Table 2.
Efficacy and safety findings from the PLATO trial at 12 months [40]
| Outcome (%) | Ticagrelor | Clopidogrel | HR (95% CI) | P-value |
|---|---|---|---|---|
| Efficacy | ||||
| Cardiovascular death, MI, or stroke | 9.8 | 11.7 | 0.84 (0.77–0.92) | <0.001 |
| Cardiovascular death | 4.0 | 5.1 | 0.79 (0.69–0.91) | 0.001 |
| MI | 5.8 | 6.9 | 0.84 (0.75–0.95) | 0.005 |
| Stroke | 1.5 | 1.3 | 1.17 (0.91–1.52) | 0.22 |
| Death from any cause | 4.5 | 5.9 | 0.78 (0.69–0.89) | <0.001 |
| Stent thrombosis—definite | 1.3 | 1.9 | 0.67 (0.50–0.91) | 0.009 |
| Stent thrombosis—definite or probable | 2.2 | 2.9 | 0.75 (0.59–0.95) | 0.02 |
| Primary end point—invasive approach | 8.9 | 10.6 | 0.84 (0.75–0.94) | 0.003 |
| Primary end point—ischemia-driven approach | ||||
| Safety | ||||
| PLATO total major bleeding | 11.6 | 11.2 | 1.04 (0.95–1.13) | 0.43 |
| TIMI total major bleeding | 7.9 | 7.7 | 1.03 (0.93–1.15) | 0.57 |
| PLATO non-CABG major bleeding | 4.5 | 3.8 | 1.19 (1.02–1.38) | 0.03 |
| TIMI non-CABG major bleeding | 2.8 | 2.2 | 1.25 (1.03–1.53) | 0.03 |
| Need for transfusion | 8.9 | 8.9 | 1.00 (0.91–1.11) | 0.96 |
| Life-threatening bleeding | 5.8 | 5.8 | 1.03 (0.90–1.16) | 0.70 |
| Intracranial bleeding | 0.3 | 0.2 | 1.87 (0.98–3.58) | 0.06 |
| Fatal bleeding | 0.3 | 0.3 | 0.87 (0.48–1.59) | 0.66 |
| PLATO major or minor bleeding | 16.1 | 14.6 | 1.11 (1.03–1.20) | 0.008 |
| TIMI major or minor bleeding | 11.4 | 10.9 | 1.05 (0.96–1.15) | 0.33 |
| Dyspnea—any | 13.8 | 7.8 | 1.84 (1.68–2.02) | <0.001 |
| Dyspnea—requiring stopping study drug | 0.9 | 0.1 | 6.12 (3.41–11.01) | <0.001 |
| Holter identified ventricular pauses ≥ 3 s at 7 days | 5.8 | 3.6 | NR | 0.01 |
| Holter identified ventricular pauses ≥ 3 s at 30 days | 2.1 | 1.7 | NR | 0.52 |
CAGB coronary artery bypass graft, CI confidence interval, HR hazard ratio, MI myocardial infarction; NR not reported; PLATO platelet inhibition and patient outcomes, TIMI thrombolysis in myocardial infarction