Switching from Dual Antiplatelet Therapy with Aspirin Plus a P2Y12 Inhibitor to Dual Pathway Inhibition with Aspirin Plus Vascular-Dose Rivaroxaban: The Switching Anti-Platelet and Anti-Coagulant Therapy (SWAP-AC) Study.


Journal

Thrombosis and haemostasis
ISSN: 2567-689X
Titre abrégé: Thromb Haemost
Pays: Germany
ID NLM: 7608063

Informations de publication

Date de publication:
12 Jul 2023
Historique:
pubmed: 25 5 2023
medline: 25 5 2023
entrez: 24 5 2023
Statut: aheadofprint

Résumé

 To date, there are no data on switching to dual pathway inhibition (DPI) patients who have completed a guideline-recommended dual antiplatelet therapy (DAPT) regimen.  To assess the feasibility of switching from DAPT to DPI and to compare the pharmacodynamic (PD) profiles of these treatments.  This was a prospective, randomized, PD study conducted in 90 patients with chronic coronary syndrome (CCS) on DAPT with aspirin (81 mg/qd) plus a P2Y  Switching from DAPT to DPI occurred without major side effects. DAPT was associated with enhanced P2Y  In patients with CCS, switching from different DAPT regimens to DPI was feasible, showing enhanced P2Y  http://www. gov Unique Identifier: NCT04006288.

Sections du résumé

BACKGROUND BACKGROUND
 To date, there are no data on switching to dual pathway inhibition (DPI) patients who have completed a guideline-recommended dual antiplatelet therapy (DAPT) regimen.
OBJECTIVES OBJECTIVE
 To assess the feasibility of switching from DAPT to DPI and to compare the pharmacodynamic (PD) profiles of these treatments.
METHODS METHODS
 This was a prospective, randomized, PD study conducted in 90 patients with chronic coronary syndrome (CCS) on DAPT with aspirin (81 mg/qd) plus a P2Y
RESULTS RESULTS
 Switching from DAPT to DPI occurred without major side effects. DAPT was associated with enhanced P2Y
CONCLUSION CONCLUSIONS
 In patients with CCS, switching from different DAPT regimens to DPI was feasible, showing enhanced P2Y
CLINICAL TRIAL REGISTRATION BACKGROUND
 http://www.
CLINICALTRIALS RESULTS
gov Unique Identifier: NCT04006288.

Identifiants

pubmed: 37224883
doi: 10.1055/a-2098-6639
doi:

Banques de données

ClinicalTrials.gov
['NCT04006288']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

Dr. Franchi declares that he has received payment as an individual for consulting fee or honoraria from AstraZeneca, Bayer, and Sanofi; and institutional payments for grants from PLx Pharma and The Scott R. MacKenzie Foundation. Dr. Angiolillo declares that he has received consulting fees or honoraria from Abbott, Amgen, AstraZeneca, Bayer, Biosensors, Boehringer Ingelheim, Bristol-Myers Squibb, Chiesi, CSL Behring, Daiichi-Sankyo, Eli Lilly, Haemonetics, Janssen, Merck, Novartis, PhaseBio, PLx Pharma, Pfizer, Sanofi and Vectura; Dr. Angiolillo also declares that his institution has received research grants from Amgen, AstraZeneca, Bayer, Biosensors, CeloNova, CSL Behring, Daiichi-Sankyo, Eisai, Eli Lilly, Gilead, Idorsia, Janssen, Matsutani Chemical Industry Co., Merck, Novartis, and the Scott R. MacKenzie Foundation. Other authors have nothing to declare.

Auteurs

Luis Ortega-Paz (L)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Francesco Franchi (F)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Fabiana Rollini (F)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Mattia Galli (M)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.
Departmet of Cardiology, Maria Cecilia Hospital, GVM Care and Research, Cotignola, Italy.

Latonya Been (L)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Ghussan Ghanem (G)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Awss Shalhoub (A)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Tiffany Ossi (T)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Andrea Rivas (A)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Xuan Zhou (X)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Andres M Pineda (AM)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Siva Suryadevara (S)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Daniel Soffer (D)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Martin M Zenni (MM)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Lisa K Jennings (LK)

MLM Medical Labs, LLC, Memphis, Tennessee, United States.

Dominick J Angiolillo (DJ)

Division of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, United States.

Classifications MeSH