Table 2.
Study | Study patients | Clopidogrel dose | Platelet function assay | Platelet reactivity measure | End-point prediction |
---|---|---|---|---|---|
Matetzky et al6 | STEMI-PCI patients: 60 | 300 mg post-PCI | LTA (ADP induced aggregation) | Patients stratified into 4 quartiles | MACE at 6 months P < 0.01 |
Gurbel et al60 | ELLECTIVE PCI, patients: 192 | 300/600 mg post PCI | LTA and TEG | Patients stratified in different quartiles | MACE at 6 months P = 0.02 |
Bliden et al61 | ELLECTIVE PCI, patients: 100 | 75 mg for >1 month | LTA and TEG | Pre-procedural platelet aggregation in patients on clopidogrel | MACE at 12 months P < 0.001 |
Bonello et al38 | ELLECTIVE PCI, patients: 144 | 300 mg, 24 hours prior to PCI | VASP-P | PRI > 50% | MACE at 6 months P < 0.01 |
Price et al63 | ELLECTIVE PCI, patients: 380 | 600 mg, 12 hours prior to PCI | VerifyNow | PRU > 235 | MACE at 6 months P = 0.008 |
Marcucci et al64 | ACS-PCI patients: 683 | 600 mg prior to PCI | VerifyNow | PRU > 240 | MACE at 12 months CV death P = 0.034 MI P = 0.004 |
Migliorini et al62 | PCI unprotected LM, patients: 215 | 600 mg prior to PCI | LTA | Platelet reactivity > 70% | MACE at 19.3 months P = 0.005 |
El Ghannudi et al65 | ELECTIVE and URGENT PCI, patients: 461 | 300 or 600 mg | VASP-P | PRI > 61% | MACE at 9 months P = 0.037 |
Breet et al66 | ELLECTIVE PCI, patients: 1069 | 75 mg >5 days or 300 mg >24 hours prior or 600 mg >4 hours prior to PCI | LTA, VerifyNow, plateletworks, IMPACT, Innovance PFA and PFA-100 | Standard Platelet function measurement values | MACE at 12 months P values for tests shown in Figure 2 |
Abbreviations: ADP, adenosine diphosphate; LM, left main; LTA, light transmittance aggregometry; CV, cardiovascular; MACE, major adverse cardiovascular events; MI, myocardial infarction; PFA, platelet function assay; PRI, platelet reactivity index; PRU, P2Y12 reaction unit; TEG, thrombelastography; VASP-P, vasodilator-stimulated phosphoprotein phosphorylation.