Evidence map›Paper›PMID 30187935›Full record

Trial reportAmerican journal of hematology2018

A dose-ranging study of ticagrelor in children aged 3-17 years with sickle cell disease: A 2-part phase 2 study.

Lewis L Hsu, Sharada Sarnaik, Suzan Williams, Carl Amilon, Jenny Wissmar, Anders Berggren, HESTIA1 Investigators

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02214121 (Multicenter, Open-label, Randomised, Pharmacokinetic), 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
1.6field-weighted citation impact, top 16% 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.

NCT02214121 phase2completednot on this map

Multicenter, Open-label, Randomised, Pharmacokinetic (PK) and Pharmacodynamic (PD) Dose-ranging Phase II Study of Ticagrelor Followed by a Double-blind, Randomised, Parallel-group, Placebo-controlled 4 Weeks Extension Phase in Paediatric Patients With Sickle Cell Disease

TypeinterventionalSponsorAstraZenecaRan2014 to 2017Enrolled46ConditionsInvestigation of Platelet Aggregation in Paediatric Patients With Sickle Cell DiseaseArmsTicagrelor Dose 1a + Dose 2a, Ticagrelor Dose 1b + Dose 2b
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. [Interpretation of the JCS/JSCS 2020 guideline on diagnosis and management of cardiovascular sequelae in Kawasaki disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Article
  9. Review
  10. Review
  11. New Therapeutic Options for the Treatment of Sickle Cell Disease.Mediterranean journal of hematology and infectious diseases · 2019
    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

7 authors at 4 institutions in 6 countries.

Lewis L HsuChildren's Hospital University of Illinois, Chicago, Illinois.ORCID 0000-0002-3156-2378
Sharada SarnaikChildren's Hospital of Michigan, Detroit, Michigan.
Suzan WilliamsHospital for Sick Children, Toronto, Ontario, Canada.
Carl AmilonQuantitative Clinical Pharmacology, Early Clinical Development, IMED Biotech Unit, AstraZeneca, Gothenburg, Sweden.
Jenny WissmarGlobal Medicine Development, AstraZeneca, Gothenburg, Sweden.
Anders BerggrenGlobal Medicine Development, AstraZeneca, Gothenburg, Sweden.
HESTIA1 Investigators
AstraZeneca (Netherlands) · NLChildren's Hospital of Michigan · USHospital for Sick Children · CAUniversity of Illinois Chicago · US

Funding

AstraZeneca
6 · The paper itself

Abstract

Antiplatelet treatment is a potential therapeutic approach for sickle cell disease (SCD). Ticagrelor inhibits platelet aggregation and is approved for adults with acute coronary syndrome and following myocardial infarction. HESTIA1 (NCT02214121) was a 2-part, phase 2 dose-finding study generating ticagrelor exposure, platelet inhibition, and safety data in children with SCD (3-17 years). In part A (n = 45), patients received 2 ticagrelor single doses, 0.125-2.25 mg/kg (washout ≥7 days), then 7 days of twice-daily (bid) dosing with 0.125, 0.563, or 0.75 mg/kg. In the 4-week blinded Part B extension (optional), patients received ticagrelor (0.125, 0.563, or 0.75 mg/kg bid; n = 16) or placebo (n = 7). Platelet reactivity decreased from baseline to 2 hours postdosing, and returned to near baseline after 6 hours postdosing. Dose-dependent platelet inhibition was seen with ticagrelor; mean relative P2Y

Indexed as

AdolescentAnemia, Sickle CellChildChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleHumansPlatelet AggregationPlatelet Aggregation InhibitorsPlatelet Function TestsTicagrelorTreatment OutcomePlatelet Aggregation InhibitorsTicagrelor

Identifiers

PMID30187935
PMCPMC6282821
OpenAlexW2892305705

What OpenQuestion holds

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LicenceCC BY-NC
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.