Table 2.
Study characteristics of included studies for clinical outcomes associated with de-escalation
| Study | Design | Country | Study N | Ticagrelor group (n) | Timing of de-escalation—with reasonsa | Follow-up duration |
|---|---|---|---|---|---|---|
| Biscaglia et al. [26] | Prospective Cohort | Italy | 586 | Ticagrelor followed by clopidogrel (n = 101) | Varied—need for OAT, bleeding, intolerance, unwillingness, dyspnea | 12 months |
| Hamid [32] | Retrospective Cohort | United Kingdom | 98 | Ticagrelor + aspirin followed by clopidogrel + aspirin (n = 50) | 3 months—NR | 12 months |
| Wang et al. [35] | Prospective Cohort | China | 417 | Ticagrelor followed by clopidogrel (subgroup) (n = 44) | In-hospital or at discharge—NR | 6 months |
| Motovska et al. [37] | RCT | Czech Republic | 1230 | Ticagrelor followed by clopidogrel (pooled with or without bolus) (n = 265) | Varied—economic | 12 months |
| Pourdjabbar et al. [38] | RCT | Canada | 60 | Ticagrelor followed by clopidogrel (n = 60/57b) | Randomization—triple therapy, bleeding risk, cost, needing CABG, compliance concerns | 30 days |
| Xu et al. [39] | RCT | China | 114 | Ticagrelor + aspirin followed by clopidogrel + aspirin (n = 57) | 1 week—study protocol | Periprocedural |
CABG coronary artery bypass graft, NR not reported, OAT oral anticoagulant, RCT randomized controlled trial
aReasons reported in at least 10% of those who de-escalated are listed
bNumber of patients enrolled/number of patients analyzed