Clopidogrel low response is associated with a significantly higher risk for ischemic complications after percutaneous coronary intervention. Ticagrelor and prasugrel are more potent platelet inhibitory drugs and both have been shown to significantly reduce ischemic events as compared to clopidogrel. No direct comparison between ticagrelor and prasugrel in terms of their antiplatelet efficacy exists. The aim of this study is to assess the antiplatelet treatment efficacy of ticagrelor versus prasugrel over time in confirmed clopidogrel low responders undergoing percutaneous coronary intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
A loading dose of 180 mg of ticagrelor is administered followed by 90 mg maintenance doses twice daily
A prasugrel loading dose of 60 mg is administered followed by a 10 mg per day maintenance dose for patients \< 75 years or a 5 mg maintenance dose per day for patients \>= 75 years
Deutsches Herzzentrum
München, Bavaria, Germany
RECRUITINGKlinikum der Ludwig-Maximilians-Universität München
München, Bavaria, Germany
RECRUITINGHeart Center Balatonfüred, Dept. of Cardiology
Balatonfüred, Hungary
NOT_YET_RECRUITINGADP-induced platelet aggregation after randomized treatment with ticagrelor or prasugrel
Time frame: Day 2 post randomization
Proportion of low responders in ticagrelor or prasugrel group
Low platelet response is defined as platelet aggregation values \>=468 AU\*min
Time frame: Day 2 post randomization
Proportion of enhanced responders in ticagrelor or prasugrel group
Enhanced platelet response is defined as platelet aggregation values \<= 188 AU\*min
Time frame: Day 2 post randomization
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