Evidence map›Paper›PMID 36891520›Full record

ArticleResearch and practice in thrombosis and haemostasis2023

Impact of age on

Adeline Pontis, Xavier Delavenne, Marie-Clémence Verdier, Sophie Hodin, Annie Andriamaharo, Pierre Gueret, Fabienne Nedelec-Gac, Christilla Bachelot-Loza, Pascale Gaussem, Isabelle Gouin-Thibault

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 4 institutions in 1 country.

Adeline PontisLaboratoire d'Hématologie, Pontchaillou University Hospital, Rennes, France.
Xavier DelavenneLaboratoire de Pharmacologie Toxicologie, Saint-Etienne University Hospital, Saint-Etienne, France.
Marie-Clémence VerdierINSERM, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail), UMR_S 1085, University of Rennes, Rennes, France.
Sophie HodinLaboratoire de Pharmacologie Toxicologie, Saint-Etienne University Hospital, Saint-Etienne, France.
Annie AndriamaharoLaboratoire de Pharmacologie Clinique, Pontchaillou University Hospital, Rennes, France.
Pierre GueretLaboratoire d'Hématologie, Pontchaillou University Hospital, Rennes, France.
Fabienne Nedelec-GacLaboratoire d'Hématologie, Pontchaillou University Hospital, Rennes, France.
Christilla Bachelot-LozaUniversité de Paris Cité, Innovative Therapies in Haemostasis, INSERM UMR_S1140, Paris, France.
Pascale GaussemUniversité de Paris Cité, Innovative Therapies in Haemostasis, INSERM UMR_S1140, Paris, France.
Isabelle Gouin-ThibaultLaboratoire d'Hématologie, Pontchaillou University Hospital, Rennes, France.
Centre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Saint-Étienne · FRHôpital Européen Georges-Pompidou · FRInstitut de Recherche en Santé, Environnement et Travail · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High on-treatment platelet reactivity has been reported in 30% of patients on clopidogrel and 50% in elderly patients; however, little is known about the mechanisms of this biological resistance. One hypothesis is an age-related impaired hepatic metabolism of the prodrug clopidogrel, leading to a lower formation of its active metabolite (clopidogrel-AM). Objectives: To compare the levels of clopidogrel-AM formed Methods: We developed an Results: The generation of clopidogrel-AM increased over time and reached concentrations comparable with those reported in treated patients. At T30, mean clopidogrel-AM concentrations were significantly higher with "young" (8.56 μg/L; 95% CI, 5.87-11.24) than with "old" HLMs (7.64 μg/L; 95% CI, 5.14-10.14; Conclusion: In this original model combining metabolic and functional approaches, less clopidogrel-AM was produced with HLMs from older patients. This provides support for a decreased CYP450 activity that may contribute to high on-treatment platelet reactivity in elderly patients.

Indexed as

agedclopidogrelmicrosomesplatelet aggregationprodrugs

Identifiers

PMID36891520
PMCPMC9986101
OpenAlexW4313641202

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.