High-dose clopidogrel versus ticagrelor for treatment of acute coronary syndromes after percutaneous coronary intervention in CYP2C19 intermediate or poor metabolizers: a prospective, randomized, open-label, single-centre trial

Acta Cardiol. 2016 Jun;71(3):309-16. doi: 10.2143/AC.71.3.3152091.
No abstract available

Keywords: CYP2C19 intermediate; high-dose clopidogrel; poor metabolizers; ticagrelor.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acute Coronary Syndrome* / genetics
  • Acute Coronary Syndrome* / mortality
  • Acute Coronary Syndrome* / therapy
  • Adenosine / administration & dosage
  • Adenosine / adverse effects
  • Adenosine / analogs & derivatives*
  • Adenosine / pharmacokinetics
  • Aged
  • China / epidemiology
  • Clopidogrel
  • Cytochrome P-450 CYP2C19 / genetics*
  • Dose-Response Relationship, Drug
  • Drug Monitoring / methods
  • Female
  • Hemorrhage* / chemically induced
  • Hemorrhage* / diagnosis
  • Humans
  • Kaplan-Meier Estimate
  • Long Term Adverse Effects* / diagnosis
  • Long Term Adverse Effects* / etiology
  • Long Term Adverse Effects* / mortality
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / methods
  • Pharmacogenomic Testing / methods
  • Purinergic P2Y Receptor Antagonists / administration & dosage
  • Purinergic P2Y Receptor Antagonists / adverse effects
  • Purinergic P2Y Receptor Antagonists / pharmacokinetics
  • Ticagrelor
  • Ticlopidine / administration & dosage
  • Ticlopidine / adverse effects
  • Ticlopidine / analogs & derivatives*
  • Ticlopidine / pharmacokinetics
  • Treatment Outcome

Substances

  • Purinergic P2Y Receptor Antagonists
  • Clopidogrel
  • CYP2C19 protein, human
  • Cytochrome P-450 CYP2C19
  • Ticagrelor
  • Adenosine
  • Ticlopidine