Evidence map›Paper›PMID 31925529›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2020

Impact of renal function on clinical outcomes after PCI in ACS and stable CAD patients treated with ticagrelor: a prespecified analysis of the GLOBAL LEADERS randomized clinical trial.

Mariusz Tomaniak, Ply Chichareon, Dominika Klimczak-Tomaniak, Kuniaki Takahashi, Norihiro Kogame, Rodrigo Modolo, Rutao Wang, Masafumi Ono, Hironori Hara, Chao Gao and 18 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01813435 (GLOBAL LEADERS), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% 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.

NCT01813435 phase3completednot on this map

GLOBAL LEADERS: A Clinical Study Comparing Two Forms of Anti-platelet Therapy After Stent Implantation

TypeinterventionalSponsorECRI bvRan2013 to 2018Enrolled15,991ConditionsCoronary Artery Disease (CAD)ArmsTicagrelor, Acetylsalicylic Acid, Clopidogrel
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Antiplatelet agents for chronic kidney disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Ticagrelor MonotherapyKorean circulation journal · 2025
    Article
  4. Article
  5. Article
  6. P2YJournal of cardiovascular development and disease · 2022
    Review
  7. Article
  8. Review
  9. 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

28 authors at 20 institutions in 13 countries.

Mariusz TomaniakDepartment of Cardiology, Erasmus University Medical Centre, Erasmus University, Rotterdam, The Netherlands.
Ply ChichareonDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Dominika Klimczak-TomaniakDepartment of Immunology, Transplantation and Internal Medicine, Department of Cardiology, Hypertension and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Kuniaki TakahashiDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Norihiro KogameDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Rodrigo ModoloDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Rutao WangDepartment of Cardiology, Xijing Hospital, Xi'an, China.
Masafumi OnoDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Hironori HaraDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Chao GaoDepartment of Cardiology, Xijing Hospital, Xi'an, China.
Hideyuki KawashimaDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Tessa Rademaker-HavingaCardialysis Core Laboratories and Clinical Trial Management, Rotterdam, The Netherlands.
Scot GargRoyal Blackburn Hospital, Blackburn, UK.
Nick CurzenUniversity Hospital Southampton NHSF, Southampton, UK.
Michael HaudeDepartment of Cardiology, Städtische Kliniken Neuss, Neuss, Germany.
Janusz KochmanFirst Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Tommaso GoriDeutsches Zentrum für Herz und Kreislauf Forschung, Standort Rhein-Main, University Medical Center Mainz, Mainz, Germany.
Gilles MontalescotCardiology Department, ACTION Study Group, Nîmes University Hospital, Montpellier University, Nîmes, France.
Dominick J AngiolilloDivision of Cardiology, University of Florida College of Medicine, Jacksonville, FL, USA.
Davide CapodannoDivision of Cardiology, A.O.U. "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy.
Robert F StoreyDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Cardiology and Cardiothoracic Surgery Directorate, Sheffield Teaching Hospitals NHS Foundation Trust, Cardiovascular Research Unit, Centre for Biomedical Research, Northern General Hospital, Sheffield, UK.
Christian HammUniversity of Giessen, Giessen, Germany.
Pascal VranckxDepartment of Cardiology and Critical Care Medicine, Hartcentrum Hasselt, Jessa Ziekenhuis, Hasselt, Belgium.
Marco ValgimigliDepartment of Cardiology, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Yoshinobu OnumaDepartment of Cardiology, National University of Ireland, Galway (NUIG), University Road, Galway, H91 TK33, Ireland.
Patrick W SerruysNHLI, Imperial College London, London, UK. patrick.w.j.c.serruys@gmail.com.
Richard AndersonUniversity Hospital of Wales, Cardiff, UK.
Amsterdam University Medical Centers · NLMedical University of Warsaw · PLUniversity of Amsterdam · NLUniversity of Bern · CHAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITCardialysis (Netherlands) · NLHartcentrum Hasselt · BEImperial College London · GBJohannes Gutenberg University Mainz · DELukaskrankenhaus · DEOllscoil na Gaillimhe – University of Galway · IERadboud University Nijmegen · NLRoyal Blackburn Teaching Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversité de Montpellier · FRUniversity Hospital of Wales · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Florida · USUniversity of Giessen · DEXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpaired renal function (IRF) is associated with increased risks of both ischemic and bleeding events. Ticagrelor has been shown to provide greater absolute reduction in ischemic risk following acute coronary syndrome (ACS) in those with versus without IRF.

methodsA pre-specified sub-analysis of the randomized GLOBAL LEADERS trial (n = 15,991) comparing the experimental strategy of 23-month ticagrelor monotherapy (after 1-month ticagrelor and aspirin dual anti-platelet therapy [DAPT]) with 12-month DAPT followed by 12-month aspirin after percutaneous coronary intervention (PCI) in ACS and stable coronary artery disease (CAD) patients stratified according to IRF (glomerular filtration rate < 60 ml/min/1.73 m

resultsAt 2 years, patients with IRF (n = 2171) had a higher rate of the primary endpoint (all-cause mortality or centrally adjudicated, new Q-wave myocardial infarction [MI](hazard ratio [HR] 1.64, 95% confidence interval [CI] 1.35-1.98, p

conclusionsIRF negatively impacted long-term prognosis after PCI. There were no differential treatment effects found with regard to all-cause death or new Q-wave MI after PCI in patients with IRF treated with ticagrelor monotherapy. CLINICAL

trial registrationThe trial has been registered with ClinicalTrials.gov, number NCT01813435.

Indexed as

Percutaneous Coronary InterventionAcute Coronary SyndromeAgedCoronary Artery DiseaseDrug-Eluting StentsDual Anti-Platelet TherapyFemaleGlomerular Filtration RateHumansMaleMiddle AgedPlatelet Aggregation InhibitorsRenal InsufficiencyTicagrelorTreatment OutcomePlatelet Aggregation InhibitorsTicagrelorAspirin-free antiplatelet strategiesChronic kidney diseaseDAPTImpaired renal functionPercutaneous coronary interventionTicagrelor

Identifiers

PMID31925529
OpenAlexW3000644995

What OpenQuestion holds

Textmetadata
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.