Evidence map›Paper›PMID 32795098›Full record

Trial reportCirculation2020

Cangrelor, Tirofiban, and Chewed or Standard Prasugrel Regimens in Patients With ST-Segment-Elevation Myocardial Infarction: Primary Results of the FABOLUS-FASTER Trial.

Giuseppe Gargiulo, Giovanni Esposito, Marisa Avvedimento, Michael Nagler, Pietro Minuz, Gianluca Campo, Felice Gragnano, Negar Manavifar, Raffaele Piccolo, Matteo Tebaldi and 7 more

Erratum issued 2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
9.4field-weighted citation impact, top 1% 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.

NCT02978040 phase4completednot on this map

Facilitation Through Aggrastat or Cangrelor Bolus and Infusion Over prasugreL: a mUlticenter Randomized Open-label Trial in patientS With ST-elevation Myocardial inFarction Referred for primAry percutaneouS inTERvention.FABOLUS FASTER Trial

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2017 to 2019Enrolled122ConditionsCoronary Artery Disease, STEMI - ST Elevation Myocardial InfarctionArmsCangrelor, Tirofiban, Prasugrel
NCT04790032 completednot on this mapstarted 2021, after this paper: background citation

PharmacOdynaMic Effects of Cangrelor in PatiEnts wIth Acute or chronIc Coronary Syndrome Undergoing Percutaneous Coronary Intervention (POMPEII Registry)

Typeobservational_patient_registrySponsorFederico II UniversityRan2021 to 2024Enrolled150ConditionsPercutaneous Coronary InterventionArmsCangrelor
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
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  8. Pharmacokinetics, pharmacodynamics, and tolerability of subcutaneous administration of a novel glycoprotein IIb/IIIa inhibitor, RUC-4, in patients with ST-segment elevation myocardial infarction.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021
    Trial
  9. Trial
  10. Observational
  11. Oral P2YInternational journal of cardiology. Heart & vasculature · 2026
    Article
  12. The role of cangrelor in acute and high-risk PCI settings.European heart journal. Cardiovascular pharmacotherapy · 2025
    Review
  13. Platelet reactivity when switching from cangrelor to oral P2Y12 receptor inhibitors: insights from a real-world registry.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  14. Pharmacodynamic effects of cangrelor in patients with acute or chronic coronary syndrome undergoing percutaneous coronary intervention: the POMPEII Registry.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Observational
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 10 institutions in 3 countries.

Giuseppe GargiuloDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Giovanni EspositoDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Italy (G.G., G.E., M.A., R.P., P.C.).
Marisa AvvedimentoDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Italy (G.G., G.E., M.A., R.P., P.C.).
Michael NaglerUniversity Institute of Clinical Chemistry, Inselspital (M.N.), University of Bern, Switzerland.
Pietro MinuzDepartment of Medicine, Unit of General Medicine for the Study and Treatment of Hypertensive Disease, University of Verona, Policlinico GB Rossi, Italy (P.M.).
Gianluca CampoCardiology Unit, Azienda Ospedaliera Universitaria di Ferrara, Italy (G.C., M.T.).
Felice GragnanoDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Negar ManavifarDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Raffaele PiccoloDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Italy (G.G., G.E., M.A., R.P., P.C.).
Matteo TebaldiCardiology Unit, Azienda Ospedaliera Universitaria di Ferrara, Italy (G.C., M.T.).
Plinio CirilloDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Italy (G.G., G.E., M.A., R.P., P.C.).
Lukas HunzikerDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Pascal VranckxDepartment of Cardiology and Intensive Care Medicine, Jessa Ziekenhuis, Faculty of Medicine and Life Sciences at the Hasselt University, Belgium (P.V.).
Sergio LeonardiUniversity of Pavia and Fondazione IRCCS Policlinico S Matteo, Italy (S.L.).
Dik HegBern University Hospital, and Clinical Trials Unit, CTU Bern (D.H.), University of Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Marco ValgimigliDepartment of Cardiology (G.G., F.G., N.M., L.H., S.W., M.V.), University of Bern, Switzerland.
Federico II University Hospital · ITGlaxoSmithKline (Switzerland) · CHUniversity of Bern · CHArcispedale Sant'Anna · ITJessa Hospital · BEMaria Cecilia Hospital · ITPoliclinico San Matteo Fondazione · ITPoliclinico Tor Vergata · ITUniversity Hospital of Bern · CHUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandard administration of newer oral P2Y

methodsThe FABOLUS-FASTER trial (Facilitation Through Aggrastat or Cangrelor Bolus and Infusion Over Prasugrel: A Multicenter Randomized Open-Label Trial in Patients with ST-Elevation Myocardial Infarction Referred for Primary Percutaneous Intervention) is an investigator-initiated, multicenter, open-label, randomized study. A total of 122 P2Y

resultsAt 30 minutes, cangrelor did not satisfy noninferiority compared with tirofiban, which yielded superior IPA over cangrelor (95.0±8.9 versus 34.1±22.5;

conclusionsCangrelor provided inferior IPA compared with tirofiban; both treatments yielded greater IPA compared with chewed prasugrel, which led to higher active metabolite concentration but not greater IPA compared with integral prasugrel. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT02978040; URL: https://www.clinicaltrialsregister.eu; EudraCT 2017-001065-24.

Indexed as

Adenosine DiphosphateAdenosine MonophosphateAdministration, OralAgedAged, 80 and overArea Under CurveAspirinCardiac CatheterizationComorbidityFemaleHeartHumansInfusions, IntravenousMaleMasticationMiddle AgedAdenosine DiphosphateAdenosine MonophosphateAspirincangrelorPrasugrel HydrochloridePurinergic P2Y Receptor AntagonistsTabletsTirofibancangrelorpercutaneous coronary interventionplatelet aggregationprasugrel hydrochloridetirofiban

Identifiers

PMID32795098
PMCPMC7392586
OpenAlexW3037005132

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.