Trial Outcomes & Findings for Cangrelor Versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition. (NCT NCT00385138)

NCT ID: NCT00385138

Last Updated: 2014-05-05

Results Overview

mITT population; (composite incidence)

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

5364 participants

Primary outcome timeframe

randomization through 48 hours post randomization

Results posted on

2014-05-05

Participant Flow

Patients were selected for randomization based on the need for percutaneous coronary intervention (PCI). Randomization could only occur after the need for PCI was confirm by angiography.

Participant milestones

Participant milestones
Measure
Cangrelor
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Overall Study
STARTED
2695
2669
Overall Study
Intent-to-treat (ITT)
2693
2669
Overall Study
Modified Intent-to-treat (mITT)
2656
2645
Overall Study
Safety Population
2662
2650
Overall Study
COMPLETED
2665
2641
Overall Study
NOT COMPLETED
30
28

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cangrelor Versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cangrelor
n=2656 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2645 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Total
n=5301 Participants
Total of all reporting groups
Age, Continuous
62.5 years
STANDARD_DEVIATION 11.4 • n=99 Participants
62.5 years
STANDARD_DEVIATION 11.3 • n=107 Participants
62.5 years
STANDARD_DEVIATION 11.4 • n=206 Participants
Sex: Female, Male
Female
747 Participants
n=99 Participants
782 Participants
n=107 Participants
1529 Participants
n=206 Participants
Sex: Female, Male
Male
1909 Participants
n=99 Participants
1863 Participants
n=107 Participants
3772 Participants
n=206 Participants
Region of Enrollment
United States
815 participants
n=99 Participants
809 participants
n=107 Participants
1624 participants
n=206 Participants
Region of Enrollment
Argentina
39 participants
n=99 Participants
42 participants
n=107 Participants
81 participants
n=206 Participants
Region of Enrollment
Brazil
48 participants
n=99 Participants
49 participants
n=107 Participants
97 participants
n=206 Participants
Region of Enrollment
Bulgaria
403 participants
n=99 Participants
394 participants
n=107 Participants
797 participants
n=206 Participants
Region of Enrollment
Canada
3 participants
n=99 Participants
2 participants
n=107 Participants
5 participants
n=206 Participants
Region of Enrollment
Czech Republic
342 participants
n=99 Participants
345 participants
n=107 Participants
687 participants
n=206 Participants
Region of Enrollment
Georgia
47 participants
n=99 Participants
43 participants
n=107 Participants
90 participants
n=206 Participants
Region of Enrollment
India
235 participants
n=99 Participants
236 participants
n=107 Participants
471 participants
n=206 Participants
Region of Enrollment
Lithuania
54 participants
n=99 Participants
55 participants
n=107 Participants
109 participants
n=206 Participants
Region of Enrollment
New Zealand
22 participants
n=99 Participants
20 participants
n=107 Participants
42 participants
n=206 Participants
Region of Enrollment
Belarus
33 participants
n=99 Participants
31 participants
n=107 Participants
64 participants
n=206 Participants
Region of Enrollment
Russian Federation
215 participants
n=99 Participants
218 participants
n=107 Participants
433 participants
n=206 Participants
Region of Enrollment
Slovakia
33 participants
n=99 Participants
27 participants
n=107 Participants
60 participants
n=206 Participants
Region of Enrollment
South Africa
102 participants
n=99 Participants
100 participants
n=107 Participants
202 participants
n=206 Participants
Region of Enrollment
Korea, Republic of
159 participants
n=99 Participants
166 participants
n=107 Participants
325 participants
n=206 Participants
Region of Enrollment
Spain
17 participants
n=99 Participants
21 participants
n=107 Participants
38 participants
n=206 Participants
Region of Enrollment
Thailand
58 participants
n=99 Participants
58 participants
n=107 Participants
116 participants
n=206 Participants
Region of Enrollment
Netherlands
31 participants
n=99 Participants
29 participants
n=107 Participants
60 participants
n=206 Participants

PRIMARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population; (composite incidence)

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality, Myocardial Infarction (MI), and Ischemia-driven Revascularization (IDR)
185 participants
210 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality or MI
180 participants
204 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality
6 participants
18 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of MI
177 participants
191 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of IDR
19 participants
24 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Stent Thrombosis
5 participants
16 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: mITT population, based on available data

mITT

Outcome measures

Outcome measures
Measure
Cangrelor
n=2654 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2641 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Stroke
7 participants
5 participants

SECONDARY outcome

Timeframe: randomization through 1 year post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2628 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2618 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality
94 participants
113 participants

SECONDARY outcome

Timeframe: During index PCI

Population: mITT population, based on available data

mITT population A patient could have multiple procedural events.

Outcome measures

Outcome measures
Measure
Cangrelor
n=2656 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2645 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Procedure Events [Abrupt Closure, Threatened Abrupt Closure, Need for Urgent Coronary Artery Bypass Graft (CABG) Surgery, Unsuccessful Procedure, New Thrombus or Suspected Thrombus, and/or Acute Stent Thrombosis]
122 participants
142 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: Safety population

Major bleeding (non-CABG-related) - Safety population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2662 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of GUSTO Severe / Life-threatening
9 participants
6 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: Safety population

Major bleeding (non-CABG-related) - Safety population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2662 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Thrombolysis in Myocardial Infarction (TIMI) Major
4 participants
9 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: Safety population

Major bleeding (non-CABG-related) - Safety population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2662 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of ACUITY Major Bleeding
145 participants
91 participants

SECONDARY outcome

Timeframe: randomization through 48 hours post randomization

Population: Safety population

Major bleeding (non-CABG-related) - Safety population excludes ACUITY major bleeding for which the only qualifying event was hematoma \>/= 5 cm.

Outcome measures

Outcome measures
Measure
Cangrelor
n=2662 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of ACUITY Major Bleeding Without Hematoma >/= 5 cm
43 participants
29 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality, MI, or IDR
227 participants
249 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality or MI
213 participants
233 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of All-cause Mortality
35 participants
45 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of MI
189 participants
201 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of IDR
37 participants
46 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Stent Thrombosis
15 participants
28 participants

SECONDARY outcome

Timeframe: randomization through 30 days post randomization

Population: mITT population, based on available data

mITT population

Outcome measures

Outcome measures
Measure
Cangrelor
n=2647 Participants
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2629 Participants
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Incidence of Stroke
6 participants
5 participants

Adverse Events

Cangrelor

Serious events: 48 serious events
Other events: 596 other events
Deaths: 0 deaths

Clopidogrel

Serious events: 55 serious events
Other events: 530 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cangrelor
n=2662 participants at risk
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 participants at risk
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Cardiac disorders
atrial fibrillation
0.08%
2/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
atrioventricular block
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
cardiac arrest
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.11%
3/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
cardiac failure acute
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
cardiac failure congestive
0.11%
3/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
cardiac tamponade
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
cardiogenic shock
0.23%
6/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.42%
11/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
coronary artery dissection
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
coronary artery occlusion
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
coronary artery perforation
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
coronary artery thrombosis
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
electromechanical dissociation
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.11%
3/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
ischaemic cardiomyopathy
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
left ventricular failure
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
myocardial infarction
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
myocardial rupture
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
pericardial effusion
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
sick sinus syndrome
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
torsade de pointes
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
ventricular arrhythmia
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
ventricular fibrillation
0.15%
4/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
ventricular tachycardia
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Gastrointestinal disorders
Barrett's oesophagus
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Gastrointestinal disorders
retroperitoneal haemorrhage
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
chest discomfort
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
chest pain
0.08%
2/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
non-cardiac chest pain
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
pyrexia
0.08%
2/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Infections and infestations
bacterial sepsis
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Infections and infestations
lung infection
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Injury, poisoning and procedural complications
arterial injury
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Injury, poisoning and procedural complications
brain contusion
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Injury, poisoning and procedural complications
head injury
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Injury, poisoning and procedural complications
thrombosis in device
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Investigations
anticoagulation drug level below therapeutic
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Investigations
cardiac enzymes increased
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Investigations
troponin increased
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
dizziness
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
dizziness postural
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
haemorrhage intracranial
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
migraine
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
myelitis
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
transient ischaemic attack
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Renal and urinary disorders
nephropathy toxic
0.08%
2/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Renal and urinary disorders
renal failure chronic
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
acute pulmonary oedema
0.11%
3/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
atelectasis
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
dyspnoea
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
pulmonary embolism
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
pulmonary oedema
0.08%
2/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.15%
4/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
respiratory failure
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Skin and subcutaneous tissue disorders
angioneurotic oedema
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
hypertension
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.08%
2/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
hypertensive emergency
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.00%
0/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
hypotension
0.04%
1/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.15%
4/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
peripheral ischaemia
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
vascular pseudoaneurysm
0.00%
0/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.04%
1/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.

Other adverse events

Other adverse events
Measure
Cangrelor
n=2662 participants at risk
cangrelor bolus (30 mcg/kg) \& infusion (4 mcg/kg/min) administered from randomization for at least 2 hours, or until the end of the PCI, whichever is longer with the option to extend up to 4 hours maximum (per investigator discretion) + placebo capsules (to match) at end of PCI + active clopidogrel (600mg) immediately post infusion
Clopidogrel
n=2650 participants at risk
placebo bolus \& infusion (to match) + clopidogrel capsules (600 mg) at end of PCI + placebo capsules (to match) immediately post infusion
Musculoskeletal and connective tissue disorders
back pain
3.4%
91/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
3.2%
85/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
chest pain
2.7%
73/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
2.6%
69/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Gastrointestinal disorders
nausea
2.7%
71/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
2.5%
66/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
headache
2.3%
60/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
2.6%
68/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
hypotension
1.6%
43/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
1.4%
38/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Respiratory, thoracic and mediastinal disorders
dyspnea
1.4%
38/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.57%
15/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Gastrointestinal disorders
vomiting
1.4%
37/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
1.2%
31/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
pyrexia
1.4%
36/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.75%
20/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Vascular disorders
hypertension
1.1%
28/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.83%
22/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
puncture site pain
0.79%
21/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
1.1%
29/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Musculoskeletal and connective tissue disorders
pain in extremity
0.53%
14/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.53%
14/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
pain
0.53%
14/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.30%
8/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
General disorders
chest discomfort
0.49%
13/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.42%
11/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Nervous system disorders
syncope vasovagal
0.49%
13/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.15%
4/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Psychiatric disorders
anxiety
0.49%
13/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.11%
3/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
angina pectoris
0.41%
11/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.64%
17/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Cardiac disorders
bradycardia
0.38%
10/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.57%
15/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
Psychiatric disorders
insomnia
0.38%
10/2662 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.
0.57%
15/2650 • Adverse events were collected through 48 hours after study drug initiation
The analysis population used for adverse event reporting is the Safety Population.

Additional Information

Meredith Todd

The Medicines Company

Phone: 973.290.6088

Results disclosure agreements

  • Principal investigator is a sponsor employee PI communications regarding trial results are prohibited until after the communication and publication of the multi-center results by Sponsor, but no more than 12 months after conclusion of the trial at all sites. PI must submit results communications to sponsor for review at least 40 days prior to submission for publication and Sponsor may embargo such communications for a period that is less than or equal to 135 days solely to seek appropriate patent protection.
  • Publication restrictions are in place

Restriction type: OTHER