Evidence map›Paper›PMID 37338713›Full record

Trial reportJournal of thrombosis and thrombolysis2023

On-treatment platelet reactivity through the thromboxane A

Ewa Karwatowska-Prokopczuk, Lu Li, Jun Yang, Joseph L Witztum, Sotirios Tsimikas

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of thrombosis and thrombolysis, 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
0.2field-weighted citation impact, top 44% 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, 1 citations in OpenAlex.

  1. Review
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

5 authors at 1 institution in 1 country.

Ewa Karwatowska-ProkopczukIonis Pharmaceuticals, Inc, Carlsbad, CA, USA.
Lu LiIonis Pharmaceuticals, Inc, Carlsbad, CA, USA.
Jun YangIonis Pharmaceuticals, Inc, Carlsbad, CA, USA.
Joseph L WitztumIonis Pharmaceuticals, Inc, Carlsbad, CA, USA.
Sotirios TsimikasIonis Pharmaceuticals, Inc, Carlsbad, CA, USA. stsimikas@health.ucsd.edu.ORCID http://orcid.org/0000-0001-9834-9494
Ionis Pharmaceuticals (United States) · US

Funding

Ionis Pharmaceuticals Ionis Pharmaceuticals
6 · The paper itself

Abstract

backgroundPelacarsen decreases plasma levels of lipoprotein(a) [Lp(a)] and oxidized phospholipids (OxPL). It was previously reported that pelacarsen does not affect the platelet count. We now report the effect of pelacarsen on on-treatment platelet reactivity.

methodsSubjects with established cardiovascular disease and screening Lp(a) levels ≥60 mg per deciliter (~ ≥150 nmol/L) were randomized to receive pelacarsen (20, 40, or 60 mg every 4 weeks; 20 mg every 2 weeks; or 20 mg every week), or placebo for 6-12 months. Aspirin Reaction Units (ARU) and P2Y12 Reaction Units (PRU) were measured at baseline and the primary analysis timepoint (PAT) at 6 months.

resultsOf the 286 subjects randomized, 275 had either an ARU or PRU test, 159 (57.8%) were on aspirin alone and 94 (34.2%) subjects were on dual anti-platelet therapy. As expected, the baseline ARU and PRU were suppressed in subjects on aspirin or on dual anti-platelet therapy, respectively. There were no significant differences in baseline ARU in the aspirin groups or in PRU in the dual anti-platelet groups. At the PAT there were no statistically significant differences in ARU in subjects on aspirin or PRU in subjects on dual anti-platelet therapy among any of the pelacarsen groups compared to the pooled placebo group (p > 0.05 for all comparisons).

conclusionPelacarsen does not modify on-treatment platelet reactivity through the thromboxane A

Indexed as

Platelet Aggregation InhibitorsThromboxanesAspirinBlood PlateletsClopidogrelHumansPlatelet Function TestsProspective StudiesPurinergic P2Y Receptor AntagonistsTreatment OutcomeAspirinClopidogrelPlatelet Aggregation InhibitorsPurinergic P2Y Receptor AntagonistsThromboxanesAntisenseCardiovascular diseaseLipoprotein(a)Oxidized phospholipidsPlatelet reactivityTherapy

Identifiers

PMID37338713
OpenAlexW4381308544

What OpenQuestion holds

Textmetadata
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.