Page last updated: 2024-11-05

ticlopidine and Diabetic Angiopathies

ticlopidine has been researched along with Diabetic Angiopathies in 46 studies

Ticlopidine: An effective inhibitor of platelet aggregation commonly used in the placement of STENTS in CORONARY ARTERIES.
ticlopidine : A thienopyridine that is 4,5,6,7-tetrahydrothieno[3,2-c]pyridine in which the hydrogen attached to the nitrogen is replaced by an o-chlorobenzyl group.

Diabetic Angiopathies: VASCULAR DISEASES that are associated with DIABETES MELLITUS.

Research Excerpts

ExcerptRelevanceReference
"This is a post-hoc analysis derived from patients (n = 79) enrolled in a prospective, randomized, double-blind, double-dummy, crossover study comparing cilostazol with placebo in stable coronary artery disease patients on aspirin and clopidogrel therapy."9.17Pharmacodynamic effects of adjunctive cilostazol therapy in patients with coronary artery disease on dual antiplatelet therapy: impact of high on-treatment platelet reactivity and diabetes mellitus status. ( Angiolillo, DJ; Capodanno, D; Capranzano, P; Darlington, A; Desai, B; Dharmashankar, K; Ferreiro, JL; Rollini, F; Tello-Montoliu, A; Ueno, M, 2013)
"In a population of diabetic patients with coronary artery disease and a high risk of time-dependent aspirin resistance, aspirin divided twice per day can significantly decrease the rate of biological loss of efficacy at trough level."9.16Biological efficacy of twice daily aspirin in type 2 diabetic patients with coronary artery disease. ( Bal dit Sollier, C; Dillinger, JG; Drissa, A; Drouet, L; Henry, P; Logeart, D; Manzo Silberman, S; Sideris, G; Voicu, S, 2012)
"ticagrelor, when compared with clopidogrel, reduced ischaemic events in ACS patients irrespective of diabetic status and glycaemic control, without an increase in major bleeding events."9.14Ticagrelor vs. clopidogrel in patients with acute coronary syndromes and diabetes: a substudy from the PLATelet inhibition and patient Outcomes (PLATO) trial. ( Angiolillo, DJ; Cornel, JH; Erlinge, D; Husted, S; James, S; Kontny, F; Maya, J; Nicolau, JC; Spinar, J; Stevens, SR; Storey, RF; Wallentin, L, 2010)
"We sought to evaluate the impact of cilostazol on neointimal hyperplasia after drug-eluting stent (DES) implantation in patients with diabetes mellitus (DM)."9.13Drug-eluting stenting followed by cilostazol treatment reduces late restenosis in patients with diabetes mellitus the DECLARE-DIABETES Trial (A Randomized Comparison of Triple Antiplatelet Therapy with Dual Antiplatelet Therapy After Drug-Eluting Stent Im ( Cho, YH; Choi, SW; Chun, KJ; Hong, MK; Kim, HS; Kim, JH; Kim, YH; Ko, JK; Lee, CW; Lee, JH; Lee, NH; Lee, SW; Park, DW; Park, JH; Park, SJ; Park, SW; Seong, IW; Yun, SC, 2008)
"The Ticlopidine Microangiopathy of Diabetes study (TIMAD), a randomized, double-masked, placebo-controlled trial, assessed the effect of this antiplatelet agent (ticlopidine hydrochloride) in reducing the progression of nonproliferative diabetic retinopathy in 435 patients followed up for 3 years."9.06Ticlopidine treatment reduces the progression of nonproliferative diabetic retinopathy. The TIMAD Study Group. ( , 1990)
" The aim of this study was to perform serial pharmacodynamic assessments of prasugrel with high-dose clopidogrel in patients with DM."6.76A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial. ( Angiolillo, DJ; Badimon, JJ; Baker, BA; Effron, MB; Frelinger, AL; Jakubowski, JA; Michelson, AD; Ojeh, CK; Saucedo, JF; Zhu, B, 2011)
"Patients with type 2 diabetes mellitus (T2DM) have reduced platelet inhibition compared with non-diabetics following P2Y(12) receptor blockade."6.73A randomized study assessing the impact of cilostazol on platelet function profiles in patients with diabetes mellitus and coronary artery disease on dual antiplatelet therapy: results of the OPTIMUS-2 study. ( Angiolillo, DJ; Aslam, M; Bass, TA; Box, LC; Capranzano, P; Charlton, RK; Desai, B; Goto, S; Guzman, LA; Shoemaker, SB; Suzuki, Y; Zenni, MM, 2008)
"This is a post-hoc analysis derived from patients (n = 79) enrolled in a prospective, randomized, double-blind, double-dummy, crossover study comparing cilostazol with placebo in stable coronary artery disease patients on aspirin and clopidogrel therapy."5.17Pharmacodynamic effects of adjunctive cilostazol therapy in patients with coronary artery disease on dual antiplatelet therapy: impact of high on-treatment platelet reactivity and diabetes mellitus status. ( Angiolillo, DJ; Capodanno, D; Capranzano, P; Darlington, A; Desai, B; Dharmashankar, K; Ferreiro, JL; Rollini, F; Tello-Montoliu, A; Ueno, M, 2013)
"In a population of diabetic patients with coronary artery disease and a high risk of time-dependent aspirin resistance, aspirin divided twice per day can significantly decrease the rate of biological loss of efficacy at trough level."5.16Biological efficacy of twice daily aspirin in type 2 diabetic patients with coronary artery disease. ( Bal dit Sollier, C; Dillinger, JG; Drissa, A; Drouet, L; Henry, P; Logeart, D; Manzo Silberman, S; Sideris, G; Voicu, S, 2012)
"ticagrelor, when compared with clopidogrel, reduced ischaemic events in ACS patients irrespective of diabetic status and glycaemic control, without an increase in major bleeding events."5.14Ticagrelor vs. clopidogrel in patients with acute coronary syndromes and diabetes: a substudy from the PLATelet inhibition and patient Outcomes (PLATO) trial. ( Angiolillo, DJ; Cornel, JH; Erlinge, D; Husted, S; James, S; Kontny, F; Maya, J; Nicolau, JC; Spinar, J; Stevens, SR; Storey, RF; Wallentin, L, 2010)
"We sought to evaluate the impact of cilostazol on neointimal hyperplasia after drug-eluting stent (DES) implantation in patients with diabetes mellitus (DM)."5.13Drug-eluting stenting followed by cilostazol treatment reduces late restenosis in patients with diabetes mellitus the DECLARE-DIABETES Trial (A Randomized Comparison of Triple Antiplatelet Therapy with Dual Antiplatelet Therapy After Drug-Eluting Stent Im ( Cho, YH; Choi, SW; Chun, KJ; Hong, MK; Kim, HS; Kim, JH; Kim, YH; Ko, JK; Lee, CW; Lee, JH; Lee, NH; Lee, SW; Park, DW; Park, JH; Park, SJ; Park, SW; Seong, IW; Yun, SC, 2008)
"The Ticlopidine Microangiopathy of Diabetes study (TIMAD), a randomized, double-masked, placebo-controlled trial, assessed the effect of this antiplatelet agent (ticlopidine hydrochloride) in reducing the progression of nonproliferative diabetic retinopathy in 435 patients followed up for 3 years."5.06Ticlopidine treatment reduces the progression of nonproliferative diabetic retinopathy. The TIMAD Study Group. ( , 1990)
" Laboratory and clinical data have convincingly shown the benefit of P2Y12 inhibition combined with aspirin in patients with acute coronary syndrome (ACS)/undergoing percutaneous coronary intervention (PCI)."4.90p2y12 receptor inhibitors in acute coronary syndromes: from the research laboratory to the clinic and vice versa. ( Alexopoulos, D, 2014)
"We sought to assess the impact of renal function on platelet reactivity in patients with diabetes mellitus (DM) and coronary artery disease on aspirin and clopidogrel therapy."3.76Impact of chronic kidney disease on platelet function profiles in diabetes mellitus patients with coronary artery disease taking dual antiplatelet therapy. ( Alfonso, F; Angiolillo, DJ; Bass, TA; Bernardo, E; Capodanno, D; Fernandez-Ortiz, A; Ferreiro, JL; Jimenez-Quevedo, P; Macaya, C; Sabaté, M; Ueno, M; Vivas, D, 2010)
" The present study attempts to study the pharmacodynamic interactions of P."2.79Study of pharmacodynamic interaction of Phyllanthus emblica extract with clopidogrel and ecosprin in patients with type II diabetes mellitus. ( Fatima, N; Muralidhar, N; Pingali, U, 2014)
" The aim of this study was to perform serial pharmacodynamic assessments of prasugrel with high-dose clopidogrel in patients with DM."2.76A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial. ( Angiolillo, DJ; Badimon, JJ; Baker, BA; Effron, MB; Frelinger, AL; Jakubowski, JA; Michelson, AD; Ojeh, CK; Saucedo, JF; Zhu, B, 2011)
"Patients with type 2 diabetes mellitus (T2DM) have reduced platelet inhibition compared with non-diabetics following P2Y(12) receptor blockade."2.73A randomized study assessing the impact of cilostazol on platelet function profiles in patients with diabetes mellitus and coronary artery disease on dual antiplatelet therapy: results of the OPTIMUS-2 study. ( Angiolillo, DJ; Aslam, M; Bass, TA; Box, LC; Capranzano, P; Charlton, RK; Desai, B; Goto, S; Guzman, LA; Shoemaker, SB; Suzuki, Y; Zenni, MM, 2008)
" Therefore, several new antiplatelet treatment strategies have been developed in order to optimize platelet inhibition: a) modification of dosing of commonly used agents; b) use of new agents; and c) addition of a third antiplatelet drug (triple therapy)."2.48Challenges and perspectives of antiplatelet therapy in patients with diabetes mellitus and coronary artery disease. ( Angiolillo, DJ; Ferreiro, JL, 2012)
"Diabetes mellitus is commonly associated with both microvascular and macrovascular complications (coronary artery disease, cerebrovascular events, severe peripheral vascular disease, nephropathy and retinopathy)."2.45Diabetes, vascular complications and antiplatelet therapy: open problems. ( Cerbone, AM; Coppola, A; Di Minno, G; Macarone-Palmieri, N; Rivellese, AA; Saldalamacchia, G, 2009)
"We present a patient with type 2 diabetes mellitus, arterial hypertension and hyperlipidaemia, who had simultaneous oculomotor and trochlear nerve palsies."1.33Simultaneous, painless, homolateral oculomotor and trochlear nerve palsies in a patient with type 2 diabetes mellitus. Neuropathy or brainstem infarction? ( Heliopoulos, I; Maltezos, E; Papanas, N; Piperidou, H, 2006)

Research

Studies (46)

TimeframeStudies, this research(%)All Research%
pre-19902 (4.35)18.7374
1990's2 (4.35)18.2507
2000's27 (58.70)29.6817
2010's15 (32.61)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Capranzano, P3
Capodanno, D3
Fatima, N1
Pingali, U1
Muralidhar, N1
Alexopoulos, D1
Reed Chase, M1
Friedman, HS1
Navaratnam, P1
Heithoff, K1
Simpson, RJ1
Carreras, ET1
Hochholzer, W1
Frelinger, AL2
Nordio, F1
O'Donoghue, ML1
Wiviott, SD1
Angiolillo, DJ10
Michelson, AD2
Sabatine, MS1
Mega, JL1
van Diepen, S1
Fuster, V1
Verma, S1
Hamza, TH1
Siami, FS1
Goodman, SG1
Farkouh, ME2
Thott, O1
Granath, F1
Malmstedt, J1
Wahlgren, CM1
Goto, S1
Aslam, M1
Desai, B2
Charlton, RK1
Suzuki, Y1
Box, LC1
Shoemaker, SB1
Zenni, MM1
Guzman, LA1
Bass, TA3
de la Cruz, KI1
Tsai, PI1
Cohn, WE1
Cooley, DA1
Cerbone, AM1
Macarone-Palmieri, N1
Saldalamacchia, G1
Coppola, A1
Di Minno, G1
Rivellese, AA1
Merkely, B1
Tóth-Zsamboki, E1
Becker, D1
Beres, BJ1
Szabó, G1
Vargova, K1
Fülöp, G1
Kerecsen, G1
Preda, I1
Spaulding, C1
Kiss, RG1
Singla, A1
Antonino, MJ1
Bliden, KP1
Tantry, US1
Gurbel, PA1
Bernardo, E2
Vivas, D1
Sabaté, M3
Ferreiro, JL3
Ueno, M2
Jimenez-Quevedo, P3
Alfonso, F3
Macaya, C3
Fernandez-Ortiz, A2
James, S1
Cornel, JH1
Erlinge, D1
Husted, S1
Kontny, F1
Maya, J1
Nicolau, JC1
Spinar, J1
Storey, RF1
Stevens, SR1
Wallentin, L1
Radke, PW1
Schunkert, H1
Fu, Q1
Yokoyama, N1
Takada, K1
Ishikawa, S1
Isshiki, T1
Badimon, JJ1
Saucedo, JF1
Jakubowski, JA1
Zhu, B1
Ojeh, CK1
Baker, BA1
Effron, MB1
Dharmashankar, K1
Darlington, A1
Tello-Montoliu, A1
Rollini, F1
Dillinger, JG1
Drissa, A1
Sideris, G1
Bal dit Sollier, C1
Voicu, S1
Manzo Silberman, S1
Logeart, D1
Drouet, L1
Henry, P1
Bhatt, DL2
Marso, SP1
Hirsch, AT1
Ringleb, PA1
Hacke, W1
Topol, EJ2
Mann, T1
Cubeddu, RJ1
Raynor, L1
Bowen, J1
Schneider, JE1
Rose, G1
Cubeddu, G1
Raza, JA1
Jobe, RL1
Newman, W1
Zellinger, M1
Roffi, M1
Malcolm, J2
Meggison, H1
Sigal, R2
Mukherjee, D1
Eikelboom, JW1
Rankin, JM1
Baumgartner, I1
Brogan, GX1
Peterson, ED1
Mulgund, J1
Ohman, EM1
Gibler, WB1
Pollack, CV1
Roe, MT1
Kirichenko, AA1
Papanas, N1
Heliopoulos, I1
Piperidou, H1
Maltezos, E1
Ramírez, C1
Costa, MA1
Hernández, R1
Moreno, R2
Escaned, J2
Bañuelos, C2
Arnaout, A1
Scheen, AJ1
Legrand, D1
Geisler, T1
Anders, N1
Paterok, M1
Langer, H1
Stellos, K1
Lindemann, S1
Herdeg, C1
May, AE1
Gawaz, M1
Schäfer, A1
Bonz, AW1
Eigenthaler, M1
Bauersachs, J1
Hernández-Antolín, R1
SanMartín, M1
Gómez-Hospital, JA1
Fernández, C1
Fernández-Avilés, F1
Serebruany, VL1
Malinin, AI1
Pokov, A1
Barsness, G1
Hanley, DF1
Lee, SW1
Park, SW1
Kim, YH1
Yun, SC1
Park, DW1
Lee, CW1
Hong, MK1
Kim, HS1
Ko, JK1
Park, JH1
Lee, JH1
Choi, SW1
Seong, IW1
Cho, YH1
Lee, NH1
Kim, JH1
Chun, KJ1
Park, SJ1
Lipsitz, EC1
Kim, S1
Shapiro, LM1
Cove, DH1
Trethowan, N1
Neumann, V1
Mirouze, J1
Nomura, S1
Shouzu, A1
Omoto, S1
Nishikawa, M1
Fukuhara, S1
Nagai, T1
Tomizawa, T1
Tonooka, N1
Mita, Y1
Misumi, S1
Mori, M1
Hayakawa, M1
Kuzuya, F1

Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Escalating Clopidogrel by Involving a Genetic Strategy - Thrombolysis In Myocardial Infarction 56[NCT01235351]Phase 2335 participants (Actual)Interventional2010-10-31Completed
Genotype Guided Antiplatelet Therapy In Ischemic Stroke[NCT05763862]350 participants (Anticipated)Interventional2023-04-24Recruiting
Future Revascularization Evaluation in Patients With Diabetes Mellitus: Optimal Management of Multivessel Disease (FREEDOM)[NCT00086450]Phase 31,900 participants (Actual)Interventional2004-04-30Active, not recruiting
Comparison of Platelet Inhibitory Effect With Adjunctive Cilostazol Versus High Maintenance-dose ClopidogrEL in Acute Myocardial Infarction Patients According to CYP2C19 Polymorphism[NCT00915733]Phase 480 participants (Actual)Interventional2009-05-31Completed
The Role of Multiple Electrode Aggregometry in Detection of Clopidogrel Resistance in Diabetic Patients With Coronary Artery Disease and Prediction of Clinical Outcomes. A Comparative-method, Non Interventional, Single Center Study.[NCT01991093]280 participants (Actual)Observational2014-06-30Completed
DPP-4 Inhibitors in Patients With Type 2 Diabetes and Acute Myocardial Infarction:Effects on Platelet Function[NCT02377388]Phase 374 participants (Actual)Interventional2017-02-07Completed
Platelet Reactivity in Patients With Chronic Kidney Disease Receiving Adjunctive Cilostazol Compared to a High-maintenance Dose of Clopidogrel[NCT01328470]Phase 485 participants (Actual)Interventional2009-09-30Completed
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
A Pharmacodynamic Comparison of Prasugrel (LY640315) Versus High Dose Clopidogrel in Subjects With Type 2 Diabetes Mellitus and Coronary Artery Disease.[NCT00642174]Phase 235 participants (Actual)Interventional2008-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Comparisons of Vasodilator-stimulated Phosphoprotein (VASP) Phosphorylation Platelet Reactivity Index (PRI)

The outcome measurement was on-treatment PRI determined through flow cytometric assessment of phosphorylation status of VASP. (NCT01235351)
Timeframe: Approximately every 2 weeks for 8 weeks

Intervention% of PRI (Mean)
Clopidogrel 75 mgClopidogrel 150 mg
CYP2C19*2 Non-Carriers57.546.9

Comparisons of Vasodilator-stimulated Phosphoprotein (VASP) Phosphorylation Platelet Reactivity Index (PRI)

The outcome measurement was on-treatment PRI determined through flow cytometric assessment of phosphorylation status of VASP. (NCT01235351)
Timeframe: Approximately every 2 weeks for 8 weeks

Intervention% of PRI (Mean)
Clopidogrel 75 mgClopidogrel 150 mgClopidogrel 225 mgClopidogrel 300 mg
CYP2C19*2 Carriers71.062.454.050.1

5-year Composite Endpoint of All-cause Mortality, Non-fatal Myocardial Infarction, and Stroke

median 3.8 years of follow-up (NCT00086450)
Timeframe: Measured at Year 5

Interventionpercentage of participants (Number)
Percutaneous Coronary Intervention26.6
Coronary Artery Bypass Graft18.7

All-cause Mortality

(NCT00086450)
Timeframe: Measured at Year 5

Interventionpercentage of participants (Number)
Percutaneous Coronary Intervention16.3
Coronary Artery Bypass Graft10.9

Major MACCE Rates, Including the First of One of the Following: Death, Myocardial Infarction, Stroke, or Repeat Revascularization

(NCT00086450)
Timeframe: Measured at Year 1

Interventionpercentage of participants (Number)
Percutaneous Coronary Intervention16.8
Coronary Artery Bypass Graft11.8

Rates of Individual MACCE Endpoints

Major adverse cardiovascular and cerebrovascular events (NCT00086450)
Timeframe: Measured at Day 30

Interventionpercentage of participants (Number)
Percutaneous Coronary Intervention4.8
Coronary Artery Bypass Graft5.2

Inhibition of Platelet Aggregation (IPA) 4 Hours After Loading Dose Assessed by Accumetrics VerifyNow™ P2Y12 Assay

The inhibition of platelet aggregation 4 hours after the loading dose was administered was assessed using the Accumetrics VerifyNow™ P2Y12 assay. Percentage inhibition, as reported by VerifyNow™ P2Y12, was calculated from P2Y12 Reaction Unit (PRU) (rate and extent of adenosine diphosphate [ADP]-stimulated platelet aggregation) and BASE (estimate of baseline platelet reactivity independent of P2Y12 receptor inhibition [reference values]: rate and extent of Thrombin Receptor-Activated Peptide-stimulated platelet aggregation) values as follows: Percentage (%) inhibition = (1-PRU/BASE) x 100. (NCT00642174)
Timeframe: 4 hours after loading dose

,
Interventionpercent inhibition (Least Squares Mean)
Baseline4 Hours After Loading Dose
Clopidogrel9.327.7
Prasugrel9.489.3

Inhibition of Platelet Aggregation at 1- and 24-Hours After Loading Dose (LD) and 24-Hours After Last Maintenance Dose (LMD) Assessed by Accumetrics VerifyNow™ P2Y12 Assay

Inhibition of platelet aggregation 1- and 24-hours after loading dose and 24-hours after last maintenance dose was administered was assessed using Accumetrics VerifyNow™ P2Y12 assay. Percentage inhibition, as reported by VerifyNow™ P2Y12, was calculated from PRU (rate and extent of ADP-stimulated platelet aggregation) and BASE (estimate of baseline platelet reactivity independent of P2Y12 receptor inhibition [reference values]: rate and extent of Thrombin Receptor-Activated Peptide-stimulated platelet aggregation) values as follows: Percentage (%) inhibition = (1-PRU/BASE) x 100. (NCT00642174)
Timeframe: 1 hour and 24 hours after the loading dose (LD) and 24 hours after the last maintenance dose (LMD)

,
Interventionpercent inhibition (Least Squares Mean)
1 Hour After Loading Dose24 Hours After Loading Dose24 Hours After Last Maintenance Dose
Clopidogrel13.429.344.2
Prasugrel49.987.161.8

Inhibition of Platelet Function as Measured by Thromboelastography (TEG)-Platelet Mapping Maximum Amplitude - Adenosine Diphosphate

Thromboelastography (TEG) platelet mapping (MP) maximum amplitude (MA) - Adenosine Diphosphate (ADP) millimeters (mm) at each time point. The TEG-MP MA measures strength of clot formation in whole blood. MA-ADP is the maximal amplitude resulting from fibrin and platelets not blocked by ADP-receptor inhibiting drugs. Fibrin strands in blood sample link a rotating sample cup with a stationary pin suspended by a torsion wire. The degree of platelet contribution to the MA through platelet-fibrin bonding directly influences the magnitude of pin movement and ultimately the amplitude of the tracing. (NCT00642174)
Timeframe: Baseline, 1 Hour, 4 Hours, and 24 Hours after loading dose, and 24 Hours after last maintenance dose

,
Interventionmillimeters (mm) (Least Squares Mean)
Baseline1 Hour After Loading Dose4 Hours After Loading Dose24 Hours After Loading Dose24 Hours After Last Maintenance Dose
Clopidogrel58.154.848.149.246.8
Prasugrel56.838.524.229.344.2

Maximum Platelet Aggregation (MPA) as Assessed by Light Transmittance Aggregometry (LTA)

Mean platelet aggregation (MPA) to 5 and 20 µM adenosine diphosphate (ADP) was assessed by light transmittance aggregometry (LTA). Platelet aggregation was monitored for a total of 7 minutes after addition of ADP. Maximum platelet aggregation was the maximal aggregation value achieved during the 7-minute observation period following addition of agonists. (NCT00642174)
Timeframe: Baseline, 1 Hour, 4 Hours, and 24 Hours after loading dose, and 24 Hours after last maintenance dose

,
Interventionpercent platelet aggregation (Least Squares Mean)
Baseline (5 μM ADP)1 Hour After Loading Dose (5 μM ADP)4 Hours After Loading Dose (5 μM ADP)24 Hours After Loading Dose (5 μM ADP)24 Hours After Last Maintenance Dose (5 μM ADP)Baseline (20 μM ADP)1 Hour After Loading Dose (20 μM ADP)4 Hours After Loading Dose (20 μM ADP)24 Hours After Loading Dose (20 μM ADP)24 Hours After Last Maintenance Dose (20 μM ADP)
Clopidogrel65.756.744.645.638.376.969.857.558.450.7
Prasugrel64.933.718.022.329.677.144.722.427.438.3

Platelet Reactivity Index (PRI)

Data from the Vasodilator-associated stimulated phosphoprotein assay were reported as the platelet reactivity index (PRI) which was calculated from corrected mean fluorescence intensity (cMFI) following incubation of platelets with either prostaglandin E1 (PGE1) alone or PGE1 plus ADP: Platelet Reactivity Index (%) = [1-(cMFI PGEI+ADP/cMFI PGEI)] x 100. Lower PRI values indicate greater platelet P2Y12 inhibition. (NCT00642174)
Timeframe: Baseline, 1 Hour, 4 Hours, and 24 Hours after loading dose, and 24 Hours after last maintenance dose

,
Interventionpercent inhibition (Least Squares Mean)
Baseline1 Hour After Loading Dose4 Hours After Loading Dose24 Hours After Loading Dose24 Hours After Last Maintenance Dose
Clopidogrel80.676.267.558.542.3
Prasugrel83.540.014.515.727.4

Reviews

11 reviews available for ticlopidine and Diabetic Angiopathies

ArticleYear
Dual antiplatelet therapy in patients with diabetes mellitus: special considerations.
    Expert review of cardiovascular therapy, 2013, Volume: 11, Issue:3

    Topics: Aspirin; Blood Platelets; Cardiovascular Diseases; Clopidogrel; Diabetes Mellitus; Diabetic Angiopat

2013
p2y12 receptor inhibitors in acute coronary syndromes: from the research laboratory to the clinic and vice versa.
    Cardiology, 2014, Volume: 127, Issue:4

    Topics: Acute Coronary Syndrome; Aspirin; Clinical Trials as Topic; Clopidogrel; Diabetic Angiopathies; Huma

2014
Revascularization treatment recommendations based on atherosclerotic disease distribution: coronary artery bypass grafting versus stenting.
    Current atherosclerosis reports, 2008, Volume: 10, Issue:5

    Topics: Angina Pectoris; Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Artery Bypass; Coronary Arter

2008
Diabetes, vascular complications and antiplatelet therapy: open problems.
    Acta diabetologica, 2009, Volume: 46, Issue:4

    Topics: Aspirin; Clopidogrel; Diabetes Mellitus; Diabetic Angiopathies; Drug Interactions; Drug Resistance;

2009
Antiplatelet therapy in diabetes: efficacy and limitations of current treatment strategies and future directions.
    Diabetes care, 2009, Volume: 32, Issue:4

    Topics: Aspirin; Clopidogrel; Diabetes Mellitus; Diabetic Angiopathies; Drug Resistance; Humans; Platelet Ac

2009
Challenges and perspectives of antiplatelet therapy in patients with diabetes mellitus and coronary artery disease.
    Current pharmaceutical design, 2012, Volume: 18, Issue:33

    Topics: Aspirin; Blood Glucose; Blood Platelets; Clopidogrel; Coronary Artery Disease; Diabetes Mellitus, Ty

2012
Percutaneous coronary intervention in diabetic patients with non-ST-segment elevation acute coronary syndromes.
    European heart journal, 2004, Volume: 25, Issue:3

    Topics: Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Artery Bypass; Coronary Artery Disease; Corona

2004
Prevention of cardiovascular events in diabetes.
    Clinical evidence, 2003, Issue:10

    Topics: Angioplasty, Balloon; Antihypertensive Agents; Aspirin; Cardiovascular Diseases; Clopidogrel; Corona

2003
Percutaneous coronary intervention versus coronary artery bypass grafting in diabetic patients.
    Cardiology clinics, 2005, Volume: 23, Issue:2

    Topics: Angioplasty, Balloon, Coronary; Clopidogrel; Coronary Artery Bypass; Diabetic Angiopathies; Humans;

2005
[Mechanism of action and clinical use of ticlopidine].
    Kardiologiia, 2006, Volume: 46, Issue:4

    Topics: Arterial Occlusive Diseases; Brain Ischemia; Diabetic Angiopathies; Fibrinolytic Agents; Humans; Myo

2006
Prevention of cardiovascular events in diabetes.
    Clinical evidence, 2006, Issue:15

    Topics: Angioplasty, Balloon; Antihypertensive Agents; Aspirin; Bezafibrate; Cardiovascular Diseases; Clopid

2006

Trials

15 trials available for ticlopidine and Diabetic Angiopathies

ArticleYear
Study of pharmacodynamic interaction of Phyllanthus emblica extract with clopidogrel and ecosprin in patients with type II diabetes mellitus.
    Phytomedicine : international journal of phytotherapy and phytopharmacology, 2014, Apr-15, Volume: 21, Issue:5

    Topics: Aged; Aspirin; Clopidogrel; Cross-Over Studies; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Fe

2014
Diabetes mellitus, CYP2C19 genotype, and response to escalating doses of clopidogrel. Insights from the ELEVATE-TIMI 56 Trial.
    Thrombosis and haemostasis, 2016, 07-04, Volume: 116, Issue:1

    Topics: Aged; Clopidogrel; Coronary Artery Disease; Cytochrome P-450 CYP2C19; Diabetes Mellitus, Type 2; Dia

2016
Diabetes mellitus, CYP2C19 genotype, and response to escalating doses of clopidogrel. Insights from the ELEVATE-TIMI 56 Trial.
    Thrombosis and haemostasis, 2016, 07-04, Volume: 116, Issue:1

    Topics: Aged; Clopidogrel; Coronary Artery Disease; Cytochrome P-450 CYP2C19; Diabetes Mellitus, Type 2; Dia

2016
Diabetes mellitus, CYP2C19 genotype, and response to escalating doses of clopidogrel. Insights from the ELEVATE-TIMI 56 Trial.
    Thrombosis and haemostasis, 2016, 07-04, Volume: 116, Issue:1

    Topics: Aged; Clopidogrel; Coronary Artery Disease; Cytochrome P-450 CYP2C19; Diabetes Mellitus, Type 2; Dia

2016
Diabetes mellitus, CYP2C19 genotype, and response to escalating doses of clopidogrel. Insights from the ELEVATE-TIMI 56 Trial.
    Thrombosis and haemostasis, 2016, 07-04, Volume: 116, Issue:1

    Topics: Aged; Clopidogrel; Coronary Artery Disease; Cytochrome P-450 CYP2C19; Diabetes Mellitus, Type 2; Dia

2016
A randomized study assessing the impact of cilostazol on platelet function profiles in patients with diabetes mellitus and coronary artery disease on dual antiplatelet therapy: results of the OPTIMUS-2 study.
    European heart journal, 2008, Volume: 29, Issue:18

    Topics: Adult; Aged; Aged, 80 and over; Aspirin; Cilostazol; Clopidogrel; Coronary Artery Disease; Cross-Ove

2008
Ticagrelor vs. clopidogrel in patients with acute coronary syndromes and diabetes: a substudy from the PLATelet inhibition and patient Outcomes (PLATO) trial.
    European heart journal, 2010, Volume: 31, Issue:24

    Topics: Acute Coronary Syndrome; Adenosine; Aged; Blood Glucose; Clopidogrel; Diabetes Mellitus, Type 2; Dia

2010
A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial.
    European heart journal, 2011, Volume: 32, Issue:7

    Topics: Adolescent; Adult; Aged; Aspirin; Clopidogrel; Coronary Artery Disease; Cross-Over Studies; Diabetes

2011
A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial.
    European heart journal, 2011, Volume: 32, Issue:7

    Topics: Adolescent; Adult; Aged; Aspirin; Clopidogrel; Coronary Artery Disease; Cross-Over Studies; Diabetes

2011
A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial.
    European heart journal, 2011, Volume: 32, Issue:7

    Topics: Adolescent; Adult; Aged; Aspirin; Clopidogrel; Coronary Artery Disease; Cross-Over Studies; Diabetes

2011
A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial.
    European heart journal, 2011, Volume: 32, Issue:7

    Topics: Adolescent; Adult; Aged; Aspirin; Clopidogrel; Coronary Artery Disease; Cross-Over Studies; Diabetes

2011
Pharmacodynamic effects of adjunctive cilostazol therapy in patients with coronary artery disease on dual antiplatelet therapy: impact of high on-treatment platelet reactivity and diabetes mellitus status.
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2013, Jan-01, Volume: 81, Issue:1

    Topics: Aged; Aspirin; Blood Platelets; Cilostazol; Clopidogrel; Coronary Artery Disease; Cross-Over Studies

2013
Biological efficacy of twice daily aspirin in type 2 diabetic patients with coronary artery disease.
    American heart journal, 2012, Volume: 164, Issue:4

    Topics: Analysis of Variance; Arachidonic Acid; Aspirin; Clopidogrel; Coronary Artery Disease; Cross-Over St

2012
Amplified benefit of clopidogrel versus aspirin in patients with diabetes mellitus.
    The American journal of cardiology, 2002, Sep-15, Volume: 90, Issue:6

    Topics: Aged; Aspirin; Clopidogrel; Diabetes Complications; Diabetes Mellitus; Diabetic Angiopathies; Endpoi

2002
Coronary stenting in stable patients: identification of a low-risk subgroup that may not require adjunctive antiplatelet therapy.
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2003, Volume: 58, Issue:4

    Topics: Abciximab; Aged; Angioplasty, Balloon, Coronary; Antibodies, Monoclonal; Chemotherapy, Adjuvant; Clo

2003
Long-term clinical benefit of sirolimus-eluting stent implantation in diabetic patients with de novo coronary stenoses: long-term results of the DIABETES trial.
    European heart journal, 2007, Volume: 28, Issue:16

    Topics: Aged; Aspirin; Blood Vessel Prosthesis; Clopidogrel; Coronary Restenosis; Coronary Stenosis; Death,

2007
Effects of clopidogrel and aspirin in combination versus aspirin alone on platelet activation and major receptor expression in diabetic patients: the PLavix Use for Treatment Of Diabetes (PLUTO-Diabetes) trial.
    American heart journal, 2008, Volume: 155, Issue:1

    Topics: Adult; Analysis of Variance; Aspirin; Biomarkers; Blood Chemical Analysis; Clopidogrel; Diabetes Mel

2008
Drug-eluting stenting followed by cilostazol treatment reduces late restenosis in patients with diabetes mellitus the DECLARE-DIABETES Trial (A Randomized Comparison of Triple Antiplatelet Therapy with Dual Antiplatelet Therapy After Drug-Eluting Stent Im
    Journal of the American College of Cardiology, 2008, Mar-25, Volume: 51, Issue:12

    Topics: Aged; Aspirin; Cilostazol; Clopidogrel; Coronary Angiography; Coronary Artery Disease; Coronary Rest

2008
Clinical trials of an antiplatelet agent, ticlopidine, in diabetes mellitus.
    Current medical research and opinion, 1983, Volume: 8, Issue:7

    Topics: Adult; Anticoagulants; Clinical Trials as Topic; Diabetic Angiopathies; Echocardiography; Female; Hu

1983
Ticlopidine in the secondary prevention of early diabetes-related microangiopathy: protocol of a multicenter therapeutic study (TIMAD study).
    Agents and actions. Supplements, 1984, Volume: 15

    Topics: Adenosine Diphosphate; Adolescent; Adult; Aged; Anticoagulants; Brain Ischemia; Clinical Trials as T

1984
Ticlopidine treatment reduces the progression of nonproliferative diabetic retinopathy. The TIMAD Study Group.
    Archives of ophthalmology (Chicago, Ill. : 1960), 1990, Volume: 108, Issue:11

    Topics: Adolescent; Adult; Aged; Diabetic Angiopathies; Diabetic Retinopathy; Diarrhea; Double-Blind Method;

1990

Other Studies

20 other studies available for ticlopidine and Diabetic Angiopathies

ArticleYear
Resource use and costs in high-risk symptomatic peripheral artery disease patients with diabetes and prior acute coronary syndrome: a retrospective analysis.
    Postgraduate medicine, 2016, Volume: 128, Issue:2

    Topics: Acute Coronary Syndrome; Adrenergic beta-Antagonists; Aged; Angiotensin-Converting Enzyme Inhibitors

2016
Dual Antiplatelet Therapy Versus Aspirin Monotherapy in Diabetics With Multivessel Disease Undergoing CABG: FREEDOM Insights.
    Journal of the American College of Cardiology, 2017, Jan-17, Volume: 69, Issue:2

    Topics: Acute Coronary Syndrome; Aged; Aspirin; Cause of Death; Clopidogrel; Diabetic Angiopathies; Drug The

2017
Editor's Choice - Dual Antiplatelet Therapy Improves Outcome in Diabetic Patients Undergoing Endovascular Femoropopliteal Stenting for Critical Limb Ischaemia.
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 2017, Volume: 53, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Amputation, Surgical; Aspirin; Clopidogrel; Constriction, Pathologic

2017
Very late drug-eluting stent thrombosis after nonsteroidal anti-inflammatory drug treatment despite dual antiplatelet therapy.
    The Canadian journal of cardiology, 2009, Volume: 25, Issue:4

    Topics: Adult; Angioplasty, Balloon, Coronary; Aspirin; Clopidogrel; Coronary Thrombosis; Cyclooxygenase Inh

2009
The relation between platelet reactivity and glycemic control in diabetic patients with cardiovascular disease on maintenance aspirin and clopidogrel therapy.
    American heart journal, 2009, Volume: 158, Issue:5

    Topics: Adult; Aged; Aspirin; Blood Glucose; Blood Platelets; Cardiovascular Diseases; Clopidogrel; Diabetes

2009
Impact of chronic kidney disease on platelet function profiles in diabetes mellitus patients with coronary artery disease taking dual antiplatelet therapy.
    Journal of the American College of Cardiology, 2010, Mar-16, Volume: 55, Issue:11

    Topics: Aged; Aspirin; Blood Platelets; Clopidogrel; Coronary Artery Disease; Cross-Sectional Studies; Diabe

2010
Diabetics with acute coronary syndrome: advances, challenges, and uncertainties.
    European heart journal, 2010, Volume: 31, Issue:24

    Topics: Acute Coronary Syndrome; Adenosine; Clopidogrel; Diabetic Angiopathies; Humans; Purinergic P2Y Recep

2010
Comparison of platelet P2Y(12) ADP receptor-mediated pathway inhibition in triple versus dual antiplatelet therapy as assessed by VASP-phosphorylation in Japanese patients undergoing coronary stenting.
    International heart journal, 2010, Volume: 51, Issue:5

    Topics: Aged; Angioplasty, Balloon, Coronary; Blood Proteins; Cell Adhesion Molecules; Cilostazol; Clopidogr

2010
Letter regarding article by Mehilli et al, "randomized clinical trial of abciximab in diabetic patients undergoing elective percutaneous coronary interventions after treatment with a high loading dose of clopidogrel".
    Circulation, 2005, May-31, Volume: 111, Issue:21

    Topics: Abciximab; Angioplasty, Balloon, Coronary; Antibodies, Monoclonal; Clinical Protocols; Clopidogrel;

2005
[In diabetes and peripheral arterial occlusive disease: long-term treatment with clopidogrel].
    Praxis, 2005, May-11, Volume: 94, Issue:19

    Topics: Arterial Occlusive Diseases; Clinical Trials as Topic; Clopidogrel; Diabetic Angiopathies; Humans; L

2005
Treatment disparities in the care of patients with and without diabetes presenting with non-ST-segment elevation acute coronary syndromes.
    Diabetes care, 2006, Volume: 29, Issue:1

    Topics: Acute Disease; Adrenergic beta-Antagonists; Adult; Aspirin; Cardiac Catheterization; Clopidogrel; Co

2006
Simultaneous, painless, homolateral oculomotor and trochlear nerve palsies in a patient with type 2 diabetes mellitus. Neuropathy or brainstem infarction?
    Acta diabetologica, 2006, Volume: 43, Issue:1

    Topics: Aged; Cerebral Infarction; Clopidogrel; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic N

2006
Insulin therapy is associated with platelet dysfunction in patients with type 2 diabetes mellitus on dual oral antiplatelet treatment.
    Journal of the American College of Cardiology, 2006, Jul-18, Volume: 48, Issue:2

    Topics: Aged; Aspirin; Clopidogrel; Coronary Disease; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Drug

2006
Aspirin and clopidogrel resistance in patients with diabetes mellitus.
    European heart journal, 2006, Volume: 27, Issue:23

    Topics: Aspirin; Clopidogrel; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Diabetic Angiopathies; D

2006
Platelet response to clopidogrel is attenuated in diabetic patients undergoing coronary stent implantation.
    Diabetes care, 2007, Volume: 30, Issue:2

    Topics: Adenosine Diphosphate; Blood Platelets; Clopidogrel; Coronary Disease; Diabetic Angiopathies; Humans

2007
Late thrombosis of a drug-eluting stent during combined anti-platelet therapy in a clopidogrel nonresponsive diabetic patient: shall we routinely test platelet function?
    Thrombosis and haemostasis, 2007, Volume: 97, Issue:5

    Topics: Aged; Clopidogrel; Coronary Thrombosis; Coronary Vessels; Diabetic Angiopathies; Drug Resistance; Hu

2007
Antithrombotic therapy in peripheral arterial disease.
    Cardiology clinics, 2008, Volume: 26, Issue:2

    Topics: Anticoagulants; Aspirin; Atherosclerosis; Cilostazol; Clopidogrel; Comorbidity; Diabetic Angiopathie

2008
Significance of chemokines and activated platelets in patients with diabetes.
    Clinical and experimental immunology, 2000, Volume: 121, Issue:3

    Topics: Adult; Annexin A5; Blood Platelets; Case-Control Studies; Chemokine CCL2; Chemokine CCL5; Chemokines

2000
Diabetes mellitus with left transverse sinus thrombosis and right transverse sinus aplasia.
    Diabetes research and clinical practice, 2001, Volume: 51, Issue:1

    Topics: Aged; Aspirin; Cerebral Angiography; Cranial Sinuses; Diabetes Mellitus, Type 2; Diabetic Angiopathi

2001
Effects of ticlopidine on erythrocyte aggregation in thrombotic disorders.
    Angiology, 1991, Volume: 42, Issue:9

    Topics: Aged; Diabetic Angiopathies; Dose-Response Relationship, Drug; Erythrocyte Aggregation; Female; Hexa

1991