Table 3.
Randomized acute ischemic syndrome trials for intravenous glycoprotein IIb/IIIa blockade
| Trial (number of patients) | Agent tested | Entry criteria | Primary endpoints |
| PURSUIT (10,948) | Eptifibatide | CP at rest or minimal exertion within | Death, and non-fatal MI, at 30 days |
| 24 hours and either ischemic ECG | |||
| changes* or CK-MB elevations | |||
| PRISM-PLUS (1915) | Tirofiban | CP at rest or minimal exertion within | Death, MI, or refractory ischemia, at 7 days |
| 12 hours and either ischemic ECG | |||
| changes* or CK-MB elevations | |||
| PRISM (3232) | Tirofiban | CP at rest or minimal exertion within | Death, MI or refractory ischemia, at 48 hours |
| 24 hours and ischemic ECG changes* | |||
| or CK-MB elevations or history of CAD or | |||
| positive stress test | |||
| PARAGON A (2282) | Lamifiban | CP at rest within 12 hours and ischemic | Death, and non-fatal MI, at 30 days |
| ECG changes* | |||
| PARAGON B (5225) | Lamifiban | Patients within 12 hours of symptoms of | The composite incidence of death, MI, or SRI, at |
| acute myocardial ischemia and ECG changes* | 30 days | ||
| GUSTO IV-ACS (7800) | Abciximab | ACS within last 24 hours; > 5 min anginal | All-cause mortality, composite endpoint of death, |
| symptoms at rest, and either + troponin I/T, | or MI, at 30 days | ||
| or ST depression ≥ 0.5 mm |
ACS, Acute coronary syndromes; CAD, coronary artery disease; CK-MB, creatine kinase MB isoenzyme; CP, Chest pain; ECG, electrocardiogram; MI, myocardial infarction; SRI, severe refractory ischemia. * ST depression, T inversion or transient ST elevation.