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  1. Article ; Online: Influence of body weight and body mass index on the chronic pharmacokinetic and pharmacodynamic responses to clinically available doses of ticagrelor in patients with chronic coronary syndromes.

    Parker, William A E / Angiolillo, Dominick J / Rollini, Fabiana / Franchi, Francesco / Bonaca, Marc P / Bhatt, Deepak L / Steg, Ph Gabriel / Orme, Rachel C / Thomas, Mark R / Judge, Heather M / Sabatine, Marc S / Storey, Robert F

    Vascular pharmacology

    2023  Volume 149, Page(s) 107145

    Abstract: Ticagrelor has multiple indications, including for some patients with chronic coronary syndromes (CCS) at high risk of ischaemic events. Body mass can potentially affect pharmacodynamics (PD) and pharmacokinetics (PK). We investigated the influence of ... ...

    Abstract Ticagrelor has multiple indications, including for some patients with chronic coronary syndromes (CCS) at high risk of ischaemic events. Body mass can potentially affect pharmacodynamics (PD) and pharmacokinetics (PK). We investigated the influence of body mass (range 53-172 kg, 20.8-46.9 kg/m
    MeSH term(s) Humans ; Ticagrelor/adverse effects ; Body Mass Index ; Purinergic P2Y Receptor Antagonists/adverse effects ; Purinergic P2Y Receptor Antagonists/pharmacokinetics ; Platelet Aggregation ; Adenosine/adverse effects ; Blood Platelets ; Body Weight ; Platelet Aggregation Inhibitors/adverse effects ; Treatment Outcome
    Chemical Substances Ticagrelor (GLH0314RVC) ; Purinergic P2Y Receptor Antagonists ; Adenosine (K72T3FS567) ; Platelet Aggregation Inhibitors
    Language English
    Publishing date 2023-01-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2082846-9
    ISSN 1879-3649 ; 1537-1891 ; 1879-3649
    ISSN (online) 1879-3649 ; 1537-1891
    ISSN 1879-3649
    DOI 10.1016/j.vph.2023.107145
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prolonged enoxaparin therapy compared with standard-of-care antithrombotic therapy in opiate-treated patients undergoing primary percutaneous coronary intervention.

    Sumaya, Wael / Parker, William A E / Judge, Heather M / Hall, Ian R / Orme, Rachel C / Adam, Zulfiquar / Richardson, James D / Rothman, Alexander M K / Morgan, Kenneth P / Gunn, Julian P / Storey, Robert F

    Platelets

    2020  Volume 32, Issue 4, Page(s) 555–559

    Abstract: A novel enoxaparin regimen consisting of intra-arterial bolus (0.75 mg/kg) followed by intravenous infusion (0.75 mg/kg/6 hours) has been developed as a possible solution to the delayed absorption of oral ... ...

    Abstract A novel enoxaparin regimen consisting of intra-arterial bolus (0.75 mg/kg) followed by intravenous infusion (0.75 mg/kg/6 hours) has been developed as a possible solution to the delayed absorption of oral P2Y
    MeSH term(s) Enoxaparin/pharmacology ; Enoxaparin/therapeutic use ; Feasibility Studies ; Female ; Fibrinolytic Agents/pharmacology ; Fibrinolytic Agents/therapeutic use ; Humans ; Male ; Opiate Alkaloids/pharmacology ; Opiate Alkaloids/therapeutic use ; Percutaneous Coronary Intervention/methods
    Chemical Substances Enoxaparin ; Fibrinolytic Agents ; Opiate Alkaloids
    Language English
    Publishing date 2020-06-16
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1034283-7
    ISSN 1369-1635 ; 0953-7104
    ISSN (online) 1369-1635
    ISSN 0953-7104
    DOI 10.1080/09537104.2020.1779925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Very-low-dose twice-daily aspirin maintains platelet inhibition and improves haemostasis during dual-antiplatelet therapy for acute coronary syndrome.

    Parker, William A E / Orme, Rachel C / Hanson, Jessica / Stokes, Hannah M / Bridge, Claire M / Shaw, Patricia A / Sumaya, Wael / Thorneycroft, Kirstie / Petrucci, Giovanna / Porro, Benedetta / Judge, Heather M / Ajjan, Ramzi A / Rocca, Bianca / Storey, Robert F

    Platelets

    2019  Volume 30, Issue 2, Page(s) 148–157

    Abstract: Higher aspirin doses may be inferior in ticagrelor-treated acute coronary syndrome (ACS) patients and reducing bleeding risk whilst maintaining antithrombotic benefits could improve outcomes. We characterized the pharmacodynamics of a novel dual- ... ...

    Abstract Higher aspirin doses may be inferior in ticagrelor-treated acute coronary syndrome (ACS) patients and reducing bleeding risk whilst maintaining antithrombotic benefits could improve outcomes. We characterized the pharmacodynamics of a novel dual-antiplatelet-therapy regimen consisting of very-low-dose twice-daily (BD) aspirin with standard-dose ticagrelor. A total of 20 ticagrelor-treated ACS patients entered a randomized crossover to take aspirin 20 mg BD (12-hourly) during one 14-day period and 75 mg once-daily (OD) in the other. After 14 days of treatment, serum thromboxane (TX)B
    MeSH term(s) Acute Coronary Syndrome/drug therapy ; Aspirin/pharmacology ; Aspirin/therapeutic use ; Female ; Hemostasis ; Humans ; Male ; Middle Aged ; Platelet Aggregation Inhibitors/pharmacology ; Platelet Aggregation Inhibitors/therapeutic use
    Chemical Substances Platelet Aggregation Inhibitors ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2019-02-13
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1034283-7
    ISSN 1369-1635 ; 0953-7104
    ISSN (online) 1369-1635
    ISSN 0953-7104
    DOI 10.1080/09537104.2019.1572880
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Study of Two Dose Regimens of Ticagrelor Compared With Clopidogrel in Patients Undergoing Percutaneous Coronary Intervention for Stable Coronary Artery Disease.

    Orme, Rachel C / Parker, William A E / Thomas, Mark R / Judge, Heather M / Baster, Kathleen / Sumaya, Wael / Morgan, Kenneth P / McMellon, Hannah C / Richardson, James D / Grech, Ever D / Wheeldon, Nigel M / Hall, Ian R / Iqbal, Javaid / Barmby, David / Gunn, Julian P / Storey, Robert F

    Circulation

    2018  Volume 138, Issue 13, Page(s) 1290–1300

    Abstract: Background: Ticagrelor has superior efficacy to clopidogrel in the management of acute coronary syndromes but has not been assessed in patients undergoing percutaneous coronary intervention for stable coronary artery disease. We compared the ... ...

    Abstract Background: Ticagrelor has superior efficacy to clopidogrel in the management of acute coronary syndromes but has not been assessed in patients undergoing percutaneous coronary intervention for stable coronary artery disease. We compared the pharmacodynamic effects of ticagrelor and clopidogrel in this stable population.
    Methods: One hundred eighty aspirin-treated stable coronary artery disease patients, who were planned to undergo elective percutaneous coronary intervention in a single center, were randomized 1:1:1 to either a standard clopidogrel regimen or 1 of 2 regimens of ticagrelor, either 90 mg (T90) or 60 mg twice daily (T60), both with a 180 mg loading dose. Cellular adenosine uptake was assessed, at the time of the procedure and pre- and postdose at 1 month, by adding adenosine 1 µmol/L to aliquots of anticoagulated whole blood and mixing with a stop solution at 0, 15, 30, and 60 seconds, then measuring residual plasma adenosine concentration by high-performance liquid chromatography. Systemic plasma adenosine concentration and platelet reactivity were assessed at the same timepoints. High-sensitivity troponin T was measured pre- and 18 to 24 hours postpercutaneous coronary intervention.
    Results: One hundred seventy-four patients underwent an invasive procedure, of whom 162 received percutaneous coronary intervention (mean age 65 years, 18% female, 21% with diabetes mellitus). No effect on in vitro adenosine uptake was seen postdose at 1 month for either ticagrelor dose compared with clopidogrel (residual adenosine at 15 seconds, mean±SD: clopidogrel 0.274±0.101 µmol/L; T90 0.278±0.134 µmol/L; T60 0.288±0.149 µmol/L;
    Conclusions: Maintenance therapy with T60 or T90 had no detectable effect on cellular adenosine uptake at 1 month, nor was there any effect on systemic plasma adenosine levels. Both regimens of ticagrelor achieved greater and more consistent platelet inhibition than clopidogrel but did not appear to affect troponin release after percutaneous coronary intervention.
    Clinical trial registration: URL: https://www.
    Clinicaltrials: gov. Unique identifier: NCT02327624.
    Language English
    Publishing date 2018-07-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.118.034790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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