Evidence map›Paper›PMID 35733352›Full record

ArticleClinical cardiology2022

Use of cangrelor in patients with acute coronary syndromes undergoing percutaneous coronary intervention: Study design and interim analysis of the ARCANGELO study.

Leonardo De Luca, Paolo Calabrò, Fabio Chirillo, Cristina Rolfo, Alberto Menozzi, Piera Capranzano, Maurizio Menichelli, Elisa Nicolini, Ciro Mauro, Carlo Trani and 19 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04471870 (Multicentre Observational, Prospective Cohort Study Including Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention Who Receive Cangrelor i.v. Transitioning to Clopidogrel, Prasugrel or Ticagrelor Per os), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT04471870 completednot on this map

Multicentre Observational, Prospective Cohort Study Including Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention Who Receive Cangrelor i.v. Transitioning to Clopidogrel, Prasugrel or Ticagrelor Per os

TypeobservationalSponsorChiesi Farmaceutici S.p.A.Ran2020 to 2022Enrolled1,005ConditionsAcute Coronary Syndrome
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. The role of cangrelor in acute and high-risk PCI settings.European heart journal. Cardiovascular pharmacotherapy · 2025
    Review
  3. Observational
  4. Safety of cangrelor and transition to oral P2YEuropean heart journal open · 2023
    Article
  5. Dual Antiplatelet Therapy with Parenteral P2YJournal of cardiovascular development and disease · 2023
    Review
  6. 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 20 institutions in 1 country.

Leonardo De LucaDepartment of Cardiosciences, Division of Cardiology, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.ORCID https://orcid.org/0000-0002-8552-1272
Paolo CalabròU.O.C. Cardiologia Clinica con UTIC. A.O.R.N. Sant'Anna e San Sebastiano, Caserta, Italy.ORCID http://orcid.org/0000-0002-5018-830X
Fabio ChirilloU.O.C. Cardiologia Ospedale San Bassiano, Bassano del Grappa (VI), Italy.ORCID http://orcid.org/0000-0003-1535-5202
Cristina RolfoS.C. Cardiologia Ospedale degli Infermi di Rivoli ASLTO3, Rivoli, Italy.ORCID http://orcid.org/0000-0002-3249-0337
Alberto MenozziS.C. Cardiologia, Ospedale S. Andrea, ASL5 Liguria, La Spezia, Italy.ORCID http://orcid.org/0000-0001-9219-9018
Piera CapranzanoU.O. Cardiologia A.O.U. Policlinico G. Rodolico, Catania, Italy.
Maurizio MenichelliCardiologia Ospedale Fabrizio Spaziani, Frosinone, Italy.
Elisa NicoliniU.O. Cardiologia Interventistica, strutturale e pediatrica, Ospedali Riuniti, Ancona, Italy.ORCID http://orcid.org/0000-0003-2055-5516
Ciro MauroCardiologia UTIC con emodinamica AORN Cardarelli Napolii, Napoli, Italy.
Carlo TraniU.O.C. Interventistica Cardiologica e diagnostica invasiva Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0001-9777-013X
Francesco VersaciDepartment of Cardiology, Santa Maria Goretti Hospital, Latina, Italy.ORCID https://orcid.org/0000-0003-2413-6693
Fabrizio TomaiU.O.C. di Cardiologia Aurelia Hospital, Rome, Italy.ORCID http://orcid.org/0000-0002-2196-2941
Giuseppe MusumeciS.C. Cardiologia, A.O. Ordine Mauriziano, Torino, Italy.ORCID http://orcid.org/0000-0001-6016-5702
Carlo Di MarioInterventistica Cardiologica Strutturale A.O.U. Careggi, Firenze, Italy.
Martino PepeCardiologia Universitaria A.O.U. Consorziale Policlinico, Bari, Italy.ORCID http://orcid.org/0000-0002-9235-1419
Sergio BertiFondazione C.N.R. Reg. Toscana G. Monasterio, Pisa, Italy.ORCID http://orcid.org/0000-0002-5244-0556
Carlo CernettiCardiologia Ospedale Ca' Foncello, Treviso, Italy.ORCID http://orcid.org/0000-0002-3158-477X
Plinio CirilloDipartimento di Scienze Biomediche Avanzate, Cardiologia, A.O.U.P. "Federico II", Napoli, Italy.ORCID http://orcid.org/0000-0001-7818-4952
Diego MaffeoCardiologia Emodinamica Fondazione Poliambulanza, Brescia, Italy.
Giuseppe TalanasU.O.C. Cardiologia Clinica ed Interventistica, Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.
Marco FerliniU.O.C. Cardiologia Fondazione IRCCS Policlinico San Matteo, San Matteo, Italy.
Marco ContariniU.O.C. di Cardiologia con UTIC ed Emodinamica Ospedale Umberto I di Siracusa Azienda Sanitaria Provinciale di, Siracusa, Italy.
Valerio LanzilottiU.O.C. Cardiologia Ospedale Maggiore, Bologna, Italy.
Marino ScherilloU.O.C. Cardiologia interventistica e UTIC Azienda Ospedaliera San Pio, Benevento, Italy.
Giuseppe TarantiniU.O.S.D. Emodinamica e Cardiologia Interventistica Azienda Ospedale Università, Padova, Italy.ORCID http://orcid.org/0000-0002-5055-2917
Simone MuragliaU.O. Cardiologia, Ospedale S. Chiara, Trento, Italy.ORCID http://orcid.org/0000-0002-1535-8502
Roberta RossiniCardiologia ASO Santa Croce e Carle, Cuneo, Italy.
Leonardo BologneseCardiologia Ospedale San Donato, Arezzo, Italy.
ARCANGELO study group
Agostino Gemelli University Polyclinic · ITA. O. Ordine Mauriziano di Torino · ITAurelia Hospital · ITAzienda Ospedaliera G.Rummo · ITAzienda Ospedaliera San Camillo-Forlanini · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero Universitaria di Sassari · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITCa' Foncello Hospital · ITFondazione Poliambulanza Istituto Ospedaliero · ITFondazione Toscana Gabriele Monasterio · ITNATO Centre for Maritime Research and Experimentation · ITOspedale Antonio Cardarelli · ITOspedale di Rivoli · ITOspedale Maggiore · ITOspedale San Bassiano · ITOspedale San Donato · ITOspedale San Pietro Fatebenefratelli · ITOspedale Santa Chiara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe itAlian pRospective Study on CANGrELOr (ARCANGELO) was aimed to assess the safety of using cangrelor during percutaneous coronary intervention (PCI) in patients with acute coronary syndromes (ACS) in the daily practice. HYPOTHESIS: The safety of cangrelor after the transition to oral P2Y12 inhibitors was evaluated as the incidence of bleeding outcomes in the 30 days following PCI according to postauthorization safety study guidelines.

methodsAdults with ACS who were treated with cangrelor in one of the 28 centers involved in the study. Patients who consented to participate were followed in the 30 days following their PCI. Bleedings (Bleeding Academic Research Consortium [BARC] classification), major adverse cardiac events (MACEs), and adverse events were recorded. The interim results at two-thirds of the enrollment period are presented.

resultsA total of 17 bleedings were observed in the 320 patients who completed the study at this stage. All bleedings were classified as BARC Type 1-2, except for one case of Type 3a (vessel puncture site hematoma). Four patients experienced MACEs (2 acute myocardial infarctions, 1 sudden cardiac death, 1 noncardiovascular death due to respiratory distress, and multiorgan failure). None of the bleedings was rated as related to cangrelor.

conclusionsThe interim results of the ARCANGELO study provide a preliminary confirmation that the use of cangrelor on patients with ACS undergoing PCI is not associated with severe bleedings.

Indexed as

Acute Coronary SyndromePercutaneous Coronary InterventionAdenosine MonophosphateAdultHemorrhageHumansPlatelet Aggregation InhibitorsProspective StudiesPurinergic P2Y Receptor AntagonistsTreatment OutcomeAdenosine MonophosphatecangrelorPlatelet Aggregation InhibitorsPurinergic P2Y Receptor Antagonistsacute coronary syndromebleedingcangrelorcardiac artery diseaseP2Y12 inhibitorreal-world evidence

Identifiers

PMID35733352
PMCPMC9451664
OpenAlexW4283314382

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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.