Evidence map›Paper›PMID 32006156›Full record

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

The association of body mass index with long-term clinical outcomes after ticagrelor monotherapy following abbreviated dual antiplatelet therapy in patients undergoing percutaneous coronary intervention: a prespecified sub-analysis of the GLOBAL LEADERS Trial.

Masafumi Ono, Ply Chichareon, Mariusz Tomaniak, Hideyuki Kawashima, Kuniaki Takahashi, Norihiro Kogame, Rodrigo Modolo, Hironori Hara, Chao Gao, Rutao Wang and 19 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Impact of body mass index on efficacy and safety of ticagrelor versus clopidogrel in patients with minor stroke or transient ischemic attack.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. P2YJournal of cardiovascular development and disease · 2022
    Review
  11. Influence of body size on platelet response to ticagrelor and prasugrel in patients with acute coronary syndromes.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Article
  12. 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

29 authors at 19 institutions in 13 countries.

Masafumi OnoAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Ply ChichareonAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Mariusz TomaniakErasmus Medical Centre, Thoraxcentre, Rotterdam, the Netherlands.
Hideyuki KawashimaAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Kuniaki TakahashiAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Norihiro KogameAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Rodrigo ModoloAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Hironori HaraAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Chao GaoDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Rutao WangDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Simon WalshBelfast Health and Social Care Trust, Cardiology, Belfast, Ireland.
Harry SuryapranataDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Pedro Canas da SilvaServiço de Cardiologia, Hospital de Santa Maria, Lisbon, Portugal.
James CottonDepartment of Cardiology, Heart and Lung Centre, New Cross Hospital, Wolverhampton, UK.
René KoningCardiology Service, Saint Hilaire Clinic, Rouen, France.
Ibrahim AkinFirst Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Mannheim, Germany.
Benno J W M RensingDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Scot GargDepartment of Cardiology, Royal Blackburn Hospital, Blackburn, UK.
Joanna J WykrzykowskaAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Jan J PiekAmsterdam UMC, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Peter JüniApplied Health Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, University of Toronto, Toronto, Canada.
Christian HammUniversity of Giessen and Kerckhoff Heartand Thorax Center, University of Giessen, Bad Nauheim, Germany.
Philippe Gabriel StegFACT (French Alliance for Cardiovascular Trials), Université de Paris, Assistance Publique-Hôpitaux de Paris -Diderot, Paris, France.
Marco ValgimigliDepartment of Cardiology, University of Bern, Inselspital, Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology, University of Bern, Inselspital, Bern, Switzerland.
Robert F StoreyCardiovascular Research Unit, Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Yoshinobu OnumaDepartment of Cardiology, NUIG (National University of Ireland, University Road, Galway)Galway, H91 TK33, Ireland.
Pascal VranckxJessa Ziekenhuis, Faculty of Medicine and Life Sciences at the Hasselt University, Hasselt, Belgium.
Patrick W SerruysDepartment of Cardiology, NUIG (National University of Ireland, University Road, Galway)Galway, H91 TK33, Ireland. patrick.w.j.c.serruys@gmail.com.ORCID http://orcid.org/0000-0002-9636-1104
Amsterdam Neuroscience · NLRadboud University Nijmegen · NLUniversity of Bern · CHBelfast Health and Social Care Trust · GBHeidelberg University · DEHospital de Santa Maria · PTJessa Hospital · BEJustus-Liebig-Universität Gießen · DEMedical University of Warsaw · PLNational University of Ireland · IENew Cross Hospital · GBOllscoil na Gaillimhe – University of Galway · IEPrince of Songkla University · THRoyal Blackburn Teaching Hospital · GBSt. Antonius Ziekenhuis · NLSt. Michael's Hospital · CAUniversidade Estadual de Campinas (UNICAMP) · BRUniversité Paris Cité · FRUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of antiplatelet therapies following percutaneous coronary intervention (PCI) may be affected by body mass index (BMI). METHODS AND

resultsThis is a prespecified subgroup analysis of the GLOBAL LEADERS trial, a prospective, multicenter, open-label, randomized controlled trial in an all-comer population undergoing PCI, comparing the experimental strategy (23-month ticagrelor monotherapy following 1-month dual antiplatelet therapy [DAPT]) with a reference regimen (12-month aspirin monotherapy following 12-month DAPT). A total of 15,968 patients were stratified by baseline BMI with prespecified threshold of 27 kg/m

conclusionsOverall, BMI did not influence the treatment effect seen with ticagrelor monotherapy; however, a beneficial effect of ticagrelor monotherapy was seen in ACS patients with BMI < 27 kg/m

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

Indexed as

Acute Coronary SyndromeAgedAspirinBody Mass IndexCoronary Artery DiseaseDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMyocardial InfarctionPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsProspective StudiesTicagrelorTime FactorsAspirinPlatelet Aggregation InhibitorsTicagrelorAcute coronary syndromeBody mass indexDrug-eluting stentDual antiplatelet therapyPercutaneous coronary interventionTicagrelor monotherapy

Identifiers

PMID32006156
PMCPMC7449952
OpenAlexW3003782634

What OpenQuestion holds

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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.