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A randomized trial ...
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Povsic, Thomas J.Duke Univ, Div Cardiol, Durham, NC USA.;Duke Med, Duke Clin Res Inst, Durham, NC USA.
(författare)
A randomized trial to compare the safety of rivaroxaban vs aspirin in addition to either clopidogrel or ticagrelor in acute coronary syndrome : The design of the GEMINI-ACS-1 phase II study
- Artikel/kapitelEngelska2016
Förlag, utgivningsår, omfång ...
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Elsevier BV,2016
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-293003
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-293003URI
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https://doi.org/10.1016/j.ahj.2016.01.004DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Dual antiplatelet therapy (DAPT), the combination of aspirin and a P2Y12 inhibitor, given for 12 months remains the standard of care after presentation with acute coronary syndrome (ACS) because it has been shown to be associated with a significant reduction in ischemic events compared with aspirin monotherapy. The factor Xa inhibitor rivaroxaban was shown to be associated with a significant reduction in the composite of cardiovascular death, myocardial infarction, and stroke, and resulted in a nominal reduction in cardiovascular death, when added to background DAPT in the ATLAS ACS 2-TIMI 51 trial; however, there was excessive bleeding with this "triple-therapy" approach. The combination of rivaroxaban with P2Y12 inhibition in a "dual-pathway" approach may be an effective therapeutic regimen for the treatment of ACS, given the known importance of P2Y12 inhibition after stenting and intriguing data that the combination of an anticoagulant with clopidogrel after stenting in patients with atrial fibrillation appears an attractive option to this patient population. GEMINI-ACS-1 is a prospective, randomized, double-dummy, double-blind, active-controlled trial that will assess the safety of dual antithrombotic therapy (rivaroxaban [2.5 mg twice daily] + P2Y12 inhibitor) as compared with DAPT (aspirin [100 mg] + P2Y12 inhibitor) within 10 days of an ACS event in 3,000 patients. Patients will be randomized in a 1: 1 ratio stratified by intended P2Y12 inhibitor use (clopidogrel 75 mg daily or ticagrelor 90 mg twice daily), with 1500 patients expected in each P2Y12 inhibitor strata. The primary end point is Thrombolysis in Myocardial Infarction clinically significant bleeding (major, minor, or requiring medical attention). The exploratory efficacy determination will be a composite of cardiovascular death, myocardial infarction, ischemic stroke, and stent thrombosis. GEMINI-ACS-1 will assess the safety and feasibility of dual antithrombotic therapy with rivaroxaban and a P2Y12 inhibitor compared with conventional DAPT for the treatment for patients with recent ACS.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Roe, Matthew T.Duke Univ, Div Cardiol, Durham, NC USA.;Duke Med, Duke Clin Res Inst, Durham, NC USA.
(författare)
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Ohman, Erik MagnusDuke Univ, Div Cardiol, Durham, NC USA.;Duke Med, Duke Clin Res Inst, Durham, NC USA.
(författare)
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Steg, Philippe GabrielUniv Paris Diderot, Sorbonne Paris Cite, FACT, DHU,FIRE,AP HP, Paris, France.;INSERM, U1148, Paris, France.;Univ London Imperial Coll Sci Technol & Med, Royal Brompton Hosp, NHLI, London, England.
(författare)
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James, StefanUppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)stjam367
(författare)
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Plotnikov, AlexeiJanssen Res & Dev, Raritan, NJ USA.
(författare)
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Mundl, HardiBayer HealthCare, Wuppertal, Germany.
(författare)
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Welsh, RobertMazankowski Alberta Heart Inst, Edmonton, AB, Canada.;Univ Alberta, Edmonton, AB, Canada.
(författare)
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Bode, ChristophUniv Freiburg, Hugstetter Str 55, D-79106 Freiburg, Germany.
(författare)
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Gibson, Charles MichaelHarvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Cardiovasc Div,Dept Med, Boston, MA 02215 USA.
(författare)
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Duke Univ, Div Cardiol, Durham, NC USA.;Duke Med, Duke Clin Res Inst, Durham, NC USA.Univ Paris Diderot, Sorbonne Paris Cite, FACT, DHU,FIRE,AP HP, Paris, France.;INSERM, U1148, Paris, France.;Univ London Imperial Coll Sci Technol & Med, Royal Brompton Hosp, NHLI, London, England.
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:American Heart Journal: Elsevier BV174, s. 120-1280002-87031097-6744
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Povsic, Thomas J ...
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Roe, Matthew T.
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Ohman, Erik Magn ...
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Steg, Philippe G ...
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James, Stefan
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Plotnikov, Alexe ...
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Mundl, Hardi
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Welsh, Robert
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Bode, Christoph
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Gibson, Charles ...
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