Table 3.
Ticagrelor 90 mg bd (n=6589) | Aspirin 100 mg OD (n=6610) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||
Efficacy outcome | Prior aspirin* | n | Patients with events (%) | KM%† | n | Patients with events (%) | KM%† | HR (95% CI) | P Value | P value interaction‡ |
| ||||||||||
Composite of stroke/MI/death | Yes | 2130 | 138 (6.5) | 6.5 | 2102 | 177 (8.4) | 8.3 | 0.76 (0.61–0.95) | 0.02 | 0.10 |
No | 4459 | 304 (6.8) | 6.9 | 4508 | 320 (7.1) | 7.1 | 0.96 (0.82–1.12) | 0.59 | ||
Prior-aspirin therapy,* by start day | Chronic treatment§ | 890 | 58 (6.5) | 6.6 | 841 | 66 (7.8) | 7.4 | 0.82 (0.58–1.17) | 0.27 | 0.58 |
Acute treatment| | 1240 | 80 (6.5) | 6.5 | 1261 | 111 (8.8) | 8.8 | 0.72 (0.54–0.97) | 0.03 | ||
Prior-aspirin therapy,* by dose | Dose >150 mg | 792 | 51 (6.4) | 6.5 | 796 | 64 (8.0) | 8.0 | 0.80 (0.55–1.15) | 0.23 | 0.74 |
Dose ≤150 mg | 1338 | 87 (6.5) | 6.6 | 1306 | 113 (8.7) | 8.4 | 0.74 (0.56–0.98) | 0.03 | ||
| ||||||||||
Stroke | Yes | 2130 | 126 (5.9) | 6.0 | 2102 | 154 (7.3) | 7.2 | 0.80 (0.63–1.01) | 0.06 | 0.41 |
No | 4459 | 264 (5.9) | 6.0 | 4508 | 296 (6.6) | 6.6 | 0.90 (0.76–1.06) | 0.21 | ||
| ||||||||||
MI | Yes | 2130 | 8 (0.4) | 0.4 | 2102 | 10 (0.5) | 0.5 | 0.79 (0.31–1.99) | 0.61 | 0.26 |
No | 4459 | 17 (0.4) | 0.4 | 4508 | 11 (0.2) | 0.3 | 1.57 (0.73–3.35) | 0.25 | ||
| ||||||||||
Death | Yes | 2130 | 16 (0.8) | 0.8 | 2102 | 25 (1.2) | 1.2 | 0.63 (0.34–1.18) | 0.15 | 0.02 |
No | 4459 | 52 (1.2) | 1.2 | 4508 | 33 (0.7) | 0.7 | 1.60 (1.03–2.47) | 0.04 | ||
| ||||||||||
Ischemic stroke | Yes | 2130 | 123 (5.8) | 5.8 | 2102 | 153 (7.3) | 7.1 | 0.78 (0.62–0.99) | 0.04 | 0.29 |
No | 4459 | 262 (5.9) | 5.9 | 4508 | 288 (6.4) | 6.4 | 0.92 (0.78–1.08) | 0.31 |
bd, twice daily; MI, myocardial infarction; OD, once daily
Patients in the prior-aspirin subgroup had received aspirin within 7 days before randomization
Kaplan-Meier %; the event rate at 90 days
Interaction between treatment assignment and prior aspirin indicator was evaluated by including terms for treatment, prior-aspirin indicator, and treatment-by-prior-aspirin indicator interaction in the Cox model (P<0.05 was considered statistically significant)
Start of treatment occurring earlier than the day before randomization
Start of treatment occurring the day before or the same day as randomization