Evidence map›Paper›PMID 42109603›Full record

ReviewStroke research and treatment2026

Ticagrelor Versus Clopidogrel or Aspirin in Secondary Stroke Prevention: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Abdullah Faiz Zaihan, Nurul Ameera Huda Mohamad Hafiz, Yee Sheun Tong, Kaeshaelya Thiruchelvam, Chia Siang Kow

Abstract readReview
In one paragraph

Review in Stroke research and treatment, 2026. 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
–field-weighted citation impact
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. 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.

Abdullah Faiz ZaihanDepartment of Pharmacy, Shah Alam Hospital, Shah Alam, Malaysia.
Nurul Ameera Huda Mohamad HafizDepartment of Pharmacy, Shah Alam Hospital, Shah Alam, Malaysia.
Yee Sheun TongDepartment of Pharmacy, Shah Alam Hospital, Shah Alam, Malaysia.
Kaeshaelya ThiruchelvamDepartment of Pharmacy, Shah Alam Hospital, Shah Alam, Malaysia.ORCID https://orcid.org/0000-0002-3754-1690
Chia Siang KowSchool of Pharmacy, IMU University, Kuala Lumpur, Malaysia, imu.edu.my.ORCID https://orcid.org/0000-0002-8186-2926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ticagrelor, a direct-acting P2Y Methods: A systematic search of PubMed, Embase, CENTRAL, and Chinese databases was conducted to identify randomized controlled trials comparing ticagrelor with aspirin or clopidogrel in this population. The primary outcomes were recurrent stroke and major bleeding. Random-effects meta-analyses were performed, and heterogeneity was assessed using the Results: Six randomized controlled trials were included. Ticagrelor significantly reduced the risk of recurrent stroke compared to control (pooled OR: 0.78; 95% CI: 0.70-0.89; Conclusion: Ticagrelor offers superior efficacy over clopidogrel or aspirin in preventing recurrent stroke, with no excess risk of major bleeding. It may be particularly beneficial in patients with poor clopidogrel metabolism or high recurrence risk. Further research is needed to establish its long-term safety, cost-effectiveness, and optimal use in clinical practice.

Indexed as

acute cerebrovascular syndromedual antiplateletpharmacogeneticsplatelet aggregation inhibitorsecondary preventionthienopyridine resistance

Identifiers

PMID42109603
PMCPMC13156516

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.