The two CHAMPION trials failed to show superiority of cangrelor (a rapid-acting, reversible intravenous platelet P2Y12 adenosine receptor antagonist) versus clopidogrel in patients with acute coronary syndromes undergoing percutaneous coronary intervention. The CHAMPION PCI trial, however, did show a significant reduction in death and stent thrombosis suggesting benefit in those without clopidogrel pretreatment.
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References
Harrington, R. A. et al. Platelet inhibition with cangrelor in patients undergoing PCI. N. Engl. J. Med. 361, 2318–2329 (2009).
Bhatt, D. L. et al. Intravenous platelet blockade with cangrelor during PCI. N. Engl. J. Med. 361, 2330–2341 (2009).
Mehta, S. CURRENT OASIS 7: A 2X2 factorial randomized trial of optimal clopidogrel and aspirin dosing in patient with ACS undergoing an early invasive strategy with intent for PCI. Presented at the ESC Congress, 29 August–2 September 2009; Barcelona, Spain.
Akers, W. S. et al. Pharmacokinetics and pharmacodynamics of a bolus and infusion of cangrelor: a direct, parenteral P2Y12 receptor antagonist. J. Clin. Pharmacol. doi:10.1177/0091270009344986.
Prasad, A. et al. Prognostic significance of periprocedural versus spontaneously occurring myocardial infarction after percutaneous coronary intervention in patients with acute coronary syndromes: an analysis from the ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trial. J. Am. Coll. Cardiol. 54, 477–486 (2009).
Steinhubl, S. R. et al. Transitioning patients from cangrelor to clopidogrel: pharmacodynamic evidence of a competitive effect. Thromb. Res. 121, 527–534 (2008).
Wiviott, S. D. et al. Prasugrel versus clopidogrel in patients with acute coronary syndromes. N. Engl. J. Med. 357, 2001–2015 (2007).
Wallentin, L. et al. Ticagrelor versus clopidogrel in patients with acute coronary syndromes. N. Engl. J. Med. 36 1, 1045–1057 (2009).
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Faxon, D. Cangrelor for ACS—lessons from the CHAMPION trials. Nat Rev Cardiol 7, 124–125 (2010). https://doi.org/10.1038/nrcardio.2009.247
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DOI: https://doi.org/10.1038/nrcardio.2009.247
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Correction: Cangrelor for ACS—lessons from the CHAMPION trials
Nature Reviews Cardiology (2010)