL) Sickle Cell Disease Module
NCT03615924 (20) [back to overview]Fatigue Total Score Using Pediatric Quality of Life Inventory Multidimensional Fatigue Scale
NCT03615924 (20) [back to overview]Fatigue Total Score Using Pediatric Quality of Life Inventory Multidimensional Fatigue Scale
NCT03649711 (2) [back to overview]ADP Induced Platelet Aggregation
NCT03649711 (2) [back to overview]Platelet Surface P-selectin Expression
NCT03708588 (3) [back to overview]Number of Participants With Major Adverse Cardiac and Cerebrovascular Event (MACCE)
NCT03708588 (3) [back to overview]Number of Participants With Major Adverse Cardiac and Cerebrovascular Event (MACCE)
NCT03708588 (3) [back to overview]Concentration of Pharmacodynamics
NCT03822377 (6) [back to overview]Percent of Patients With Insufficient Antiaggregation
NCT03822377 (6) [back to overview]Number of Participants With Clinically Relevant Bleeding Events
NCT03822377 (6) [back to overview]Number of Participants With Morphine-ticagrelor Interaction
NCT03822377 (6) [back to overview]Number of Participants With Residual Platelet Reactivity at Various Timepoints
NCT03822377 (6) [back to overview]Evaluation of Platelet Inhibition
NCT03822377 (6) [back to overview]Incidence of Adverse Events Occurring During Hospital Stay
NCT04006288 (1) [back to overview]Maximal Platelet Aggregation (MPA%) by Light Transmittance Aggregometry (LTA)
NCT05093790 (5) [back to overview]Number of Participants Experiencing Clinical Lab Abnormalities
NCT05093790 (5) [back to overview]Percent Change From Baseline in Thrombus Area
NCT05093790 (5) [back to overview]Number of Participants Experiencing Adverse Events (AEs)
NCT05093790 (5) [back to overview]Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
NCT05093790 (5) [back to overview]Number of Participants Experiencing Abnormal Vital Signs

Participants With Any Event From the Composite of All-cause Mortality, MI, and Stroke

Participants with death from any cause, MI, or stroke. If no event, censoring occurs at the earliest of patient withdrawal of consent or date of scheduled withdrawal from therapy. ITT analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR901
CLOPIDOGREL1065

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Participants With Major or Minor Bleeding

Participants with major (fatal/life-threatening or other) or minor bleed by a study protocol scale based on need for treatment, number of transfusions, hemoglobin decrease, and other factors. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: First dosing up to 12 months

InterventionParticipants (Number)
TICAGRELOR1339
CLOPIDOGREL1215

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Participants With Stroke

Participants with stroke. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT (intention to treat) analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR125
CLOPIDOGREL106

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Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24 Hour ECG Recorders for 1 Week at 1 Month Following Randomization

Number of participants who were observed to have at least 1 ventricular pause of at least 3 seconds. Population is all patients who were observed over 2 week-long periods. Pauses were flagged algorithmically and confirmed by TIMI cardiologists. (NCT00391872)
Timeframe: 1-week period following randomization

InterventionParticipants (Number)
TICAGRELOR21
CLOPIDOGREL16

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Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24-hour ECG Recorders for 1 Week Following Randomization

Number of participants who were observed to have at least 1 ventricular pause of at least 3 seconds. Population is all patients who were observed over 2 week-long periods. Pauses were flagged algorithmically and confirmed by Thrombolysis in Myocardial Infarction (TIMI) group cardiologists. (NCT00391872)
Timeframe: 1-week period following randomization

InterventionParticipants (Number)
TICAGRELOR84
CLOPIDOGREL51

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Participants With MI Event

Participants with MI event. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT (intention to treat) analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR504
CLOPIDOGREL593

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Participants With Any Event From the Composite of Death From Vascular Causes, MI (Including Silent), Stroke, Recurrent Ischemia, Transient Ischemic Attack (TIA) and Other Arterial Thrombotic Events.

Participants with death from vascular causes, MI, stroke, recurrent ischemia, or other thrombotic events. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT analysis of whole population. Events were adjudicated. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR1290
CLOPIDOGREL1456

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Participants With Non-procedural Major Bleeding

Participants with non-procedural major bleed by a study protocol scale based on need for treatment, number of transfusions, hemoglobin decrease, and other factors. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: First dosing up to 12 months

InterventionParticipants (Number)
TICAGRELOR235
CLOPIDOGREL180

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Participants With Death From Vascular Causes

Participants with death from vascular causes. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT (intention to treat) analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR353
CLOPIDOGREL442

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Participants With Any Event From the Composite of Death From Vascular Causes, MI, and Stroke for the Subgroup of Patients With Intent for Invasive Management at Randomization

Participants with death from vascular causes, MI, or stroke. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT analysis of intent for invasive management population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR569
CLOPIDOGREL668

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Participants With Any Event From the Composite of Death From Vascular Causes, Myocardial Infarction (MI), and Stroke

Participants with death from vascular causes, MI, or stroke. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. Intention To Treat (ITT) analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR864
CLOPIDOGREL1014

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Participants With Death From Any Cause

Participants with death from any cause. If no event, censoring occurs at the earliest of patient withdrawal consent or date of scheduled withdrawal from therapy. ITT (intention to treat) analysis of whole population. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: Randomization up to 12 months

InterventionParticipants (Number)
TICAGRELOR399
CLOPIDOGREL506

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Participants With Coronary Artery Bypass Graft (CABG) Major Fatal/Life-threatening Bleeding

Number of participants with a major fatal/life-threatening CABG-related bleed by a study protocol scale based on need for treatment, number of transfusions, hemoglobin decrease, and other factors. All CABG surgeries were submitted for adjudication by an endpoint committee as potential bleeds. (NCT00391872)
Timeframe: First dosing up to 12 months

InterventionParticipants (Number)
TICAGRELOR329
CLOPIDOGREL341

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Participants With Coronary Artery Bypass Graft (CABG) Major Bleeding

Participants with a major CABG-related bleed by a study protocol scale based on need for treatment, number of transfusions, hemoglobin decrease, and other factors. All CABG surgeries were submitted for adjudication by an endpoint committee as potential bleeds. (NCT00391872)
Timeframe: First dosing up to 12 months

InterventionParticipants (Number)
TICAGRELOR619
CLOPIDOGREL654

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Participants With Any Major Bleeding Event

Participants with major (fatal/life-threatening or other) bleed by a study protocol scale based on need for treatment, number of transfusions, hemoglobin decrease, and other factors. Events were adjudicated by an endpoint committee. (NCT00391872)
Timeframe: First dosing up to 12 months

InterventionParticipants (Number)
TICAGRELOR961
CLOPIDOGREL929

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Cardiopulmonary Parameters at Baseline: Mean Forced Expiratory Flow Between 25% and 75% of the FVC (FEF25-75)

FEF25-75 is measured by Spirometry, the unit is Liter/Second. (NCT00528411)
Timeframe: Baseline

InterventionLiter/second (Mean)
Ticagrelor2.88
Clopidogrel2.70
Placebo2.50

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Cardiopulmonary Parameters at Baseline: Functional Residual Capacity (FRC)

FRC is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: Baseline

InterventionLiter (Mean)
Ticagrelor2.79
Clopidogrel2.89
Placebo2.91

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Cardiopulmonary Parameters at Baseline: Forced Vital Capacity (FVC)

FVC is measured by Spirometry, the unit is Liter. (NCT00528411)
Timeframe: Baseline

InterventionLiter (Mean)
Ticagrelor3.72
Clopidogrel3.73
Placebo4.03

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Cardiopulmonary Parameters at Baseline: Forced Expiratory Volume in 1 Second (FEV1)

FEV1 is measured by Spirometry, the unit is Liter. (NCT00528411)
Timeframe: Baseline

InterventionLiter (Mean)
Ticagrelor2.79
Clopidogrel2.71
Placebo2.94

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Cardiopulmonary Parameters at Baseline: Ejection Fraction (EF)

EF is measured by Echocardiogram, the unit is Percent. The ejection fraction is defined by: (LV diastolic volume - LV systolic volume)/LV diastolic volume. The unit % is the percentage change of left ventricular diastolic versus systolic volume relative to the diastolic volume. LV is the left ventricle. (NCT00528411)
Timeframe: Baseline

InterventionPercent (Mean)
Ticagrelor57.96
Clopidogrel61.91
Placebo59.92

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Cardiopulmonary Parameters at Baseline: Blood Oxygen Saturation Measured by Pulse Oximetry (SpO2)

SpO2 is measured by pulse oximetry, the unit is Percent. The unit % is the percentage of oxygen attached hemoglobin relative to the total hemoglobin. (NCT00528411)
Timeframe: Baseline

InterventionPercent (Mean)
Ticagrelor96.59
Clopidogrel96.78
Placebo97.58

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Final Extent IPA Induced by 20 µM ADP at 8 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 8 hours after last dose

InterventionPercentage (Median)
Ticagrelor88.31
Clopidogrel61.31

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Slope of Extent IPA Offset Curve 4 to 72 Hours After Last Dose of Study Drug

IPA(%)=(PAb-PAt)/PAb*100.The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. The unit for the slope of IPA curve is percent/hour. (NCT00528411)
Timeframe: 4 to 72 Hours after last dose of study drug

InterventionPercentage/Hour (Least Squares Mean)
Ticagrelor-1.037
Clopidogrel-0.482

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Cardiopulmonary Parameters Post 6-week Treatment: RR

RR is measured by Spirometry and Body Box Plethysmography, the unit is Breaths/Minute. (NCT00528411)
Timeframe: 6-week post treatment

InterventionBreaths/minute (Mean)
Ticagrelor15.21
Clopidogrel15.10
Placebo14.91

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Cardiopulmonary Parameters Post 6-week Treatment: RV

RV is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter (Mean)
Ticagrelor1.88
Clopidogrel1.97
Placebo1.90

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Cardiopulmonary Parameters Post 6-week Treatment: SpO2

SpO2 is measured by pulse oximetry, the unit is Percent. The unit % is the percentage of oxygen attached hemoglobin relative to the total hemoglobin. (NCT00528411)
Timeframe: 6-week post treatment

InterventionPercentage (Mean)
Ticagrelor97.73
Clopidogrel97.35
Placebo98.56

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Cardiopulmonary Parameters Post 6-week Treatment: TLC

TLC is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter (Mean)
Ticagrelor5.70
Clopidogrel5.85
Placebo5.96

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Cardiopulmonary Parameters Post 6-week Treatment: VE

VE is measured by Spirometry and Body Box Plethysmography, the unit is Liter/Minute (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter/minute (Mean)
Ticagrelor13.69
Clopidogrel13.14
Placebo11.45

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Cardiopulmonary Parameters Post 6-week Treatment: VT

VT is measured by Body Box Plethysmography, the unit is Liter/Minute. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiters/minute (Mean)
Ticagrelor0.92
Clopidogrel0.93
Placebo0.83

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Final Extent IPA Induced by 20 µM ADP at 8 Hours After First Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 8 hours after first dose

InterventionPercentage (Median)
Ticagrelor96.99
Clopidogrel46.90

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Final Extent IPA Induced by 20 µM ADP at 0.5 Hours After First Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 0.5 hours after first dose

InterventionPercentage (Median)
Ticagrelor45.39
Clopidogrel4.71

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Final Extent IPA Induced by 20 µM ADP at 1 Hour After First Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 1 hour after first dose

InterventionPercentage (Median)
Ticagrelor86.71
Clopidogrel15.83

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Final Extent IPA Induced by 20 µM ADP at 120 Hours - Day 5 After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 120 hours - Day 5 after last dose

InterventionPercentage (Median)
Ticagrelor0.0
Clopidogrel21.15

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Final Extent IPA Induced by 20 µM ADP at 168 Hours - Day 7 After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference of baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 168 hours - Day 7 after last dose

InterventionPercentage (Median)
Ticagrelor0.0
Clopidogrel6.32

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Final Extent IPA Induced by 20 µM ADP at 2 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 2 hours after last dose

InterventionPercentage (Median)
Ticagrelor91.49
Clopidogrel62.96

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Final Extent IPA Induced by 20 µM ADP at 24 Hours After First Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 24 hours after first dose

InterventionPercentage (Median)
Ticagrelor87.29
Clopidogrel49.64

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Final Extent IPA Induced by 20 µM ADP at 24 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 24 hours after last dose

InterventionPercentage (Median)
Ticagrelor55.18
Clopidogrel53.91

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Final Extent IPA Induced by 20 µM ADP at 240 Hours - Day 10 After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 240 hours - Day 10 after last dose

InterventionPercentage (Median)
Ticagrelor1.64
Clopidogrel0.98

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Final Extent IPA Induced by 20 µM ADP at 0 Hour Before Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 0 hour before last dose

InterventionPercentage (Median)
Ticagrelor74.53
Clopidogrel51.75

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Final Extent IPA Induced by 20 µM ADP at 4 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 4 hours after last dose

InterventionPercentage (Median)
Ticagrelor96.10
Clopidogrel61.80

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Final Extent IPA Induced by 20 µM ADP at 48 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 48 hours after last dose

InterventionPercentage (Median)
Ticagrelor30.94
Clopidogrel45.79

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Final Extent IPA Induced by 20 µM ADP at 72 Hours After Last Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 72 hours after last dose

InterventionPercentage (Median)
Ticagrelor11.76
Clopidogrel21.09

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Final Extent IPA Induced by 20 µM ADP at 4 Hours After First Dose

IPA(%)=(PAb-PAt)/PAb*100. The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: 4 hours after first dose

InterventionPercentage (Median)
Ticagrelor98.39
Clopidogrel40.87

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Final Extent Inhibition of Platelet Aggregation (IPA) Induced by 20 µM Adenosine Diphosphate (ADP) at 2 Hours After First Dose

IPA(%)=(PAb-PAt)/PAb*100.The unit % is the percentage of difference for baseline versus post baseline value relative to baseline value of platelet aggregation. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00528411)
Timeframe: At 2 hours after first dose of study drug

InterventionPercentage (Median)
Ticagrelor93.15
Clopidogrel31.05

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Cardiopulmonary Parameters at Baseline: Single Breath Diffusing Capacity for the Lungs Using Carbon Monoxide (DLCOSB)

DLCOSB is measured by Body Box Plethysmography, the unit is Percent. (NCT00528411)
Timeframe: Baseline

InterventionPercent (Mean)
Ticagrelor17.00
Clopidogrel17.29
Placebo15.83

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Cardiopulmonary Parameters at Baseline: Respiratory Rate (RR)

RR is measured by Spirometry and Body Box Plethysmography, the unit is Breaths/Minute. (NCT00528411)
Timeframe: Baseline

InterventionBreaths/minute (Mean)
Ticagrelor14.79
Clopidogrel14.15
Placebo15.5

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Cardiopulmonary Parameters at Baseline: Residual Volume (RV)

RV is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: Baseline

InterventionLiter (Mean)
Ticagrelor1.94
Clopidogrel2.01
Placebo1.91

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Cardiopulmonary Parameters at Baseline: Ratio of Forced Expiratory Volume in 1 Second Over Forced Vital Capacity (FEV1/FVC Ratio)

FEV1/FVC Ratio is measured by Spirometry, the unit is Ratio. (NCT00528411)
Timeframe: Baseline

InterventionRatio (Mean)
Ticagrelor75.01
Clopidogrel73.04
Placebo73.13

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Cardiopulmonary Parameters at Baseline: N-terminal Pro-brain Natriuretic Peptide (NT-proBNP)

NT-proBNP is measured by clinical lab, the unit is pg/mL. (NCT00528411)
Timeframe: Baseline

Interventionpg/ml (Mean)
Ticagrelor163.34
Clopidogrel185.98
Placebo145.41

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Cardiopulmonary Parameters at Baseline: Minute Ventilation (VE)

VE is measured by Spirometry and Body Box Plethysmography, the unit is Liter/Minute (NCT00528411)
Timeframe: Baseline

InterventionLiter/minute (Mean)
Ticagrelor12.92
Clopidogrel12.17
Placebo12.06

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Cardiopulmonary Parameters at Baseline: Tidal Volume (VT)

VT is measured by Body Box Plethysmography, the unit is Liter/Minute. (NCT00528411)
Timeframe: Baseline

InterventionLiters/minute (Mean)
Ticagrelor0.96
Clopidogrel0.89
Placebo0.89

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Cardiopulmonary Parameters at Baseline: Total Lung Capacity (TLC)

TLC is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: Baseline

InterventionLiter (Mean)
Ticagrelor5.78
Clopidogrel5.83
Placebo6.10

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Cardiopulmonary Parameters at Post 6-week Treatment: FEV1

FEV1 is measured by Spirometry, the unit is Liter. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter (Mean)
Ticagrelor2.77
Clopidogrel2.74
Placebo2.95

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Cardiopulmonary Parameters at Post 6-week Treatment: FEV1/FVC Ratio

FEV1/FVC Ratio is measured by Spirometry, the unit is Ratio. (NCT00528411)
Timeframe: 6-week post treatment

InterventionRatio (Mean)
Ticagrelor74.71
Clopidogrel72.84
Placebo74.27

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Cardiopulmonary Parameters at Post 6-week Treatment: FVC

FVC is measured by Spirometry, the unit is Liter. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter (Mean)
Ticagrelor3.70
Clopidogrel3.78
Placebo3.98

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Cardiopulmonary Parameters Post 6-week Treatment: DLCOSB

DLCOSB is measured by Body Box Plethysmography, the unit is Percent. (NCT00528411)
Timeframe: 6-week post treatment

InterventionPercent (Mean)
Ticagrelor16.38
Clopidogrel16.53
Placebo16.09

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Cardiopulmonary Parameters Post 6-week Treatment: EF

EF is measured by Echocardiogram, the unit is Percent. The ejection fraction is defined by: (LV diastolic volume - LV systolic volume)/LV diastolic volume. The unit % is the percentage change of left ventricular diastolic versus systolic volume relative to the diastolic volume. LV is the left ventricle. (NCT00528411)
Timeframe: 6-week post treatment

InterventionPercent (Mean)
Ticagrelor60.70
Clopidogrel62.38
Placebo60.73

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Cardiopulmonary Parameters Post 6-week Treatment: FEF25-75

FEF25-75 is measured by Spirometry, the unit is Liter/Second. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter/second (Mean)
Ticagrelor2.77
Clopidogrel2.67
Placebo2.91

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Cardiopulmonary Parameters Post 6-week Treatment: FRC

FRC is measured by Body Box Plethysmography, the unit is Liter. (NCT00528411)
Timeframe: 6-week post treatment

InterventionLiter (Mean)
Ticagrelor2.73
Clopidogrel2.79
Placebo2.75

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Cardiopulmonary Parameters Post 6-week Treatment: NT-proBNP

NT-proBNP is measured by clinical lab, the unit is pg/mL. (NCT00528411)
Timeframe: 6-week post treatment

Interventionpg/ml (Mean)
Ticagrelor139.88
Clopidogrel214.43
Placebo140.68

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Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Ticagrelor to Ticagrelor Versus Ticagrelor to Clopidogrel on Day 15

IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. Please refer to the protocol section for details about the interventions administered. (NCT00642811)
Timeframe: Day 15, 4 hrs post switching

InterventionPercent (Least Squares Mean)
Responder: Ticagrelor66.7
Responder: Clopidogrel65.3

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Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Ticagrelor to Ticagrelor Versus Ticagrelor to Clopidogrel on Day 28

IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. Please refer to the protocol section for details about the interventions administered. (NCT00642811)
Timeframe: 4 hrs post first dose on day 28

InterventionPercent (Least Squares Mean)
Responder: Ticagrelor91.0
Responder: Clopidogrel61.2

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Proportion of Clopidogrel Non-responders Who Responded to Clopidogrel or Ticagrelor. - Comparing Ticag. (Day 28 of Clop. to Ticag., and Day 14 of Ticag. to Clop.) Versus Clop. (Day 14 of Clop. to Ticag., and Day 28 of Ticag. to Clop.

The secondary definition of response to treatment is IPA >50% post treatment. The response is reported as percentage of participants of each treatment. Please refer to the protocol section for details about the interventions administered. IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00642811)
Timeframe: Day 14, and day 28, 4 hours post dose

InterventionPercent of participants (Number)
Non-responder: Ticagrelor81.3
Non-responder: Clopidogrel25.0

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Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Clopidogrel to Clopidogrel Versus Clopidogrel to Ticagrelor on Day 15

IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. Please refer to the protocol section for details about the interventions administered. (NCT00642811)
Timeframe: Day 15, 4 hrs post switching

InterventionPercent (Least Squares Mean)
Responder: Ticagrelor95.0
Responder: Clopidogrel48.5

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Proportion of Clopidogrel Non-responders Who Responded to Clopidogrel or Ticagrelor. - Comparing Ticag. (Day 28 of Clop. to Ticag., and Day 14 of Ticag. to Clop.) Versus Clop. (Day 14 of Clop. to Ticag., and Day 28 of Ticag. to Clop.)

The primary definition of response to treatment is IPA >10% post treatment. The response is reported as percentage of participants of each treatment. Please refer to the protocol section for details about the interventions administered. IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. (NCT00642811)
Timeframe: Day 14 and Day 28, 4 Hrs Post Dose.

InterventionPercent of Participants (Number)
Non-responder: Ticagrelor100
Non-responder: Clopidogrel93.8

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Clopidogrel Responders Final Extent IPA Post Switching Treatment - Comparing Clopidogrel to Clopidogrel Versus Clopidogrel to Ticagrelor on Day 28

IPA(%)=(PAb-PAt)/PAb*100. PA (platelet aggregation) is measured by LTA (Light Transmittance Aggregometry). PAb is the response at baseline (last measurement before study drug) and PAt is a response at post-treatment. IPA=0% means no PA inhibition and 100% means 100% PA inhibition. Please refer to the protocol section for details about the interventions administered. (NCT00642811)
Timeframe: 4 hrs post first dose on day 28

InterventionPercent (Least Squares Mean)
Responder: Ticagrelor77.4
Responder: Clopidogrel60.8

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IPA Final Extent at 12 Hours Post Dose on Week 4 in Japanese Patients

"Final extent IPA from pre-dose baseline was calculated using the following formula for ADP-induced platelet aggregation:~Percentage Inhibition = 100% x (PAs - PA) / (PAs) PA was the mean response at the given post dose time point and PAs was the mean response at pre dose baseline. Percentage inhibition was restricted to the closed interval [0,100]; any data falling outside this range was truncated to the appropriate limit." (NCT01118325)
Timeframe: Week 4

Interventionpercentage inhibition (Mean)
Arm 1 - AZD6140 45 mg bd56.9
AZD6140 90 mg bd66.8
Clopidogrel 75 mg od41.8

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AR-C124910XX (AUC0-tau) at Week 4

Area under the plasma concentration curve of AZD6140 drug metabolite AR-C124910XX from time zero to dosing interval (NCT01118325)
Timeframe: Week 4

Interventionng.h/mL (Geometric Mean)
AZD6140 45 mg bd in Japanese Patients1180
AZD6140 45 mg bd in Non-Japanese Patients954
AZD6140 90 mg bd in Japanese Patients2720
AZD6140 90 mg bd in Non-Japanese Patients3380

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AR-C124910XX (Cmax) at Week 4

Maximum plasma concentration of AZD6140 drug metabolite AR-C124910XX (NCT01118325)
Timeframe: Week 4

Interventionng/mL (Geometric Mean)
AZD6140 45 mg bd in Japanese Patients135
AZD6140 45mg bd in Non-Jpanese Patients101
AZD6140 90 mg bd in Japanese Patients326
AZD6140 90 mg bd in Non-Jpanese Patients381

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AR-C124910XX (Tmax) at Week 4

Time to reach peak or maximum concentration of AZD6140 drug metabolite AR-C124910XX following AZD6140 administration (NCT01118325)
Timeframe: Week 4

Interventionhour (Median)
AZD6140 45 mg bd in Japanese Patients4.0
AZD6140 45 mg bd in Non-Japanese Patients4.0
AZD6140 90 mg bd in Japanese Patients2.1
AZD6140 90 mg bd in Non-Japanese Patients2.0

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AZD6140 (AUC0-tau) at Week 4

Area under the plasma concentration curve of AZD6140 from time zero to dosing interval (NCT01118325)
Timeframe: Week 4

Interventionng.h/mL (Geometric Mean)
AZD6140 45 mg bd in Japanese Patients3050
AZD6140 45 mg bd in Non-Japanese Patients2930
AZD6140 90 mg bd in Japanese Patients6080
AZD6140 90 mg bd in Non-Japanese Patients10900

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AZD6140 (Cmax) at Week 4

Maximum plasma AZD6140 concentration (NCT01118325)
Timeframe: Week 4

Interventionng/mL (Geometric Mean)
AZD6140 45 mg bd in Japanese Patients422
AZD6140 45 mg bd in Non-Japanese Patients341
AZD6140 90 mg bd in Japanese Patients931
AZD6140 90 mg bd in Non-Japanese Patients1380

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AZD6140 (Tmax) at Week 4

Time to reach peak or maximum concentration of AZD6140 following AZD6140 administration (NCT01118325)
Timeframe: Week 4

Interventionhour (Median)
AZD6140 45 mg bd in Japanese Patients2.0
AZD6140 45 mg bd in Non-Japanese Patients4.0
AZD6140 90 mg bd in Japanese Patients2.0
AZD6140 90 mg bd in Non-Japanese Patients4.0

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Inhibition of Platelet Aggregation(IPA) Final Extent at 2 Hours Post Dose on Week 4 in Japanese Patients

"Final extent IPA from pre-dose baseline was calculated using the following formula for Adenosine Diphosphate (ADP)-induced platelet aggregation:~Percentage Inhibition = 100% x (PAs - PA) / (PAs) Platelet Aggregation (PA) was the mean response at the given post dose time point and PAs was the mean response at pre dose baseline. Percentage inhibition was restricted to the closed interval [0,100]; any data falling outside this range was truncated to the appropriate limit." (NCT01118325)
Timeframe: Week 4

Interventionpercentage inhibition (Mean)
AZD6140 45 mg bd64.5
AZD6140 90 mg bd73.0
Clopidogrel 75 mg od38.9

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IPA Final Extent at 24 Hours Post Dose on Week 4 in Japanese Patients

"Final extent IPA from pre-dose baseline was calculated using the following formula for ADP-induced platelet aggregation:~Percentage Inhibition = 100% x (PAs - PA) / (PAs) PA was the mean response at the given post dose time point and PAs was the mean response at pre dose baseline. Percentage inhibition was restricted to the closed interval [0,100]; any data falling outside this range was truncated to the appropriate limit." (NCT01118325)
Timeframe: Week 4

Interventionpercentage inhibition (Mean)
AZD6140 45 mg bd46.2
AZD6140 90 mg bd59.1
Clopidogrel 75 mg od38.0

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IPA Final Extent at 4 Hours Post Dose on Week 4 in Japanese Patients

"Final extent IPA from pre-dose baseline was calculated using the following formula for ADP-induced platelet aggregation:~Percentage Inhibition = 100% x (PAs - PA) / (PAs) PA was the mean response at the given post dose time point and PAs was the mean response at pre dose baseline. Percentage inhibition was restricted to the closed interval [0,100]; any data falling outside this range was truncated to the appropriate limit." (NCT01118325)
Timeframe: Week 4

Interventionpercentage inhibition (Mean)
AZD6140 45 mg bd67.3
AZD6140 90 mg bd73.2
Clopidogrel 75 mg od43.7

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IPA Final Extent at 8 Hours Post Dose on Week 4 in Japanese Patients

"Final extent IPA from pre-dose baseline was calculated using the following formula for ADP-induced platelet aggregation:~Percentage Inhibition = 100% x (PAs - PA) / (PAs) PA was the mean response at the given post dose time point and PAs was the mean response at pre dose baseline. Percentage inhibition was restricted to the closed interval [0,100]; any data falling outside this range was truncated to the appropriate limit." (NCT01118325)
Timeframe: Week 4

Interventionpercentage inhibition (Mean)
AZD6140 45 mg bd62.7
AZD6140 90 mg bd68.6
Clopidogrel 75 mg od42.5

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Kaplan-Meier Estimate of the Percentage of Patients Who Experienced Cardiovascular Death (CV Death) Within 3 Years From Randomization

Participants with CV death. If no event, censoring occurs at the earliest of the efficacy cut-off date 14 Sep 2014, withdrawal of consent, non-CV death or at the last time point of complete clinical event assessment. Events were adjudicated by a blinded endpoint committee. The Kaplan-Meier estimate reports the percentage of patients who experienced CV Death within 3 years from randomization (NCT01225562)
Timeframe: Randomization up to 47 months

InterventionPercentage of Patients (Number)
Ticagrelor 90 mg2.9
Ticagrelor 60 mg2.9
Placebo3.4

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Kaplan-Meier Estimate of the Percentage of Patients Who Died From Any Cause Within 3 Years From Randomization

Participants with death from any cause. If no event, censoring occurs at the earliest of the efficacy cut-off date 14 Sep 2014, withdrawal of consent or the last time point the particapant was known to be alive. Events were adjudicated by a blinded endpoint committee. The Kaplan-Meier estimate reports the percentage of patients who died from any cause within 3 years from randomization (NCT01225562)
Timeframe: Randomization up to 47 months

InterventionPercentage of Patients (Number)
Ticagrelor 90 mg5.1
Ticagrelor 60 mg4.7
Placebo5.2

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Kaplan-Meier Estimate of the Percentage of Patients Who Experienced a TIMI Major Bleeding Within 3 Years From First Dose of Study Drug Units: Percentage of Patients

A Thrombolysis in Myocardial Infarction (TIMI) study group major bleeding is defined as any fatal bleeding (leading directly to death within 7 days), any intrcranial bleeding or any clinically overt signs of haemorrhage associated with a drop in Haemoglobin of >= 5g/dL. Events were adjudicated by a clinical events committee. Censoring ocurrs at 7 days following last dose of study drug. The Kaplan-Meier estimate reports the percentage of patients who experienced a TIMI Major bleeding within 3 years from first dose of study drug (NCT01225562)
Timeframe: First dosing up to 48 months

InterventionPercentage of Patients (Number)
Ticagrelor 90 mg2.6
Ticagrelor 60 mg2.3
Placebo1.1

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Kaplan-Meier Estimate of the Percentage of Patients Who Experienced Cardiovascular Death (CV Death), Myocardial Infarction (MI) or Stroke Within 3 Years From Randomization

Participants with CV death, MI or Stroke. If no event, censoring occurs at the earliest of the efficacy cut-off date 14 Sep 2014, withdrawal of consent, non-CV death or at the last time point of complete clinical event assessment. Events were adjudicated by a blinded endpoint committee. The Kaplan-Meier estimate reports the percentage of patients who experienced CV Death, MI or stroke within 3 years from randomization (NCT01225562)
Timeframe: Randomization up to 47 months

InterventionPercentage of Patients (Number)
Ticagrelor 90 mg7.8
Ticagrelor 60 mg7.8
Placebo9.0

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Major Adverse Cardiac Events (MACE)

Time to first occurrence of any event from the composite of death from vascular causes, Myocardial Infarction (MI) and stroke (adjudicated by an ICEC). 1-year event rate (%) estimated via Kaplan-Meier method. (NCT01294462)
Timeframe: Ongoing up to 12 months

InterventionPercent probability (Number)
Ticagrelor (AZD6140)10.2
Clopidogrel8.1

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Composite of All-cause Mortality, MI or Stroke

Time to first occurrence of any event from the composite of death from any causes, Myocardial Infarction (MI) and stroke (adjudicated by an ICEC). 1-year event rate (%) estimated via Kaplan-Meier method. (NCT01294462)
Timeframe: Ongoing up to 12 months

InterventionPercent probability (Number)
Ticagrelor (AZD6140)10.5
Clopidogrel8.1

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Major Bleeding

Time to first occurrence of any major bleeding event (adjudicated by an independent Clinical Endpoint Committee (ICEC)). 1-year event rate (%) estimated via Kaplan-Meier method. (NCT01294462)
Timeframe: Ongoing up to12 months

InterventionPercent probability (Number)
Ticagrelor (AZD6140)11.2
Clopidogrel8.4

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Major and Minor Bleeding

Time to first occurrence of any major or minor bleeding event (adjudicated by an independent Clinical Endpoint Committee (ICEC)). 1-year event rate (%) estimated via Kaplan-Meier method. (NCT01294462)
Timeframe: Ongoing up to12 months

InterventionPercent probability (Number)
Ticagrelor (AZD6140)26.8
Clopidogrel16.2

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Major Bleeds Within 48 Hours

non CABG related bleeds, (PLATO definition) include Life threatening and other major bleeds (NCT01347580)
Timeframe: within 48 hours of first dose

Interventionpatients (Number)
Pre-hospital Ticagrelor16
In-hospital Ticagrelor15

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Major Bleeds After 48 Hours

non CABG related bleeds (PLATO definition) include life threatening and other major bleedings (NCT01347580)
Timeframe: after 48hours post-first dose

Interventionpatients (Number)
Pre-hospital Ticagrelor11
In-hospital Ticagrelor11

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Definite Stent Thrombosis

Definite stent thrombosis is considered to have occurred by either angiographic or pathologic confirmation. It is an adjudicated endpoint (NCT01347580)
Timeframe: during 30 days of treatment

Interventionpatients (Number)
Pre-hospital Ticagrelor2
In-hospital Ticagrelor11

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2nd Composite Clinical Endpoint

Death/MI/urgent revascularization. Adjudicated events except death (NCT01347580)
Timeframe: within 30 days of study

Interventionpatients (Number)
Pre-hospital Ticagrelor39
In-hospital Ticagrelor34

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1st Composite Clinical Endpoint

death/MI/stroke/urgent revascularization/stent thrombosis. Adjudicated events except death (NCT01347580)
Timeframe: during the 30 days of treatment

Interventionpatients (Number)
Pre-hospital Ticagrelor41
In-hospital Ticagrelor42

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Minor and Major Bleeds After 48 Hours

non CABG related bleeds (PLATO definition) (NCT01347580)
Timeframe: after 48 hours post first dose

Interventionpatients (Number)
Pre-hospital Ticagrelor18
In-hospital Ticagrelor16

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Minor and Major Bleedings Within 48 Hours

non CABG related bleeds (PLATO definition) (NCT01347580)
Timeframe: within 48 hours of first dose

Interventionpatients (Number)
Pre-hospital Ticagrelor24
In-hospital Ticagrelor24

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TIMI Flow Grade 3 Post -PCI

TIMI) flow grade 3 is complete perfusion post-PCI. (NCT01347580)
Timeframe: at coroangiography post-PCI

Interventionpatients (Number)
Pre-hospital Ticagrelor625
In-hospital Ticagrelor630

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Thrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCI

Glycoprotein (GP) IIb/IIIa inhibitors are often used as a rescue or bailout therapy to manage complications arising during percutaneous coronary intervention. (NCT01347580)
Timeframe: during PCI

Interventionpatients (Number)
Pre-hospital Ticagrelor78
In-hospital Ticagrelor100

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Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)

(TIMI) flow grade classification is used to assess coronary blood flow in acute coronary syndromes. grade 0:no reperfusion, grade 1: penetration without perfusion, grade 2: Partial reperfusion, grade 3: complete perfusion. (NCT01347580)
Timeframe: At initial angiography, pre PCI

Interventionpatients (Number)
Pre-hospital Ticagrelor143
In-hospital Ticagrelor145

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ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)

ST segment elevation resolution is the mean ST elevation pre-hospital minus the mean STelevation pre-PCI divided by the mean ST elevation pre-hospital. It is expressed as a percentage and split in 2 categories , complete (≥70%) versus incomplete (<70%) resolution. (NCT01347580)
Timeframe: Between baseline and PCI

Interventionpatients (Number)
Pre-hospital Ticagrelor102
In-hospital Ticagrelor102

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ST Segment Elevation Resolution Post-PCI >= 70%

ST segment elevation resolution post PCI >=70% is defined as complete resolution (NCT01347580)
Timeframe: Between baseline and ECG 60 mn post-PCI

Interventionpatients (Number)
Pre-hospital Ticagrelor410
In-hospital Ticagrelor390

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Any Bleeding Event

"Bleeding classified by the TIMI hemorrhage classification scheme:~Minor: any clinically overt sign of hemorrhage (including imaging) that is associated with a hemoglobin drop of 3 to < 5 g/dL~Major: (1) if it is intracranial, or (2) clinically significant overt signs of hemorrhage associated with a drop inhemoglobin of > 5 g/dL" (NCT01515345)
Timeframe: 30days

Interventionparticipants (Number)
Standard Therapy17
Individualized Therapy9

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Probable Stent Thrombosis

"Probable stent thrombosis is considered to have occurred in case of~any unexplained death within the first 30 days.~any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis and in the absence of any other obvious cause, irrespective of the time after the index procedure" (NCT01515345)
Timeframe: 30days

Interventionparticipants (Number)
Standard Therapy2
Individualized Therapy0

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Definite Stent Thrombosis

"The angiographic or pathological confirmation of stent thrombosis is called definite stent thrombosis" (NCT01515345)
Timeframe: 30 days

Interventionparticipants (Number)
Standard Therapy1
Individualized Therapy0

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Ticagrelor Plasma Concentrations After the Loading and Maintenance Doses

The standard deviation (SD) is a statistic using the log-transformed data and is not the geometric SD. (NCT01523366)
Timeframe: Predose, 0.5, 2, 8 hours from loading dose; 0, 2, 8 and 12 hours from last dose

,
Interventionng/mL (Geometric Mean)
Baseline (0 hours - pre-dose)0,.5 hours after the loading dose2 hours after the loading dose - Period 2 N=188 hours after the loading dose0 hours after multiple doses2 hours after multiple doses8 hours after multiple dosesEnd of dosing interval on Day 8 - Period 1 N=17
Ticagrelor (Treatment Period 1)1.2206.7665.4376.9248.8609.3340.4283.3
Ticagrelor (Treatment Period 2)1.1118.6758.5479.6220.1466.5305.2200.7

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Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 2 and 8 Hours on Day 7 After Multiple Doses and at End of Dosing Interval on Day 8

The end of dosing interval was approximately 12 hours after the last evening dose of ticagrelor and approximately 24 hours after the last morning dose of clopidogrel. Participants with low (<150) baseline PRU values (indicating an incomplete washout from anti-platelet therapy) were excluded during the period corresponding to the low baseline value (NCT01523366)
Timeframe: At 2 hours and 8 hours on Day 7 after multiple doses, and at the end of dosing interval on Day 8

,
InterventionPRU (Least Squares Mean)
2 hours on day 78 hours on Day 7 -ticagrelor N=36 clopidogrel N=33End of Dosing Interval on Day 8 - N's per 8 hours
Clopidogrel Arm179.0178.9182.1
Ticagrelor Arm28.538.751.5

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Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 0.5 and 8 Hours After Loading Dose

Participants with low (<150) baseline PRU values (indicating an incomplete washout from anti-platelet therapy) were excluded during the period corresponding to the low baseline value (NCT01523366)
Timeframe: At 0.5 and 8 hours after the loading dose

,
InterventionPRU (Least Squares Mean)
0.5 hours8 hours
Clopidogrel Arm269.8202.8
Ticagrelor Arm134.634.0

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AR-C124910XX (an Active Metabolite of Ticagrelor) Plasma Concentrations After the Loading and Maintenance Doses

The SD is a statistic using the log-transformed data and is not the geometric SD. (NCT01523366)
Timeframe: Predose, 0.5, 2, 8 hours from loading dose; 0, 2, 8 and 12 hours from last dose

,
Interventionng/mL (Geometric Mean)
Baseline (0 hours - pre-dose)0,.5 hours after the loading dose2 hours after the loading dose - Period 2 N=188 hours after the loading dose0 hours after multiple doses2 hours after multiple doses8 hours after multiple dosesEnd of dosing interval on Day 8 - Period 1 N=17
Ticagrelor (Treatment Period 1)1.113.6153.2113.8113.3183.4132.8124.8
Ticagrelor (Treatment Period 2)1.09.3170.897.762.797.483.557.7

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Inhibition of the P2Y12 Receptor as Measured by P2Y12 Reactions Units (PRU) From VerifyNow™ (a Platelet Function Test Developed by Accumetrics) at 2 Hours After Loading Dose

Participants with low (<150) baseline PRU values (indicating an incomplete washout from anti-platelet therapy) were excluded during the period corresponding to the low baseline value (NCT01523366)
Timeframe: At 2 hours after the loading dose

InterventionPRU (Least Squares Mean)
Ticagrelor Arm34.2
Clopidogrel Arm201.4

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Inhibition of the P2Y12 Receptor as Measured by Platelet Reaction Unit (PRU) From VerifyNow™ (a Platelet Function Test Developed by Accumetrics) at 2 Hours After Loading Dose

(NCT01523392)
Timeframe: At 2 hours after the loading dose

InterventionPRU (Least Squares Mean)
Ticagrelor27.6
Clopidogrel211.2

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Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 2 Hours and 8 Hours on Day 7 After Multiple Doses and at End of Dosing Interval on Day 8

(NCT01523392)
Timeframe: At 2 hours and 8 hours on Day 7 after multiple doses and at end of dosing interval on Day 8

,
InterventionPRU (Least Squares Mean)
2 hours on Day 7 (N=27 for clopidogrel)8 hours on Day 7End of dosing interval on Day 8
Clopidogrel157.8146.5172.7
Ticagrelor22.928.539.3

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Inhibition of the P2Y12 Receptor as Measured by PRU From VerifyNow™ at 0.5 Hour and 8 Hours After Loading Dose

(NCT01523392)
Timeframe: At 0.5 hour and 8 hours after the loading dose

,
InterventionPRU (Least Squares Mean)
0.5 hours8 hours (N=28 ticagrelor, N=27 clopidogrel)
Clopidogrel270.1192.6
Ticagrelor166.327.2

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AR-C124910XX (an Active Metabolite of Ticagrelor) Plasma Concentrations After the Loading and Maintenance Doses

The standard deviation (SD) is the geometric SD (NCT01523392)
Timeframe: Predose, 0.5 hour, 2 hours, 8 hours from loading dose and 0, 2 hours, 8 hours and 12 hours from last dose

,
Interventionng/mL (Geometric Mean)
Baseline (0 pre-dose hours)0.5 hours after the loading dose2 hours after the loading dose8 hours after the loading dose - Period 1 N=190 hours after multiple doses - Period 1 N=182 hours after multiple doses - Period 1 N=188 hours after multiple doses - Period 1 N=18End of dosing interval on Day 8 - Period 1 N=18
Ticagrelor (Treatment Period 1)1.09.8222.6119.093.2136.789.8140.8
Ticagrelor (Treatment Period 2)1.02.3150.954.874.5172.3112.6110.3

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Ticagrelor Plasma Concentrations After the Loading and Maintenance Doses

The standard deviation (SD) is the geometric SD (NCT01523392)
Timeframe: Predose, 0.5 hour, 2 hours, 8 hours from loading dose; 0, 2 hours, 8 hours and 12 hours from last dose

,
Interventionng/mL (Geometric Mean)
Baseline (0 pre-dose hours)0.5 hours after the loading dose2 hours after the loading dose8 hours after the loading dose - Period 1 N=190 hours after multiple doses - Period 1 N=182 hours after multiple doses - Period 1 N=188 hours after multiple doses - Period 1 N=18End of dosing interval on Day 8 - Period 1 N=18
Ticagrelor (Treatment Period 1)1.0206.61167.3395.9168.4324.6179.2284.9
Ticagrelor (Treatment Period 2)1.233.7756.9141.9187.4608.8311.3295.7

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Pharmacodynamic Measurement

"Inhibition of platelet aggregation (IPA) was analized by the platelet aggregation test.~* Among the time points that platelet aggregation rate was meausred, the result only at 8h post dosing was provided in result section." (NCT01526577)
Timeframe: 1D 0, 2, 8, 24h for single dose study / 1D and 7D 0, 2, 8, 12, 24h for multiple dose study

Interventionpercentage of platelet inhibition (Number)
LC23-130670
Placebo30
Ticagrelor91.9

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P2Y12 Reaction Units

P2Y12 Reaction Units (PRU) measured by VerifyNow P2Y12 assay VerifyNow P2Y12 assay, developed by Accumetrics, Inc. (San Diego, CA, USA), has been approved by the FDA to assess clopidogrel response using whole blood in a point-of-care testing fashion. Platelet aggregation with this system is defined by PRU, with a higher PRU indicative of greater platelet aggregation, and a lower PRU indicative of inhibition. (NCT01587651)
Timeframe: 7 days after first randomized dose

InterventionPRU (P2Y12 Reaction Units) (Least Squares Mean)
Prasugrel Combined Groups95.0
Ticagrelor49.0

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P2Y12 Reaction Units

P2Y12 Reaction Units (PRU) measured by VerifyNow P2Y12 assay measured at 2, 4, 24, 48 hours after first randomized study treatment (NCT01587651)
Timeframe: 2, 4, 24, 48 hours after first randomized dose

,,,
InterventionPRU (Least Squares Mean)
2 hours4 hours24 hours48 hours
Prasugrel Combined Groups33.741.1126.8159.3
Prasugrel Loading Dose22.124.181.6118.3
Prasugrel Maintenance Dose44.857.0167.8199.0
Ticagrelor28.929.347.638.6

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Percentage of Subjects With High On-treatment Platelet Reactivity

"Percentage of subjects with High on-treatment Platelet Reactivity (HPR) defined as a) >= 208 PRU and b) >= 230 PRU by the VerifyNow P2Y12 assay and c) >50% PRI by the VASP assay, 2, 4, 24, and 48 hours and 7 days after first randomized study treatment.~A poor response of the platelets to drug, called High Residual Platelet Reactivity (HRPR), has been incriminated to account for a recurrence of ischemic events" (NCT01587651)
Timeframe: 2, 4, 24, 48 hours, 7 days after first randomized dose

,,,
Interventionpercentage of subjects (Number)
>= 208 PRU 2 hours post dose>= 208 PRU 4 hours post dose>= 208 PRU 24 hours post dose>= 208 PRU 48 hours post dose>= 208 PRU 7 days post dose>= 230 PRU by VerifyNow P2Y12 2 hours post dose>= 230 PRU by VerifyNow P2Y12 4 hours post dose>= 230 PRU by VerifyNow P2Y12 24 hours post dose>= 230 PRU by VerifyNow P2Y12 48 hours post dose>= 230 PRU by VerifyNow P2Y12 7 days post dose>50% PRI by VASP assay 2 hours post dose>50% PRI by VASP assay 4 hours post dose>50% PRI by VASP assay 24 hours post dose>50% PRI by VASP assay 48 hours post dose>50% PRI by VASP assay 7 days post dose
Prasugrel Combined Groups0017.530.21.50014.322.21.53.51.821.34515.5
Prasugrel Loading Dose003.316.13.2003.36.53.23.603.413.823.1
Prasugrel Maintenance Dose0037.543.800024.237.503.43.437.574.29.4
Ticagrelor00003000033.33.312.96.33.4

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Platelet Reactivity Index

"Platelet Reactivity Index (PRI) by the Vasodilator-Stimulated Phosphoprotein(VASP) assay 2, 4, 24, 48 hours and 7 days after first randomized study treatment.~The VASP assay is an indirect, but relatively specific measure of inhibition of P2Y12-induced platelet activation. The assay quantifies the level of phosphorylation of the intracellular protein VASP, which undergoes phosphorylation when platelet P2Y12 receptors are blocked. The level of VASP phosphorylation, expressed as the PRI, represents the percentage inhibition relative to an assay baseline/maximal P2Y12-independent platelet aggregation." (NCT01587651)
Timeframe: 2, 4, 24, 48 hours, 7 days after first randomized dose

,,,
Interventionpercentage PRI (Least Squares Mean)
2 hours post-dose4 hours post-dose24 hours post-dose48 hours post-dose7 days post-dose
Prasugrel Combined Groups18.216.334.348.133.5
Prasugrel Loading Dose15.811.424.238.038.8
Prasugrel Maintenance Dose20.420.943.757.729.1
Ticagrelor13.214.319.118.719.8

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PRU Percent Inhibition (Calculated)

"Analysis of Mean Calculated Percent Inhibition by time point~Calculated percent inhibition at time point t is defined as: 100 × (baseline PRU - PRUt)/baseline PRU where baseline PRU is the VerifyNow PRU value at pre-run-in baseline and PRUt is the VerifyNow PRU value at time t." (NCT01587651)
Timeframe: 2, 4, 24, 48 hours, 7 days after first randomized dose

,,,
InterventionPercent Inhibition (Least Squares Mean)
2 hours post-dose4 hours post dose24 hours post dose48 hours post dose7 days psot dose
Prasugrel Combined Groups88.2285.0653.6341.5964.97
Prasugrel Loading Dose92.5591.3671.4057.9864.97
Prasugrel Maintenance Dose84.1579.3538.0126.2064.97
Ticagrelor89.7389.2681.8685.0680.69

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PRU Percent Inhibition (Device-reported)

"PRU VerifyNow P2Y12 assay device-reported percent inhibition 2, 4, 24, and 48 hours, and 7 days after first randomized study treatment~VerifyNow P2Y12 assay, developed by Accumetrics, Inc. (San Diego, CA, USA), has been approved by the FDA to assess clopidogrel response using whole blood in a point-of-care testing fashion. The percent inhibition reported by VerifyNow device represents the percentage inhibition relative to maximal P2Y12-independent platelet aggregation achieved with the same sample in the presence of the iso-thrombin receptor activating peptide." (NCT01587651)
Timeframe: 2, 4, 24, 48 hours, 7 days after first randomized dose

,,,
Interventionpercent inhibition (Least Squares Mean)
2 hours post-dose4 hours post-dose24 hours post-dose48 hours post-dose7 days post-dose
Prasugrel Combined Groups87.884.954.142.365.5
Prasugrel Loading Dose91.490.269.658.365.6
Prasugrel Maintenance Dose84.379.840.026.865.4
Ticagrelor89.289.681.985.881.0

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All Death or Myocardial Infarction Rate

See description of individual events. (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element3.2

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All Death Rate

All death includes cardiac death and non-cardiac death. (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element2.3

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ARC ST Rate in PLATINUM-like Population.

Using the Academic Research Consortium (ARC) definition, the (definite/probable) stent thrombosis (ST) rate in the PLATINUM-like* population will be analyzed. Statistical testing will be used to determine if the annual increase after the first year in ST rates observed in PLATINUM-like patients meets the performance goal of 1.0% (expected rate of 0.4% + a delta of 0.6%). (NCT01589978)
Timeframe: Annually through 5 years

Interventionpercentage of participants (Number)
PROMUS Element Overall Population0.0023

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Cardiac Death or Myocardial Infarction (MI) Rate

See individual descriptions of events. (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element2.3

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Cardiac Death or Myocardial Infarction Rate in PLATINUM-like Patients

Cardiac death or myocardial infarction rate at 12 months post implantation in PLATINUM-like patients (no acute myocardial infarction, graft stenting, chronic total occlusion, in-stent restenosis, failed brachytherapy, bifurcation, ostial lesion, severe tortuosity, moderate/severe calcification, 3-vessel stenting, cardiogenic shock, left main disease, or acute/chronic renal dysfunction; lesion length ≤28 mm with reference vessel diameter ≥2.25 mm and <2.5 mm, or lesion length ≤24 mm with diameter ≥2.5 mm and ≤4.25 mm); statistical testing will assess if rate meets the performance goal (3.2%) (NCT01589978)
Timeframe: 12 months

Interventionpercentage of patients (Number)
PROMUS Element1.78

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Cardiac Death Rate

Cardiac death is defined as death due to any of the following: acute myocardial infarction; cardiac perforation/pericardial tamponade; arrhythmia or conduction abnormality; cerebrovascular accident through hospital discharge or cerebrovascular accident suspected of being related to the procedure; death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery; any death in which a cardiac cause cannot be excluded (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element1.4

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Definite + Probable Stent Thrombosis (ST) Rate Based on Academic Research Consortium (ARC) Definition in All Patients

DEFINITE ST: acute coronary syndrome and angiographic or pathologic evidence of stent thrombosis; PROBABLE ST: unexplained death within 30 days or target-vessel infarction without angiographic information ARC ST is reported as a cumulative value at different time points and within the different separate time points. Time 0 is the time point after the guide catheter has been removed. Acute ST: 0-24 hours after stent implantation; Subacute ST: >24 hours to 30 days post; late ST: >30 days to 1 year post; Very late ST: >1 year post; NOTE: Acute/subacute can be replaced by early ST (0-30 days) (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element0.7

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Major Adverse Cardiac Event Rate (MACE)

Composite of cardiac death, myocardial infarction, and target vessel revascularization (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element6.9

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Myocardial Infarction (MI) Rate

New Q-waves in ≥2 leads lasting ≥0.04 sec with creatine kinase myoglobin band(CK-MB) or troponin >upper limit of normal(ULN); if no new Q-waves total CK levels >3×ULN (peri-percutaneous coronary intervention [PCI]) or >2×ULN (spontaneous) with elevated CK-MB or troponin >3×ULN (peri-PCI) or >2×ULN (spontaneous) plus ≥one of the following: ECG changes indicating new ischemia (new ST-T changes, left bundle branch block), imaging evidence of new loss of viable myocardium, new regional wall motion abnormality. Similar for MI diagnosis post coronary artery bypass graft with CK-MB or troponin >5×ULN (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element1.1

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Non-cardiac Death Rate

"Non-cardiac death is defined as death not due to cardiac causes.~Cardiac death is death due to any of the following: acute myocardial infarction; cardiac perforation/pericardial tamponade; arrhythmia or conduction abnormality; cerebrovascular accident through hospital discharge or cerebrovascular accident suspected of being related to the procedure; death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery; any death in which a cardiac cause cannot be excluded." (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element0.9

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Rate of Longitudinal Stent Deformation

Compression/elongation of a stent along its long axis resulting from interaction with an ancillary device (e.g., guide catheter) which catches the stent end or an internal stent strut; can occur with advancement or withdrawal of ancillary device. Under fluoroscopy, longitudinal compression usually results in increased strut density and elongation in decreased strut density ('pseudo-fracture'); both can occur in the same stent. (NCT01589978)
Timeframe: Index Procedure

Interventionstents (Number)
PROMUS Element2

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Target Vessel Failure (TVF) Rate

"Target vessel failure (TVF) is defined as any revascularization of the target vessel, myocardial infarction (MI) related to the target vessel, or death related to the target vessel.~For the purposes of this protocol, if it cannot be determined with certainty whether MI or death was related to the target vessel it will be considered TVF." (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element6.7

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Target Vessel Failure (TVF) Rate in PLATINUM-like Medically Treated Diabetic Patients

Any revascularization of the target vessel, myocardial infarction related to the target vessel, or death related to the target vessel. See individual components for descriptions. Statistical testing will determine if the rate meets the performance goal (12.6%) (NCT01589978)
Timeframe: 12 Months

Interventionpercentage of patients (Number)
PROMUS Element3.26

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Target Vessel Revascularization (TVR) Rate

Target vessel revascularization is defined as any attempted or successfully completed percutaneous or surgical revascularization of a target vessel. (NCT01589978)
Timeframe: ≤24 hours, 30 days, 180 days, annually through 5 years

Interventionpercentage of patients (Number)
PROMUS Element5.6

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Definite + Probable Stent Thrombosis (ST) Rate Based on Academic Research Consortium (ARC) Definition in PLATINUM-like Patients

ARC definite/probable ST rate in PLATINUM-like patients (no acute myocardial infarction, graft stenting, chronic total occlusion, in-stent restenosis, failed brachytherapy, bifurcation, ostial lesion, severe tortuosity, moderate/severe calcification, 3-vessel stenting, cardiogenic shock, left main disease, or acute/chronic renal dysfunction; lesion length ≤28 mm with reference vessel diameter ≥2.25 mm and <2.5 mm, or lesion length ≤24 mm with diameter ≥2.5 mm and ≤4.25 mm); statistical testing will assess if the annual ST rate increase after the first year meets the performance goal (1.0%) (NCT01589978)
Timeframe: 12 months

Interventionpercentage of patients (Number)
PROMUS Element0.3

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Total Dabigatran: Maximum Measured Concentration (Cmax)

Maximum measured concentration of total dabigatran in plasma, per period. (NCT01595854)
Timeframe: -1/-0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 hours

Interventionng/mL (Geometric Mean)
Dabi 75 mg31.47
Dabi + Ticagrelor LD61.30
Dabi + Ticagrelor MD49.11

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Total Dabigatran (Dabi): Area Under the Curve 0 to Infinity (AUC0-∞)

Area under the concentration-time curve of the analyte in plasma, over the time interval from 0 extrapolated to infinity, of dabigatran. (NCT01595854)
Timeframe: -1/-0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 hours

Interventionng*h/mL (Geometric Mean)
Dabi 75 mg281.05
Dabi + Ticagrelor LD485.48
Dabi + Ticagrelor MD410.46

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Inhibition of the P2Y12 Receptor at 0.5 Hours, End of PCI, and 8 Hours After Loading Doses of Ticagrelor and Clopidogrel as Measured by PRU From VerifyNow™

Participants with low (<150) baseline PRU values were excluded. (NCT01603082)
Timeframe: 0.5 hours, end of PCI, and 8 hours after the loading dose

,
InterventionPRU (Mean)
0.5 hours8 hoursEnd of PCI (n=41 for ticagrelor)
Clopidogrel297.7202.3307.8
Ticagrelor277.343.8264.2

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Inhibition of the P2Y12 Receptor at 2 Hours After Loading Doses of Ticagrelor and Clopidogrel as Measured by P2Y12 Reaction Units (PRU) From VerifyNow™

Participants with low (<150) baseline PRU values were excluded. (NCT01603082)
Timeframe: 2 hours after the loading dose

InterventionPRU (Mean)
Ticagrelor98.4
Clopidogrel257.5

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Platelet-thrombus Formation in an ex Vivo Model of Thrombosis

Change in thrombus size at 24 hours as compared to Pre-treatment baseline, where a positive change represents a decrease in thrombus size. (NCT01642238)
Timeframe: Pre-treatment baseline and 24 hrs post treatment

Interventionpercent change (Mean)
Ticagrelor + ASA + Bivalirudin34.1
Clopidogrel + ASA + Bivalirudin18.5

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Platelet Reactivity

Platelet reactivity measured by VerifyNowP2Y12 assay measuring percent inhibition (NCT01642238)
Timeframe: Pre-treatment baseline

Interventionpercent inhibition (Number)
Ticagrelor + ASA + Bivalirudin2.9
Clopidogrel + ASA + Bivalirudin3.7

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Blood Thrombogenicity

Coagulation times, assessed using the ROTEM thromboelastometry (NCT01642238)
Timeframe: 24-hours post-treatment

Interventionseconds (Mean)
Ticagrelor + ASA + Bivalirudin56.1
Clopidogrel + ASA + Bivalirudin54.3

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Platelet Reactivity

Platelet reactivity measured by VerifyNowP2Y12 assay measuring percent inhibition (NCT01642238)
Timeframe: 24-hours post-treatment

Interventionpercent inhibition (Mean)
Ticagrelor + ASA + Bivalirudin67.4
Clopidogrel + ASA + Bivalirudin53.4

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Platelet-thrombus Formation in an ex Vivo Model of Thrombosis

Change in thrombus size at 1 hour as compared to Pre-treatment baseline, where a positive change represents a decrease in thrombus size. (NCT01642238)
Timeframe: Pre-treatment baseline and 1 hour

Interventionpercent change (Mean)
Ticagrelor + ASA + Bivalirudin56.3
Clopidogrel + ASA + Bivalirudin35.2

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Platelet Reactivity

Platelet reactivity measured by VerifyNowP2Y12 assay measuring percent inhibition (NCT01642238)
Timeframe: 1 hr post-treatment

Interventionpercent inhibition (Mean)
Ticagrelor + ASA + Bivalirudin69.4
Clopidogrel + ASA + Bivalirudin20.1

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Blood Thrombogenicity

Coagulation times, assessed using the ROTEM thromboelastometry (NCT01642238)
Timeframe: Pre-treatment baseline

Interventionseconds (Mean)
Ticagrelor + ASA + Bivalirudin53.1
Clopidogrel + ASA + Bivalirudin51.1

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Blood Thrombogenicity

Coagulation times, assessed using the ROTEM thromboelastometry (NCT01642238)
Timeframe: 1 hr post-treatment

Interventionseconds (Mean)
Ticagrelor + ASA + Bivalirudin163.1
Clopidogrel + ASA + Bivalirudin174.0

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Platelet Reactivity Index (PRI) by Vasodilator-stimulated Phosphoprotein (VASP)

The primary end-point of the study is the comparison in the platelet reactivity index (PRI%) determined by vasodilator-stimulated phosphoprotein (VASP) between baseline and 4-hour after dosing in each arm of treatment (NCT01731041)
Timeframe: 4 hours

InterventionPRI% (Least Squares Mean)
Ticagrelor 180mg17.87
Ticagrelor 90mg23.4

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P2Y12 Reaction Units (PRU) Determined by VerifyNow P2Y12

Secondary analysis included the differences of platelet reactivity expressed as P2Y12 reaction units (PRU) in each group using the VerifyNow P2Y12 system. (NCT01731041)
Timeframe: 4 hours

InterventionPRU (Least Squares Mean)
Ticagrelor 180mg16.8
Ticagrelor 90mg31.4

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MI

Participants with MI. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd349
Clopidogrel 75 mg od334

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Any Revascularisation (Coronary, Peripheral [Limb, Mesenteric, Renal, Carotid and Other])

Participants with any revascularization. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd1211
Clopidogrel 75 mg od1250

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Composite of Cardiovascular (CV) Death/MI/Ischemic Stroke

Participants with CV death, myocardial infarction (MI) or ischemic stroke. If no event, censoring occurs at the minimum of (primary analysis censoring date (PACD), last endpoint assessment date, non-CV death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipants (Number)
Ticagrelor 90 mg bd751
Clopidogrel 75 mg od740

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Composite of CV Death, MI, and All-cause Stroke (Ischemic or Hemorrhagic)

Participants with CV death, MI or all-cause stroke. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, non-CV death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd766
Clopidogrel 75 mg od759

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Composite of CV Death, MI, Ischemic Stroke, and ALI

Participants with CV death, MI, ischemic stroke or acute limb ischemia (ALI). If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, non-CV death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd839
Clopidogrel 75 mg od833

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CV Death

Participants with CV death. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, non-CV death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd363
Clopidogrel 75 mg od343

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All-cause Mortality

Participants with all-cause death. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd628
Clopidogrel 75 mg od635

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Major Amputation Caused by PAD

Participants with major amputation caused by PAD. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd100
Clopidogrel 75 mg od116

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Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/ALI/Major Amputation/Fatal Bleeding/Intracranial Bleeding)

Participants with all-cause death, MI, ischemic stroke, ALI, major amputation, fatal bleeding or intracranial bleeding. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd1119
Clopidogrel 75 mg od1140

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Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/ALI/Major Amputation/TIMI Major Bleeding)

Participants with all-cause death, MI, ischemic stroke, ALI, major amputation or Thrombolysis in Myocardial Infarction (TIMI) major bleeding. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd1183
Clopidogrel 75 mg od1199

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Net Clinical Benefit (Composite of All-cause Mortality/MI/Ischemic Stroke/Fatal Bleeding/Intracranial Bleeding)

Participants with all-cause death, MI, ischemic stroke, fatal bleeding or intracranial bleeding. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd983
Clopidogrel 75 mg od992

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Net Clinical Benefit (Composite of CV Death/MI/Ischemic Stroke/Fatal Bleeding/Intracranial Bleeding)

Participants with CV death, MI, ischemic stroke, fatal bleeding or intracranial bleeding. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, non-CV death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd789
Clopidogrel 75 mg od786

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Non-CV Death

Participants with non-CV death. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, CV death) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd250
Clopidogrel 75 mg od272

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PLATO Major Bleeding Events

Participants with PLATO major bleeding event. If no event, censoring occurs at the minimum of (last endpoint assessment date, death date, 7 days after last dose of study drug) (NCT01732822)
Timeframe: From the date of first dose and up to and including 7 days following the date of last dose of study drug

InterventionParticipant (Number)
Ticagrelor 90 mg bd206
Clopidogrel 75 mg od188

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TIMI Major Bleeding Events

Participants with TIMI major bleeding event. If no event, censoring occurs at the minimum of (last endpoint assessment date, death date, 7 days after last dose of study drug) (NCT01732822)
Timeframe: From the date of first dose and up to and including 7 days following the date of last dose of study drug

InterventionParticipant (Number)
Ticagrelor 90 mg bd113
Clopidogrel 75 mg od109

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Changes in Rutherford Classification

"Progression of the clinical/symptomatic status of the limb by changes in Rutherford classification.~Category 0 - Asymptomatic Category 1 - Mild claudication Category 2 - Moderate claudication - The distance that delineates mild, moderate and severe claudication is not specified in the Rutherford classification, but is mentioned in the Fontaine classification as 200 meters.~Category 3 - Severe claudication Category 4 - Rest pain Category 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Category 6 - Severe ischemic ulcers or frank gangrene" (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

,,,,,,,,,,,
InterventionParticipant (Number)
Category 0 - End of treatmentCategory 1/2 - End of treatmentCategory 3 - End of treatmentCategory 4 - End of treatmentCategory 5 - End of treatmentCategory 6 - End of treatmentMissing - End of treatment
Clopidogrel - Cat 074323056922250
Clopidogrel - Cat 1/272319563111561724
Clopidogrel - Cat 31985574502364370
Clopidogrel - Cat 4333338234160
Clopidogrel - Cat 51318121112034
Clopidogrel - Cat 663311011
Ticagrelor - Cat 077522745752248
Ticagrelor - Cat 31715604691232403
Ticagrelor - Cat 4154139311059
Ticagrelor - Cat 5232313411033
Ticagrelor - Cat 635630214
Ticagrelor - Stage II68319482692443743

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TIMI Major or Minor Bleeding Events

Participants with TIMI major or minor bleeding event. If no event, censoring occurs at the minimum of (last endpoint assessment date, death date, 7 days after last dose of study drug) (NCT01732822)
Timeframe: From the date of first dose and up to and including 7 days following the date of last dose of study drug

InterventionParticipant (Number)
Ticagrelor 90 mg bd193
Clopidogrel 75 mg od175

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Change in ABI/TBI From Baseline

"Change in ankle brachial index (ABI) / toe brachial index (TBI).~Ankle brachial index (ABI) is the ratio of blood pressures from the ankle and arm and is used for diagnosing peripheral arterial occlusive disease (PAOD):~Normal: 1 to 1.29 Borderline: 0.91 to 0.99 Mild PAOD: 0.71 to 0.90 Medium severe PAOD: 0.41 to 0.7 Severe PAOD: <0.4~Toe brachial index (TBI) is the ratio between the toe pressure and the higher brachial pressure, used for diagnosing PAOD when the ABI cannot be used:~Normal: >0.7 Mild: 0.5-0.7 Moderate: 0.35-0.5 Moderate-Severe: <0.35 and toe pressure 40 mmHg Severe: <0.35 and toe pressure < 30 mmHg" (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

,
InterventionChange in ABI/TBI (Mean)
ABI - 6 months N = 6184(Tica), 6319(Clopi)ABI - End of treatment N = 4951(Tica), 5073(Clopi)TBI - 6 months N = 55(Tica), 48(Clopi)TBI - End of treatment N = 36(Tica), 21(Clopi)
Clopidogrel 75 mg od0.0110.0160.036-0.065
Ticagrelor 90 mg bd0.0160.0220.0500.059

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Lower Extremity Revascularization

Participants with lower extremity revascularization (LER). If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd846
Clopidogrel 75 mg od892

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Changes in Fontaine Stage

"Progression of the clinical/symptomatic status of the limb by changes in Fontaine stage.~Stage I - Asymptomatic Stage IIa - Intermittent claudication after more than 200 meters of pain free walking Stage IIb - Intermittent claudication after less than 200 meters of walking Stage III - Rest pain Stage IV - Ischemic ulcers or gangrene" (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

,,,,,,,,,
InterventionParticipant (Number)
Stage I - End of treatmentStage IIa - End of treatmentStage IIb - End of treatmentStage III - End of treatmentStage IV - End of treatmentMissing - End of treatment
Clopidogrel - Stage I7432305694250
Clopidogrel - Stage IIa7231956311157724
Clopidogrel - Stage IIb1985574502310370
Clopidogrel - Stage III33333823560
Clopidogrel - Stage IV192115121345
Ticagrelor - Stage I7752274577248
Ticagrelor - Stage IIa6831948269247743
Ticagrelor - Stage IIb171560469125403
Ticagrelor - Stage III15413931159
Ticagrelor - Stage IV26281971347

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ALI

Participants with ALI. If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd117
Clopidogrel 75 mg od115

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Any Amputation Caused by PAD

Participants with any amputation caused by peripheral arterial disease (PAD). If no event, censoring occurs at the minimum of (PACD, last endpoint assessment date, death date) (NCT01732822)
Timeframe: From randomization to PACD, an average of 2.5 years

InterventionParticipant (Number)
Ticagrelor 90 mg bd179
Clopidogrel 75 mg od208

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Premature Permanent Discontinuation of Study Drug Due to Any Bleeding Event

Participants with a permanent discontinuation of study drug due to any bleeding event. If no event, censoring occurs at the minimum of (last endpoint assessment date, death date, 7 days after last dose of study drug) (NCT01732822)
Timeframe: From the date of first dose and up to and including 7 days following the date of last dose of study drug

InterventionParticipant (Number)
Ticagrelor 90 mg bd168
Clopidogrel 75 mg od112

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Total Dabigatran: Maximum Measured Concentration at Steady State (Cmax,ss)

Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss). (NCT01734772)
Timeframe: 47.55, 48.30,49, 49.30,50,50.30,51,52,54,56, 60 hours

Interventionng/mL (Geometric Mean)
Dabigratan Etexilate 110mg Bid Alone - Part 183.6
Dabigatran Etexilate 110mg Bid + Ticagrelor 180 mg - Part 1136
Dabigatran Etexilate 110mg Bid + Ticagrelor 90mg Bid - Part 1106
Dabigratan Etexilate 110mg Bid Alone - Part 297.6
Dabigatran Etexilate 110mg Bid + Ticagrelor 180 mg - Part 2121

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Total Dabigatran: Area Under the Concentration-time Curve at Steady State Over the Uniform Dosing Interval τ (AUCτ,ss)

Area under the concentration-time curve of dabigatran etexilate in plasma at steady state over the uniform dosing interval τ (AUCτ,ss). (NCT01734772)
Timeframe: 47.55, 48.30,49, 49.30,50,50.30,51,52,54,56, 60 hours

Interventionng*h/mL (Geometric Mean)
Dabigratan Etexilate 110mg Bid Alone - Part 1551
Dabigatran Etexilate 110mg Bid + Ticagrelor 180 mg - Part 1817
Dabigatran Etexilate 110mg Bid + Ticagrelor 90mg Bid - Part 1689
Dabigratan Etexilate 110mg Bid Alone - Part 2660
Dabigatran Etexilate 110mg Bid + Ticagrelor 180 mg - Part 2844

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Thrombolysis in Myocardial Infarction Major or Minor Bleeding

Number of subjects that experienced thrombolysis in myocardial infarction major or minor bleeding (NCT01742117)
Timeframe: Approximately 3 years after percutaneous coronary intervention (PCI)

InterventionParticipants (Count of Participants)
Genotype-Guided Therapy54
Conventional Therapy53

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Thrombolysis in Myocardial Infarction Major or Minor Bleeding in Subjects Identified as CPY2C19 LOF Carriers by TaqMan.

Number of subjects that experienced thrombolysis in myocardial infarction major or minor bleeding in subjects identified as CYP2C19 LOF carriers by TaqMan (NCT01742117)
Timeframe: 1 year after percutaneous coronary intervention (PCI)

InterventionParticipants (Count of Participants)
Genotype-Guided Therapy16
Conventional Therapy14

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Occurrence of the a Major Adverse Cardiovascular Event

Number of subjects to experience a major adverse cardiovascular event as defined as cardiovascular death, myocardial infarction, stroke, severe recurrent ischemia, and stent thrombosis. (NCT01742117)
Timeframe: Approximately 3 years after percutaneous coronary intervention (PCI)

InterventionParticipants (Count of Participants)
Genotype-Guided Therapy262
Conventional Therapy269

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Occurrence of the a Major Adverse Cardiovascular Event in Subjects Identified as CPY2C19 LOF Carriers by TaqMan.

Number of subjects who experienced major adverse cardiovascular event as defined as cardiovascular death, myocardial infarction, stroke, severe recurrent ischemia, and stent thrombosis in subjects identified as CPY2C19 LOF carriers by TaqMan. (NCT01742117)
Timeframe: 1 year after percutaneous coronary intervention (PCI)

InterventionParticipants (Count of Participants)
Genotype-Guided Therapy35
Conventional Therapy54

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Extent of Aggregation Response During Ticagrelor Treatment

"Blood samples were taken for platelet function studies to conduct pharmacodynamic assessments including LTA.~A reference point was chosen for comparison and designated the first draw during the cangrelor infusion (0.5 hours or 1.25 hours) as the reference for the effect of cangrelor and designated the final draw on study Day 1 (5.25 hours, or 3.25 hours after cangrelor had been discontinued) as the reference for the effect of ticagrelor.~Residual platelet reactivity (PR) (the extent of aggregation in the presence or absence of the study drugs) was examined for each of the endpoints using light transmittance aggregometry. Residual platelet reactivity was measured in response to 20 µmol ADP at 300 seconds (final/terminal aggregation response)." (NCT01766466)
Timeframe: Day 1 at 2.25, 2.5, 2.75, 3 and 4 hrs following initiation of cangrelor infusion

,,
Interventionpercentage of platelet reactivity (PR) (Mean)
Reference 5.25 hours - PR2.25 hours - PR2.5 hours - PR2.75 hours - PR3 hours - PR4 hours - PR
All Patients41219107.14.6
Cangrelor + Ticagrelor 180mg at 0.5 h of Cangrelor Infusion5.8131612106.7
Cangrelor + Ticagrelor 180mg at 1.25 h of Cangrelor Infusion2.211217.84.52.5

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Extent of Preservation of Inhibitory Effect Compared With Effect Observed During Cangrelor Treatment After Ticagrelor

"A reference point was chosen for comparison and designated the first draw during the cangrelor infusion (0.5 hours or 1.25 hours) as the reference for the effect of cangrelor.~Residual platelet reactivity (the extent of aggregation in the presence or absence of the study drugs) was examined for each of the endpoints using light transmittance aggregometry (LTA). Residual platelet reactivity (PR) was measured in response to 20 µmol ADP at 300 seconds (final/terminal aggregation response)." (NCT01766466)
Timeframe: Day 5 at 1.0 and 2.0 hours after the initiation of cangrelor infusion

,,
Interventionpercentage of platelet reactivity (PR) (Mean)
1.0 hours - PR2.0 hours - PR
All Patients1.51.3
Ticagrelor Discontinued 12 h Prior to Cangrelor Infusion1.51.5
Ticagrelor Discontinued 24 h Prior to Cangrelor Infusion1.51.2

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Extent of Preservation of Inhibitory Effect Compared With Effect Observed With Cangrelor Alone (at Timepoint 1, Either at 0.5 Hours or 1.25 Hours) or Ticagrelor Alone (Measured 5.25 Hours After Initiation of Cangrelor on Day 1)

A reference point was chosen for comparison and designated the first draw during the cangrelor infusion (0.5 hours or 1.25 hours) as the reference for the effect of cangrelor and designated the final draw on study Day 1 (5.25 hours, or 3.25 hours after cangrelor had been discontinued) as the reference for the effect of ticagrelor. Residual platelet reactivity (the extent of aggregation in the presence or absence of the study drugs) was examined for each of the endpoints using light transmittance aggregometry. Residual platelet reactivity (PR) was measured in response to 20 µmol adenosine diphosphate (ADP) at 300 seconds (final/terminal aggregation response). (NCT01766466)
Timeframe: Day 1 measures taken at 2 timepoints after cangrelor infusion start: 0.5 or 1.5 hrs (Timepoint 1) and 5.25 hrs (TImepoint 2)

,,
Interventionpercentage of platelet reactivity (PR) (Mean)
Reference 0.5/1.25 hours - PR1.75 hours - PR2.0 hours - PR
All Patients1.72.22.3
Cangrelor + Ticagrelor 180mg at 0.5 h of Cangrelor Infusion22.33.5
Cangrelor + Ticagrelor 180mg at 1.25 h of Cangrelor Infusion1.321.2

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Number of Participants With a Stroke

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy80
Reference Treatment Strategy82

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Number of Participants With New Q-wave Myocardial Infarction

(NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy83
Reference Treatment Strategy103

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Number of Participants With Myocardial Infarction

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy248
Reference Treatment Strategy250

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Number of Participants With All-cause Mortality

(NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy224
Reference Treatment Strategy253

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Number of Participants With a Myocardial Revascularisation

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy739
Reference Treatment Strategy793

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Number of Participants With a Definite Stent Thrombosis

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy64
Reference Treatment Strategy64

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Number of Participants With a Composite of All-cause Mortality, Stroke, or New Q-wave Myocardial Infarction

shown are the first event per event type for each patient only. Multiple events of the same type within the same patient are disregarded (NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy362
Reference Treatment Strategy416

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Number of Participants With a Composite of All-cause Mortality or Non-fatal New Q-wave Myocardial Infarction (MI)

Number of Participants with a composite of all-cause mortality or non-fatal new Q-wave MI up to 2 years post randomisation. (NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy304
Reference Treatment Strategy349

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Number of Participants With a Bleeding Academic Research Consortium (BARC) 3 or 5 Bleeding

"BARC definition. We only considered BARC 3 or 5 for this secondary safety endpoint.~Type 3: Clinical, laboratory, and/or imaging evidence of bleeding with:~Type 3a:~Overt bleeding + Hb drop of 3 to < 5 g/dL (provided Hb drop is related to bleed)~Any transfusion with overt bleeding~Type 3b:~Overt bleeding + Hb drop ≥5 g/dL (provided Hb drop is related to bleed)~Cardiac tamponade~Bleeding requiring surgical intervention (excluding dental/nasal/skin/haemorrhoid)~Bleeding requiring intravenous vasoactive agents~Type 3c:~Intracranial haemorrhage (does not include microbleeds or haemorrhagic transformation, does include intraspinal)~Subcategories confirmed by autopsy or imaging or lumbar puncture~Intraocular bleed compromising vision. Type 5: Fatal bleeding~Type 5a:~• Probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious~Type 5b:~Definite fatal bleeding; overt bleeding or autopsy or imaging confirmation" (NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy163
Reference Treatment Strategy169

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Platelet Reactivity Index (PRI)

Platelet reactivity index by Vasodilator-Stimulated Phosphoprotein phosphorylation (VASP) assay. (NCT01823510)
Timeframe: up to 7 days

,
Interventionpercentage of baseline PRI (Mean)
2 hour post-loading dose6 hour post-loading dose5-7 days of maintenance dosing
Clopidogrel + Aspirin85.882.568.4
Ticagrelor + Aspirin21.817.817.2

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Platelet Reactivity

Platelet reactivity by Multiplate Analyzer (NCT01823510)
Timeframe: up to 7 days

,
Interventionpercentage of baseline Unit (Mean)
2 hour post-loading dose6 hour post-loading dose5-7 days of maintenance dosing
Clopidogrel + Aspirin54.543.645.5
Ticagrelor + Aspirin20.520.624.2

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P2Y12 Reaction Unit (PRU)

Platelet reactivity by measuring P2Y12 Reaction Unit using Accumetrics VerifyNow (NCT01823510)
Timeframe: up to 7 days

,
Interventionpercentage of baseline PRU (Mean)
2 hour post-loading dose6 hour post-loading dose5-7 days of maintenance dosing
Clopidogrel + Aspirin77.866.862.7
Ticagrelor + Aspirin14.88.214.5

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Thrombus Formation

Thrombus formation in Badimon Perfusion Chamber high-shear) (ex vivo model of thrombosis). (NCT01823510)
Timeframe: up to 7 days

,
Interventionpercentage of baseline size (Mean)
2 hour post loading dose6 hours post loading dose5-7 days of maintenance dose
Clopidogrel + Aspirin84.479.882.6
Ticagrelor + Aspirin66.959.968.9

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Percentage of Participants With Stroke

The percentage of participants with the first occurrence of Stroke were evaluated. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 694, 704, 695)End of DAPT-1 Month (n= 0, 108, 112)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 348, 340)
Rivaroxaban 15 mg1.2NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)1.41.92.40.6
Vitamin K Antagonist (VKA)12.701.2

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Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Minor Bleeding

TIMI minor bleeding event is defined as any clinically overt sign of hemorrhage (including imaging) that is associated with a fall in hemoglobin concentration of 3 to <5 g/dL (or, when hemoglobin concentration is not available, a fall in hematocrit of 9 percent to <15 percent). (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 696, 706, 697)End of DAPT-1 Month (n= 0, 108, 113)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 350, 341)
Rivaroxaban 15 mg1.0NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)1.00.90.41.4
Vitamin K Antagonist (VKA)1.91.82.51.5

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Percentage of Participants With Bleeding Requiring Medical Attention (BRMA)

A BRMA event is defined as any bleeding event that requires medical treatment, surgical treatment, or laboratory evaluation, and does not meet criteria for a major or minor bleeding event. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 696, 706, 697)End of DAPT-1 Month (n= 0, 108, 113)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 350, 341)
Rivaroxaban 15 mg13.4NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)14.416.712.914.9
Vitamin K Antagonist (VKA)19.918.62318.2

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Percentage of Participants With Cardiovascular Death

The percentage of participants with the first occurrence of cardiovascular death were evaluated. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 694, 704, 695)End of DAPT-1 Month (n= 0, 108, 112)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 348, 340)
Rivaroxaban 15 mg2.2NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)21.92.41.7
Vitamin K Antagonist (VKA)1.61.81.61.5

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Percentage of Participants With Composite of Adverse Cardiovascular Events (Cardiovascular Death, Myocardial Infarction (MI) and Stroke)

Percentage of participants who experienced adverse cardiovascular events (cardiovascular death, myocardial Infarction (MI) and stroke) collectively, were assessed. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 694, 704, 695)End of DAPT-1 Month (n= 0, 108, 112)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 348, 340)
Rivaroxaban 15 mg5.9NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)5.15.66.54
Vitamin K Antagonist (VKA)5.24.53.76.5

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Percentage of Participants With Clinically Significant Bleeding

Clinically significant bleeding is a composite of Thrombolysis in Myocardial Infarction (TIMI) major bleeding, minor bleeding, and bleeding requiring medical attention (BRMA). TIMI major bleeding is defined as any symptomatic intracranial hemorrhage, clinically overt signs of hemorrhage (including imaging) associated with a drop in hemoglobin of greater than or equal to (>=) 5 grams per deciliter (g/dL) (or when the hemoglobin concentration is not available, an absolute drop in hematocrit of >=15 percent (%)). TIMI minor bleeding event is defined as any clinically overt sign of hemorrhage (including imaging) that is associated with a fall in hemoglobin concentration of 3 to less than (<) 5 g/dL (or, when hemoglobin concentration is not available, a fall in hematocrit of 9 percent to <15 percent). A BRMA event is defined as any bleeding event that requires medical treatment, surgical treatment, or laboratory evaluation, and does not meet criteria for a major or minor bleeding event. (NCT01830543)
Timeframe: Up to Month 12

Interventionpercentage of participants (Number)
Rivaroxaban 15 mg15.7
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)16.6
Vitamin K Antagonist (VKA)24.0

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Percentage of Participants With Myocardial Infarction

The percentage of participants with the first occurrence of Myocardial Infarction were evaluated. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 694, 704, 695)End of DAPT-1 Month (n= 0, 108, 112)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 348, 340)
Rivaroxaban 15 mg2.7NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)2.42.82.82
Vitamin K Antagonist (VKA)30.92.54.1

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Percentage of Participants With Stent Thrombosis

The percentage of participants with the first occurrence of stent thrombosis were evaluated. (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 694, 704, 695)End of DAPT-1 Month (n= 0, 108, 112)End of DAPT-6 Month (n= 0, 248, 243)End of DAPT-12 Month (n= 0, 348, 340)
Rivaroxaban 15 mg0.7NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)0.91.91.60
Vitamin K Antagonist (VKA)0.60.90.40.6

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Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding

TIMI major bleeding is defined as any symptomatic intracranial hemorrhage, Clinically overt signs of hemorrhage (including imaging) associated with a drop in hemoglobin of >= 5 g/dL (or when the hemoglobin concentration is not available, an absolute drop in hematocrit of >=15 percent). (NCT01830543)
Timeframe: Up to Month 12 and end of DAPT-Month 1, 6 and 12

,,
Interventionpercentage of participants (Number)
Up to Month 12 (n= 696, 706, 697)End of DAPT-1 Month (n= 0, 108,113)End of DAPT-6 Month (n= 0, 248,243)End of DAPT-12 Month (n= 0, 350,341)
Rivaroxaban 15 mg2.0NANANA
Rivaroxaban 2.5 mg Twice Daily (BID)/15 mg Once Daily(QD)1.70.92.81.1
Vitamin K Antagonist (VKA)2.94.43.71.8

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Platelet Reactivity by Vasodilator-stimulated Phosphoprotein (VASP)

The primary end-point of the study was the comparison in the platelet reactivity index (PRI%) determined by vasodilator-stimulated phosphoprotein (VASP) at 1 week between prasugrel and ticagrelor. (NCT01852175)
Timeframe: 1 week

InterventionPRI% (Least Squares Mean)
Prasugrel32.1
Ticagrelor32.6

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Platelet Reactivity Measured by Vasodilator-stimulated Phosphoprotein (VASP)

A secondary outcome was the comparison between groups of platelet reactivity index (PRI) measured by vasodilator-stimulated phosphoprotein (VASP) at 2 hours after loading dose. (NCT01852175)
Timeframe: 2 hours

InterventionPRI% (Least Squares Mean)
Prasugrel13.4
Ticagrelor15.6

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Platelet Reactivity Measured by Vasodilator-stimulated Phosphoprotein (VASP)

A secondary outcome was the comparison between groups of platelet reactivity index (PRI) measured by vasodilator-stimulated phosphoprotein (VASP) at 24 hours after loading dose. (NCT01852175)
Timeframe: 24 hours

InterventionPRI% (Least Squares Mean)
Prasugrel14.2
Ticagrelor26.4

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P2Y12 Reaction Units

The primary endpoint is the comparison of the P2Y12 reaction units (PRU) values determined by VerifyNow between both treatments (ticagrelor or prasugrel). Treatment effects were evaluated comparing PRU observed in the overall patient population after prasugrel treatment with those achieved after ticagrelor regardless of the sequence. (NCT01852214)
Timeframe: 1 week

InterventionPRU (Least Squares Mean)
Prasugrel83
Ticagrelor52

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Platelet Reactivity Index

The comparison of the platelet reactivity index (PRI) values determined by vasodilator-stimulated phosphoprotein (VASP) between both treatments (ticagrelor or prasugrel). VASP was measured by quantitative flow cytometry using commercially available labelled monoclonal antibodies. A low PRI is indicative of high platelet inhibition. (NCT01852214)
Timeframe: 2 hours

InterventionPRI (Least Squares Mean)
Prasugrel35
Ticagrelor37

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Platelet Reactivity Index

The comparison of the platelet reactivity index (PRI) values determined by vasodilator-stimulated phosphoprotein (VASP) between both treatments (ticagrelor or prasugrel). VASP was measured by quantitative flow cytometry using commercially available labelled monoclonal antibodies. A low PRI is indicative of high platelet inhibition. (NCT01852214)
Timeframe: 1 week

InterventionPRI (Least Squares Mean)
Prasugrel36
Ticagrelor36

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P2Y12 Reaction Units

Comparison of the P2Y12 reaction units (PRU) values determined by VerifyNow between both treatments (ticagrelor or prasugrel) (NCT01852214)
Timeframe: 2 hours

InterventionPRU (Least Squares Mean)
Prasugrel97
Ticagrelor75

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the Percentage Inhibition of the P2Y12 Receptor

(NCT01864005)
Timeframe: at 24 hours after first dose of study drug

InterventionPercentage Inhibition (Mean)
Ticagrelor79.25
Clopidogrel28.76

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the Percentage Inhibition of the P2Y12 Receptor

(NCT01864005)
Timeframe: at 6 weeks after first dose of study drug

InterventionPercentage Inhibition (Mean)
Ticagrelor83.78
Clopidogrel24.22

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the Percentage Inhibition of the P2Y12 Receptor

Note: the primary endpoint was changed per the statistical analysis plan prior database lock. (NCT01864005)
Timeframe: at 2 hours after first dose of study drug

InterventionPercentage Inhibition (Mean)
Ticagrelor48.20
Clopidogrel9.78

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the Percentage Inhibition of the P2Y12 Receptor

(NCT01864005)
Timeframe: at 0.5 hour after first dose of study drug

InterventionPercentage Inhibition (Mean)
Ticagrelor8.23
Clopidogrel-3.91

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the Percentage Inhibition of the P2Y12 Receptor

(NCT01864005)
Timeframe: at 8 hours after first dose of study drug

InterventionPercentage Inhibition (Mean)
Ticagrelor67.91
Clopidogrel25.38

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Bleeding Events

PLATO-defined fatal/life threatening, major, major+minor,major+minor+minimal (NCT01870921)
Timeframe: 12 months

InterventionParticipants (Number)
Fatal/life threateningMajorMajor + minorMajor + minor + minimal
Ticargrelor172793426

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Serious Adverse Events Other Than Bleeding

SAEs except the blending events which have aleady been reported as SAEs. (NCT01870921)
Timeframe: 12 months

InterventionParticipants (Number)
Ticargrelor116

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Major CV Events

Combination of CV death, MI, and stroke (NCT01870921)
Timeframe: 12 months

InterventionParticipants (Number)
Ticargrelor85

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Platelet Reactivity by VerifyNow P2Y12

The primary end-point of the study was the comparison of the P2Y12 reaction units (PRU) determined by VerifyNow P2Y12 at 1 hour after administration (NCT01898442)
Timeframe: 1 hour

InterventionPRU (Least Squares Mean)
Ticagrelor 180mg188
Ticagrelor 270mg125
Ticagrelor 360mg228

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Pharmacokinetic Profiles of Ticagrelor (Tmax)

Pharmacokinetic assessments included determination of plasma concentration of ticagrelor. Time for the maximum plasma concentration (Tmax), maximum observed plasma concentration (Cmax) and the area under the plasma concentration vs. time curve from time 0 to the last measurable concentration (AUC0-t) were calculated. (NCT01898442)
Timeframe: 24 hours

Interventionhours (Geometric Mean)
Ticagrelor 180mg3.9
Ticagrelor 270mg5.0
Ticagrelor 360mg7.4

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Pharmacokinetic Profiles of Ticagrelor (Cmax)

Pharmacokinetic assessments included determination of plasma concentration of ticagrelor. Time for the maximum plasma concentration (Tmax), maximum observed plasma concentration (Cmax) and the area under the plasma concentration vs. time curve from time 0 to the last measurable concentration (AUC0-t) were calculated. (NCT01898442)
Timeframe: 24 hours

Interventionng/mL (Geometric Mean)
Ticagrelor 180mg789
Ticagrelor 270mg1208
Ticagrelor 360mg1208

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Pharmacokinetic Profiles of Ticagrelor (AUC0-t)

Pharmacokinetic assessments included determination of plasma concentration of ticagrelor. Time for the maximum plasma concentration (Tmax), maximum observed plasma concentration (Cmax) and the area under the plasma concentration vs. time curve from time 0 to the last measurable concentration (AUC0-t) were calculated. (NCT01898442)
Timeframe: 24 hours

Interventionng*hr/mL (Geometric Mean)
Ticagrelor 180mg7893
Ticagrelor 270mg12379
Ticagrelor 360mg12381

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Platelet Reactivity by VerifyNow P2Y12 at Other Time Points

Secondary outcomes included the comparison of the P2Y12 reaction units (PRU) determined by VerifyNow P2Y12 at 30 min and 2, 4, 8, 24 hours after ticagrelor loading dose administration (NCT01898442)
Timeframe: 30 min and 2, 4, 8, 24 hours

,,
InterventionPRU (Least Squares Mean)
30 min2 hours4 hours8 hours24 hours
Ticagrelor 180mg23190756039
Ticagrelor 270mg22583464441
Ticagrelor 360mg249148697872

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Platelet Reactivity by Vasodilator-stimulated Phosphoprotein (VASP) at All Time Points

Secondary outcomes included the comparison of the platelet reactivity index (PRI) determined by vasodilator-stimulated phosphoprotein (VASP) at 30 min and 1, 2, 4, 8, 24 hours after ticagrelor loading dose administration (NCT01898442)
Timeframe: 30 min and 1, 2, 4, 8, 24 hours

,,
InterventionPRI (Least Squares Mean)
30 min1 hour2 hours4 hours8 hours24 hours
Ticagrelor 180mg765641352527
Ticagrelor 270mg815139303030
Ticagrelor 360mg787848212328

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Bleeding Complications

Number of subjects that developed gastrointestinal bleeding after Percutaneous Coronary Intervention (PCI). These subjects were categorized under Bleeding Academic Research Consortium 3b. Type 3b bleeding includes overt bleeding plus a hemoglobin drop of ≥5 g/dL (provided the hemoglobin drop is related to bleeding), cardiac tamponade, bleeding requiring surgical intervention for control (excluding dental/nasal/skin/hemorrhoid), and bleeding requiring intravenous vasoactive drugs. (NCT01919723)
Timeframe: up to 24 hours

InterventionNumber of subjects (Number)
Ticagrelor and Eptifibatide Bolus0
Ticagrelor & Eptifibatide Bolus+Infusion1

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Change in Percent Inhibition of Platelet Aggregation (%IPA)

Change from baseline in %IPA at 2 hours after stimulation with 20µM ADP (µM-micromolar, ADP-Adenosine diphosphate), measured in blood by an aggregometer among patients randomized to ticagrelor and 2 boluses of eptifibatide vs. ticagrelor and 2 boluses plus infusion of eptifibatide. (NCT01919723)
Timeframe: Baseline and 2 hours

Interventionpercentage of IPA (Mean)
Ticagrelor and Eptifibatide Bolus99.59
Ticagrelor & Eptifibatide Bolus+Infusion99.88

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Periprocedural Myocardial Infarction (PMI)

Number of subjects that developed PMI. Periprocedural myocardial infarction (PMI) was defined as an increase in troponin I values >5 x 99th percentile the upper limit of normal in patients with normal baseline value on admission, or a rise of troponin I values >20% after PCI if the baseline value was elevated. (NCT01919723)
Timeframe: Up to 24 hours

InterventionNumber of subjects (Number)
Ticagrelor and Eptifibatide Bolus9
Ticagrelor & Eptifibatide Bolus+Infusion7

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High On-treatment Platelet Reactivity (HPR)

Percentage of participants with HPR. HPR is defined as platelet aggregation >59% in response to 20 µM ADP. (NCT01919723)
Timeframe: Comparing baseline and follow-up (2 hours)

,
Interventionpercentage of participants (Number)
Baseline2 h
Ticagrelor & Eptifibatide Bolus+Infusion790
Ticagrelor and Eptifibatide Bolus890

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Platelet Reactivity Index(PRI) Measured by VASP-P

Vasodilator-stimulated phosphoprotein(VASP) phosphorylation, a measure of P2Y12 receptor reactivity, was determined by flow cytometry with the use of the Platelet VASP-FCM Kit (Stago, France)and recorded as the platelet reactivity index (PRI). (NCT01962428)
Timeframe: 2 hours after the loading dose of ticagrelor

Interventionpercentage of 100 (Median)
Conventional Loading Dose of Ticagrelor16.7
High Loading Dose of Ticagrelor12.2

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TIMI Major Bleeding Event (Primary Safety Objective)

Participants with TIMI major bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication (NCT01991795)
Timeframe: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg206
Ticagrelor Placebo100

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TIMI Major or Minor Bleeding Event

Participants with TIMI major or minor bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication (NCT01991795)
Timeframe: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg285
Ticagrelor Placebo129

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All-cause Death

Participants with all-cause death. If no event, censoring occurs at the earliest of PACD and last endpoint assessment date. Includes deaths based on publically available vital status data in patients who have withdrawn consent. (NCT01991795)
Timeframe: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg579
Ticagrelor Placebo592

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Composite of Cardiovascular (CV) Death, MI or Stroke

Participants with Cardiovascular (CV) death, myocardial infarction (MI) or stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date. (NCT01991795)
Timeframe: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg736
Ticagrelor Placebo818

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CV Death

Participants with Cardiovascular (CV) death. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date. (NCT01991795)
Timeframe: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg364
Ticagrelor Placebo357

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Ischaemic Stroke

Participants with ischaemic stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and death date. (NCT01991795)
Timeframe: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg152
Ticagrelor Placebo191

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MI

Participants with myocardial infarction. If no event, censoring occurs at the earliest of primary analysis censoring date (PACD), last endpoint assessment date and death date (NCT01991795)
Timeframe: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg274
Ticagrelor Placebo328

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Permanent Discontinuation of Study Medication Due to Any Bleeding Event

Participants with permanent discontinuation of study medication due to any bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and the date of last dose of study medication (NCT01991795)
Timeframe: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg466
Ticagrelor Placebo125

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PLATO Major Bleeding Event

Participants with PLATO major bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication (NCT01991795)
Timeframe: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months.

InterventionNumber of participants with event (Number)
Ticagrelor 60 mg310
Ticagrelor Placebo145

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Bleeding Events

Percentage of participants with Major, minor, minimal bleeding (TIMI criteria) events (NCT01992523)
Timeframe: 48 hours

Interventionpercentage of partecipants (Number)
Ticagrelor Mashed Pills2.4
Ticagrelor Integral Pills7

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Dyspnoea and/or Symptomatic Bradycardia

Percentage of participants with Occurrence of dyspnoea and/or symptomatic bradycardia (NCT01992523)
Timeframe: 6 months

Interventionpercentage of partecipants (Number)
Ticagrelor Mashed Pills12
Ticagrelor Integral Pills12

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Residual Platelet Reactivity

residual platelet reactivity by Platelet Reactivity Units (PRU) VerifyNow 1 hour after ticagrelor LD. (NCT01992523)
Timeframe: 1 hour

InterventionPRU (P2Y12 reaction units) (Median)
Ticagrelor Mashed Pills168
Ticagrelor Integral Pills252

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High Residual Platelet Reactivity

The percent of patients with a high residual platelet reactivity (PRU > 208) 1 hour after ticagrelor LD. (NCT01992523)
Timeframe: 1 hour

Interventionpercentage of partecipants (Number)
Ticagrelor Mashed Pills35
Ticagrelor Integral Pills63

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Number of Participants With Composite of Ischaemic Stroke, MI and CV Death

Participants with ischaemic stroke, MI or CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg423
ASA 100 mg475

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Net Clinical Outcome

Participants with stroke, MI, death or life-threatening bleeding. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg457
ASA 100 mg508

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Number of Participants With All-Cause Death

Participants with all-cause death. If no event, censoring at the minimum of (last date of event assessment, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg68
ASA 100 mg58

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Number of Participants by Severity of Stroke and Overall Disability

"Analysis of severity of stroke and overall disability of patients, using the modified Rankin Score, mRS.~Modified Rankin Score:~0 - No symptoms.~- No significant disability. Able to carry out all usual activities, despite some symptoms.~- Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities.~- Moderate disability. Requires some help, but able to walk unassisted.~- Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted.~- Severe disability. Requires constant nursing care and attention, bedridden, incontinent.~- Dead.~Disability defined as mRS > 1.~Odds ratio and p-value are calculated for ticagrelor versus ASA from a logistic regression model with treatment group, history of stroke and NIHSS (National Institutes of Health Stroke Scale) at baseline as explanatory variables." (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg1107
ASA 100 mg1194

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EQ-5D at Visit 2 (Day 7+-2d)

"EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff.~EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples.~The higher the index score the better the health state. In this study index scores ran from -0.59 to 1." (NCT01994720)
Timeframe: Visit 2 (Day 7+-2d)

InterventionIndex score (Mean)
Ticagrelor 90 mg0.80
ASA 100 mg0.79

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EQ-5D at Visit 1 (Enrolment)

"EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff.~EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples.~The higher the index score the better the health state. In this study index scores ran from -0.59 to 1." (NCT01994720)
Timeframe: Visit 1 (Enrolment)

InterventionIndex score (Mean)
Ticagrelor 90 mg0.70
ASA 100 mg0.70

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EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit

"EQ-5D index score using the UK tariff.~EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples.~The higher the index score the better the health state. In this study index scores ran from -0.59 to 1." (NCT01994720)
Timeframe: Premature treatment discontinuation visit(<15 days after last dose)

InterventionIndex score (Mean)
Ticagrelor 90 mg0.72
ASA 100 mg0.68

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EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit

"EQ-5D index score using the UK tariff.~EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples.~The higher the index score the better the health state. In this study index scores ran from -0.59 to 1." (NCT01994720)
Timeframe: End of treatment visit (Day 90+-7d)

InterventionIndex score (Mean)
Ticagrelor 90 mg0.85
ASA 100 mg0.84

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Change in NIHSS

"Change from baseline to end of treatment visit in NIHSS (National Institutes of Health Stroke Scale):~0 No stroke symptoms 1-4 Minor stroke 5-15 Moderate stroke 16-20 Moderate to severe stroke 21-42 Severe stroke." (NCT01994720)
Timeframe: From randomization up to 97 days

,
InterventionParticipants (Number)
<=-5-4-3-2-1012345>5Missing
ASA 100 mg1274388101073113168379311611614450
Ticagrelor 90 mg1324037791088109968167281813610474

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Number of Participants With Stroke

Participants with stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97) (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg390
ASA 100 mg450

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Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event

Participants discontinuation of study drug due to any bleeding adverse event. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). (NCT01994720)
Timeframe: Time from first dose and up to and including 7 days following the date of last dose of the study

InterventionParticipants (Number)
Ticagrelor 90 mg82
ASA 100 mg37

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Number of Participants With PLATO Major Bleeding Event

"Participants with PLATO Major bleeding. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).~PLATO Major bleeding is defined as a bleed that is any one of:~Fatal~Intracranial (excluding asymptomatic haemorrhagic transformations of ischemic brain infarctions and excluding micro-hemorrhages <10 mm evident only on gradient-echo MRI)~Intrapericardial bleed with cardiac tamponade~Hypovolaemic shock or severe hypotension due to bleeding and requiring pressors or surgery~Significantly disabling (eg. intraocular with permanent vision loss)~Clinically overt or apparent bleeding associated with a decrease in Hb of more than 30 g/L (1.9 mmol/L; 0.465 mmol/L)~Transfusion of 2 or more units (whole blood or packed red blood cells [PRBCs]) for bleeding." (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg31
ASA 100 mg38

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Number of Participants With MI

Participants with MI. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97) (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg25
ASA 100 mg21

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Number of Participants With Ischaemic Stroke

Participants with ischaemic stroke. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg385
ASA 100 mg441

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Number of Participants With Fatal Stroke

Participants with fatal stroke. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg18
ASA 100 mg17

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Number of Participants With Disabling Stroke

Participants with disabling stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg277
ASA 100 mg307

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Number of Participants With CV Death

Participants with CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg41
ASA 100 mg35

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Number of Participants With Composite of Stroke/MI/Death

Participants with stroke, MI or death. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97). (NCT01994720)
Timeframe: From randomization up to 97 days

InterventionParticipants (Number)
Ticagrelor 90 mg442
ASA 100 mg497

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Ventilator Free Days

(NCT01998399)
Timeframe: 29 days

Interventiondays (Mean)
Ticagrelor24.16
Placebo22.3

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Time to Initiation of Unassisted Breathing

Only in patients on mechanical ventilation and assuming patient achieves 48 consecutive hours of unassisted breathing (NCT01998399)
Timeframe: 29 days

Interventionhours (Mean)
Ticagrelor136.9
Placebo173.19

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Stroke, Myocardial Infarct, Mortality

number of participants that suffered stroke, myocardial infarct, mortality (NCT01998399)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Ticagrelor5
Placebo2

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Stroke

Did the patient develop a stroke during the 90 day study? (NCT01998399)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Ticagrelor1
Placebo0

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Hospital Length of Stay

In days (NCT01998399)
Timeframe: 29 days

Interventiondays (Mean)
Ticagrelor14.83
Placebo12.46

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Shock Free Days

Not requiring pressor support for hypotension (NCT01998399)
Timeframe: 15 days

Interventiondays (Mean)
Ticagrelor12.58
Placebo11.54

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Need for Re-instituting Assisted or Mechanical Ventilation After Achieving 48 Consecutive Hours of Unassisted Breathing or Comfort Care Chosen (Withdrawal of Support)

(NCT01998399)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Ticagrelor0
Placebo0

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Need for Dialysis

(NCT01998399)
Timeframe: 28 days

InterventionParticipants (Count of Participants)
Ticagrelor1
Placebo0

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Myocardial Infarction

Did the patient have a myocardial infarction during the 90 day study? (NCT01998399)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Ticagrelor1
Placebo0

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In-hospital Mortality

Did the patient die during the hospitalization? (NCT01998399)
Timeframe: Throughout hospitalization (About 2 weeks)

InterventionParticipants (Count of Participants)
Ticagrelor2
Placebo2

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ICU Length of Stay

Includes ICU readmission if during same hospital stay (NCT01998399)
Timeframe: 29 days

Interventiondays (Mean)
Ticagrelor8.33
Placebo8.77

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All-cause Mortality

death during 90 day study period (NCT01998399)
Timeframe: 90 days

Interventionparticipants (Number)
Ticagrelor4
Placebo2

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Hospital Free Days

Number of days the patient is not in the hospital (NCT01998399)
Timeframe: 29 days

Interventiondays (Mean)
Ticagrelor14.16
Placebo16.53

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Platelet Reactivity Measured as P2Y12 Reaction Units (PRU) Determined by Verify Now-P2Y12 Assay

The primary hypothesis of our study was that after 1 week of randomized treatment PRU levels would be non-inferior in patients switched from prasugrel to ticagrelor (two arms combined) compared with patients remaining on prasugrel. (NCT02016170)
Timeframe: 7 days

InterventionPRU (Least Squares Mean)
Ticagrelor45
Prasugrel63

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Platelet Reactivity Index (PRI) Measured by Whole Blood Vasodilator-stimulated Phosphoprotein (VASP).

The secondary hypothesis of our study was that after 1 week of randomized treatment PRI levels would be non-inferior in patients switched from prasugrel to ticagrelor (two arms combined) compared with patients remaining on prasugrel. VASP was measured by quantitative flow cytometry using commercially available labelled monoclonal antibodies. (NCT02016170)
Timeframe: 7 days

InterventionPRI (Least Squares Mean)
Ticagrelor25
Prasugrel36

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Pharmacokinetic Parameter AUC0-∞ of AR-C124910XX

(NCT02022748)
Timeframe: 0, 1, 2, 4, 6, 12, 24, 36, 48 hours post-dose

Interventionng*h/mL (Geometric Mean)
Treatment A1127.8
Treatment B1144.2
Treatment H1000.4

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Pharmacokinetic Parameter AUC0-∞ (Area Under the Plasma Concentration-time Curve From Time Zero to Infinity) of Ticagrelor

(NCT02022748)
Timeframe: 0, 1, 2, 4, 6, 12, 24, 36, 48 hours post-dose

Interventionng*h/mL (Geometric Mean)
Treatment A3015.1
Treatment B3256.1
Treatment H2188.8

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Pharmacokinetic Parameter Cmax of AR-C124910XX

(NCT02022748)
Timeframe: 0, 1, 2, 4, 6, 12, 24, 36, 48 hours post-dose

Interventionng/mL (Geometric Mean)
Treatment A130.82
Treatment B152.25
Treatment H111.73

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Pharmacokinetic Parameter Cmax of Ticagrelor

(NCT02022748)
Timeframe: 0, 1, 2, 4, 6, 12, 24, 36, 48 hours post-dose

Interventionng/mL (Geometric Mean)
Treatment A560.32
Treatment B598.35
Treatment H370.76

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Pharmacokinetic Parameter t1/2 of AR-C124910XX

(NCT02022748)
Timeframe: 3 days

Interventionhour (Mean)
Treatment A7.574
Treatment B7.596
Treatment H8.644

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Pharmacokinetic Parameter t1/2 of Ticagrelor

(NCT02022748)
Timeframe: 3 days

Interventionhour (Mean)
Treatment A8.303
Treatment B8.691
Treatment H8.412

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P2Y12 Reaction Units (PRU) Using VerifyNow™ at 0.5 Hours After Loading Dose

PRU at 0.5 hours after a single oral loading dose of either ticagrelor 180 mg or clopidogrel 600 mg given at the time of the bivalirudin bolus (NCT02052635)
Timeframe: 0.5 hours post loading dose

InterventionPRUs (Mean)
Ticagrelor289.2
Clopidogrel292.8

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P2Y12 Reaction Units (PRU) Using VerifyNow™ at 1 Hour After Loading Dose

PRU at 1 hour after a single oral loading dose of either ticagrelor 180 mg or clopidogrel 600 mg given at the time of the bivalirudin bolus (NCT02052635)
Timeframe: 1 hour post loading dose

InterventionPRUs (Mean)
Ticagrelor174.4
Clopidogrel249.8

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Saphenous Vein Graft Stenosis

The secondary objective of this clinical trial will be to evaluate whether, as compared to usual aspirin treatment, ticagrelor early after CABG prevents saphenous vein graft stenosis, defined as >50% narrowing of the graft, 1 year after surgery, as assessed by computed tomography (CT) coronary angiography. (NCT02053909)
Timeframe: 1 year after surgery

Interventionpercentage of veins stenosed (Number)
Aspirin4.1
Ticagrelor4.2

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Saphenous Vein Graft Occlusion

The primary objective of this clinical trial will be to evaluate whether, as compared to usual aspirin treatment, ticagrelor early after CABG prevents saphenous vein graft occlusion 1 year after surgery, as assessed by computed tomography (CT) coronary angiography. (NCT02053909)
Timeframe: 1 year after surgery

Interventionpercentage of veins occluded (Number)
Aspirin17.4
Ticagrelor13.2

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(1)

Pharmacokinetics parameters of AR-C124910XX (active metabolite) on Day 1---Cmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

Interventionng/mL (Geometric Mean)
Ticagrelor 45mg88.28
Ticagrelor 60mg77.11
Ticagrelor 90mg138.6

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Safety---Clinical Chemistry Variables Over Time---Phosphate

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Phosphate" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg1.188
Ticagrelor 60mg1.154
Ticagrelor 90mg1.145

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(1)

Pharmacokinetics parameters of Metabolite (AR-C124910XX) on Day 7---Cmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionng/mL (Geometric Mean)
Ticagrelor 45mg143.7
Ticagrelor 60mg180.1
Ticagrelor 90mg300.6

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(2)

Pharmacokinetics parameters of Metabolite (AR-C124910XX) on Day 7---AUC(0-12h) (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionh*ng/mL (Geometric Mean)
Ticagrelor 45mg1069
Ticagrelor 60mg1314
Ticagrelor 90mg2254

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(3)

Pharmacokinetics parameters of Metabolite (AR-C124910XX) on Day 7---Accumulation ratio(ratio of Day 7 AUC(0-12h) to Day 1 AUC(0-12h)) (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionratio (Geometric Mean)
Ticagrelor 45mg2.304
Ticagrelor 60mg2.606
Ticagrelor 90mg2.697

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 7(4)

Pharmacokinetics parameters of AR-C124910XX (active metabolite) on Day 7---tmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionhour (Median)
Ticagrelor 45mg2.00
Ticagrelor 60mg2.00
Ticagrelor 90mg2.54

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Pharmacokinetics Parameters of Ticagrelor on Day 1(1)

The pharmacokinetics parameters of Ticagrelor on Day 1---Cmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

Interventionng/mL (Geometric Mean)
Ticagrelor 45mg464.0
Ticagrelor 60mg413.9
Ticagrelor 90mg822.1

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Safety---Hematology Laboratory Variables Over Time---Hemoglobin

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Haematology---Hemoglobin" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventiong/L (Mean)
Ticagrelor 45mg137.3
Ticagrelor 60mg135.4
Ticagrelor 90mg138.6

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Safety---Hematology Laboratory Variables Over Time---Leukocytes

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Haematology---Leukocytes" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Intervention10^9/L (Mean)
Ticagrelor 45mg6.64
Ticagrelor 60mg6.30
Ticagrelor 90mg6.74

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Safety---Hematology Laboratory Variables Over Time---Platelets

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Haematology---Platelets" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Intervention10^9/L (Mean)
Ticagrelor 45mg205.3
Ticagrelor 60mg186.7
Ticagrelor 90mg227.3

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Pharmacokinetics Parameters of Ticagrelor on Day 7(3)

Pharmacokinetics parameters of Ticagrelor on Day 7---AUC(0-12h) (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionh*ng/mL (Geometric Mean)
Ticagrelor 45mg3882
Ticagrelor 60mg4351
Ticagrelor 90mg8206

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Safety---Vital Signs Over Time---Height

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Vital signs (Height)" (NCT02064985)
Timeframe: Baseline

Interventioncm (Mean)
Ticagrelor 45mg166.9
Ticagrelor 60mg168.8
Ticagrelor 90mg166.5

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Safety---Vital Signs Over Time---Weight

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Vital signs (Weight)" (NCT02064985)
Timeframe: Baseline

Interventionkg (Mean)
Ticagrelor 45mg78.7
Ticagrelor 60mg73.8
Ticagrelor 90mg73.4

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TIPA(Max)---Day 1

The time to peak IPA (TIPAmax) was estimated for ADP-induced final extent IPA. (NCT02064985)
Timeframe: Day 1

Interventionhour (Median)
Ticagrelor 45mg3.0
Ticagrelor 60mg4.5
Ticagrelor 90mg2.5

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TIPA(Max)---Day 7

The time to peak IPA (TIPAmax) was estimated for ADP-induced final extent IPA. (NCT02064985)
Timeframe: Day 7

Interventionhour (Median)
Ticagrelor 45mg1.5
Ticagrelor 60mg6.0
Ticagrelor 90mg1.3

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IPA on Day 1

"The Inhibition of Platelet Aggregation (IPA) profiles of single and multiple doses of ticagrelor 45, 60, and 90 mg in Chinese patients with stable coronary heart disease (CHD) on chronic low dose ASA (75-100mg daily).~Primary variable: IPA (final extent) induced by 20µM ADP at each assessment point after single and multiple doses of ticagrelor measured by Light-Transmittance Aggregometry (LTA)." (NCT02064985)
Timeframe: Baseline and at 0.5 hour, 1 hour, 2 hours, 3 hours, 6 hours, 12 hours, 24 hours, 36 hours,48 hours after dose intake on Day 1

,,
Intervention% IPA (Mean)
0.5 hour after dose intake1 hour after dose intake2 hours after dose intake3 hours after dose intake6 hours after dose intake12 hours after dose intake24 hours after dose intake36 hours after dose intake48 hours after dose intake
Ticagrelor 45mg27.0957.2082.2488.4485.0271.2544.1140.0923.56
Ticagrelor 60mg25.8750.9784.1090.1894.3285.7049.3846.2327.25
Ticagrelor 90mg33.3461.6486.1196.2494.0290.7066.4855.6443.04

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IPA on Day 7

"The inhibition of Platelet Aggregation (IPA) profiles of single and multiple doses of ticagrelor 45, 60, and 90 mg in Chinese patients with stable coronary heart disease (CHD) on chronic low dose ASA (75-100mg daily).~Primary variable: IPA (final extent) induced by 20µM ADP at each assessment point after single and multiple doses of ticagrelor measured by Light-Transmittance Aggregometry (LTA)." (NCT02064985)
Timeframe: Baseline and at 0 hour, 0.5 hour, 1 hour, 2 hours, 3 hours, 6 hours, 12 hours after dose intake on Day 7

,,
Intervention% IPA (Mean)
0 hour after dose intake0.5 hour after dose intake1 hour after dose intake2 hours after dose intake3 hours after dose intake6 hours after dose intake12 hours after dose intake
Ticagrelor 45mg79.6984.7088.8288.3091.0091.1386.55
Ticagrelor 60mg89.2689.9693.2894.6297.0192.9492.01
Ticagrelor 90mg95.1096.9096.4798.2998.8698.8796.81

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Pharmacokinetics Parameters of Ticagrelor on Day 7(1)

Pharmacokinetics parameters of Ticagrelor on Day 7---Cmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionng/mL (Geometric Mean)
Ticagrelor 45mg616.0
Ticagrelor 60mg689.4
Ticagrelor 90mg1273

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Pharmacokinetics Parameters of Ticagrelor on Day 7(2)

The pharmacokinetics parameters of ticagrelor on Day 7---tmax (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionhour (Median)
Ticagrelor 45mg2.00
Ticagrelor 60mg2.00
Ticagrelor 90mg2.00

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Pharmacokinetics Parameters of Ticagrelor on Day 7(4)

Pharmacokinetics parameters of Ticagrelor on Day 7---Accumulation ratio(ratio of Day 7 AUC(0-12h) to Day 1 AUC(0-12h)) (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Interventionratio (Geometric Mean)
Ticagrelor 45mg1.837
Ticagrelor 60mg1.882
Ticagrelor 90mg2.060

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Safety---Clinical Chemistry Variables Over Time---Alanine Aminotransferase

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Alanine Aminotransferase" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionukat/L (Mean)
Ticagrelor 45mg0.524
Ticagrelor 60mg0.429
Ticagrelor 90mg0.465

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Safety---Clinical Chemistry Variables Over Time---Albumin

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Albumin" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventiong/L (Mean)
Ticagrelor 45mg44.77
Ticagrelor 60mg44.68
Ticagrelor 90mg46.07

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Safety---Clinical Chemistry Variables Over Time---Alkaline Phosphatase

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Alkaline Phosphatase" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionukat/L (Mean)
Ticagrelor 45mg1.172
Ticagrelor 60mg1.027
Ticagrelor 90mg1.028

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Safety---Clinical Chemistry Variables Over Time---Aspartate Aminotransferase

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Aspartate Aminotransferase" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionukat/L (Mean)
Ticagrelor 45mg0.497
Ticagrelor 60mg0.410
Ticagrelor 90mg0.433

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Safety---Clinical Chemistry Variables Over Time---Bicarbonate

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Bicarbonate" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg28.92
Ticagrelor 60mg28.55
Ticagrelor 90mg28.15

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Safety---Clinical Chemistry Variables Over Time---Blood Urea Nitrogen

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Blood Urea Nitrogen" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg5.875
Ticagrelor 60mg6.392
Ticagrelor 90mg6.108

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Safety---Clinical Chemistry Variables Over Time---Chloride

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Chloride" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg103.2
Ticagrelor 60mg103.9
Ticagrelor 90mg104.4

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Safety---Clinical Chemistry Variables Over Time---Creatinine

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Creatinine" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionumol/L (Mean)
Ticagrelor 45mg81.92
Ticagrelor 60mg87.50
Ticagrelor 90mg83.50

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Safety---Clinical Chemistry Variables Over Time---Glucose

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Glucose" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg7.48
Ticagrelor 60mg7.26
Ticagrelor 90mg5.78

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Safety---Clinical Chemistry Variables Over Time---Potassium

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Potassium" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg4.41
Ticagrelor 60mg4.47
Ticagrelor 90mg4.26

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Safety---Clinical Chemistry Variables Over Time---Protein

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Protein" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventiong/L (Mean)
Ticagrelor 45mg70.2
Ticagrelor 60mg69.8
Ticagrelor 90mg70.2

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Safety---Clinical Chemistry Variables Over Time---Sodium

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Sodium" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionmmol/L (Mean)
Ticagrelor 45mg140.7
Ticagrelor 60mg140.8
Ticagrelor 90mg141.3

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AUEC(Final Extent) on Day 1

The area-under-the-effect curve (AUEC) was estimated for ADP-induced final extent IPA. (NCT02064985)
Timeframe: IPA was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

Intervention%*h (Mean)
Ticagrelor 45mg2474.4
Ticagrelor 60mg2819.4
Ticagrelor 90mg3301.0

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Safety---Hematology Laboratory Variables Over Time---Erythrocytes

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Haematology---Erythrocytes" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Intervention10^12/L (Mean)
Ticagrelor 45mg4.417
Ticagrelor 60mg4.409
Ticagrelor 90mg4.487

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Safety---Hematology Laboratory Variables Over Time---hematocrit

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Haematology---hematocrit" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionratio (Mean)
Ticagrelor 45mg0.4083
Ticagrelor 60mg0.4020
Ticagrelor 90mg0.4153

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Percent Change From Baseline in PRU on Day 1

Percent Change from baseline in Platelet P2Y12 Reaction Units (PRU)(measured by VerifyNow) profiles of multiple doses of ticagrelor 45, 60, and 90 mg in Chinese patients with stable coronary heart disease on chronic low dose ASA. (NCT02064985)
Timeframe: Baseline and at 0.5 hour, 1 hour, 2 hours, 3 hours, 6 hours, 12 hours, 24 hours, 36 hours,48 hours after dose intake on Day 1

,,
Intervention% change from baseline (Mean)
0.5 hour after dose intake1 hour after dose intake2 hours after dose intake3 hours after dose intake6 hours after dose intake12 hours after dose intake24 hours after dose intake36 hours after dose intake48hours after dose intake
Ticagrelor 45mg-19.20-60.00-72.60-71.58-60.27-41.93-35.94-9.57-15.19
Ticagrelor 60mg-13.76-35.25-61.23-75.42-67.98-47.15-28.34-1.91-0.57
Ticagrelor 90mg-19.59-67.70-78.85-87.97-81.08-73.47-54.61-22.59-16.38

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Percent Change From Baseline in PRU on Day 7

Percent Change from baseline in Platelet P2Y12 Reaction Units (PRU)(measured by VerifyNow) profiles of multiple doses of ticagrelor 45, 60, and 90 mg in Chinese patients with stable coronary heart disease on chronic low dose ASA. (NCT02064985)
Timeframe: Baseline and at 0 hour, 0.5 hour, 1 hour, 2 hours, 3 hours, 6 hours, 12 hours after dose intake on Day 7

,,
Intervention% change from baseline (Mean)
0.5 hour after dose intake1 hour after dose intake2 hours after dose intake3 hours after dose intake6 hours after dose intake12 hours after dose intake
Ticagrelor 45mg-77.90-79.70-82.23-79.98-76.71-63.63
Ticagrelor 60mg-80.07-78.40-85.00-86.96-75.07-69.03
Ticagrelor 90mg-89.33-94.10-88.81-92.13-91.48-88.60

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(2)

Pharmacokinetics parameters of AR-C124910XX (active metabolite) on Day 1---AUC(0-12h), AUC(0-t) and AUC(0-inf) (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

,,
Interventionh*ng/mL (Geometric Mean)
AUC(0-inf)AUC(0-t)AUC(0-12h)
Ticagrelor 45mg921.5839.6464.0
Ticagrelor 60mg1108906.0504.1
Ticagrelor 90mg16441534835.9

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Pharmacokinetics Parameters of Metabolite (AR-C124910XX) on Day 1(3)

Pharmacokinetics parameters of AR-C124910XX (active metabolite) on Day 1: tmax and t1/2 (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

,,
Interventionhour (Median)
tmax
Ticagrelor 45mg2.0013.16
Ticagrelor 60mg3.0011.64
Ticagrelor 90mg3.0011.29

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Pharmacokinetics Parameters of Ticagrelor on Day 1(2)

The pharmacokinetics parameters of Ticagrelor on Day 1---AUC(0-inf), AUC(0-12h) and AUC(0-t). (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

,,
Interventionh*ng/mL (Geometric Mean)
AUC(0-inf)AUC(0-t)AUC(0-12h)
Ticagrelor 45mg322031022114
Ticagrelor 60mg363335332313
Ticagrelor 90mg623460173983

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Pharmacokinetics Parameters of Ticagrelor on Day 1(3)

The pharmacokinetics parameter of ticagrelor on Day 1---tmax and t1/2 (NCT02064985)
Timeframe: Plasma concentration was measured at Pre-dose, 0.5, 1, 2, 3, 6, 12, 24, 36, and 48 hours post dose on Day 1

,,
Interventionhour (Median)
tmax
Ticagrelor 45mg2.0010.07
Ticagrelor 60mg3.009.008
Ticagrelor 90mg2.009.802

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Safety---All Allowed Concomitant Medications During Study Treatment

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Concomitant medications" (NCT02064985)
Timeframe: All allowed concomitant medications during study treatment(up to 2-5 days after last dose), includes medications that began prior to randomization but were ongoing after randomization.

,,
InterventionParticipants (Number)
Number of patients with allowed concomitant medHMG CoA reductase inhibitorsATORVASTATINSIMVASTATINROSUVASTATINBeta blocking agents, selectiveMETOPROLOLBISOPROLOLACE inhibitors, plainPERINDOPRILFOSINOPRILENALAPRILBENAZEPRILIMIDAPRILDihydropyridine derivativesAMLODIPINENIFEDIPINEOther cardiac preparationsTRIMETAZIDINETRIMETAZIDINE HYDROCHLORIDEBiguanidesMETFORMINMETFORMIN HYDROCHLORIDEOrganic nitratesISOSORBIDE MONONITRATEAngiotensin II antagonists, plainIRBESARTANLOSARTANTELMISARTANAlpha glucosidase inhibitorsACARBOSEInsulins and analogues for injection, fast-actingINSULININSULIN HUMANEnzymesKALLIDINOGENASEFolic acid and derivativesFOLIC ACIDAlpha and beta blocking agentsCARVEDILOLOther therapeutic productsCHINESE TRADITIONAL MEDICINE NOSHERBAL NOSPreparations inhibiting uric acid productionALLOPURINOLSulfonamides, urea derivativesGLIMEPIRIDEGLIQUIDONEANTIHYPERTENSIVESAldose reductase inhibitorsEPALRESTATAngiotensin II antagonists and diureticsHYDROCHLOROTHIAZIDE+ LOSARTANAntidepressants in combination with psycholepticsFLUPENTIXOL+MELITRACENBenzodiazepine derivativesESTAZOLAMBenzothiazepine derivativesDILTIAZEMComb/complexes aluminium, calcium, magnesium compsHYDROTALCITEFibratesFENOFIBRATEInsulins and analogues for inj,intermediate-actingHUMULIN 70/30Insulins/analogues for inj,int/long-act+fast-actinINSULIN ASPARTNicotinic acid and derivativesACIPIMOXOther antifungals for topical useTERBINAFINE HYDROCHLORIDEOther drugs for peptic ulcer and GORDGEFARNATEOther vasodilators used in cardiac diseasesNICORANDILThiazolidinedionesROSIGLITAZONE
Ticagrelor 45mg12115339635210114314403211132103311000221100022101000000000011110011110011000000
Ticagrelor 60mg121284010652011003302202202211001132111110021100000001100111100000000001100001111
Ticagrelor 90mg12125346516321002202112203310010000022001100000110110011000000001100000000110000

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Safety---Physical Examination, Summary of Abnormalities

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Physical examination" (NCT02064985)
Timeframe: 2 to 5 days after last dose

,,
InterventionParticipants (Number)
Number of patients with abnormalityAbdomenCardiovascularGeneral appearanceHead and neckLymph nodesMusculoskeletal / ExtremitiesNeurologicalRespiratorySkinThyroid
Ticagrelor 45mg51000000040
Ticagrelor 60mg30000000030
Ticagrelor 90mg20000000020

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AUEC(Final Extent) on Day 7

The area-under-the-effect curve (AUEC) was estimated for ADP-induced final extent IPA. (NCT02064985)
Timeframe: IPA was measured at Pre-dose, 0.5, 1, 2, 3, 6 and 12 hours post dose on Day 7

Intervention%*h (Mean)
Ticagrelor 45mg1069.9
Ticagrelor 60mg1120.1
Ticagrelor 90mg1176.9

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Safety---Clinical Chemistry Variables Over Time---Total Bilirubin

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Clinical Chemistry---Total Bilirubin" (NCT02064985)
Timeframe: 2 to 5 days after last dose

Interventionumol/L (Mean)
Ticagrelor 45mg13.98
Ticagrelor 60mg14.58
Ticagrelor 90mg14.81

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Pharmacokinetics Parameters of Metabolite : Parent on Day 1--AUC(0-inf)

To determine AUC(0-inf) ratio for the metabolite to that of the parent compound on Day 1 (NCT02064985)
Timeframe: Day 1

Interventionratio (Mean)
Ticagrelor 45mg0.3310
Ticagrelor 60mg0.3403
Ticagrelor 90mg0.3106

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Pharmacokinetics Parameters of Metabolite : Parent on Day 1--Cmax

To determine Cmax ratio for the metabolite to that of the parent compound on Day 1 (NCT02064985)
Timeframe: Day 1

Interventionratio (Mean)
Ticagrelor 45mg0.2277
Ticagrelor 60mg0.2146
Ticagrelor 90mg0.2005

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Pharmacokinetics Parameters of Metabolite : Parent on Day 7---AUC(0-12h)

To determine AUC(0-12h) ratio of metabolite to that of the parent compound on Day 7. (NCT02064985)
Timeframe: Day 7

Interventionratio (Mean)
Ticagrelor 45mg0.3132
Ticagrelor 60mg0.3549
Ticagrelor 90mg0.3153

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Pharmacokinetics Parameters of Metabolite : Parent on Day 7---Cmax

To determine Cmax ratio of metabolite to that of the parent compound on Day 7 (NCT02064985)
Timeframe: Day 7

Interventionratio (Mean)
Ticagrelor 45mg0.2657
Ticagrelor 60mg0.3082
Ticagrelor 90mg0.2646

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Safety---Vital Signs Over Time---Blood Pressure

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Vital signs (seated blood pressure [BP])" (NCT02064985)
Timeframe: Baseline, Day 1 to Day 7 and 2 to 5 days after last dose

,,
InterventionmmHg (Mean)
Diastolic Blood Pressure- BaselineDiastolic Blood Pressure- Day 1Diastolic Blood Pressure-Day 2Diastolic Blood Pressure-Day 3Diastolic Blood Pressure-Day 4Diastolic Blood Pressure-Day 5Diastolic Blood Pressure-Day 6Diastolic Blood Pressure-Day 7Diastolic Blood Pressure-2-5 days after last DoseSystolic Blood Pressure (mmHg)-BaselineSystolic Blood Pressure-Day 1Systolic Blood Pressure-Day 2Systolic Blood Pressure-Day 3Systolic Blood Pressure-Day 4Systolic Blood Pressure-Day 5Systolic Blood Pressure-Day 6Systolic Blood Pressure-Day 7Systolic Blood Pressure-2-5 days after last Dose
Ticagrelor 45mg84.685.382.379.280.780.879.880.880.3134.6132.2130.3128.3131.3129.4126.8128.9126.0
Ticagrelor 60mg77.178.274.875.278.275.277.475.674.7129.2135.7131.4130.1132.8131.3133.5129.4132.3
Ticagrelor 90mg74.874.674.274.373.374.773.974.071.3132.1127.4123.1123.8126.1125.1119.1122.1124.7

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Safety---Vital Signs Over Time---Pulse Rate

"The safety of ticagrelor in Chinese patients with stable coronary heart disease on chronic low dose ASA.~Safety will be assessed by:~• Vital signs (Pulse Rate)" (NCT02064985)
Timeframe: Baseline, Day 1 to Day 7 and 2 to 5 days after last dose

,,
InterventionBEATS/MIN (Mean)
Pulse Rate (BEATS/MIN)- BaselinePulse Rate (BEATS/MIN)- Day 1Pulse Rate (BEATS/MIN)- Day 2Pulse Rate (BEATS/MIN)- Day 3Pulse Rate (BEATS/MIN)- Day 4Pulse Rate (BEATS/MIN)- Day 5Pulse Rate (BEATS/MIN)- Day 6Pulse Rate (BEATS/MIN)- Day 7Pulse Rate(BEATS/MIN)- 2 to 5 days after last dose
Ticagrelor 45mg63.364.264.667.365.366.766.865.464.6
Ticagrelor 60mg60.560.659.860.461.762.759.962.761.8
Ticagrelor 90mg59.161.363.361.363.764.264.162.963.0

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Platelet Reactivity

The primary endpoint is P2Y12 reaction unit (PRU) measured by the Verify Now P2Y12 assay 24hours/hospital discharge post randomization to prasugrel vs ticagrelor. PRU is is an arbitrary unit of measure to assess ADP-induced platelet aggregation. (NCT02065479)
Timeframe: 24 hours post loading dose

InterventionPRU (Mean)
Ticagrelor36
Prasugrel33

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Adverse Drug Reaction

Any adverse reaction related to study drug until 30 days after percutaneous coronary intervention. (NCT02075125)
Timeframe: 30 days

Interventionparticipants (Number)
Prasugrel0
Ticagrelor0

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Bleeding Event

Any event related to bleeding including access site bleeding and peri-procedural bleeding based on Bleeding Academic Research Consortium (BARC) criteria. (NCT02075125)
Timeframe: 30 days

Interventionparticipants (Number)
Prasugrel0
Ticagrelor0

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Major Adverse Cardiac and Cerebrovascular Events

Any major adverse cardiac and cerebrovascular event including (death, myocardial infarction, or revascularization and stroke) until day 30. (NCT02075125)
Timeframe: 30 days

Interventionparticipants (Number)
Prasugrel0
Ticagrelor0

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Pre-procedure P2Y12 Reaction Units (PRU)

Platelet reactivity was measured using VerifyNow (volumetrics accuretic, San Diego, California, USA). Platelet reactivity values were presented as P2Y12 reaction units (PRU). (NCT02075125)
Timeframe: Baseline

InterventionPRU units (Median)
Prasugrel259
Ticagrelor261

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Pre-procedure Platelet Reactivity Index (PRI)

Platelet reactivity was measured using vasodilator-stimulated phosphoprotein (VASP) phosphorylation P2Y12 assay. Platelet reactivity values were presented as platelet reactivity index (PRI). (NCT02075125)
Timeframe: Baseline

Interventionpercentage (Median)
Prasugrel51.2
Ticagrelor47.5

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Number of Participants With High Platelet Reactivity

Platelet reactivity were measured by VerifyNow (volumetrics accuretic,San Diego, California, USA), and vasodilator-stimulated phosphoprotein (VASP) phosphorylation P2Y12 assay (BioCytex, Marseille, France) with FACSCalibur flow cytometer (BD Biosciences, San Jose, California, USA) using. Measurement time gap +/- 12 hours were allowed. High platelet reactivity (HPR) is defined as the result of P2Y12 reaction units (PRU) >235 and platelet reactivity index (PRI) >50%. (NCT02075125)
Timeframe: 48 hours after loading dose of study drug

,
Interventionparticipants (Number)
PRU>235VASP-PRI>50%
Prasugrel00
Ticagrelor00

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Number of Participants With Low Platelet Reactivity

Platelet reactivity were measured using VerifyNow (volumetrics accuretic, San Diego, California, USA), and vasodilator-stimulated phosphoprotein (VASP) phosphorylation P2Y12 assay (BioCytex, Marseille, France) with FACSCalibur flow cytometer (BD Biosciences, San Jose, California, USA) using. Measurement time gap +/- 12 hours were allowed. Low platelet reactivity (LPR) is defined as the result of P2Y12 reaction units (PRU) <85 and platelet reactivity index (PRI)<16%. The PRU value for LPR, 18 patients were in prasugrel groups and 19 patients in ticagrelor groups, regarding the PRI value for LPR, 16 patients were in each groups. (NCT02075125)
Timeframe: 48 hours after loading dose of study drug

,
Interventionparticipants (Number)
PRU<85VASP-PRI<16%
Prasugrel1816
Ticagrelor1916

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Platelet Reactivity Index (PRI) Determined by Whole Blood Vasodilator-stimulated Phosphoprotein (VASP)

PRI determined by VASP between before and after incubation with 500 nM Cangrelor in each arm of treatment (NCT02081443)
Timeframe: Baseline

,
Intervention%PRI (Mean)
Without cangrelorWith cangrelor
Ticagrelor 180mg3018
Ticagrelor 90mg3017

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PRI Measured by VASP

PRI determined by VASP between before and after incubation with 500 nM Cangrelor in each arm of treatment (NCT02081443)
Timeframe: 4 hours

,
Intervention%PRI (Mean)
Without cangrelorWith cangrelor
Ticagrelor 180mg2214
Ticagrelor 90mg2217

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PRI Measured by VASP

PRI determined by VASP between before and after incubation with 500 nM Cangrelor in each arm of treatment (NCT02081443)
Timeframe: 1 hour

,
Intervention%PRI (Mean)
Without cangrelorWith cangrelor
Ticagrelor 180mg2012
Ticagrelor 90mg2916

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To Determine Platelet Inhibition Before and After Switching for Two Weeks From Clopidogrel to Ticagrelor in Patients With CLI.

Patients platelet inhibition was analyzed based on the P2Y12 reaction units (PRU) as high on treatment platelet reactivity (HPR), defined as P2Y12 reaction units (PRU) ≥208 and appropriate platelet inhibition on (API), defined as P2Y12 reaction units (PRU) <208 (NCT02091921)
Timeframe: Two weeks

InterventionP2Y12 reaction units (PRU) (Mean)
Clopidogrel BaselineClopidogrel 6+-1 hour after the baseline doseTicagrelor BaselineTicagrelor 6+-1 hour after baseline
Ticagrelor1731407163

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Establish the Number of Participants in the High On-treatment Platelet Reactivity (HPR) on Clopidogrel Group Who Demonstrated Appropriate Platelet Inhibition (API) After Switching to Ticagrelor for Two Weeks.

This measure was obtained by the number of participants who demonstrated high on treatment platelet reactivity (PRU > / = 208) on Clopidogrel, and the number of participants who also resulted in the Appropriate Platelet Inhibition (PRU < 208) after switching to Ticagrelor for two weeks of uninterrupted therapy x 100% . (NCT02091921)
Timeframe: Two weeks

InterventionParticipants (Count of Participants)
HPR on Clopidogrel and API on Ticagrelor17

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Evaluate the Correlation Between PRU and VASP-PRI in CLI Patients During Clopidogrel Versus Ticagrelor Antiplatelet Therapy.

Correlation between the P2Y12 Reaction Units (PRU) and the Vasodilator-Stimulated Phosphoprotein Assay-Platelet Reactivity Index (VASP-PRI) used to test the inhibition of platelet aggregation after two weeks of uninterrupted therapy with Clopidogrel versus Ticagrelor in CLI participants (NCT02091921)
Timeframe: Two weeks

InterventionCorrelation Coefficient (Number)
ClopidogrelTicagrelorOverall Group
Correlation of PRU and VASP-PRI0.730.470.6

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Establish the Number of Participants With Appropriate Platelet Inhibition on Clopidogrel Who Demonstrated Appropriate Platelet Inhibition After Switching to Ticagrelor for Two Weeks.

The measure was obtained from the number of participants in the Appropriate Platelet Inhibition (PRU < 208) on Clopidogrel and who remained with Appropriate Platelet Inhibition after switching to Ticagrelor for two weeks of uninterrupted therapy x 100 (NCT02091921)
Timeframe: Two weeks

InterventionParticipants (Count of Participants)
API on Clopidogrel and API on Ticagrelor32

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Time to First Adjudicated Stroke

"Time to event analysis of patients with first adjudicated Stroke. The number of observed patients with adjudicated Stroke was reported.~Stroke was defined as an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of haemorrhage or infarction" (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg17
Dabigatran Etexilate 150mg9
Warfarin13
Warfarin (Excluding Elder Patients Outside USA)8

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Time to First Adjudicated Unplanned Revascularisation by PCI/CABG

Time to event analysis of patients with adjudicated unplanned revascularisation by Percutaneous Coronary Intervention (PCI)/Coronary Artery Bypass Graft (CABG). The number of observed patients with adjudicated unplanned revascularisation by PCI/CABG was reported. (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg76
Dabigatran Etexilate 150mg51
Warfarin69
Warfarin (Excluding Elder Patients Outside USA)52

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Time to First Adjudicated ST

Time to event analysis of patients with first adjudicated Stent Thrombosis (ST). The number of observed patients with adjudicated ST was reported. (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg15
Dabigatran Etexilate 150mg7
Warfarin8
Warfarin (Excluding Elder Patients Outside USA)7

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Time to First Adjudicated SE

"Time to event analysis of patients with first adjudicated Systemic embolism (SE). The number of observed patients with adjudicated SE was reported.~SE is an acute vascular occlusion of the extremities or any organ (kidneys, mesenteric arteries, spleen, retina or grafts) and had to be documented by angiography, surgery, scintigraphy, or autopsy." (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg3
Dabigatran Etexilate 150mg1
Warfarin3
Warfarin (Excluding Elder Patients Outside USA)3

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Time to First Adjudicated MI

Time to event analysis of patients with first adjudicated Myocardial Infarction (MI). The number of observed patients with adjudicated MI was reported (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg44
Dabigatran Etexilate 150mg26
Warfarin29
Warfarin (Excluding Elder Patients Outside USA)22

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Time to First Adjudicated ISTH MBE or CRNMBE

"Time to event analysis of patients with first adjudicated International Society of Thrombosis and Haemostasis (ISTH) Major Bleeding Event (MBE) or Clinically Relevant Non Major Bleeding Event (CRNMBE). The number of observed patients with adjudicated ISTH MBE or CRNMBE was reported.~Full analysis set (FAS): All consenting patients randomised were analysed in the treatment group to which they were randomised regardless of whether they took trial medication. The start date of the observation period for this analysis set was the date of randomisation. Patients who discontinued trial medication were followed until the end of the trial.~Patients who were lost to follow-up for vital status were censored for the primary endpoint at the time of their last known vital status.~Intention to treat period: The observation period for these analysis was the so called 'intention to treat period'." (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg151
Dabigatran Etexilate 150mg154
Warfarin264
Warfarin (Excluding Elder Patients Outside USA)196

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Time to Death or First Thrombotic Event or Unplanned Revascularisation by PCI/CABG

Time to event analysis of patients with death or thrombotic event (all death, myocardial infarction, stroke/systemic embolism) or unplanned revascularisation by Percutaneous Coronary Intervention/Coronary Artery Bypass Graft. The number of observed patients with death or first thrombotic event or unplanned revascularisation by PCI/CABG was reported. (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg149
Dabigatran Etexilate 150mg90
Warfarin131
Warfarin (Excluding Elder Patients Outside USA)98
All Dabigatran Etexilate239

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Time to Composite Endpoint of Death or First Thrombotic Event

Time to event analysis of patients with composite endpoint of death or first thrombotic event (all death, myocardial infarction (MI), stroke/systemic embolism (SE)). The number of observed patients with composite endpoint of death or thrombotic event (all death, MI, stroke/SE). (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg108
Dabigatran Etexilate 150mg60
Warfarin83
Warfarin (Excluding Elder Patients Outside USA60
All Dabigatran Etexilate168

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Time to Composite Endpoint of Death + MI + Stroke

Time to event analysis of patients with the composite endpoint of death + myocardial infarction (MI) + stroke. The number of observed patients with the composite endpoint of death + myocardial infarction (MI) + stroke was reported. (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg107
Dabigatran Etexilate 150mg60
Warfarin80
Warfarin (Excluding Elder Patients Outside USA)57

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Time to Adjudicated Undetermined Cause of Death

"Time to event analysis of patients with adjudicated Undetermined cause of death. The number of observed patients with adjudicated Undetermined cause of death was reported.~This is referred to a death not attributable to cardiovascular (CV) death or to a non-cardiovascular (non-CV) cause. Inability to classify the cause of death may have been due to lack of information (e.g. the only available information was patient died) or when there was insufficient supporting information or detail to assign the cause of death." (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg4
Dabigatran Etexilate 150mg5
Warfarin4
Warfarin (Excluding Elder Patients Outside USA)3

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Time to Adjudicated Non-CV

"Time to event analysis of patients with adjudicated Non-cardiovascular (Non-CV). The number of observed patients with adjudicated Non-CV was reported.~Non-CV death was defined as any death with a specific cause that was not thought to be CV. These were possible examples of non-CV causes of death: Pulmonary, Renal, Gastrointestinal, Hepatobiliary, Pancreatic Infection(included sepsis), Inflammatory (e.g. systemic inflammatory response syndrome) or immune (including autoimmune), Haemorrhage that was neither CV bleeding nor a stroke, Non-CV procedure or surgery, Trauma, Suicide, Non-prescription drug reaction or overdose, Prescription drug reaction or overdose, Neurological (non-CV), Malignancy, Other non-CV" (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg14
Dabigatran Etexilate 150mg4
Warfarin13
Warfarin (Excluding Elder Patients Outside USA)8

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Time to Adjudicated CV

"Time to event analysis of patients with adjudicated Cardiovascular (CV) death. The number of observed patients with adjudicated Cardiovascular (CV) death was reported.~CV death included death resulting from an acute myocardial infarction, sudden cardiac death, death due to heart failure, death due to stroke, death due to CV procedures, death due to CV haemorrhage, and death due to other CV causes." (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg37
Dabigatran Etexilate 150mg21
Warfarin31
Warfarin (Excluding Elder Patients Outside USA)24

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Time to Adjudicated All Cause Death

Time to event analysis of patients with adjudicated all cause death. The number of observed patients with adjudicated all cause death was reported. All cause death is defined as the death from any cause included CV death, non-CV death, and undetermined cause of death. (NCT02164864)
Timeframe: up to 30 months

InterventionParticipants (Count of Participants)
Dabigatran Etexilate 110mg55
Dabigatran Etexilate 150mg30
Warfarin48
Warfarin (Excluding Elder Patients Outside USA)35

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P2Y12 Reaction Unit (PRU)

Platelet function normalization using different concentrations (0%, 25%, 50%, and 75% supplementations) of fresh platelet within 48 hours of Ticagrelor Loading dose/last Maintenance dose, assessed using VerifyNow and expressed as P2Y12 Reaction Unit (PRU). The P2Y12 reaction unit (PRU) is an arbitrary unit of measure that represents the amount of platelet aggregation specific to the P2Y12 receptor. (NCT02201394)
Timeframe: Baseline (pre-treatment), 4, 6, 24 and 48 hours post Loading dose/last Maintenance dose

,
InterventionPRU (Mean)
BaselinePost-dose 4 hours 0%4 hours 25%4 hours 50%4 hours 75%Post-dose 6 hours 0%6 hours 25%6 hours 50%6 hours 75%Post-dose 24 hours 0%24 hours 25%24 hours 50%24 hours 75%Post-dose 48 hours 0%48 hours 25%48 hours 50%48 hours 75%
Loading Dose284.139.169.6100.398.625.955.367.871.2127.6157.3165.9162.5250.6249.5226.2204.2
Maintenance Dose284.137.572.288.485.924.046.055.467.7119.0147.6158.0154.0214.8219.7221.2203.9

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Platelet Aggregation Using Multiplate Analyzer

Platelet function normalization using different concentrations of fresh platelet within 48 hours of Ticagrelor Loading dose/last Maintenance dose, assessed using Multiplate Aggregometry (ADPtest), results expressed as Area Under Curve (U), where 1 U = 10 AU * min. (NCT02201394)
Timeframe: Baseline (pre-treatment), 4, 6, 24, and 48 hours post Loading dose/last Maintenance dose

,
Intervention10 AU * min (Mean)
Baseline (pre-dosePost-dose 4 hours 0%4 hours 25%4 hours 50%4 hours 75%Post-dose 6 hours 0%6 hours 25%6 hours 50%6 hours 75%Post dose 24 hours 0%24 hours 25%24 hours 50%24 hours 75%Post-dose 48 hours 0%48 hours 25%48 hours 50%48 hours 75%
Loading Dose67.013.618.721.423.612.317.320.722.324.939.749.352.841.357.768.672.8
Maintenance Dose67.015.720.922.124.213.416.518.920.425.635.543.347.539.156.863.870.3

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The Number of Major Adverse Cardiovascular Event (MACE)

MACE, composite of CV death, myocardial infarction or stroke (ischaemic or unknown etiology) (NCT02201771)
Timeframe: up to 12 months

Interventionevents (Number)
Aspirin9
Ticagrelor Plus Aspirin4
Ticagrelor3

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Number of the Major Bleeding Events

"According to modified TIMI criteria, the Major Bleeding Events is defined as the combination of CABG-related bleeding and non-CABG-related major bleeding(Intracranial bleeding, Clinically overt signs of hemorrhage with hemoglobin drop ≥5 g/dL and Fatal bleeding)." (NCT02201771)
Timeframe: up to 12 months

Interventionevents (Number)
Aspirin0
Ticagrelor Plus Aspirin3
Ticagrelor2

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The Rate of Post-operative Atrial Fibrillation After CABG.

Number of Participants with Post-operative Atrial Fibrillation after CABG (NCT02201771)
Timeframe: up to 7 days

InterventionParticipants (Count of Participants)
Aspirin23
Ticagrelor Plus Aspirin20
Ticagrelor13

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The Patency of Saphenous Vein Grafts

"assessed by MSCTA or CAG. FitzGibbon grade A (stenosis <50%) is defined as patency." (NCT02201771)
Timeframe: up to 7 days

Interventionpercentage of patent SV grafts (Number)
Aspirin91.1
Ticagrelor Plus Aspirin94.9
Ticagrelor94.3

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The Patency of Saphenous Vein Grafts

"assessed by multislice computed tomography angiography (MSCTA) or coronary angiography(CAG). FitzGibbon grade A (stenosis <50%) is defined as patency." (NCT02201771)
Timeframe: up to 12 months

Interventionpercentage of patent SV grafts (Number)
Aspirin76.5
Ticagrelor Plus Aspirin88.7
Ticagrelor82.8

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The Rate of Freedom From Angina According to Canadian Cardiovascular Society (CCS) Classification

Number of Participants Free of Angina per CCS Classification (NCT02201771)
Timeframe: up to 12 months

InterventionParticipants (Count of Participants)
Aspirin154
Ticagrelor Plus Aspirin158
Ticagrelor155

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Assessment of AR-C124910XX Concentration - Part A

AR-C124910XX is the active metabolite of Ticagrelor (NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,
Interventionng/mL (Geometric Mean)
Pre-dose1 hour post-dose2 hours post-dose
Ticagrelor 0.563 mg/kg Bid17.38024.94537.013
Ticagrelor 0.75 mg/kg Bid20.35943.98644.690

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P2Y12 Reaction Units (PRU) - Part A

(NCT02214121)
Timeframe: PRU measurements are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14). Up to 8 hours post-dose (6 hours following protocol amendment) Visit 2 and 3, and up to 2 hours Visit 4.

,,
InterventionP2Y12 reaction units (Mean)
Pre-dose2 hours post-dose
Ticagrelor 0.125 mg/kg Bid320271.2
Ticagrelor 0.563 mg/kg Bid205.4102.0
Ticagrelor 0.75 mg/kg Bid214.7152.0

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P2Y12 Reaction Units (PRU) - Part A

(NCT02214121)
Timeframe: PRU measurements are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14). Up to 8 hours post-dose (6 hours following protocol amendment) Visit 2 and 3, and up to 2 hours Visit 4.

,,
InterventionP2Y12 reaction units (Mean)
Pre-dose2 hours post-dose6 hours post-dose
Ticagrelor 0.75 mg/kg268.0138.4189.0
Ticagrelor 1.125 mg/kg283.7128.9191.2
Ticagrelor 2.25 mg/kg277.779.9141.7

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P2Y12 Reaction Units (PRU) - Part A

(NCT02214121)
Timeframe: PRU measurements are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14). Up to 8 hours post-dose (6 hours following protocol amendment) Visit 2 and 3, and up to 2 hours Visit 4.

,,
InterventionP2Y12 reaction units (Mean)
Pre-dose2 hours post-dose6 hours post-dose8 hours post-dose
Ticagrelor 0.125 mg/kg301.6278.2276.0343.0
Ticagrelor 0.375 mg/kg295.4229.0266.0318.3
Ticagrelor 0.563 mg/kg287.7176.2190.4318.0

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P2Y12 Reaction Units (PRU) - Part B

(NCT02214121)
Timeframe: PRU measurements are taken after 4 weeks of double blind treatment at the end of Part B.

,
InterventionP2Y12 reaction units (Mean)
Pre-dose2 hours post-dose
Placebo313.3217.3
Ticagrelor 0.125 mg/kg Bid282.8259.6

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Mean Intensity of Pain (Age >=4) - Part B

Pain measured using the Faces Pain Scale, range 0-10 (0, 2, 4, 6, 8, 10), where 0 is no pain (NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

,
InterventionMean score on scale (Mean)
Overall - Part B1st week2nd week3rd week4th week
Part B - Placebo0.871.360.380.670.83
Part B - Ticagrelor1.401.641.111.061.46

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Maximum Plasma Concentration (Cmax) - Part B

(NCT02214121)
Timeframe: PK measurements (up to 4 hours post-dose) are taken after 4 weeks of double blind treatment at the end of Part B.

Interventionng/mL (Geometric Mean)
Ticagrelor 0.125 mg/kg Bid16.394

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Area Under the Plasma Concentration Time Curve (AUC) - Part A

The PK parameter presented was derived using a model based analysis and not from a non-compartmental (NCA) analysis. (NCT02214121)
Timeframe: PK measurements (up to 8 hours post-dose) are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14).

Interventionng*h/mL (Geometric Mean)
Ticagrelor 0.125 mg/kg161.9
Ticagrelor 0.75 mg/kg1151.9
Ticagrelor 0.375 mg/kg437.5
Ticagrelor 0.563 mg/kg879.3
Ticagrelor 1.125 mg/kg1638.7
Ticagrelor 2.25 mg/kg2850.9
Ticagrelor 0.125 mg/kg Bid161.9
Ticagrelor 0.563 mg/kg Bid913.5
Ticagrelor 0.75 mg/kg Bid1022.4

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Area Under the Plasma Concentration Time Curve (AUC) - Part B

The PK parameter presented was derived using a model based analysis and not from a non-compartmental (NCA) analysis. (NCT02214121)
Timeframe: PK measurements (up to 4 hours post-dose) are taken after 4 weeks of double blind treatment at the end of Part B.

Interventionng*h/mL (Geometric Mean)
Ticagrelor 0.125 mg/kg Bid160.6

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Haemorrhagic Events - Part A

(NCT02214121)
Timeframe: From randomisation to Part A (week 0) through Visit 4 (week 2)

InterventionNumber of events (Number)
Part A - Ticagrelor0

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Haemorrhagic Events - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionNumber of events (Number)
Part B - Ticagrelor0
Part B - Placebo0

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Maximum Plasma Concentration (Cmax) - Part A

(NCT02214121)
Timeframe: PK measurements (up to 8 hours post-dose) are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14).

Interventionng/mL (Geometric Mean)
Ticagrelor 0.125 mg/kg15.240
Ticagrelor 0.75 mg/kg162.961
Ticagrelor 0.375 mg/kg52.069
Ticagrelor 0.563 mg/kg96.031
Ticagrelor 1.125 mg/kg269.174
Ticagrelor 2.25 mg/kg566.550
Ticagrelor 0.125 mg/kg Bid13.973
Ticagrelor 0.563 mg/kg Bid111.367
Ticagrelor 0.75 mg/kg Bid157.216

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Number of Vaso-occlusive Crises - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionNumber of events (Mean)
Part B - Ticagrelor1.0
Part B - Placebo0.6

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Number of Vaso-occlusive Crises Requiring Hospitalization or Emergency Department Visits - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionNumber of events (Mean)
Part B - Ticagrelor0.2
Part B - Placebo0.1

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Oral Clearance (CL/F) - Part A

The PK parameter presented were derived using a model based analysis and not from a non-compartmental (NCA) analysis. (NCT02214121)
Timeframe: PK measurements (up to 8 hours post-dose) are taken in conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7) and after repeated dosing at Visit 4 (Day 14).

InterventionL/h (Geometric Mean)
Overall22.50

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Oral Clearance (CL/F) - Part B

The PK parameter presented was derived using a model based analysis and not from a non-compartmental (NCA) analysis. (NCT02214121)
Timeframe: PK measurements (up to 4 hours post-dose) are taken after 4 weeks of double blind treatment at the end of Part B.

InterventionL/h (Geometric Mean)
Ticagrelor 0.125 mg/kg Bid19.15

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Percentage of Days Hospitalized for Vaso-occlusice Crisis or Other Complications of Sickle Cell Disease - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionPercentage of days (Mean)
Part B - Ticagrelor4.52
Part B - Placebo1.34

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Percentage of Days of Absence From School or Work (Age >=6) - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionPercentage of days (Mean)
Part B - Ticagrelor4.87
Part B - Placebo5.95

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Percentage of Days of Analgesic Use (Age >= 4) - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionPercentage of days (Mean)
Part B - Ticagrelor16.79
Part B - Placebo18.56

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Percentage of Days of Opioid Analgesic Use (Age >=4) - Part B

(NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionPercentage of days (Mean)
Part B - Ticagrelor12.46
Part B - Placebo0.54

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Percentage of Days With Pain (Age >=4) - Part B

Pain measured using the Faces Pain Scale, range 0-10 (0, 2, 4, 6, 8, 10), where 0 is no pain (NCT02214121)
Timeframe: During 4 weeks of study treatment starting from randomization in Part B (week 2) up to 4 weeks (week 6).

InterventionPercentage of days (Mean)
Part B - Ticagrelor27.01
Part B - Placebo31.78

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Assessment of AR-C124910XX Concentration - Part A

AR-C124910XX is the active metabolite of Ticagrelor (NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

Interventionng/mL (Geometric Mean)
Pre-dose2 hours post-dose
Ticagrelor 0.125 mg/kg Bid1.2504.026

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Assessment of AR-C124910XX Concentration - Part A

AR-C124910XX is the active metabolite of Ticagrelor (NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,,
Interventionng/mL (Geometric Mean)
1 hour post-dose2 hours post-dose4 hours post-dose6 hours post-dose
Ticagrelor 0.75 mg/kg16.30233.25629.86025.276
Ticagrelor 1.125 mg/kg30.07052.93250.88735.716
Ticagrelor 2.25 mg/kg63.088149.772101.37076.941

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Assessment of AR-C124910XX Concentration - Part A

AR-C124910XX is the active metabolite of Ticagrelor (NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,,
Interventionng/mL (Geometric Mean)
1 hour post-dose2 hours post-dose4 hours post-dose6 hours post-dose8 hours post-dose
Ticagrelor 0.125 mg/kg1.7822.6812.0711.6461.715
Ticagrelor 0.375 mg/kg4.57711.7577.6309.7626.176
Ticagrelor 0.563 mg/kg3.70815.91817.01516.7039.232

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Assessment of AR-C124910XX Concentration - Part B

AR-C124910XX is the active metabolite of Ticagrelor (NCT02214121)
Timeframe: PK measurements (up to 4 hours post-dose) are taken after 4 weeks of double blind treatment at the end of Part B.

Interventionng/mL (Geometric Mean)
Pre-dose1 hour post-dose2 hours post-dose4 hours post-dose
Ticagrelor 0.125 mg/kg Bid1.8102.8654.1603.953

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Assessment of Ticagrelor Concentration - Part A

(NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

Interventionng/mL (Geometric Mean)
Pre-dose2 hours post-dose
Ticagrelor 0.125 mg/kg Bid2.17013.973

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Assessment of Ticagrelor Concentration - Part A

(NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,
Interventionng/mL (Geometric Mean)
Pre-dose1 hour post-dose2 hours post-dose
Ticagrelor 0.75 mg/kg Bid28.066151.520101.618
Ticagrelor 0.563 mg/kg Bid31.93780.414102.166

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Assessment of Ticagrelor Concentration - Part A

(NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,,
Interventionng/mL (Geometric Mean)
1 hour post-dose2 hours post-dose4 hours post-dose6 hours post-dose
Ticagrelor 0.75 mg/kg104.243107.72975.90752.966
Ticagrelor 1.125 mg/kg182.558162.435118.21769.708
Ticagrelor 2.25 mg/kg390.568426.804188.383125.279

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Assessment of Ticagrelor Concentration - Part A

(NCT02214121)
Timeframe: In conjunction with single doses at Visit 2 (Day 0) and Visit 3 (Day 7), after repeated dosing at Visit 4 (Day 14). Up to 8h post-dose (6h following protocol amendment, no pre-dose) Visit 2 and 3, up to 2h Visit 4 (pre-dose, 1h added following amendment)

,,
Interventionng/mL (Geometric Mean)
1 hour post-dose2 hours post-dose4 hours post-dose6 hours post-dose8 hours post-dose
Ticagrelor 0.125 mg/kg12.71311.4656.6473.6633.880
Ticagrelor 0.375 mg/kg34.06937.78220.12219.43515.699
Ticagrelor 0.563 mg/kg33.29474.62651.00545.50215.691

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Assessment of Ticagrelor Concentration - Part B

(NCT02214121)
Timeframe: PK measurements (up to 4 hours post-dose) are taken after 4 weeks of double blind treatment at the end of Part B.

Interventionng/mL (Geometric Mean)
Pre-dose1 hour post-dose2 hours post-dose4 hours post-dose
Ticagrelor 0.125 mg/kg Bid2.4789.67714.1449.605

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Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-6h)

Exposure to ticagrelor during the first 6 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h post dose

Interventionng*h/mL (Median)
Morphine2491
Placebo5587

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Maximum Concentration of AR-C124910XX

Maximum concentration (Cmax) of AR-C124910XX (NCT02217878)
Timeframe: 12 hours

Interventionng/mL (Median)
Morphine1085
Placebo1043

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Maximum Concentration of Ticagrelor

Maximum concentration (Cmax) of ticagrelor (NCT02217878)
Timeframe: 12 hours

Interventionng/mL (Mean)
Morphine1156
Placebo1683

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine206.5
Placebo117.0

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine9.0
Placebo7.5

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine137.0
Placebo44.0

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Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-12h)

Exposure to ticagrelor metabolite during the first 12 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h, 12h post dose

Interventionng*h/mL (Mean)
Morphine1503
Placebo2388

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Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-6)

Exposure to ticagrelor metabolite during the first 6 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h post dose

Interventionng*h/mL (Median)
Morphine472
Placebo1001

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine113.0
Placebo15.0

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Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-12h)

Exposure to ticagrelor during the first 12 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h, 12h post dose

Interventionng*h/mL (Mean)
Morphine6307
Placebo9791

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine268.5
Placebo210.5

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine50.5
Placebo9.0

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine44.5
Placebo8.0

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P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine232.5
Placebo238.5

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Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With MEA

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With MEA (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine40
Placebo14

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Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VASP

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With VASP (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine57
Placebo29

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Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VerifyNow

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With VerifyNow (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine36
Placebo19

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine59
Placebo23

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine19
Placebo11

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine31
Placebo23

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine27
Placebo17

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine86
Placebo48

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine29
Placebo13

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine19
Placebo11

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Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine85
Placebo77

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine70.2
Placebo42.0

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine27.5
Placebo15.6

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine52.1
Placebo26.2

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine37.8
Placebo26.0

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine83.2
Placebo73.9

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine36.9
Placebo23.2

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine27.9
Placebo19.7

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Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine88.5
Placebo88.3

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Time to Maximum Concentration for AR-C124910XX

Time to maximum concentration (Tmax) for AR-C124910XX (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine4
Placebo4

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Time to Maximum Concentration for Ticagrelor

Time to maximum concentration (Tmax) for ticagrelor (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine4
Placebo2

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Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With MEA

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With MEA (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine2.0
Placebo1.0

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Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VASP

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With VASP (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine2.0
Placebo1

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Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VerifyNow

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With VerifyNow (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine1.0
Placebo0.5

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Multiplate ADP Test

"Platelet activation by adenosine diphosphate (ADP) expressed in arbitrary aggregation units (U). P2Y12 inhibitors block ADP receptors and decrease platelet activation by ADP. Higher values mean less effect of P2Y12 inhibitors, lower values mean more effect of P2Y12 inhibitors on platelets.~High on-treatment platelet reactivity was defined as >46 U." (NCT02224274)
Timeframe: 12 hours after P2Y12 inhibitor loading

InterventionU (Mean)
Clopidogrel28
Ticagrelor15

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VerifyNow P2Y12Test - % Inhibition

% inhibition reflects P2Y12 inhibitor effect regarding basal platelet reactivity (defined as: (1- (platelet reactivity/basal platelet reactivity)) x 100). Higher values mean better P2Y12 inhibition response. High on-treatment platelet reactivity was defined as <11% inhibition. (NCT02224274)
Timeframe: 12 hours after P2Y12 inhibitor loading

Intervention% inhibition (Mean)
Clopidogrel4
Ticagrelor55

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VerifyNow P2Y12Test - Platelet Reactivity

Platelet reactivity reflects P2Y12 inhibitor effect. Higher values mean normal platelet reactivity due to low P2Y12 inhibition response, while lower values mean decreased platelet reactivity due to the effect of a P2Y12 inhibitor. High on-treatment platelet reactivity was defined as >208 PRU. (NCT02224274)
Timeframe: 12 h after P2Y12 inhibitor loading

InterventionPRU (Mean)
Clopidogrel238
Ticagrelor101

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Change From Baseline in Log Transformed Claudication Onset Time (COT) at Week 26 or Early Termination (ET)

(NCT02227368)
Timeframe: 26 Weeks

Interventionlog(Second) (Mean)
Ticagrelor0.6
Aspirin0.5

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Change From Baseline in Log Transformed Peak Walking Time (PWT) at Week 26 or Early Termination (ET)

(NCT02227368)
Timeframe: 26 Weeks

Interventionlog(Second) (Mean)
Ticagrelor0.0
Aspirin0.1

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Absolute Change in TcPO2 From Baseline to Month 6

The primary endpoint is the absolute change in TcPO2 from baseline to month 6 compared between treatment groups. (NCT02230527)
Timeframe: 6 months

InterventionmmHG (Mean)
Clopidogrel14.9
Ticagrelor4.2

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Number of Participants With BARC Type 2, 3, or 5

Number of participants with first occurrence of clinically relevant bleeding episode, defined as Bleeding Academic Research Consortium (BARC) Types 2, 3 or 5 bleeding. BARC bleeding types range from 0 (no bleeding) to 5 (fatal bleeding). (NCT02270242)
Timeframe: 12 months after randomization

InterventionParticipants (Count of Participants)
Placebo + Ticagrelor141
Aspirin + Ticagrelor250

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Number of Participants With Ischemic Episode

Number of participants with first occurrence of confirmed all-cause death, non-fatal myocardial infarction or stroke. (NCT02270242)
Timeframe: 12 months after randomization

InterventionParticipants (Count of Participants)
Placebo + Ticagrelor135
Aspirin + Ticagrelor137

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Platelet Reactivity Unit

PRU assessed by VerifyNow at 48 hours after switching of clopidogrel 600 mg LD administered 24 hours after the last ticagrelor MD vs. clopidogrel 75 mg MD given 24 hours after the last ticagrelor MD (NCT02287909)
Timeframe: 48 hours after switch

InterventionPRU (Least Squares Mean)
A) Clopidogrel 600 mg LD 24 Hours After Last MD of Ticagrelor177
B) Clopidogrel 600 mg LD 12 Hours After Last MD of Ticagrelor164
C) Clopidogrel 75mg MD 24 Hours After Last MD of Ticagrelor174
D) Continue Ticagrelor MD 90mg Twice Daily26

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Major Adverse Cardiovascular Events

Time to first occurence of the composite of Cardiovascular Death, Non-fatal Myocardial Infarction, Coronary Revascularization or Non-fatal Stroke. The number of patients with events is reported. (NCT02291419)
Timeframe: up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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Non-fatal Myocardial Infarction or Coronary Revascularization

Time to first occurence of Non-fatal myocardial infarction or coronary revascularization. The number of participants with events was reported. (NCT02291419)
Timeframe: up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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Non-fatal Stroke

Time to first occurence of Non-fatal stroke. The number of participants with events was reported. (NCT02291419)
Timeframe: up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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The Number of Participants With Bleeding According to Bleeding Academic Research Consortium (BARC) Definitions

(NCT02291419)
Timeframe: up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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All-cause Death

Time to first occurence of All-cause death. The number of participants with events was reported. (NCT02291419)
Timeframe: up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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Cardiovascular Death

Time to first occurence of Cardiovascular death. The number of patients with events was reported. (NCT02291419)
Timeframe: Up to 6 months. The planned duration of treatment was one year but the study was terminated after 6 months.

InterventionParticipants (Count of Participants)
Ticagrelor0
Aspirin0

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Mean Change in Microvascular Blood Flow Composite Score

Measure of treatment effect using pulse volume recordings of the ankle, great toe and brachial artery to calculate the ankle brachial index and toe pressures composite score at week 16 from baseline. Composite score obtained by adding all the measurements and averaged. The score was tested by the Laser Doppler Flowmetry (LDF). Minimum score is 0 which mean no blood flow detected and there is no maximum value of the score, and higher score mean better blood flow. (NCT02325466)
Timeframe: baseline and week 16

,,
Interventionscore on a scale (Mean)
Right sideLeft side
Aspirin Placebo/Ticagrelor-5.23-4.29
Aspirin/Ticagrelor13.6424.76
Aspirin/Ticagrelor Placebo-4.10-5.60

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Mean Change in High Shear Blood Viscosity

Compare the effect of aspirin-ticagrelor and ticagrelor monotherapy with aspirin on blood viscosity at week 16 to baseline (NCT02325466)
Timeframe: baseline and week 16

Intervention300 s^-1 cPs (Mean)
Aspirin/Ticagrelor Placebo0.165
Aspirin/Ticagrelor-0.228
Aspirin Placebo/Ticagrelor-0.231

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Mean Change in Peripheral Arterial Blood Flow

"Measure of treatment effect using pulse volume recordings of the ankle, great toe and brachial artery to calculate the ankle brachial index (ABI) and toe brachial index (TBI) at week 16 compared to baseline.~ABI and TBI are taken in order to determine the existence and severity of peripheral arterial disease.~ABI - The normal range for the ankle-brachial index is between 0.90 and 1.30. ABI <0.90 is abnormal: 0.41 to 0.90 indicates mild to moderate peripheral artery disease; 0.40 and lower indicates severe disease. The lower the index, the higher the chances of leg pain while exercising or limb-threatening low blood flow.~TBI ≥ 0.7 is normal, TBI < 0.7 is abnormal." (NCT02325466)
Timeframe: baseline and week 16

,,
Interventionindex (Mean)
ABI right sideABI left sideTBI right sideTBI left side
Aspirin Placebo/Ticagrelor0.0950.0750.0110.036
Aspirin/Ticagrelor0.0210.0320.009-0.016
Aspirin/Ticagrelor Placebo0.0380.0150.0440.004

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Mean Change in Low Shear Blood Viscosity

Compare the effect of aspirin-ticagrelor and ticagrelor monotherapy with aspirin on blood viscosity from week 16 to baseline (NCT02325466)
Timeframe: baseline, week 16

Intervention5 s^-1 cPs (Mean)
Aspirin/Ticagrelor Placebo1.045
Aspirin/Ticagrelor-1.793
Aspirin Placebo/Ticagrelor-1.759

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Treatment Efficacy of Ticagrelor to Preserve Patency of Hemodialysis Vascular Access

Percentage of participants with stenosis free survival (NCT02335099)
Timeframe: 1 year

Interventionpercentage of participants (Number)
Treatment72.2
Placebo75.0

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Feasibility and Safety of Ticagrelor in Hemodialysis Patients

Number of Participants with prolonged bleeding (>30 minutes) after removal of needles (NCT02335099)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Treatment1
Placebo3

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Pharmacodynamic Assessment of Degree of Platelet Inhibition as Determined by Verify Now Point of Care Assay and Expressed as P2Y12 Reaction Units (PRU)

(NCT02376283)
Timeframe: Balloon Inflation as Baseline, 20, 60, 240 minutes

,,
InterventionP2Y12 reaction units (PRU) (Mean)
STEMI at 20 minsSTEMI at balloon inflationSTEMI at 60 minsSTEMI at 240 minsNSTEMI at 20 minsNSTEMI at 60 minsNSTEMI at 240 mins
Clopidogrel270.23286.46293.46226.42213.21227.36214.00
Prasugrel247.73253.73262.87128.64125.8076.9331.87
Ticagrelor256.73257.93225.20176.27172.80114.2023.00

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Pharmacokinetic Quantification of Plasma Concentration of Clopidogrel and Prasugrel Active Metabolite and Ticagrelor Parent Compound and Active Metabolite Assessed Using Liquid Chromatography in Tandem With Mass Spectrometry (LC-MS/MS) Expressed as ng/ml

The parent compound of Ticagrelor was also analysed within the same patient group of Ticagrelor as it is a directly acting agent that does not require metabolic conversion to its active form. (NCT02376283)
Timeframe: Balloon Inflation as Baseline, 20, 60, 240 minutes

,,,
Interventionng/ml (Mean)
STEMI at 20 minsSTEMI at balloon inflationSTEMI at 60 minsSTEMI at 240 minsNSTEMI at 20 minsNSTEMI at 60 minsNSTEMI at 240 mins
Clopidogrel39.12107.8371.0232.4141.9993.3527.71
Prasugrel14.2724.2036.8638.44515.80194.5936.80
Ticagrelor0.161.6414.4353.387.7258.40113.59
Ticagrelor Parent Compound9.0428.5647.1384.9222.7884.13140.61

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Pharmacodynamic Assessment of Degree of Platelet Inhibition as Determined by VASP (Vasodilator Stimulated Phosphoprotein Phosphorylation) Flow Cytometry and Expressed as %PRI (Platelet Reactivity Index)

(NCT02376283)
Timeframe: Balloon Inflation as Baseline, 20, 60, 240 minutes

,,
Intervention%PRI (Mean)
STEMI at 20 minsSTEMI at balloon inflationSTEMI at 60 minsSTEMI at 240 minsNSTEMI at 20 minsNSTEMI at 60 minsNSTEMI at 240 mins
Clopidogrel76.2974.8671.5763.1475.1776.7561.83
Prasugrel46.2541.1350.5057.0033.2721.9115.18
Ticagrelor79.7574.6376.2551.3862.0033.1720.17

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Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC [0-∞]).

Blood samples for the determination of plasma concentrations of both ticagrelor and AR-C124910XX were collected at pre-dose (0 hours) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,,
Interventionh·ng/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A30681138
Treatment B32281155
Treatment C32261154
Treatment D34231197

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Ratio of Metabolite Cmax to Parent Cmax, Adjusted for Differences in Molecular Weights (MRCmax) of Metabolite AR-C124910XX.

Assesssment of MRCmax (ratio of metabolite Cmax to parent Cmax, adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet when administered with water, without water and suspended in water to be administered through nasogastric tubes, compared to ticagrelor IR tablets. (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.300
Treatment B0.277
Treatment C0.286
Treatment D0.271

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Ratio of Metabolite AUC(0-t) to Parent AUC(0-t), Adjusted for Differences in Molecular Weights (MRAUC[0-t]) of Metabolite AR-C124910XX.

Assesssment of MRAUC(0-t) (Ratio of metabolite AUC(0-t) to parent AUC(0-t), adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet when administered with water, without water and suspended in water to be administered through nasogastric tubes, compared to ticagrelor IR tablets. (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.393
Treatment B0.380
Treatment C0.379
Treatment D0.371

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Ratio of Metabolite AUC [0-∞] to Parent AUC [0-∞], Adjusted for Differences in Molecular Weights (MRAUC [0-∞]) of Metabolite AR-C124910XX.

Assesssment of MRAUC [0-∞] (Ratio of metabolite AUC [0-∞] to parent AUC [0-∞], adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet when administered with water, without water and suspended in water to be administered through nasogastric tubes, compared to ticagrelor IR tablets. (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.405
Treatment B0.391
Treatment C0.391
Treatment D0.382

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Participants With Significant Findings in 12-Lead Electrocardiography (ECG).

A 12-lead ECG was obtained after the participant rested in supine position for at least 10 minutes. The study physician was to judge the overall interpretation as normal or abnormal. If abnormal, it was decided as to whether or not the abnormality was clinically significant and the reason for the abnormality was recorded. (NCT02400333)
Timeframe: At screening and at follow-up.

Interventionparticipants (Number)
Treatment A0
Treatment B0
Treatment C0
Treatment D0

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Participants With Clinically Significant Findings in Hematology, Clinical Chemistry and Urinalysis.

Participants were assessed through each laboratory variables for any significant abnormalities. Hematology assessments included white blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin and others. Clinical chemistry assessment included testing levels of sodium, potassium, urea, creatinine, albumin, calcium, glucose (fasting) and others. Urinalysis assessment included glucose, protein, blood and microscopy (if positive for blood or protein). (NCT02400333)
Timeframe: At screening, at admission on Day -1 to each treatment period and at follow-up.

Interventionparticipants (Number)
Treatment A0
Treatment B0
Treatment C0
Treatment D0

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Mean Change From Baseline for Vital Signs in Supine Pulse Rate.

Vital signs were collected after the participant has rested in the supine position for at least 5 minutes. (NCT02400333)
Timeframe: Day 1 (2, 4 hours post-dose) and Day 2 (24 hours post-dose).

,,,
Interventionbpm (Mean)
Day 1, 2h Post-doseDay 1, 4 Post-doseDay 2, 24h Post-dose
Treatment A010
Treatment B-1-11
Treatment C-1-11
Treatment D021

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Time to Reach Maximum Observed Concentration (Tmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Blood samples for the determination of plasma concentrations of both ticagrelor and AR-C124910XX were collected at pre-dose (0 hours) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,,
Interventionh (Median)
TicagrelorAR-C124910XX
Treatment A2.023.00
Treatment B2.003.00
Treatment C2.002.00
Treatment D2.002.00

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Percentage of Participants With Adverse Events (AEs).

An AE is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. The term AE is used generally to include any AE whether serious or non-serious. A serious AE (SAE) is an AE that fulfills one or more of the following criteria: results in death, is immediately life-threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions; is a congenital abnormality or birth defect; is an important medical event that may jeopardize the participant or may require medical intervention to prevent one of the outcomes listed above. (NCT02400333)
Timeframe: SAEs were recorded from the signing of informed consent and AEs were recorded from randomisation until the final follow-up visit.

,,,
Interventionpercentage of participants (Number)
AEsSAEs
Treatment A9.70
Treatment B15.60
Treatment C8.80
Treatment D6.10

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Mean Change From Baseline for Vital Signs of Supine Blood Pressure (SBP) and Diastolic BP (DBP).

The following variables were collected after the participants had rested in the supine position for at least 5 minutes: SBP and DBP. (NCT02400333)
Timeframe: Day 1 (2, 4 hours post-dose) and Day 2 (24 hours post-dose).

,,,
InterventionmmHg (Mean)
SBP - Day 1, 2h Post-doseSBP - Day 1, 4 Post-doseSBP - Day 2, 24h Post-doseDBP - Day 1, 2h Post-doseDBP - Day 1, 4 Post-doseDBP - Day 2, 24h Post-dose
Treatment A-20-2-100
Treatment B-21-1-1-1-3
Treatment C-1-1-3-4-3-3
Treatment D32100-1

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Maximum Observed Plasma Concentration (Cmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Blood samples for the determination of plasma concentrations of both ticagrelor and AR-C124910XX were collected at pre-dose (0 hours) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,,
Interventionng/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A428118
Treatment B499126
Treatment C479126
Treatment D520129

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Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Blood samples for the determination of plasma concentrations of both ticagrelor and AR-C124910XX were collected at pre-dose (0 hours) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,,
Interventionh (Mean)
TicagrelorAR-C124910XX
Treatment A8.029.48
Treatment B8.219.35
Treatment C7.999.36
Treatment D8.189.47

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Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Analyte Concentration (AUC[0-t]) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Blood samples for the determination of plasma concentrations of both ticagrelor and AR-C124910XX were collected at pre-dose (0 hours) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02400333)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,,
Interventionh·ng/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A30231087
Treatment B31721104
Treatment C31741101
Treatment D33581140

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Platelet Reactivity Measured by VerifyNow P2Y12

Platelet reactivity measured by VerifyNow P2Y12 2 hours after ticagrelor loading dose and reported as P2Y12 reaction units (PRU) (NCT02403830)
Timeframe: 2 hours

InterventionPRU (Least Squares Mean)
Methylnaltrexone130
Placebo97

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AUC of Ticagrelor Plasma Levels

The area under the plasma concentration vs. time curve from time 0 to the last measurable concentration (AUC) was calculated based on ticagrelor plasma levels (NCT02403830)
Timeframe: 6 hours

Interventionng*hr/mL (Geometric Mean)
Methylnaltrexone2952
Placebo2276

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Platelet Reactivity Measured by VASP

Platelet reactivity measured by VASP 2 hours after ticagrelor loading dose and reported as platelet reactivity index (PRI) (NCT02403830)
Timeframe: 2 hours

InterventionPRI (Least Squares Mean)
Methylnaltrexone47
Placebo40

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MRCmax (Ratio of Metabolite Cmax to Parent Cmax, Adjusted for Differences in Molecular Weights) of Active Metabolite AR-C124910XX

Assessment of MRCmax (ratio of metabolite Cmax to parent Cmax, adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.340
Treatment B0.322
Treatment C0.327

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Time to Reach Maximum Observed Concentration (Tmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Comparison of tmax (Time to reach maximum observed concentration) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionhours (Median)
TicagrelorAR-C124910XX
Treatment A3.003.07
Treatment B3.003.00
Treatment C2.003.00

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Terminal Elimination Rate Constant (λz) of Ticagrelor and Its Active Metabolite, AR-C124910XX.

Comparison of terminal elimination rate constant (λz) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Intervention1/hour (Mean)
TicagrelorAR-C124910XX
Treatment A0.09120.0792
Treatment B0.08890.0789
Treatment C0.08960.0794

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Number of Participants With Adverse Events (AEs)

An AE is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. The term AE is used generally to include any AE whether serious or non-serious. A serious AE (SAE) is an AE that fulfills one or more of the following criteria: results in death, is immediately life-threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions; is a congenital abnormality or birth defect; is an important medical event that may jeopardize the participant or may require medical intervention to prevent one of the outcomes listed above. (NCT02436577)
Timeframe: From the date of randomization (Day 1 of the first treatment period) until the final follow-up visit (5 to 10 days after last administration of IMP).

,,
InterventionParticipants (Number)
Participants with any AEParticipants with SAEs
Treatment A30
Treatment B40
Treatment C30

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Mean Residence Time (MRT) of Ticagrelor and Its Active Metabolite AR-C124910XX

Comparison of MRT (mean residence time) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionhours (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A9.6613.3
Treatment B10.113.6
Treatment C9.6813.2

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Participants With Clinically Significant Findings in Hematology, Clinical Chemistry and Urinalysis.

Participants were assessed through each laboratory variables for any significant abnormalities. Hematology assessments included white blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin and others. Clinical chemistry assessment included testing levels of sodium, potassium, urea, creatinine, albumin, calcium, glucose (fasting) and others. Urinalysis assessment included glucose, protein, blood and microscopy (if positive for blood or protein). (NCT02436577)
Timeframe: At Screening and at Follow-up (these two examinations are 7 to 8 weeks apart).

Interventionparticipants (Number)
Treatment A0
Treatment B0
Treatment C0

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Maximum Observed Plasma Concentration (Cmax) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Comparison of Cmax (maximum observed plasma concentration) of ticagrelor and its active metabolite AR-C124910XX following single doses of the orodispersible (OD) tablet - when administered with and without water - and ticagrelor immediate-release (IR) tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionng/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A529165
Treatment B534158
Treatment C569170

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Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Comparison of t½λz (half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionhours (Mean)
TicagrelorAR-C124910XX
Treatment A7.749.13
Treatment B7.949.12
Treatment C7.869.05

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Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Analyte Concentration AUC (0-t) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Comparison of AUC(0-t) (Area under the plasma concentration-time curve from time zero to time of last quantifiable analyte concentration) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionh*ng/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A34621488
Treatment B34231441
Treatment C35461513

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Mean Change From Baseline for Vital Signs of Supine Blood Pressure (SBP) and Diastolic BP (DBP)

The following variables were collected after the participants had rested in the supine position for at least 5 minutes: SBP and DBP. (NCT02436577)
Timeframe: Day 1 (pre dose, 2 hours, and 4 hours post dose) and Day 2 (24 hours post dose).

,,
InterventionmmHg (Mean)
SBP: Day 1, 2 hours post doseSBP: Day 1, 4 hours post doseSBP: Day 2, 24 hours post doseDBP: Day 1, 2 hours post doseDBP: Day 1, 4 hours post doseDBP: Day 2, 24 hours post dose
Treatment A032-3-11
Treatment B001-201
Treatment C031-2-1-2

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Mean Change From Baseline for Vital Signs in Supine Pulse Rate.

Vital signs i.e. Pulse (beats per minute [bpm]) were collected after the participant has rested in the supine position for at least 5 minutes. (NCT02436577)
Timeframe: At Screening and at Follow-up (these two examinations are 7 to 8 weeks apart) and during treatment periods at pre-dose and post-dose at 2, 4 and 24 hours.

,,
Interventionbpm (Mean)
Day 1, 2 hours post doseDay 1, 4 hours post doseDay 2, 24 hours post dose
Treatment A121
Treatment B342
Treatment C141

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Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC) of Ticagrelor and Its Active Metabolite AR-C124910XX.

Comparison of AUC (Area under plasma concentration-time curve from zero to infinity) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Interventionng*hr/mL (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A35201547
Treatment B34851503
Treatment C36061573

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Ratio of Metabolite AUC(0-t) to Parent AUC(0-t), Adjusted for Differences in Molecular Weights (MRAUC [0-t]) of Active Metabolite AR-C124910XX

Assessment of MRAUC(0-t) (Ratio of metabolite AUC(0-t) to parent AUC(0-t), adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.469
Treatment B0.460
Treatment C0.466

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Elimination Rate Constant (Kel) of Ticagrelor and Its Active Metabolite AR-C124910XX

Comparison of kel (elimination rate constant) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

,,
Intervention1/hour (Geometric Mean)
TicagrelorAR-C124910XX
Treatment A0.09040.0775
Treatment B0.08810.0775
Treatment C0.08890.0779

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Ratio of Metabolite AUC to Parent AUC, Adjusted for Differences in Molecular Weights (MRAUC) of Active Metabolite AR-C124910XX

Assessment of MRAUC (Ratio of metabolite AUC to parent AUC, adjusted for differences in molecular weights) of ticagrelor and its active metabolite AR-C124910XX following single doses of the OD tablet - when administered with and without water - and ticagrelor IR tablet. Blood samples for the determination of plasma concentrations of both ticagrelor and its active metabolite AR-C124910XX will be collected for each treatment period: 0 hours (pre-dose) and post-dose at 0.5 (30 minutes), 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours (14 samples per treatment period). (NCT02436577)
Timeframe: 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours in each treatment period.

Interventionratio (Geometric Mean)
Treatment A0.480
Treatment B0.471
Treatment C0.476

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Participants With Significant Findings in 12-Lead Electrocardiography (ECG).

A 12-lead ECG was obtained after the participant rested in supine position for at least 10 minutes. The study physician was to judge the overall interpretation as normal or abnormal. If abnormal, it was decided as to whether or not the abnormality was clinically significant and the reason for the abnormality was recorded. (NCT02436577)
Timeframe: At Screening and at Follow-up (these two examinations are 7 to 8 weeks apart).

Interventionparticipants (Number)
Treatment A0
Treatment B0
Treatment C0

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Number of Major Bleeding or Clinically Relevant Non-major Bleeding Events (Events)

To assess safety and tolerability of 2 different doses of ticagrelor versus placebo in patients with SCD (NCT02482298)
Timeframe: Baseline through Week 12

,,
InterventionNumber of events (Number)
Total number of bleeding eventsMaximum severity of bleeding event: MinorMax sever. of bleed event: Clin-relevant nonmajorMaximum severity of bleeding event: Major
PLACEBO 10MG BID + PLACEBO 45MG BID2020
TICAGRELOR 10MG BID + PLACEBO 45MG BID2110
TICAGRELOR 45MG BID + PLACEBO 10MG BID2020

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Change in Proportion of Days With Analgesic Use Measured by an eDiary

To assess the efficacy of 2 different doses of ticagrelor versus placebo in reducing the use of analgesics by patients with sickle cell disease. (NCT02482298)
Timeframe: Baseline through Week 12

InterventionProportion of days with analgesic use (Least Squares Mean)
PLACEBO 10MG BID + PLACEBO 45MG BID-0.1991
TICAGRELOR 10MG BID + PLACEBO 45MG BID-0.0799
TICAGRELOR 45MG BID + PLACEBO 10MG BID-0.1016

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Average of the Daily Worst Pain Values Reported Via eDiary

To determine the efficacy of 2 different doses of ticagrelor versus placebo in reducing the intensity of pain due to sickle cell disease. Intensity of pain was recorded on an 11-point scale where 0 represented no pain and 10 represented the worst pain imaginable. (NCT02482298)
Timeframe: Baseline through Week 12

InterventionAverage daily worst pain rating (Mean)
PLACEBO 10MG BID + PLACEBO 45MG BID1.02
TICAGRELOR 10MG BID + PLACEBO 45MG BID1.15
TICAGRELOR 45MG BID + PLACEBO 10MG BID1.74

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Change in Proportion of Days With Pain Due to Sickle Cell Disease as Measured by an eDiary

To investigate the efficacy of 2 different doses of ticagrelor versus placebo in reducing the number of days with pain due to sickle cell disease. (NCT02482298)
Timeframe: Baseline through Week 12

InterventionProportion of days with pain (Least Squares Mean)
PLACEBO 10MG BID + PLACEBO 45MG BID-0.1802
TICAGRELOR 10MG BID + PLACEBO 45MG BID-0.1352
TICAGRELOR 45MG BID + PLACEBO 10MG BID-0.1001

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Number of Major Bleeding or Clinically Relevant Non-major Bleeding Events (Patients)

To assess safety and tolerability of 2 different doses of ticagrelor versus placebo in patients with SCD (NCT02482298)
Timeframe: Baseline through Week 12

,,
InterventionNumber of patients (Number)
Patients with any bleeding eventsPts w/ any bleeding event requiring intervention
PLACEBO 10MG BID + PLACEBO 45MG BID22
TICAGRELOR 10MG BID + PLACEBO 45MG BID21
TICAGRELOR 45MG BID + PLACEBO 10MG BID22

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Change in IL-6 as Measured by Blood Test.

(NCT02486367)
Timeframe: Day 0,1,7,&30

,
Interventionpg/mL (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel4.76143.1277.6035.0825
Ticagrelor4.452.1257.185024.511

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Change in D-Dimer Levels as Measured by Blood Test

(NCT02486367)
Timeframe: Day 0,1,7,&30

,
Interventionng/mL (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel1564.6682851.9122653.551869.85
Ticagrelor1377.072961.4752635.9581554.43

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Change in Mono-2b3a as Measured by Blood Test

(NCT02486367)
Timeframe: Day 0,1,7,&30

,
Interventionpercentage of monocytes (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel2.271.450.6150.765
Ticagrelor1.450.931.230.86

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Change in Mono-CD62P as Measured by Blood Test

(NCT02486367)
Timeframe: Day 0,1,7,&30

,
Interventionpercentage of monocytes (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel1.6750.750.690.695
Ticagrelor1.5250.7150.730.765

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Change in IL-8 as Measured by Blood Test

(NCT02486367)
Timeframe: Day0,1,7,&30

,
Interventionpg/mL (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel6.8410638.584.984.81
Ticagrelor4.8373717.5589234.5844263.783523

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Platelet Reactivity

Platelet reactivity will be measured and reported as platelet reactivity units (PRU) using the VerifyNow system. (NCT02486367)
Timeframe: Day 0,1,7,&30

,
InterventionPlatelet Reactivity Units (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel275.5234208183
Ticagrelor251128.580134.5

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Inflammatory Monocyte Proportion

The percentage of inflammatory (CD14+CD16+) monocytes as a proportion of total monocytes will be measured using flow cytometry on whole blood. (NCT02486367)
Timeframe: Day 0,1,7&30

,
Interventionpercentage of inflammatory monocyte (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel21.5510322.2335617.9834217.93496
Ticagrelor21.5003325.1227521.62621.06446

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Change in sCD14 as Measured by Blood Test.

(NCT02486367)
Timeframe: Day 0,1,7,&30

,
Interventionpg/mL (Median)
Day 0Day 1Day 7Day 30
Standard Care/Clopidogrel1638.7211713.161765.9341525.929
Ticagrelor1712.9431896.4891958.0132077.568

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Total Number of Responders

"A participant will be considered to have achieved the primary efficacy endpoint (a Responder) if she/he has >50% reduction in the number of monthly headache days during the month of therapy compared with participant's own baseline. If there is < 50% reduction in the number of migraine days, she/he will be considered a Non-Responder." (NCT02518464)
Timeframe: 1 month from baseline

InterventionParticipants (Count of Participants)
Ticagrelor 90 mg Twice Per Day17

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Platelet Reactivity Measured by Vasodilator Stimulated Phosphoprotein (VASP) Platelet Reactivity Index (PRI %)

The primary end point of the study was platelet reactivity assessed by VASP-PRI following treatment with ticagrelor 90mg between DM-CKD and DM-non-CKD cohorts. PRI % is a measure of platelet reactivity, where higher PRI levels represent higher platelet reactivity and lower effect of antiplatelet medications. PRI greater than 50% represents inadequate response to antiplatelet medications. (NCT02539160)
Timeframe: 7 days

InterventionPRI% (Mean)
CKD - Ticagrelor 9025
CKD - Ticagrelor 6032
Non-CKD - Ticagrelor 9031
Non-CKD - Ticagrelor 6038

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Platelet Reactivity Measured by VerifyNow P2Y12

Platelet reactivity assessed by VerifyNow P2Y12 following treatment with ticagrelor 90mg or 60 mg between DM-CKD and DM-non-CKD cohorts. Results are expressed in P2Y12 reaction units (PRU). PRU is a measure of platelet reactivity, where higher PRU levels represent higher platelet reactivity and lower effect of antiplatelet medications. PRU greater than 208 represents inadequate response to antiplatelet medications. (NCT02539160)
Timeframe: 7 days

InterventionPRU (Mean)
CKD - Ticagrelor 9039
CKD - Ticagrelor 6059
Non-CKD - Ticagrelor 9051
Non-CKD - Ticagrelor 6074

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Maximal Platelet Aggregation

The primary end point of our study is the comparison of maximal platelet aggregation measured by light transmittance aggregometry using CAT (collagen-ADP-TRAP) between DAPT and DAPT plus vorapaxar after 30 days of treatment. (NCT02545933)
Timeframe: 30 days

Interventionpercent aggregation (Mean)
DAPT Plus Vorapaxar52
Prasugrel/Ticagrelor Plus Vorapaxar64
DAPT74

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Flow-mediated Dilation of the Brachial Artery

Percent dilation of the brachial artery, as assessed with vascular ultrasound, from baseline to post-occlusion (NCT02742987)
Timeframe: 4 weeks

InterventionFMD (%) (Mean)
Ticagrelor Group16.6
Clopidogrel Group11.6

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Number of Participants With Adjudicated Major, Minor, and Minimal Bleeding by Thrombolysis in Myocardial Infarction (TIMI) Definition Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen

Thrombolysis in Myocardial Infarction (TIMI) defined bleeding events included: Major bleeding (including fatal bleeding and non-fatal bleeding [fulfilling the TIMI major bleeding definition], major or minor bleeding, minor bleeding, minimal bleeding, and any bleeding (defined as composite of major, minor, and minimal bleeding) (NCT02866175)
Timeframe: Day 1 to 12 months postdose

,
InterventionParticipants (Count of Participants)
Major bleedingFatal bleedingMajor or minor bleedingMinor bleedingMinimal bleeding
Edoxaban Regimen151124113117
Vitamin K Antagonist Regimen244144126131

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Number of Participants With Adjudicated Major, Clinically Relevant Non-major and Minor Bleeding (All Events) Defined by International Society on Thrombosis and Haemostasis Following Edoxaban-based Regimen Compared With Vitamin K Antagonist-Based Regimen

All major, clinically relevant non-major and minor bleeding are reported for the secondary outcome. Participants may have experiences more than 1 bleeding event, all occurrences are reported. Participants with International Society on Thrombosis and Hemostasis (ISTH) defined bleeding events included: major or clinically relevant non-major bleeding (MCRB), major bleeding, including fatal bleeding (intracranial and non-intracranial), symptomatic intracranial hemorrhage, symptomatic bleeding in a critical area or organ, and clinically overt and causing ≥2.0 g/dL adjusted hemoglobin loss, clinically relevant non-major (CRNM) bleeding, minor bleedings, any bleeding (defined as the composite of major, CRNM, and minor bleeding), life-threatening bleeding, provoked (spontaneous, instrumental/traumatic, unknown) bleeding, and spontaneous bleeding. (NCT02866175)
Timeframe: Day 1 to 12 months postdose

,
InterventionParticipants (Count of Participants)
Major bleedingClinically relevant non-major bleedingMinor bleedingSymptomatic intracranial hemorrhageFatal major bleedingFatal intracranial hemorrhageLife-threatening bleedingSpontaneous bleeding
Edoxaban Regimen45971164105184
Vitamin K Antagonist Regimen481141259748210

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Number of Participants With Adjudicated Major or Clinically Relevant Non-major Bleeding As First Event Defined by International Society on Thrombosis and Haemostasis Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen

Participants' first major or clinically relevant non-major bleeding (MCRB) events were reported. International Society on Thrombosis and Hemostasis (ISTH) defined bleeding events included: MCRB, major bleeding, including fatal bleeding (intracranial and non-intracranial), symptomatic intracranial hemorrhage, symptomatic bleeding in a critical area or organ, and clinically overt and causing ≥2.0 g/dL adjusted hemoglobin loss, clinically relevant non-major (CRNM) bleeding, minor bleedings, any bleeding (defined as the composite of major, CRNM, and minor bleeding), life-threatening bleeding, provoked (spontaneous, instrumental/traumatic, unknown) bleeding, and spontaneous bleeding. (NCT02866175)
Timeframe: Day 1 to 12 months postdose

,
InterventionParticipants (Count of Participants)
Composite MCRBMajor bleedingClinically relevant non-major bleeding
Edoxaban Regimen1283989
Vitamin K Antagonist Regimen15244108

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Number of Participants With Bleeding Academic Research Consortium (BARC) Type 1, 2, 3, and 5 Bleeding According to the BARC Definitions Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen

"Bleeding Academic Research Consortium (BARC) bleeding events included: Bleeding (defined by BARC type 3 or 5), bleeding (defined by BARC type 2, 3, or 5), and any bleeding (defined as the composite of BARC type 1, 2, 3, or 5), where increases in BARC type indicate worse outcome.~Type 1: bleeding that is not actionable and does not cause the patient to seek unscheduled performance of studies, hospitalization, or treatment by a healthcare professional; may include episodes leading to self-discontinuation of medical therapy by the patient without consultation; Type 2: any overt, actionable sign of hemorrhage that does not fit the criteria for type 3, 4, or 5 but does meet at least one of the following criteria: (1) requiring nonsurgical, medical intervention, (2) leading to hospitalization or increased level of care, or (3) prompting evaluation; Type 3: Overt bleeding plus hemoglobin drop of 3 to ≤5 g/dL (3a), ≥5 g/dl (3b), and intracranial hemorrhage (3c) Type 5: Fatal bleeding" (NCT02866175)
Timeframe: Day 1 to 12 months postdose

,
InterventionParticipants (Count of Participants)
Bleeding (BARC Type 3 or 5)Bleeding (BARC Type 2, 3, or 5)Bleeding (BARC Type 1, 2, 3, or 5)
Edoxaban Regimen36124207
Vitamin K Antagonist Regimen42144242

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Number of Participants With Treatment-emergent Adverse Events (TEAEs) Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen

Treatment-emergent adverse events (TEAEs) in >1.0% of participants were defined as events which started on or after first dose of the assigned study drug (edoxaban and VKA) or started prior to but then worsened after the first dose of the assigned study drug. (NCT02866175)
Timeframe: Day 1 to 30 days after the last dose

,
InterventionParticipants (Count of Participants)
Any TEAEInfections and InfestationsNasopharyngitisPneumoniaBronchitisUrinary tract infectionRespiratory tract infectionInfluenzaCardiac DisordersCardiac failureAtrial fibrillationBradycardiaCardiac failure congestiveVentricular extrasystolesTachycardiaGeneral Disorders & Administration Site ConditionNon-cardiac chest painOedema peripheralAstheniaChest painFatigueGastrointestinal DisordersDiarrhoeaConstipationAbdominal pain upperGastritisNauseaDyspepsiaRespiratory,Thoracic, and Mediastinal DisordersDyspnoeaCoughDyspnoea exertionalChronic obstructive pulmonary diseaseMusculoskeletal and Connective Tissue DisordersBack painArthralgiaPain in extremityMyalgiaOsteoarthritisInvestigationsBlood creatinine increasedAlanine aminotransferase increasedBlood pressure increasedCreatinine renal clearance decreasedAspartate aminotransferase increasedInternational normalised ratio increasedNervous System DisordersDizzinessHeadacheSyncopeVascular DisordersHypertensionHypotensionHypertensive crisisRenal and Urinary DisordersRenal failureAcute kidney injuryRenal impairmentInjury, Poisoning, and Procedural ComplicationsFallSkin and Subcutaneous Tissue DisordersPruritusRashMetabolism and Nutrition DisordersGoutBlood and Lymphatic System DisordersAnaemiaPsychiatric DisorderInsomniaEar and Labyrinth DisordersVertigo
Edoxaban Regimen4571452520191412101364039108711113303121711110231169888722211866914115897015812127083301985523141149118744855121042114119238128
Vitamin K Antagonist Regimen44714022222019157134474178839824221411683197105537226115108314121385791313871112652212662231485512138441233794243520208165

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Number of Participants With Main Efficacy Endpoints For the Overall Study Period Following Edoxaban-based Regimen Compared With Vitamin K Antagonist (VKA)-Based Regimen

The main efficacy endpoints were defined as the composite of cardiovascular death (ARC), stroke (protocol defined), systemic embolic event (SEE), myocardial infarction (MI), or definite stent thrombosis. (NCT02866175)
Timeframe: Day 1 to 12 months postdose

,
InterventionParticipants (Count of Participants)
Composite MEE eventCardiovascular death (ARC)Stroke (Protocol definition)Systemic Embolic EventMyocardial infarctionDefinite stent thrombosis
Edoxaban Regimen4910100227
Vitamin K Antagonist Regimen4612110185

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Visual Analog Scale Disease Activity

"The VAS is a psychometric response scale that ranges from no pain (0) to worst pain (100); patients mark a line on a continuum to indicate how they are feeling. Provides global assessment of RA severity." (NCT02874092)
Timeframe: 30 Days

InterventionUnits on VAS scale (Mean)
Baseline30 days
Rheumatoid Arthritis4723

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Disease Activity Score for 28-joint Counts (DAS28)

"The DAS28 is a composite score derived from 4 of these measures. This '28' version is a simplification of the original DAS score, which requires 44 joints to be counted. Other versions of the DAS28 allow the CRP to be used instead of the ESR, or the omission of either. To calculate the DAS28 your rheumatologist or specialist nurse will:-~count the number of swollen joints (out of the 28), count the number of tender joints (out of the 28), take blood to measure the erythrocyte sedimentation rate (ESR) or C reactive protein (CRP), ask you (the patient) to make a 'global assessment of health' (indicated by marking a 10 cm line between very good and very bad).~These results are then fed into a complex mathematical formula to produce the overall disease activity score. A DAS28 of greater than 5.1 implies active disease, less than 3.2 low disease activity, and less than 2.6 remission.~The total scale range is from 2 to 10, with higher scores indicating more disease activity." (NCT02874092)
Timeframe: 30 Days

Interventionscore on a scale (Mean)
Baseline30 days
Rheumatoid Arthritis5.74.3

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Change in Brachial Artery Diameter

Endothelial function is characterized by flow-mediated vasodilation of the brachial artery, which is measured by comparing the brachial artery diameter at rest the diameter after increased forearm blood flow (reactive hyperemia). Brachial artery reactivity testing (BART) is a noninvasive technique for evaluating endothelial function (NCT02874092)
Timeframe: Baseline, 30 Days

Interventionmm (Mean)
Baseline30 days
Rheumatoid Arthritis2.52.5

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Number of Participants With a Change in high-on Treatment Platelet Reactivity (HPR)

We assessed platelet aggregation at baseline and during PCI by light transmission aggregomerty. The primary efficacy measure was HPR defined as platelet aggregation >59% at 2 h measured by the Chronlog aggregometer after stimulation with ADP 20 µM. (NCT02925923)
Timeframe: 5 times (at baseline, and at 0.5, 2, 4, and 24 hours after loading dose)

,
Interventioncount of participants (Number)
Baseline (n-50, n-48)0.5 h (n-50, n-48)2 h (n-50, n-48)4 h (n-50, n-48)24 h (n-50, n-48)
Eptifibatide Bolus+Clopidogrel330005
Ticagrelor3724602

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Change in Hemoglobin Levels (g/dL)

Hemoglobin levels (g/dL) will be measured at baseline and on the next day after PCI. (NCT02925923)
Timeframe: At baseline and at 24 hours post-PCI

,
Interventiong/dL (Mean)
Baseline (hemoglobin, g/dL)Post-PCI (hemoglobin, g/dL)
Eptifibatide Bolus+Clopidogrel13.3412.71
Ticagrelor13.5212.73

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A Change in Hematocrit Levels

Hematocrit levels (%) will be measured at baseline and on the next day after PCI. (NCT02925923)
Timeframe: At baseline and at 24 hours post-PCI

,
Interventionhematocrit (%) (Mean)
Baseline (hematocrit, %)Post-PCI (hematocrit, %)
Eptifibatide Bolus+Clopidogrel40.0237.5
Ticagrelor40.1137.68

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Number of Patients With Minor Bleeding Complications

We evaluated the number of patients with minor bleeding complications. Minor bleeding, based on Bleeding Academic Research Consortium (BARC), was defined as clinically overt (including imaging), resulting in hemoglobin drop of 3 to <5 g/dL. (NCT02925923)
Timeframe: At 24 hours post-PCI

InterventionParticipants (Count of Participants)
Ticagrelor0
Eptifibatide Bolus+Clopidogrel0

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Number of Patients With Minor Bleeding Complications

We evaluated the number of patients with minor bleeding complications. Minor bleeding, based on Bleeding Academic Research Consortium (BARC), was defined as clinically overt (including imaging), resulting in hemoglobin drop of 3 to <5 g/dL. (NCT02925923)
Timeframe: At 1 year post-PCI

InterventionParticipants (Count of Participants)
Ticagrelor0
Eptifibatide Bolus+Clopidogrel0

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Number of Patients With Major Bleeding Complications

We evaluated the number of patients with major bleeding complications. Major bleeding, based on Bleeding Academic Research Consortium (BARC), was defined as type 3a, bleeding + hemoglobin drop of 3 to <5 g/dL; type 3b, bleeding + hemoglobin drop ≥5 g/dL; and type C, intracranial hemorrhage. (NCT02925923)
Timeframe: At 24 hours post-PCI

InterventionParticipants (Count of Participants)
Ticagrelor0
Eptifibatide Bolus+Clopidogrel0

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Number of Patients With Major Bleeding Complications

We evaluated the number of patients with major bleeding complications. Major bleeding, based on Bleeding Academic Research Consortium (BARC), was defined as type 3a, bleeding + hemoglobin drop of 3 to <5 g/dL; type 3b, bleeding + hemoglobin drop ≥5 g/dL; and type C, intracranial hemorrhage. (NCT02925923)
Timeframe: At 1 year post-PCI

InterventionParticipants (Count of Participants)
Ticagrelor0
Eptifibatide Bolus+Clopidogrel0

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Number of Participants With a Periprocedural Myocardial Infarction and Injury (PMI)

The rate of PMI will be compared in patients randomized to crushed ticagrelor vs. eptifibatide bolus +clopidogrel (NCT02925923)
Timeframe: At baseline and every 8 hours post- PCI

InterventionParticipants (Count of Participants)
Ticagrelor24
Eptifibatide Bolus+Clopidogrel14

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Heparin Dose, Unit/Kg

For the heparin dose range for the two groups would have a minimum dose of 4693 and a maximum dose of 11141 units per kilogram.The higher the number is indicative that a higher dose of heparin is needed based on kilogram weight. (NCT02925923)
Timeframe: 24 hours after the PCI

Interventionunits per kilogram (Mean)
Ticagrelor8854
Eptifibatide Bolus+Clopidogrel6021

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Activated Clotting Time (ACT), Seconds

The Level of the highest ACT during PCI will be compared between the groups (NCT02925923)
Timeframe: At the end of PCI

Interventions (Mean)
Ticagrelor332
Eptifibatide Bolus+Clopidogrel278

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Platelet Aggregation Levels

The rates of platelet aggregation with ADP and TRAP will be measured in patients randomized to crushed ticagrelor vs. eptifibatide bolus+clopidogrel (NCT02925923)
Timeframe: At baseline and at 0.5, 2, 4, and 24 hours after loading dose

,
Interventionμmol/L (Mean)
Baseline (ADP 20)0.5 h (ADP 20)2 h (ADP 20)4 h (ADP 20)24 h (ADP 20)Baseline (ADP 5)0.5 h (ADP 5)2 h (ADP 5)4 h (ADP 5)24 h (ADP 5)Baseline (TRAP 20)0.5 h (TRAP 20)2 h (TRAP 20)4 h (TRAP 20)24 h (TRAP 20)Baseline (TRAP 10)0.5 h (TRAP 10)2 h (TRAP 10)
Eptifibatide Bolus+Clopidogrel621.3.343.538541.18.31.627673.961451541.181.57
Ticagrelor655335232556442415186860514854564837

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Number of Patients With Negative Clinical Outcomes

The rates of death, myocardial infarction, and revascularization at 1-year post-PCI. (NCT02925923)
Timeframe: At 1-year post-PCI

,
InterventionParticipants (Count of Participants)
DeathMyocardial infarctionRevascularization
Eptifibatide Bolus+Clopidogrel000
Ticagrelor201

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Concentration of Platelet Extracellular Vesicles/ml

Concentration of platelet extracellular vesicles/ml measured with flow cytometry (NCT02931045)
Timeframe: 6 months following the beginning of antiplatelet therapy

InterventionPlatelet Extracellular Vesicles/mL (Median)
Ticagrelor2690000
Clopidogrel4310000

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Composite of Subsequent Stroke or Death

Participants with subsequent stroke or death (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR303
PLACEBO362

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ICH or Fatal Bleeding Event

Participants with ICH or fatal bleeding event (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR22
PLACEBO6

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Bleeding Event That Fulfils Serious Adverse Event Criteria and is Categorised as GUSTO Moderate/Severe

Participants with bleeding event that fulfils serious adverse event criteria and is categorised as GUSTO Moderate/Severe. GUSTO is a bleeding scale (GUSTO = Global Utilization of Streptokinase and Tissue plasminogen activator for Occluded coronary arteries). GUSTO Severe bleeding is defined as any of the following: (1) fatal bleeding, (2) intracranial bleeding, or (3) bleeding that caused haemodynamic compromise requiring intervention. GUSTO Moderate bleeding is a bleeding requiring transfusion of whole blood or packed red blood cells without haemodynamic compromise (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR36
PLACEBO11

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Bleeding Event That Fulfils Serious Adverse Event Criteria and is Categorised as GUSTO Severe

Participants with bleeding event that fulfils serious adverse event criteria and is categorised as GUSTO Severe. GUSTO is a bleeding scale (GUSTO = Global Utilization of Streptokinase and Tissue plasminogen activator for Occluded coronary arteries). GUSTO Severe bleeding is defined as any of the following: (1) fatal bleeding, (2) intracranial bleeding, or (3) bleeding that caused haemodynamic compromise requiring intervention (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR28
PLACEBO7

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Ischaemic Stroke

Number of participants with ischaemic stroke (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR276
PLACEBO345

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Number of Participants With Modified Rankin Scale (mRS) Score >1 at Visit 3

The modified Rankin Scale (mRS) is a scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The scale runs from 0-6, running from perfect health without symptoms to death.0 - No symptoms,1 - No significant disability. Able to carry out all usual activities, despite some symptoms. 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3 - Moderate disability. Requires some help, but able to walk unassisted. 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6 - Dead. (NCT03354429)
Timeframe: Visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR1282
PLACEBO1284

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Premature Permanent Discontinuation of IP Due to Bleeding

Participants with premature permanent discontinuation of IP due to bleeding (NCT03354429)
Timeframe: From randomisation (day 1) to visit 3 (day 30-34)

InterventionParticipants (Count of Participants)
TICAGRELOR152
PLACEBO32

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ADP-induced Platelet-fibrin Clot Strength (MA)

The physical properties of samples were analyzed using Thromboelastography (TEG) Hemostasis Analyzer (CFMS LEPU-8800, Lepu Medical Technology Co., Ltd, Beijing, China) and automated analytical software. TEG test used four channels to detect the effects of anti-platelet therapy via the arachidonic acid (AA) and ADP pathways. TEG test results were expressed in terms of ADP-induced platelet-fibrin clot strength (MA). A MA>47mm was shown to have a high predictive value for 3-year post-PCI ischemic events during dual antiplatelet therapy. Moreover, ROC curve and quartile analysis suggested MA<31 mm as a predictive value for post-PCI bleeding events (J Am Coll Cardiol. 2013;62(24):2261-73. doi: 10.1016/j.jacc.2013.07.101.). (NCT03381742)
Timeframe: up to 5 days

Interventionmm (Median)
Clopidogrel 75mg Qdpo.40.3
Ticagrelor 90mg Bidpo.28.4
Ticagrelor 45mg Bidpo.32.3
Ticagrelor 90mg Qdpo.34.05

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ADP-induced Inhibition of Platelet Aggregation

The venous blood samples for platelet function test were drawn after an overnight fast, at 12 hours post-last study-drug dose for subjects receiving twice-daily administrations, and at 24 hours post-last study-drug dose for subjects treated with once-daily regimens. The blood was collected in an evacuated vacuum tube containing 3.2% trisodium citrate and lithium heparin. Then the samples were processed within two hours of blood draw according to standard operating procedure. The physical properties of samples were analyzed using Thromboelastography (TEG) Hemostasis Analyzer (CFMS LEPU-8800, Lepu Medical Technology Co., Ltd, Beijing, China) and automated analytical software. TEG test used four channels to detect the effects of anti-platelet therapy via the arachidonic acid (AA) and ADP pathways. TEG test results were expressed in terms of ADP-induced inhibition of platelet aggregation (IPA, range 0% - 100%), with higher values indicating greater platelet inhibition. (NCT03381742)
Timeframe: up to 5 days

Interventionpercentage of inhibition of platelet agg (Median)
Clopidogrel 75mg Qdpo.54.9
Ticagrelor 90mg Bidpo.80.6
Ticagrelor 45mg Bidpo.73.6
Ticagrelor 90mg Qdpo.66

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P2Y12 Reaction Units (PRU)

The primary endpoint of our study will be platelet reactivity, measured as PRU level using VerifyNow PRU, of ticagrelor versus clopidogrel MD at 30 days after PCI, immediately pre-dosing dosing (trough levels). PRU is a marker of platelet reactivity. Higher PRU values correspond to higher aggregation and lower response to antiplatelet therapy. (NCT03437044)
Timeframe: 30 days

InterventionPRU (Mean)
Ticagrelor60
Clopidogrel146

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Platelet Reactivity Index (PRI)

Platelet reactivity measured as PRI% using whole blood vasodilator-stimulated phosphoprotein (VASP), of ticagrelor versus clopidogrel MD at 30 days after PCI, immediately pre-dosing dosing (trough levels). PRI% is a marker of platelet reactivity. Higher PRI values correspond to higher aggregation and lower response to antiplatelet therapy. (NCT03437044)
Timeframe: 30 days

InterventionPRI % (Mean)
Ticagrelor25
Clopidogrel65

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P2Y12 Reaction Unit (PRU)

Platelet reactivity measured by VerifyNow and reported as PRU (NCT03489863)
Timeframe: at 24 hours post loading dose

InterventionPRU (Mean)
Prasugrel5
Ticagrelor24

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Percentage of Days of Absence From School or Work Due to Sickle Cell Disease

"For participants attending school/work at randomization, absence from school/work due to SCD was recorded weekly by the participant in the eDevice with the help of the caregiver if needed. The percentage of days absent from school/work due to SCD in the defined treatment period was calculated as follows:~Percentage of absent days = (total number of days reported)/(total number of questionnaires answered ×7)." (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventionpercentage of days (Mean)
Ticagrelor 15/30/45 mg bd5.24
Placebo4.24

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Type of Analgesics Used by Participants During Vaso-Occlusive Crisis Events

Analgesics use (opioid and non-opioid) during VOC events. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

,
Interventionparticipants (Number)
Opioids: YesOpioids: NoNon-opioids: YesNon-opioids: No
Placebo2250577
Ticagrelor 15/30/45 mg bd46576914

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Number of Vaso-Occlusive Crisis Events Requiring Hospitalization or Emergency Department Visits

The number of VOC events requiring hospitalization or emergency department visits is defined as the count of VOC events experienced by a participant over the treatment period, for which the primary setting for VOC treatment was in-patient hospitalization or emergency department. Events with an onset date <=7 days of the previous event onset date are not counted as new events. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

InterventionVOC events requiring hospitalization (Number)
Ticagrelor 15/30/45 mg bd87
Placebo51

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Number of Painful Crisis Events

A painful crisis is an onset or worsening of pain that lasts at least 2 hours, for which there is no explanation other than vaso-occlusion and which requires therapy with oral or parenteral opioids, parenteral non-steroidal anti-inflammatory drugs, or other analgesics prescribed by a healthcare provider in a medical setting (such as a hospital, clinic or emergency room visit) or at home. Events with an onset date <=7 days of the previous event onset date are not counted as new events. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventionpainful crisis events (Number)
Ticagrelor 15/30/45 mg bd248
Placebo209

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Number of Days Hospitalized for Vaso-Occlusive Crisis Events

The number of days hospitalized for all individual VOC events experienced by a participant during the treatment period is defined as the sum of the duration of all individual hospitalizations (taking into account potential overlapping hospitalization days of VOC components) during VOC events experienced by a participant over the treatment period for which the primary setting for VOC treatment was in-patient hospitalization. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventiondays (Number)
Ticagrelor 15/30/45 mg bd526
Placebo256

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Number of Days Hospitalized for Acute Sickle Cell Disease Complications

The number of days hospitalized for acute SCD complications is defined as the sum of the duration of all individual hospitalizations (taking into account potential overlapping hospitalization days) due to acute SCD complications experienced by a participant over the treatment period, for which hospitalization was reported. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventiondays (Number)
Ticagrelor 15/30/45 mg bd0
Placebo6

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Number of Acute Sickle Cell Disease Complications

The number of acute SCD complications is defined as the count of all individual acute SCD complications experienced by a participant over the treatment period. Acute SCD complications are defined as any one or more of the following individual complications: Transient ischaemic attack/ischaemic stroke, hepatic sequestration, splenic sequestration, priapism, and dactylitis. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventionacute SCD complications (Number)
Ticagrelor 15/30/45 mg bd6
Placebo3

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Number of Vaso-Occlusive Crisis Events

A VOC is the composite of a painful crisis and/or an acute chest syndrome (ACS) event. The number of VOC events is defined as the count of VOC events experienced by a participant throughout the treatment period. (NCT03615924)
Timeframe: From randomization (Day 0) up to end of study (EOS) visit or date of premature study discontinuation, up to approximately 20 months

InterventionVOC events (Number)
Ticagrelor 15/30/45 mg bd249
Placebo202

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Average Intensity of Worst Pain Daily During Vaso-Occlusive Crisis Events in Participants ≥5 Years of Age

"The Faces Pain Scale-revised (FPS-R) was administered to assess pain daily during the VOC event by those participants aged ≥5 years as determined at randomization. The FPS-R consists of 6 faces and scoring ranges between 0 and 10 (with an increase in numeric value by 2), where 0 is no pain and 10 is very much pain. Lower score indicate better outcome. Worst pain ratings were collected once daily throughout the duration of the VOC event using an eDevice." (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventionscore on a scale (Mean)
Ticagrelor 15/30/45 mg bd4.5
Placebo4.1

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Average Intensity of Worst Pain Daily During Vaso-Occlusive Crisis Events in Participants <5 Years of Age

"The Face, Legs, Activity, Cry, Consolability (FLACC) scale is caregiver-reported and used to assess pain daily during the VOC event for those participants <5 years of age as determined at randomization. Each of the 5 behaviours observed are assigned a score of 0, 1 or 2. The total FLACC score ranges between 0 and 10, with 0 representing no pain and 10 representing very much pain. Lower score indicate better outcome. Worst pain ratings were collected once daily throughout the duration of the VOC event using an eDevice." (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventionscore on a scale (Mean)
Ticagrelor 15/30/45 mg bd3.4
Placebo2.9

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Duration of Painful Crises

The duration of painful crises is defined as the sum of the duration of painful crises experienced by a participant over the defined treatment period. If two or more events have overlapping durations, the overlapping days were counted only once. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

Interventiondays (Number)
Ticagrelor 15/30/45 mg bd1476
Placebo1441

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Number of Acute Chest Syndrome Events

The ACS is an acute illness characterized by fever and/or respiratory symptoms, accompanied by a new pulmonary infiltrate on a chest X-ray. Events with an onset date <=7 days of the previous event onset date are not counted as new events. (NCT03615924)
Timeframe: From randomization (Day 0) up to EOS visit or date of premature study discontinuation, up to approximately 20 months

InterventionACS events (Number)
Ticagrelor 15/30/45 mg bd6
Placebo6

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Swallowability of the Study Treatment Assessed by Study Medication Palatability Assessment in Participants ≤4 Years of Age

"An observer's assessment of the participant's behaviour using the SMPA was performed for all participants taking the study treatment who are 2 to 4 years of age. Willingness to swallow was assessed and categorized as follows:~Swallowed without a problem~Some resistance but did swallow~Spit out some/all of the medication~Vomited up the medication. The category swallowed without a problem was considered as positive outcome." (NCT03615924)
Timeframe: Baseline (randomization visit) and Month 6

InterventionParticipants (Count of Participants)
Baseline: Whole tablet72493825Baseline: Whole tablet72493826Baseline: Dispersed tablet72493825Baseline: Dispersed tablet72493826Month 6: Whole tablet72493825Month 6: Whole tablet72493826Month 6: Dispersed tablet72493825Month 6: Dispersed tablet72493826
Some resistance but did swallowSpit out some/all medicationVomited up medicationSwallow without problem
Ticagrelor 15/30/45 mg bd5
Placebo8
Ticagrelor 15/30/45 mg bd0
Placebo2
Ticagrelor 15/30/45 mg bd4
Placebo9
Ticagrelor 15/30/45 mg bd1
Placebo1
Placebo0

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Palatability of the Study Treatment Assessed by Study Medication Palatability Assessment (SMPA) in Participants ≤4 Years of Age

"Response to palatability was assessed through the SMPA question Was any behaviour observed when the study medication was given to this participant that would be indicative of a negative response to the palatability of the study medication?. This was presented as a binary outcome (that is, where No is no negative response and Yes is negative response). No negative response was considered as a positive outcome." (NCT03615924)
Timeframe: Baseline (randomization visit) and Month 6

InterventionParticipants (Count of Participants)
Baseline: Whole tablet72493825Baseline: Whole tablet72493826Baseline: Dispersed tablet72493826Baseline: Dispersed tablet72493825Month 6: Whole tablet72493825Month 6: Whole tablet72493826Month 6: Dispersed tablet72493826Month 6: Dispersed tablet72493825
Negative response to palatability - NoNegative response to palatability - Yes
Ticagrelor 15/30/45 mg bd5
Placebo8
Ticagrelor 15/30/45 mg bd1
Placebo2
Placebo0
Ticagrelor 15/30/45 mg bd4
Placebo9
Placebo1
Ticagrelor 15/30/45 mg bd0

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Palatability of the Study Treatment Assessed by Facial Hedonic Scale (FHS) in Participants ≥5 Years of Age

"The FHS method was used for all participants taking the study treatment who are ≥5 years of age. The FHS consists of 5 faces with descriptions ranging from Dislike very much to Like very much. The face with description Like very much was considered as positive outcome. The way in which the study treatment was taken, that is, whether the tablet is whole or dispersed, was captured." (NCT03615924)
Timeframe: Baseline (randomization visit) and Month 6

InterventionParticipants (Count of Participants)Participants (Count of Participants)
Baseline: Whole tablet72493825Baseline: Whole tablet72493826Baseline: Dispersed tablet72493826Baseline: Dispersed tablet72493825Month 6: Whole tablet72493825Month 6: Whole tablet72493826Month 6: Dispersed tablet72493825
Like a littleLike very muchDislike very muchDislike a littleNot sure
Ticagrelor 15/30/45 mg bd3
Ticagrelor 15/30/45 mg bd4
Placebo2
Ticagrelor 15/30/45 mg bd12
Placebo8
Ticagrelor 15/30/45 mg bd25
Placebo23
Ticagrelor 15/30/45 mg bd48
Placebo45
Ticagrelor 15/30/45 mg bd0
Ticagrelor 15/30/45 mg bd1
Placebo1
Placebo0
Ticagrelor 15/30/45 mg bd5
Placebo3
Placebo4
Ticagrelor 15/30/45 mg bd30
Placebo20
Ticagrelor 15/30/45 mg bd44
Placebo47

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Fatigue Total Score Using Pediatric Quality of Life Inventory Multidimensional Fatigue Scale

"The PedsQL multidimensional fatigue scale instrument developed using a 5-point Likert scale (where 0= never and 4= almost always) for the participant self-report forms for ages ≥5 to <8 years, ≥8 to <13 years, and ≥13 to ≤18 years and the caregiver proxy-report form specific for ≥2 to <5 years was used. The PedsQL multidimensional fatigue scale measures problems in the following categories:~General (6 items)~Sleep/rest (6 items)~Cognitive fatigue (6 items)~Total score (18 items) PedsQL multidimensional fatigue scale items were reverse-scored and linearly transformed to a 0 to 100 scale (0= 100, 1= 75, 2= 50, 3= 25, 4= 0) so that higher scores indicate better quality of life. To create the PedsQL multidimensional fatigue scale total score (18 items), the arithmetic mean of the transformed scores was computed as the sum of the items transformed scores divided by the number of items answered. Baseline values are closest observation prior to and including randomization visit." (NCT03615924)
Timeframe: For ages ≥2 to <5 years and ≥5 to <8 years: Baseline (observation prior to and including the randomization visit) and Months 6, and 12; For ages ≥8 to <13 years and ≥13 to ≤18 years: Baseline and Months 6, 12, and 18

Interventionscore on a scale (Mean)
>=2 to <5 years: Baseline>=2 to <5 years: Month 6>=5 to <8 years: Baseline>=5 to <8 years: Month 6>=5 to <8 years: Month 12>=8 to <13 years: Baseline>=8 to <13 years: Month 6>=8 to <13 years: Month 12>=8 to <13 years: Month 18>=13 to <=18 years: Baseline>=13 to <=18 years: Month 6>=13 to <=18 years: Month 12>=13 to <=18 years: Month 18
Ticagrelor 15/30/45 mg bd88.0684.4482.3387.1295.8364.7275.6581.4873.6168.0673.5367.1372.22

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Fatigue Total Score Using Pediatric Quality of Life Inventory Multidimensional Fatigue Scale

"The PedsQL multidimensional fatigue scale instrument developed using a 5-point Likert scale (where 0= never and 4= almost always) for the participant self-report forms for ages ≥5 to <8 years, ≥8 to <13 years, and ≥13 to ≤18 years and the caregiver proxy-report form specific for ≥2 to <5 years was used. The PedsQL multidimensional fatigue scale measures problems in the following categories:~General (6 items)~Sleep/rest (6 items)~Cognitive fatigue (6 items)~Total score (18 items) PedsQL multidimensional fatigue scale items were reverse-scored and linearly transformed to a 0 to 100 scale (0= 100, 1= 75, 2= 50, 3= 25, 4= 0) so that higher scores indicate better quality of life. To create the PedsQL multidimensional fatigue scale total score (18 items), the arithmetic mean of the transformed scores was computed as the sum of the items transformed scores divided by the number of items answered. Baseline values are closest observation prior to and including randomization visit." (NCT03615924)
Timeframe: For ages ≥2 to <5 years and ≥5 to <8 years: Baseline (observation prior to and including the randomization visit) and Months 6, and 12; For ages ≥8 to <13 years and ≥13 to ≤18 years: Baseline and Months 6, 12, and 18

Interventionscore on a scale (Mean)
>=2 to <5 years: Baseline>=2 to <5 years: Month 6>=2 to <5 years: Month 12>=5 to <8 years: Baseline>=5 to <8 years: Month 6>=5 to <8 years: Month 12>=8 to <13 years: Baseline>=8 to <13 years: Month 6>=8 to <13 years: Month 12>=13 to <=18 years: Baseline>=13 to <=18 years: Month 6>=13 to <=18 years: Month 12
Placebo70.5681.9494.4484.1387.70100.0069.5177.8965.8767.1775.2160.28

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ADP Induced Platelet Aggregation

We will use summary statistics to describe the distribution of the data. Post-treatment ADP-induced WBPA value in ohms (Ω) will be the primary outcome variable. We will use an analysis of covariance (ANCOVA) model to compare the treatment effects of ticagrelor vs. clopidogrel in CKD patients because this approach has higher statistical power than other methods to analyze drug effects. T (NCT03649711)
Timeframe: 2 weeks

Interventionohms (Median)
CKD-Ticagrelor0
CKD-Clopidogrel6
Control-ticagrelor1

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Platelet Surface P-selectin Expression

Platelet surface P-selectin expression was measured using flow cytometry before and after treatment. (NCT03649711)
Timeframe: 2 weeks

InterventionFluorescence intensity (Median)
CKD-Ticagrelor1002.5
CKD-Clopidogrel1037.5
Control-ticagrelor1052

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Number of Participants With Major Adverse Cardiac and Cerebrovascular Event (MACCE)

Measure events such as: death, repeat myocardial revascularization, cerebrovascular accident, stent thrombosis, in-stent stenosis and bleeding. (NCT03708588)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Experimental: Chewed Ticagrelor2
Active Comparator: Integral Pill0

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Number of Participants With Major Adverse Cardiac and Cerebrovascular Event (MACCE)

Measure events such as: death, repeat myocardial revascularization, cerebrovascular accident, stent thrombosis, in-stent stenosis and bleeding. (NCT03708588)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Experimental: Chewed Ticagrelor4
Active Comparator: Integral Pill2

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Concentration of Pharmacodynamics

Platelet function was measured using the VerifyNow P2Y12 Assay (Accumetrics, San Diego, CA). This test is a turbidimetric-based optical detection system that measures ADP (Adenosine diphosphate) - induced platelet agglutination using a proprietary algorithm to report values in PRU. (NCT03708588)
Timeframe: 1 hour

Interventionplatelet reaction units (Median)
Experimental: Chewed Ticagrelor142.5
Active Comparator: Integral Pill210

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Percent of Patients With Insufficient Antiaggregation

The percent of patients with a high residual platelet reactivity (PRU > 208 by VerifyNow test), thus not adequately antiaggregated, 1 hour after Ticagrelor LD. (NCT03822377)
Timeframe: 1 hour

InterventionParticipants (Count of Participants)
Experimental Arm51
Control Arm53

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Number of Participants With Clinically Relevant Bleeding Events

Actionable bleeding events across the two different regimens of Ticagrelor administration, requiring diagnostic studies, hospitalization, or treatment by a health care professional (BARC type 2 or higher) (NCT03822377)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
Ticagrelor Orodispersible Tablets0
Ticagrelor Standard Tablets4

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Number of Participants With Morphine-ticagrelor Interaction

Potential morphine-ticagrelor interaction will be assessed by stratified randomization according to morphine use (NCT03822377)
Timeframe: 6 hours

InterventionParticipants (Count of Participants)
Ticagrelor Orodispersible Tablets6
Ticagrelor Standard Tablets4

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Number of Participants With Residual Platelet Reactivity at Various Timepoints

Residual platelet reactivity (PRU) at 2, 4 and 6 hours measured by VerifyNow test to assess antiplatelet effect of P2Y12 inhibitors (NCT03822377)
Timeframe: 2, 4 and 6 hours

InterventionParticipants (Count of Participants)
Ticagrelor Orodispersible Tablets42
Ticagrelor Standard Tablets9

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Evaluation of Platelet Inhibition

"Platelet reactivity will be measured by VerifyNow test 1 hour after Ticagrelor loading dose (LD) administered as orodispersible tablets as compared with standard formulation in 130 patients with STEMI or very high-risk NSTEMI undergoing immediate PCI.~The VerifyNow PRU Test is designed to measure P2Y12 receptor blockade. Results of the PRU Tests are reported as P2Y12 Reaction Units (PRU). PRU measures the extent of platelet aggregation in the presence of a P2Y12 inhibitor. Lower PRU levels are associated with expected antiplatelet effect." (NCT03822377)
Timeframe: 1 hour

InterventionP2Y12 Reaction Units (PRU) (Median)
Ticagrelor Orodispersible Tablets94
Ticagrelor Standard Tablets141

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Incidence of Adverse Events Occurring During Hospital Stay

Combined ticagrelor administration-related adverse events defined as in-hospital ≥2 BARC bleedings, dyspnea, ventricular pauses, allergic reactions, or vomit (NCT03822377)
Timeframe: Until discharge from the hospital (usually up to 7 days)

InterventionParticipants (Count of Participants)
Experimental Arm14
Control Arm15

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Maximal Platelet Aggregation (MPA%) by Light Transmittance Aggregometry (LTA)

The primary end point of this study will be the comparison of MPA% measured by LTA using the CATF cocktail as agonist between DAPT and low-dose rivaroxaban plus aspirin for each DAPT regimen (NCT04006288)
Timeframe: 30 days

Interventionpercentage of MPA (Median)
Aspirin and Clopidogrel27
Aspirin and Rivaroxaban From Aspirin and Clopidogrel53
Aspirin and Prasugrel20
Aspirin and Rivaroxaban From Aspirin and Prasugrel4
Aspirin and Ticagrelor15
Aspirin and Rivaroxaban From Aspirin and Ticagrelor20

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Number of Participants Experiencing Clinical Lab Abnormalities

The number of participants with abnormal clinical laboratory results. The criteria used for classifying laboratory test results as markedly abnormal is listed below. (NCT05093790)
Timeframe: From baseline up to 24 hours post dose

,,,
InterventionParticipants (Count of Participants)
HEMOGLOBIN (G/DL)-Abnormal LowHEMATOCRIT (%)-Abnormal LowERYTHROCYTES (X10*6 C/UL)-Abnormal LowLEUKOCYTES (X10*3 C/UL)-Abnormal LowLEUKOCYTES (X10*3 C/UL)-Abnormal HighNEUTROPHILS (ABSOLUTE) (X10*3 C/UL)-Abnormal LowBLOOD UREA NITROGEN (MG/DL)-Abnormal HighPOTASSIUM, SERUM (MEQ/L)-Abnormal LowCHLORIDE, SERUM (MEQ/L)-Abnormal HighCALCIUM, TOTAL (MG/DL)-Abnormal LowPHOSPHORUS, INORGANIC (MG/DL)-Abnormal LowMAGNESIUM, SERUM (MEQ/L)-Abnormal LowGLUCOSE, FASTING SERUM (MG/DL)-Abnormal LowGLUCOSE, FASTING SERUM (MG/DL)-Abnormal HighPROTEIN, TOTAL (G/DL) -Abnormal LowALBUMIN (G/DL)-Abnormal LowCREATINE KINASE (U/L)-Abnormal HighPROTEIN, URINE (N/A)-Abnormal HighGLUCOSE, URINE (N/A)-Abnormal HighBLOOD, URINE (N/A)-Abnormal HighRBC, URINE (HPF)-Abnormal HighWBC, URINE (HPF)-Abnormal High
Arm 1: 90 mg Ticagrelor + 4 mg BMS-9861410000003000000201111101
Arm 2: 75 mg Aspirin + 4 mg BMS-9861412210103111110012100100
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-9861410001000000001101000121
Arm 4: Heathy Participants0011010001000011000000

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Percent Change From Baseline in Thrombus Area

The change from baseline in thrombus area post-treatment with BMS-986141 versus pretreatment. Baseline is defined as the last non-missing result (including repeated and unscheduled assessments) with a collection date-time less than the datetime of study medication. (NCT05093790)
Timeframe: Baseline, Day 1 hour 2, Day 2 hour 24

,,,
InterventionPercent Change (Mean)
On-treatment Day 1, Hour 2, Low ShearOn-treatment Day 1, Hour 2, High ShearPost-treatment Day 2, Hour 24, Low ShearPost-treatment Day 2, Hour 24, High Shear
Arm 1: 90 mg Ticagrelor + 4 mg BMS-98614110.0-23.020.7-4.8
Arm 2: 75 mg Aspirin + 4 mg BMS-986141538.6-18.4579.6-3.5
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141104.2-24.231.0-10.6
Arm 4: Heathy Participants-14.9-27.7-2.5-23.0

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Number of Participants Experiencing Adverse Events (AEs)

An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal. (NCT05093790)
Timeframe: From first dose up to 8 days post last dose

InterventionParticipants (Count of Participants)
Arm 1: 90 mg Ticagrelor + 4 mg BMS-9861416
Arm 2: 75 mg Aspirin + 4 mg BMS-9861410
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-9861414
Arm 4: Heathy Participants1

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Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values

The number of participants with abnormal electrocardiogram values. The criteria used for classifying electrocardiogram results as markedly abnormal is listed below. The 2-hour and 24-hour ECGs should are performed prior to the Badimon Chamber run. Baseline is defined as the last non-missing result with a collection date-time less than the date-time of the first dose of study medication. (NCT05093790)
Timeframe: Electrocardiograms were collected at check-in, and 2 and 24 hours after dosing

,,,
InterventionParticipants (Count of Participants)
PR INTERVAL, AGGREGATE (MSEC) Baseline <210PR INTERVAL, AGGREGATE (MSEC) Baseline >=210PR INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <210PR INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=210QRS DURATION, AGGREGATE (MSEC) Baseline <120QRS DURATION, AGGREGATE (MSEC) Baseline >=120QRS DURATION, AGGREGATE (MSEC) Day 2, Hour 24 <120QRS DURATION, AGGREGATE (MSEC) Day 2, Hour 24 >=120QT INTERVAL, AGGREGATE (MSEC) Baseline <500QT INTERVAL, AGGREGATE (MSEC) Baseline >=500QT INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <500QT INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=500QTCF INTERVAL, AGGREGATE (MSEC) Baseline <450QTCF INTERVAL, AGGREGATE (MSEC) Baseline >=450QTCF INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <450QTCF INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=450
Arm 1: 90 mg Ticagrelor + 4 mg BMS-9861415041505050505050
Arm 2: 75 mg Aspirin + 4 mg BMS-9861416051606060606051
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-9861411010101010101010
Arm 4: Heathy Participants0000000000000000

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Number of Participants Experiencing Abnormal Vital Signs

The number of participants with abnormal vital sign values. The criteria used for classifying vital sign results as markedly abnormal is listed below. Baseline is defined as the last non-missing result with a collection date-time less than the date-time of the first dose of study medication. For Treatment Arms 1, 2, and 3, a baseline chamber run was performed approximately 2 hours after background therapy (ticagrelor, aspirin, or ticagrelor + aspirin) and prior to BMS-986141 administration. A second chamber run was performed 2 hours following oral administration of BMS-986141. For Treatment Arm 4, a baseline chamber run was performed prior to BMS-986141 administration. A second chamber run was performed 2 hours following oral administration of BMS-986141. Participants received background therapy before the final chamber run, and the final chamber run was performed on Day 2, approximately 24 hours after BMS-986141 dosing. (NCT05093790)
Timeframe: Vital signs will be collected at check-in and prior to and after each chamber assessment on Days 1 and 2

,,,
InterventionParticipants (Count of Participants)
DIASTOLIC BLOOD PRESSURE (MMHG) Day 1 > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) Post-Chamber Run < 55 AND CHANGE FROM BASELINE < -10DIASTOLIC BLOOD PRESSURE (MMHG) Post-Chamber Run > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) 2 hours Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) 2 hours Post-Chamber Run > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) 24 hours Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10DIASTOLIC BLOOD PRESSURE (MMHG) 24 hours Pre-Chamber Run < 55 AND CHANGE FROM BASELINE < -10HEART RATE (BEATS/MIN) Day 1 HR < 55 AND CHANGE FROM BASELINE < -15HEART RATE (BEATS/MIN) Pre-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15HEART RATE (BEATS/MIN) Post-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15HEART RATE (BEATS/MIN) 2 Hour Pre-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15HEART RATE (BEATS/MIN) 2 Hour Post-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Day 1RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Pre-Chamber RunRESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Post-Chamber RunRESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 2 Hour Pre-Chamber RunRESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 2 Hour Post-Chamber RunRESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 24 Hour Pre-Chamber RunRESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 24 Hour Post-Chamber RunSYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 Day 1 Pre-Chamber RunSYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 2 Hour Pre-Chamber RunSYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 2 Hour Post-Chamber RunSYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 24 Hour Pre-Chamber RunSYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 24 Hour Post-Chamber RunTEMPERATURE (C) > 38.3 OR CHANGE FROM BASELINE > 1.6 Day 1TEMPERATURE (C) > 38.3 OR CHANGE FROM BASELINE > 1.6 Pre-Chamber Run
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141220110200000014522101120011
Arm 2: 75 mg Aspirin + 4 mg BMS-986141000000111111100342320001100
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141001001000000033442681100000
Arm 4: Heathy Participants000001000000000010010000000

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