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Ticagrelor versus Clopidogrel in CYP2C19 Loss-of-Function Carriers with Stroke or TIA 期刊论文 WOS高被引论文

编号：

843581FB44301F977E141BD9881C2201
作者：

Wang, Yongjun(王拥军)#*^[1,2,3,4]Meng, Xia(夏萌)^[1,2]Wang, Anxin(王安心)^[1,2]Xie, Xuewei^[1,2];Pan, Yuesong(潘岳松)^[1,2]Johnston, S. Claiborne^[15]Li, Hao(李浩)^[1,2]Bath, Philip M.^[16]Dong, Qiang(董强)^[5]Xu, Anding(徐安定)^[6]Jing, Jing(荆京)^[1,2]Lin, Jinxi^[1,2];Niu, Siying^[1,2];Wang, Yilong(王伊龙)^[1,2]Zhao, Xingquan(赵性泉)^[1,2]Li, Zixiao(李子孝)^[1,2]Jiang, Yong(姜勇)^[1,2]Li, Wei^[1,2]Liu, Liping(刘丽萍)^[1,2]Xu, Jie(许杰)^[1,2]Chang, Liguo^[7];Wang, Lihua(王丽华)^[9]Zhuang, Xianbo(庄献博)^[8]Zhao, Jinguo^[11];Feng, Yefang^[13];Man, Honghao^[12];Li, Guozhong(李国忠)^[10]Wang, Baojun^[14];
语种：

英文
期刊：

NEW ENGLAND JOURNAL OF MEDICINE ISSN：0028-4793 2021 年 385 卷 27 期 (2520 - 2530) ; DEC 30
收录：
摘要：

BACKGROUND Comparisons between ticagrelor and clopidogrel for the secondary prevention of stroke in CYP2C19 loss-of-function carriers have not been extensively performed. METHODS We conducted a randomized, double-blind, placebo-controlled trial at 202 centers in China involving patients with a minor ischemic stroke or transient ischemic attack (TIA) who carried CYP2C19 loss-of-function alleles. Patients were assigned within 24 hours after symptom onset, in a 1:1 ratio, to receive ticagrelor (180 mg on day 1 followed by 90 mg twice daily on days 2 through 90) and placebo clopidogrel or to receive clopidogrel (300 mg on day 1 followed by 75 mg once daily on days 2 through 90) and placebo ticagrelor; both groups received aspirin for 21 days. The primary efficacy outcome was new stroke, and the primary safety outcome was severe or moderate bleeding, both within 90 days. RESULTS A total of 11,255 patients were screened and 6412 patients were enrolled, with 3205 assigned to the ticagrelor group and 3207 to the clopidogrel group. The median age of the patients was 64.8 years, and 33.8% were women; 98.0% belonged to the Han Chinese ethnic group. Stroke occurred within 90 days in 191 patients (6.0%) in the ticagrelor group and 243 patients (7.6%) in the clopidogrel group (hazard ratio, 0.77; 95% confidence interval, 0.64 to 0.94; P=0.008). Secondary outcomes were generally in the same direction as the primary outcome. Severe or moderate bleeding occurred in 9 patients (0.3%) in the ticagrelor group and in 11 patients (0.3%) in the clopidogrel group; any bleeding occurred in 170 patients (5.3%) and 80 patients (2.5%), respectively. CONCLUSIONS Among Chinese patients with minor ischemic stroke or TIA who were carriers of CYP2C19 loss-of-function alleles, the risk of stroke at 90 days was modestly lower with ticagrelor than with clopidogrel. The risk of severe or moderate bleeding did not differ between the two treatment groups, but ticagrelor was associated with more total bleeding events than clopidogrel.
推荐引用方式
GB/T 7714：

Wang Yongjun,Meng Xia,Wang Anxin, et al. Ticagrelor versus Clopidogrel in CYP2C19 Loss-of-Function Carriers with Stroke or TIA [J].NEW ENGLAND JOURNAL OF MEDICINE,2021,385(27):2520-2530.
APA：

Wang Yongjun,Meng Xia,Wang Anxin,Xie Xuewei,&Wang Baojun.(2021).Ticagrelor versus Clopidogrel in CYP2C19 Loss-of-Function Carriers with Stroke or TIA .NEW ENGLAND JOURNAL OF MEDICINE,385(27):2520-2530.
MLA：

Wang Yongjun, et al. "Ticagrelor versus Clopidogrel in CYP2C19 Loss-of-Function Carriers with Stroke or TIA" .NEW ENGLAND JOURNAL OF MEDICINE 385,27(2021):2520-2530.
入库时间：

11/22/2021 1:46:50 AM
更新时间：

11/22/2021 1:46:50 AM

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