Evidence map›Paper›PMID 34423649›Full record

Trial reportJournal of the American Heart Association2021

Long-Term Ticagrelor in Patients With Prior Coronary Stenting in the PEGASUS-TIMI 54 Trial.

Brian A Bergmark, Deepak L Bhatt, P Gabriel Steg, Andrzej Budaj, Robert F Storey, Yared Gurmu, Julia F Kuder, KyungAh Im, Giulia Magnani, Ton Oude Ophuis and 9 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
1.9field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  11. Antiplatelet therapy after percutaneous coronary intervention.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
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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

19 authors at 10 institutions in 10 countries.

Brian A BergmarkTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.ORCID 0000-0003-4360-7606
Deepak L BhattTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.ORCID 0000-0002-1278-6245
P Gabriel StegFrench Alliance for Cardiovascular TrialsAP-HPHôpital BichatUniversité de ParisInstitut National de la Santé et de la Recherche Médicale U-1148 Paris France.
Andrzej BudajCentre of Postgraduate Medical Education Grochowski Hospital Warsaw Poland.ORCID 0000-0002-6395-2098
Robert F StoreyUniversity of Sheffield Sheffield UK.ORCID 0000-0002-6677-6229
Yared GurmuTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.
Julia F KuderTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.
KyungAh ImTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.
Giulia MagnaniUniversity Hospital of Parma Parma Italy.
Ton Oude OphuisCanisius-Wilhelmina Hospital Nijmegen the Netherlands.
Christian HammKerckhoff Heart CenterBad NauheimUniversity of Giessen Giessen Germany.
Jindřich ŠpinarUniversity hospital St. Ann, Pekarska and Medical faculty Brno Czech Republic.
Robert G KissDepartment of Cardiology Military Hospital Budapest Hungary.
Frans J Van de WerfUniversity of Leuven Leuven Belgium.ORCID 0000-0001-9479-7767
Gilles MontalescotSorbonne Université, Paris 6ACTION Study GroupINSERM-UMRS 1166Institut de CardiologiePitié-Salpêtrière Hospital (AP-HP) Paris France.ORCID 0000-0003-0824-6809
Per JohansonAstraZeneca Mölndal Sweden.ORCID 0000-0001-9802-4147
Eugene BraunwaldTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.ORCID 0000-0002-3472-626X
Marc S SabatineTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.ORCID 0000-0002-0691-3359
Marc P BonacaTIMI Study Group Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA.ORCID 0000-0002-9860-3584
Brigham and Women's Hospital · USInserm · FRAstraZeneca (Sweden) · SECanisius-Wilhelmina Ziekenhuis · NLGrochowski Hospital · PLJustus-Liebig-Universität Gießen · DEKU Leuven · BESt. Anne's University Hospital Brno · CZUniversity of Parma · ITUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Coronary stent type and risk of stent thrombosis remain important factors affecting recommended duration of dual antiplatelet therapy. We investigated the efficacy and safety of long-term ticagrelor in patients with prior coronary stenting enrolled in the PEGASUS-TIMI 54 (Prevention of Cardiovascular Events in Patients with Prior Heart Attack Using Ticagrelor Compared to Placebo on a Background of Aspirin-Thrombolysis in Myocardial Infarction 54) trial. Methods and Results Patients in PEGASUS-TIMI 54 had a myocardial infarction 1 to 3 year prior and were randomized 1:1:1 to ticagrelor 60 or 90 mg BID or placebo. The primary end point was a composite of cardiovascular death, myocardial infarction, or stroke (major adverse cardiovascular events). Stent thrombosis was prospectively adjudicated (Academic Research Consortium definition). Baseline characteristics were compared by most recent stent type (bare metal versus drug-eluting stent and first- versus later-generation drug-eluting stent). Treatment arms were compared using Cox proportional hazards models. Of 21 162 patients randomized, 80% (n=16 891) had prior coronary stenting. Following randomization, myocardial infarction was the most frequent ischemic event in patients with prior stenting in the placebo arm, occurring in 5.2% of patients (Type 1: 4.1%), followed by cardiovascular death (2.3%), stroke (1.7%), and stent thrombosis (0.9%). Ticagrelor

Indexed as

Drug-Eluting StentsMyocardial InfarctionStrokeThrombosisDrug Therapy, CombinationHemorrhageHumansPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsSecondary PreventionStentsTicagrelorTreatment OutcomePlatelet Aggregation InhibitorsTicagreloracute coronary syndromeantiplatelet therapyP2Y12 inhibitorPCI

Identifiers

PMID34423649
PMCPMC8649257
OpenAlexW3193467790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.