Evidence map›Paper›PMID 27304196›Full record

Trial reportClinical and translational science2016

Effect of Vorapaxar Alone and in Combination with Aspirin on Bleeding Time and Platelet Aggregation in Healthy Adult Subjects.

W K Kraft, J H Gilmartin, D L Chappell, F Gheyas, B M Walker, S Nagalla, U P Naik, J C Horrow, R E Wrishko, S Zhang and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and translational science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Proteases in intestinal health and disease.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  4. EGb 761Healthcare (Basel, Switzerland) · 2021
    Article
  5. Article
  6. Article
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

11 authors at 2 institutions in 1 country.

W K KraftThomas Jefferson University, Philadelphia, Pennsylvania, USA.
J H GilmartinMerck & Co, Kenilworth, New Jersey, USA.
D L ChappellMerck & Co, Kenilworth, New Jersey, USA.
F GheyasMerck & Co, Kenilworth, New Jersey, USA.
B M WalkerMerck & Co, Kenilworth, New Jersey, USA.
S NagallaThomas Jefferson University, Philadelphia, Pennsylvania, USA.
U P NaikThomas Jefferson University, Philadelphia, Pennsylvania, USA.
J C HorrowMerck & Co, Kenilworth, New Jersey, USA.
R E WrishkoMerck & Co, Kenilworth, New Jersey, USA.
S ZhangMerck & Co, Kenilworth, New Jersey, USA.
M S AndersonMerck & Co, Kenilworth, New Jersey, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USThomas Jefferson University · US

Funding

ASK1 a novel regulator of platelet functionR01HL113188 · NHLBI · UNIVERSITY OF DELAWARE · PI NAIK, ULHAS P · 2013 to 2022
$3.4M
NHLBI NIH HHS R01 HL113188
6 · The paper itself

Abstract

The effect of the protease-activated receptor-1 (PAR-1) antagonist vorapaxar on human bleeding time is not known. This was a randomized, two-period, open-label trial in healthy men (n = 31) and women (n = 5). In period 1, subjects received 81 mg aspirin q.d. or a vorapaxar regimen achieving steady-state plasma concentrations equivalent to chronic 2.5 mg q.d. doses, for 7 days. In period 2, each group added 7 days of the therapy alternate to that of period 1 without washout. Bleeding time and platelet aggregation using arachidonic acid, ADP, and TRAP agonists were assessed. Bleeding time geometric mean ratio (90% CI) for vorapaxar/baseline was 1.01 (0.88-1.15), aspirin/baseline was 1.32 (1.15-1.51), vorapaxar + aspirin/vorapaxar was 1.47 (1.26-1.70), and vorapaxar + aspirin/aspirin was 1.12 (0.96-1.30). Unlike aspirin, vorapaxar did not prolong bleeding time compared with baseline. Bleeding time following administration of vorapaxar with aspirin was similar to that following aspirin alone.

Indexed as

Healthy VolunteersAdenosine DiphosphateAdultArachidonic AcidAspirinBleeding TimeBlood Coagulation TestsDrug Therapy, CombinationFemaleHumansLactonesMaleMiddle AgedPlatelet AggregationPyridinesReceptors, ThrombinAdenosine DiphosphateArachidonic AcidAspirinLactonesPyridinesReceptors, Thrombinvorapaxar

Identifiers

PMID27304196
PMCPMC5351335
OpenAlexW2443345733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.