Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/34481
Title: | Ticagrelor alone or conventional dual antiplatelet therapy in patients with stable or acute coronary syndromes | Authors: | Franzone, Anna McFadden, Eugène P. Leonardi, Sergio Piccolo, Raffaele VRANCKX, Pascal Serruys, Patrick W. Hamm, Christian Steg, Philippe Gabriel Heg, Dik Branca, Mattia Jüni, Peter Windecker, Stephan Valgimigli, Marco |
Issue Date: | 2020 | Publisher: | Source: | EuroIntervention, 16 (8) , p. 627 -633 | Abstract: | Aims: The aim of this study was to investigate the effect of ticagrelor monotherapy after one-month dual antiplatelet therapy (DAPT) or conventional DAPT in patients with or without acute coronary syndrome (ACS) in the GLOBAL LEADERS Adjudication Sub-StudY (GLASSY). Methods and results: Risk estimates were expressed as rate ratios (RR) with 95% confidence intervals (CI). A total of 3,840 ACS and 3,745 stable ischaemic heart disease (SIHD) patients were included. At two years, rates of the co-primary efficacy endpoint, a composite of death, myocardial infarction, stroke or urgent target vessel revascularisation, were 7.94% in the experimental and 9.68% in the control group (RR 0.82, 95% CI: 0.66-1.01) among ACS patients and 6.31% in the experimental and 7.14% in the control group (RR 0.89, 95% CI: 0.69-1.13) among SIHD patients (p(int)=0.63). Trends for lower and higher risk of BARC 3 or 5 bleeding with the experimental strategy in ACS (2.27% vs 3.00%, RR 0.76, 95% CI: 0.51-1.12) and SIHD (2.70% vs 1.96%, RR 1.39, 95% CI: 0.91-2.12) patients, respectively, were observed with significant interaction testing (p(int)=0.039). A net clinical benefit endpoint, the composite of both co-primary study endpoints, favoured the experimental treatment among ACS patients only. Conclusions: Ticagrelor monotherapy after one-month DAPT provided consistent treatment effects on ischaemic endpoints in patients with or without ACS but only the former experienced a net clinical benefit. | Document URI: | http://hdl.handle.net/1942/34481 | ISSN: | 1774-024X | e-ISSN: | 1969-6213 | DOI: | 10.4244/EIJ-D-20-00145 | ISI #: | WOS:000582258100001 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Show full item record
WEB OF SCIENCETM
Citations
20
checked on Jul 27, 2024
Page view(s)
40
checked on Jun 28, 2023
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.