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1 n but not greater IPA compared with integral prasugrel.
2 yocardial infarction, 26.0% of whom received prasugrel.
3 risk reduction appeared to be enhanced with prasugrel.
4 ged ACS patients treated with clopidogrel or prasugrel.
5 e investigated the PK/PD effects of crushing prasugrel.
6 absorption with crushed compared with whole prasugrel.
7 who were randomized to either clopidogrel or prasugrel.
8 t reactivity rates were reduced with crushed prasugrel.
9 ation drug-eluting stents and 19.5% received prasugrel.
10 ose aspirin, and 2 patients were also taking prasugrel.
11 ated with aspirin and risk-adjusted doses of prasugrel.
12 7; P=0.007) were both reduced with prolonged prasugrel.
13 cts of switching patients from ticagrelor to prasugrel.
14 t of aspirin dose on the clinical effects of prasugrel.
15 ved placebo received a 60-mg loading dose of prasugrel.
16 with either 100 mg (n=47) or 60 mg (n=35) of prasugrel.
17 opidogrel or replacement of clopidogrel with prasugrel.
18 the dose of clopidogrel or were switched to prasugrel.
19 assigned to ticagrelor and 1,186 assigned to prasugrel.
20 syndrome, and in this group, 17.2% received prasugrel.
21 arged on ticagrelor while far fewer received prasugrel.
22 cantly in patients assigned to ticagrelor or prasugrel.
23 =0.010) was higher with ticagrelor than with prasugrel.
24 further randomized to receive ticagrelor or prasugrel.
25 uring maintenance therapy with ticagrelor or prasugrel.
26 was planned to receive either ticagrelor or prasugrel.
27 blind, placebo-controlled crossover trial of prasugrel.
28 absolute reduction in the ischemia risk with prasugrel=1.5+/-3.0%, ranging from an 8.4% increased ris
31 ndomized to continue ticagrelor or switch to prasugrel 10-mg once-daily MD, with or without a 60-mg L
36 cagrelor, 21 [interquartile range, 15-39] U; prasugrel, 18 [interquartile range, 11-29] U; P=0.08).
39 rwent PCI; 1,394 received pre-treatment with prasugrel (30-mg loading dose), and 1,376 received place
40 elor was more effective than genotyping with prasugrel ($30 200 per QALY relative to clopidogrel).
45 ignificantly lower with ticagrelor than with prasugrel (52 [32-72] versus 83 [63-103]; least-square m
46 ich did not provide higher IPA over integral prasugrel (6.3+/-11.4; P=0.47), despite yielding higher
47 l tested the hypothesis that in elective PCI prasugrel 60 mg (ILS) is superior to standard loading st
48 clopidogrel (600 mg, n=13 or 900 mg, n=12), prasugrel 60 mg (n=10), or ticagrelor 180 mg (n=10) were
49 acebo/prasugrel 60 mg and clopidogrel 600 mg/prasugrel 60 mg (primary outcome) was 22.2 (-11.0 to 55.
50 fidence interval) difference between placebo/prasugrel 60 mg and clopidogrel 600 mg/prasugrel 60 mg (
53 f prasugrel 60 mg ld alone was compared with prasugrel 60 mg or 30 mg added 24 hours to clopidogrel 6
54 ding dose of intravenous LA 450 mg plus oral prasugrel 60 mg or loading dose of aspirin 300 mg plus p
55 60 mg or loading dose of aspirin 300 mg plus prasugrel 60 mg orally in a crossover fashion after a 2-
57 rgoing PPCI (n = 52) who were treated with a prasugrel 60-mg loading dose (LD) either as whole or cru
58 ry disease were randomly assigned to receive prasugrel (60 mg loading dose [LD]/10 mg maintenance dos
59 patients treated initially in-hospital with prasugrel, 751 (11.5%) were discharged on clopidogrel.
60 elor, 7.6 [interquartile range, 3.7-14.4] g, prasugrel 9.9 [interquartile range, 5.7-16.6] g; P=0.17)
61 grastat or Cangrelor Bolus and Infusion Over Prasugrel: A Multicenter Randomized Open-Label Trial in
62 6.3+/-11.4; P=0.47), despite yielding higher prasugrel active metabolite concentration (ng/mL; 62.3+/
63 ed odds ratio, 1.13 [95% CI, 1.09-1.18]) and prasugrel (adjusted odds ratio, 1.27 [95% CI, 1.21-1.34]
64 ate the effects of cangrelor, tirofiban, and prasugrel, administered as chewed or integral loading do
66 l duration of dual antiplatelet therapy with prasugrel after TAXUS Liberte paclitaxel-eluting stent r
68 Genotyping with prasugrel was superior to prasugrel alone, with an ICER of $35 800 per QALY relati
69 rred in 8.1% of patients assigned to receive prasugrel and 10.6% of those assigned to receive ticagre
70 red in 12.7% of patients assigned to receive prasugrel and 14.6% of those assigned to receive ticagre
71 for economic reasons was 34.1% (n = 216) for prasugrel and 44.4% (n = 265) for ticagrelor (p = 0.003)
72 rred in 4.8% of patients assigned to receive prasugrel and 7.3% of those assigned to receive ticagrel
76 obability of treatment weighting adjustment, prasugrel and clopidogrel had similar major adverse card
79 ncreased from 18.0% to 44.0%, while rates of prasugrel and clopidogrel use decreased from 24.6% to 13
80 ght to evaluate the impact of treatment with prasugrel and high-dose clopidogrel on the basis of plat
81 not show any significant difference between prasugrel and ticagrelor (2.7% and 2.5%, respectively; o
82 oint did not differ between groups receiving prasugrel and ticagrelor (4.0% and 4.1%, respectively; o
83 zation may improve the cost-effectiveness of prasugrel and ticagrelor after percutaneous coronary int
85 s in acute coronary syndrome have shown that prasugrel and ticagrelor are more effective than standar
87 ts defined by VerifyNow were similar between prasugrel and ticagrelor at 30 minutes and 2 hours post-
88 gometry, and Multiplate were similar between prasugrel and ticagrelor at each time point, including a
91 In patients with acute coronary syndromes, prasugrel and ticagrelor further reduce cardiovascular i
94 signed to compare the efficacy and safety of prasugrel and ticagrelor in acute myocardial infarction
95 This study sought to compare the action of prasugrel and ticagrelor in ST-segment elevation myocard
96 of patients in the PRAGUE-18 (Comparison of Prasugrel and Ticagrelor in the Treatment of Acute Myoca
99 ever, the pharmacodynamic measurements after prasugrel and ticagrelor LD have been provided by assess
104 analyses of pivotal clinical trials testing prasugrel and ticagrelor versus clopidogrel showed DM pa
106 clude the next-generation antiplatelet drugs prasugrel and ticagrelor, and, in terms of anticoagulant
112 a comparison of efficacy and safety between prasugrel and ticagrelor; and 2) the risk of major ische
113 t with a thienopyridine drug (clopidogrel or prasugrel) and aspirin, patients were randomly assigned
115 ticagrelor and 1.0% of patients assigned to prasugrel, and definite stent thrombosis occurred in 1.1
117 tirofiban and cangrelor compared with chewed prasugrel, and superiority of chewed prasugrel as compar
118 asugrel received an additional 30-mg dose of prasugrel, and those who received placebo received a 60-
120 for clopidogrel 600 mg, clopidogrel 900 mg, prasugrel, and ticagrelor, respectively; P for trend <0.
121 ns obtained thus far from subgroup analyses, prasugrel appears to provide higher anti-ischemic protec
124 yndrome (ACS) is complicated: Ticagrelor and prasugrel are novel alternatives to clopidogrel, patient
127 chewed prasugrel, and superiority of chewed prasugrel as compared with integral prasugrel, each with
129 ior to standard treatment with ticagrelor or prasugrel at 12 months with respect to thrombotic events
130 mized, double-blind ACCOAST (A Comparison of prasugrel at the time of percutaneous Coronary intervent
131 Bleeding outcomes tended to be higher with prasugrel but did not differ significantly between treat
133 fidence interval </=45), although PRU in the prasugrel cohort was lower at 7 days than at 24 or 48 h.
134 hemic or bleeding outcomes with reduced-dose prasugrel compared with clopidogrel in elderly patients.
135 odynamic properties and clinical efficacy of prasugrel compared with clopidogrel, antiplatelet respon
136 ing occurred significantly more often in the prasugrel compared with the clopidogrel group (6 [28.6%)
137 -weight patients with ACS, a reduced dose of prasugrel compared with the standard dose of ticagrelor
138 TIMI 38, the safety and efficacy outcomes of prasugrel compared with those of clopidogrel were direct
139 reactions, P2Y(12) receptor antagonism with prasugrel completely inhibited all aspirin-induced react
143 o undergo catheterization, pretreatment with prasugrel did not reduce the rate of major ischemic even
146 f chewed prasugrel as compared with integral prasugrel, each with alpha=0.016 for the primary end poi
147 luding the prodrugs clopidogrel (Plavix) and prasugrel (Effient) that are metabolized and bind covale
149 These findings suggest that substitution of prasugrel for clopidogrel in patients needing triple the
150 nosis; and antiplatelet agents vorapaxar and prasugrel for reducing cardiovascular events in patients
151 r ticagrelor (genotyping with ticagrelor) or prasugrel (genotyping with prasugrel) and noncarriers re
152 ticagrelor and in 73 (6.3%) patients in the prasugrel group (hazard ratio [HR]: 1.41; 95% confidence
153 agrelor group and in 4.8% of patients in the prasugrel group (hazard ratio, 1.12; 95% CI, 0.83 to 1.5
154 relor group and in 39 patients (5.1%) in the prasugrel group (hazard ratio, 1.22 [95% CI, 0.80-1.87];
155 relor group and in 64 patients (7.9%) in the prasugrel group (hazard ratio, 1.31 [95% CI, 0.95-1.82];
156 up and in 137 of 2006 patients (6.9%) in the prasugrel group (hazard ratio, 1.36; 95% confidence inte
158 risis events per person-year was 2.30 in the prasugrel group and 2.77 in the placebo group (rate rati
159 ry end point in the ticagrelor group and the prasugrel group were as follows: death, 4.5% and 3.7%; m
160 ity unit values and lower weight only in the prasugrel group, there was a nonsignificant treatment-by
161 emained significantly higher in the combined prasugrel groups versus the ticagrelor group (least-squa
163 and bleeding outcomes (1.18; 0.77-1.80), but prasugrel had a lower rate of stent thrombosis (0.51; 0.
164 Regardless of low- or high-dose aspirin use, prasugrel had lower rates of the primary efficacy endpoi
165 < 0.0001), and patients who were switched to prasugrel had similar outcomes (HR: 0.90; 95% CI: 0.44 t
167 of the efficacy and safety of ticagrelor and prasugrel has been published in the 7 years since the hi
168 The oral P2Y12 antagonists ticagrelor and prasugrel have higher recommendations than clopidogrel,
169 tically significant mortality reduction with prasugrel (HR, 0.90 [95% CI, 0.80-1.01] and HR, 0.92 [95
171 4.17; p = 0.04) than in patients switched to prasugrel (HR: 0.45; 95% CI: 0.11 to 1.91; p = 0.28).
172 of the primary endpoint whether treated with prasugrel (HR: 0.82) or clopidogrel (HR: 0.91; p for int
173 the efficacy and safety of ticagrelor versus prasugrel in a head-to-head comparison in patients with
176 ctive, Randomized Trial of Ticagrelor Versus Prasugrel in Patients With Acute Coronary Syndrome; NCT0
177 lative merits of ticagrelor as compared with prasugrel in patients with acute coronary syndromes for
178 its and risks of ticagrelor as compared with prasugrel in patients with non-ST-segment elevation acut
179 ive efficacy and safety of ticagrelor versus prasugrel in patients with ST-segment-elevation myocardi
181 elor maintenance therapy was not superior to prasugrel in preventing coronary microvascular injury in
183 duced platelet reactivity in comparison with prasugrel in the acute and chronic phases of treatment,
184 farction randomized to receive ticagrelor or prasugrel in the setting of the ISAR REACT-5 trial (Intr
185 pirin dose and the potent antiplatelet agent prasugrel in the TRITON-TIMI 38 (Trial to Assess Improve
190 or or tirofiban were both superior to chewed prasugrel (IPA, 10.5+/-11.0; P<0.001 for both comparison
191 s study sought to determine whether crushing prasugrel is associated with more favorable drug bioavai
192 s study was to determine whether response to prasugrel is associated with the proportion of circulati
193 asugrel LD, and 2, 6, 24, and 72 hours after prasugrel LD in 149 patients with evaluable platelet fun
194 2Y12 Reaction Units (PRU) immediately before prasugrel LD, and 2, 6, 24, and 72 hours after prasugrel
195 In STEMI patients undergoing PPCI, crushed prasugrel leads to faster drug absorption, and consequen
198 ransferring From Clopidogrel Loading Dose To Prasugrel Loading Dose In Acute Coronary Syndrome Patien
200 pharmacodynamic (PD) response to the reduced prasugrel maintenance dose of 5 mg in very elderly (VE)
203 ial heterogeneity of the treatment effect of prasugrel (mean absolute reduction in the ischemia risk
205 ients receiving ticagrelor (n = 258, 45%) or prasugrel (n = 313, 55%) undergoing PCI were enrolled in
206 neous coronary intervention receiving either prasugrel (n = 95) or ticagrelor (n = 205) loading dose
208 maintenance therapy of ticagrelor (n=56) or prasugrel (n=54) after primary percutaneous coronary int
212 There was no impact of pre-treatment with prasugrel on the presence of thrombus before PCI or on o
215 Infarction 38), which randomized patients to prasugrel or clopidogrel, 12,844 patients with ACS recei
218 nts that occurred while patients were taking prasugrel or placebo, and of discontinuations due to pra
219 l or placebo, and of discontinuations due to prasugrel or placebo, did not differ significantly betwe
221 tor included clopidogrel in 2649 (16.5%) and prasugrel or ticagrelor in 13 408 (83.5%) patients.
222 recommend intensified platelet inhibition by prasugrel or ticagrelor in patients with unstable angina
225 ous coronary intervention were randomized to prasugrel or ticagrelor with an intended treatment durat
226 of newer oral P2Y(12) inhibitors, including prasugrel or ticagrelor, provides suboptimal early inhib
227 randomly assigned across 14 sites to either prasugrel or ticagrelor, which was initiated before perc
229 Patients with HPR (>46 U) were switched to prasugrel or treated with high-dose clopidogrel, and tho
230 lus and 2-hour infusion followed by 60 mg of prasugrel), or 60-mg loading dose of prasugrel (n=42).
231 t with a potent P2Y12 inhibitor (ticagrelor, prasugrel, or cangrelor) without the planned use of glyc
233 lacebo and 139 +/- 32 for patients receiving prasugrel, P = .10), platelet-leukocyte aggregates, or i
235 12 months of thienopyridine (clopidogrel or prasugrel) plus aspirin, eligible patients remained on a
236 ter treatment adjustments in those with HPR, prasugrel provided significantly more potent platelet in
237 CI, patients who received pre-treatment with prasugrel received an additional 30-mg dose of prasugrel
239 to receive a standard dose of ticagrelor or prasugrel (reduced dose in the elderly or low-weight gro
240 ents with ACS who have HPR to treatment with prasugrel reduces thrombotic and bleeding events to a le
241 o prasugrel nonresponders (35 subjects), the prasugrel responders had smaller reaction-induced increa
242 r (100 mg) than the standard loading dose of prasugrel results in greater and more consistent platele
246 standard treatment with either ticagrelor or prasugrel (standard-treatment group) for 12 months.
247 cally meaningful interaction of aspirin with prasugrel, suggesting that previous observations with po
250 significantly lower among those who received prasugrel than among those who received ticagrelor, and
251 ion were randomly assigned to clopidogrel or prasugrel.The primary endpoint was cardiovascular death,
252 threatening bleeding with pre-treatment with prasugrel; the same trends persisted in patients who had
253 grelor therapy, switching from ticagrelor to prasugrel therapy was associated with an increase in pla
255 Among patients who had angiography who took prasugrel there were fewer cardiovascular deaths, myocar
256 clopidogrel, 2125 (5.2%) were discharged on prasugrel; this frequency steadily increased from 0% to
257 comes by Optimizing Platelet Inhibition With Prasugrel-Thrombolysis In Myocardial Infarction 38) stud
258 comes by Optimizing Platelet Inhibition With Prasugrel-Thrombolysis In Myocardial Infarction 38), whi
259 ot better in patients with ticagrelor versus prasugrel (ticagrelor, -13.9 U; prasugrel, -13.5 U; P=0.
260 ifferent oral P2Y12 inhibitors (clopidogrel, prasugrel, ticagrelor) has enabled physicians to contemp
261 comparing the efficacy and safety profile of prasugrel, ticagrelor, and clopidogrel in acute coronary
262 rategies were examined: generic clopidogrel, prasugrel, ticagrelor, and genotyping for polymorphisms
264 ensitivity troponin assays, a preference for prasugrel/ticagrelor and fondaparinux for anticoagulatio
265 dial approach was used in 21.3% of patients, prasugrel/ticagrelor was used in 18.1% of patients, and
267 -of-function allele carriers were started on prasugrel/ticagrelor, while 47% were started on clopidog
269 h TAXUS Liberte paclitaxel-eluting stent and prasugrel to the Dual Antiplatelet Therapy Study (DAPT)
270 esistance was not superior in ticagrelor- or prasugrel-treated patients (ticagrelor, 21 [interquartil
271 ia-related hospitalizations was noted in the prasugrel-treated patients when analyses were performed
272 ly lower in clopidogrel-treated smokers than prasugrel-treated smokers (least squares mean treatment
273 MI was significantly reduced with prolonged prasugrel treatment (1.9% versus 7.1%; HR, 0.255; P<0.00
274 e) was lower with 30 compared with 12 months prasugrel treatment (3.7% versus 8.8%; hazard ratio [HR]
275 ater antiplatelet effects were present after prasugrel treatment regardless of smoking status (p < 0.
277 cked, and stratified by use of ticagrelor or prasugrel, type of acute coronary syndrome (ST-segment e
278 se findings support deferring treatment with prasugrel until a decision is made about revascularizati
281 The efficacy and safety of a reduced dose of prasugrel versus a standard dose of ticagrelor in elderl
282 significantly reduced by both ticagrelor and prasugrel versus clopidogrel (28%-50% range of reduction
283 event-driven costs with use of ticagrelor or prasugrel versus clopidogrel according to varying levels
284 ly greater at 24 and 48 h after switching to prasugrel versus continued therapy with ticagrelor, alth
285 no significant differences in mortality (HR prasugrel versus ticagrelor, 1.10 [95% CI, 0.94-1.29] an
291 In patients with NSTE-ACS, we found that prasugrel was superior to ticagrelor in reducing the com
293 HPR with high-dose clopidogrel, but not with prasugrel, was an independent predictor of the composite
294 changes in adverse events with ticagrelor or prasugrel were calculated by applying treatment effects
295 primary percutaneous intervention (PCI) and prasugrel were tested for platelet reactivity using puri
296 lity-weighted event rates favored ticagrelor/prasugrel, whereas clopidogrel reduced utility-weighted
297 e sought to determine whether treatment with prasugrel, which inhibits platelet activation by blockin
298 nts yielded greater IPA compared with chewed prasugrel, which led to higher active metabolite concent
300 rvention, who received either clopidogrel or prasugrel within 24 hours of admission at 361 US hospita