Evidence map›Paper›PMID 32907366›Full record

Trial reportArteriosclerosis, thrombosis, and vascular biology2020

Antithrombotic Effects of Combined PAR (Protease-Activated Receptor)-4 Antagonism and Factor Xa Inhibition.

Mohammed N Meah, Jennifer Raftis, Simon J Wilson, Vidya Perera, Samira M Garonzik, Bindu Murthy, J Gerry Everlof, Ronald Aronson, Joseph Luettgen, David E Newby

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arteriosclerosis, thrombosis, and vascular biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05313620 (Effect of Tofacitinib on Coagulation and Platelet Function, and Its Role in Thromboembolic Events), 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 14% 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.

NCT05313620 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

Effect of Tofacitinib on Coagulation and Platelet Function, and Its Role in Thromboembolic Events

TypeinterventionalSponsorFundación de Investigación Biomédica - Hospital Universitario de La PrincesaRan2022 to 2025Enrolled30ConditionsUlcerative Colitis, ThromboembolismArmsTofacitinib, Infliximab Adalimumab y Golimumab
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Reply to Spek and Duitman.American journal of respiratory and critical care medicine · 2023
    Article
  8. PARs in the inflammation-cancer transformation of CRC.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Review
  9. Review
  10. Epigenetic Regulation ofCirculation research · 2022
    Article
  11. Thrombosis: Grand Challenges Ahead!Frontiers in cardiovascular medicine · 2021
    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

10 authors at 2 institutions in 2 countries.

Mohammed N MeahBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom (M.N.M., J.R., S.J.W., D.E.N.).
Jennifer RaftisBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom (M.N.M., J.R., S.J.W., D.E.N.).
Simon J WilsonBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom (M.N.M., J.R., S.J.W., D.E.N.).
Vidya PereraBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom (M.N.M., J.R., S.J.W., D.E.N.).
Samira M GaronzikBristol-Myers Squibb, Princeton Pike Facility, NJ (V.P., S.M.G., B.M., R.A.).
Bindu MurthyBristol-Myers Squibb, Princeton Pike Facility, NJ (V.P., S.M.G., B.M., R.A.).
J Gerry EverlofBrisol-Myers Squibb, Lawrenceville Facility, Princeton, NJ (J.G.E., J.L.).
Ronald AronsonBristol-Myers Squibb, Princeton Pike Facility, NJ (V.P., S.M.G., B.M., R.A.).
Joseph LuettgenBrisol-Myers Squibb, Lawrenceville Facility, Princeton, NJ (J.G.E., J.L.).
David E NewbyBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom (M.N.M., J.R., S.J.W., D.E.N.).
Bristol-Myers Squibb (Sweden) · SEBritish Heart Foundation · GB

Funding

British Heart Foundation CH/09/002/26360British Heart Foundation RG/16/10/32375
6 · The paper itself

Abstract

objectivePAR (protease-activated receptor)-4 antagonism has antiplatelet effects under conditions of high shear stress. We aimed to establish whether PAR4 antagonism had additive antithrombotic activity in the presence of factor Xa inhibition in an ex vivo model of acute arterial injury. Approach and Results: Fifteen healthy volunteers (29±6 years, 7 women) completed a phase zero double-blind randomized controlled crossover trial. Ex vivo platelet activation, platelet aggregation, and thrombus formation were measured following blood perfusion of low shear and high shear stress chambers. Upstream of the chambers, extracorporeal blood was admixed with (1) vehicle, (2) low-dose apixaban (20 ng/mL), (3) high-dose apixaban (80 ng/mL), (4) BMS-986141 (400 ng/mL), (5) BMS-968141 and low-dose apixaban, or (6) BMS-968141 and high-dose apixaban in 6 sequential studies performed in random order. Compared with vehicle, BMS-986141 demonstrated selective inhibition of PAR4-AP (agonist peptide)-stimulated platelet aggregation, platelet-monocyte aggregates, and P-selectin expression (

conclusionsIn the presence of factor Xa inhibition, PAR4 antagonism with BMS-986141 further reduces thrombus formation, especially under conditions of high shear stress. This suggests the potential for additive efficacy of combination PAR4 antagonism and factor Xa inhibition in the prevention of atherothrombotic events.

Indexed as

AdultBlood PlateletsDouble-Blind MethodDrug Therapy, CombinationFactor Xa InhibitorsFemaleFibrinolytic AgentsHumansMalePlatelet AggregationPyrazolesPyridonesReceptors, ThrombinSignal TransductionThrombosisYoung AdultapixabanFactor Xa InhibitorsFibrinolytic Agentsprotease-activated receptor 4PyrazolesPyridonesReceptors, Thrombinapixabandouble-blind methodfactor Xa inhibitorsPAR-4 antagonismplatelet aggregationthrombosis

Identifiers

PMID32907366
PMCPMC7571844
OpenAlexW3085699029

What OpenQuestion holds

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LicenceCC BY
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.