Evidence map›Paper›PMID 26509673›Full record

Trial reportPloS one2015

Ticagrelor Does Not Inhibit Adenosine Transport at Relevant Concentrations: A Randomized Cross-Over Study in Healthy Subjects In Vivo.

T N A van den Berg, S El Messaoudi, G A Rongen, P H H van den Broek, A Bilos, A R T Donders, M E Gomes, N P Riksen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01996735 (The Effect of Ticagrelor on the Adenosine System), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01996735 phase4completednot on this map

The Effect of Ticagrelor on the Adenosine System

TypeinterventionalSponsorRadboud University Medical CenterRan2013 to 2013Enrolled14ConditionsHealthyArmsTicagrelor 180 mg single dose, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Ticagrelor IncreasesInternational journal of molecular sciences · 2020
    Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Adenosine and the Cardiovascular System.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2019
    Review
  10. Article
  11. Ticagrelor - toward more efficient platelet inhibition and beyond.Therapeutics and clinical risk management · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

T N A van den BergDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands.
S El MessaoudiDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands.
G A RongenDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands; Department of Internal Medicine (division of vascular medicine), Radboud university medical center, Nijmegen, The Netherlands.
P H H van den BroekDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands.
A BilosDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands.
A R T DondersDepartment for Health Evidence, Radboud university medical center, Nijmegen, The Netherlands.
M E GomesDepartment of Cardiology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
N P RiksenDepartment of Pharmacology-Toxicology, Radboud university medical center, Nijmegen, The Netherlands; Department of Internal Medicine (division of vascular medicine), Radboud university medical center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLRadboud University Medical Center · NLCanisius-Wilhelmina Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIn patients with myocardial infarction, ticagrelor reduces cardiovascular and sepsis-related mortality, and can cause dyspnea. It is suggested that this is caused by adenosine receptor stimulation, because in preclinical studies, ticagrelor blocks the nucleoside transporter and increases cellular ATP release. We now investigated the effects of ticagrelor on the adenosine system in humans in vivo. EXPERIMENTAL APPROACH: In a double-blinded, placebo-controlled cross-over trial in 14 healthy subjects, we have tested whether ticagrelor (180 mg) affects adenosine- and dipyridamole-induced forearm vasodilation, as surrogates of nucleoside uptake inhibition and adenosine formation, respectively. Also, ex vivo uptake of adenosine and uridine in isolated red blood cells was measured. Primary endpoint was adenosine-induced vasodilation. KEY

resultsTicagrelor did not affect adenosine- or dipyridamole-induced forearm vasodilation. Also, ex vivo uptake of adenosine and uridine in isolated red blood cells was not affected by ticagrelor. In vitro, ticagrelor dose-dependently inhibited nucleoside uptake, but only at supra-physiological concentrations. CONCLUSION AND IMPLICATIONS: In conclusion, at relevant plasma concentration, ticagrelor does not affect adenosine transport, nor adenosine formation in healthy subjects. Therefore, it is unlikely that this mechanism is a relevant pleiotropic effect of ticagrelor.

trial registrationClinicalTrials.gov NCT01996735.

Indexed as

Healthy VolunteersAdenosineArea Under CurveBiological TransportCell SeparationCross-Over StudiesErythrocytesForearmHumansPlethysmographyTicagrelorUridineVeinsYoung AdultAdenosineTicagrelorUridine

Identifiers

PMID26509673
PMCPMC4624811
OpenAlexW2271240637

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.