PMID- 25830867 OWN - NLM STAT- MEDLINE DCOM- 20170214 LR - 20220321 IS - 1536-3686 (Electronic) IS - 1075-2765 (Print) IS - 1075-2765 (Linking) VI - 23 IP - 6 DP - 2016 Nov/Dec TI - Case Study: Ticagrelor in PLATO and Prasugrel in TRITON-TIMI 38 and TRILOGY-ACS Trials in Patients With Acute Coronary Syndromes. PG - e1876-e1889 AB - Cross-trial comparisons are typically inappropriate as there are often numerous differences in study designs, populations, end points, and loading doses of the study drugs. These differences are clearly reflected in the most recent updates to the European Society of Cardiology (ESC) non-ST elevation acute coronary syndrome (NSTE-ACS) and ST elevation myocardial infarction (STEMI) guidelines, which include recommendations for the use of the antiplatelet agents ticagrelor, prasugrel, and clopidogrel, based in part on results from the TRial to assess Improvement in Therapeutic Outcomes by optimizing platelet inhibitioN with prasugrel-Thrombolysis In Myocardial Infarction (TRITON-TIMI) 38, TaRgeted platelet Inhibition to cLarify the Optimal strateGy to medicallY manage Acute Coronary Syndromes (TRILOGY-ACS) and PLATelet inhibition and patient Outcomes (PLATO) trials. Here, we describe each of these trials in detail and explain the differences between them that make direct comparisons difficult. In conclusion, this information, along with the current guidelines and recommendations, will assist clinicians in deciding the most appropriate treatment pathway for their patients with NSTE-ACS and STEMI. FAU - Husted, Steen AU - Husted S AD - 1Department of Medicine, Hospital Unit West, Herning, Denmark; and 2Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands. FAU - Boersma, Eric AU - Boersma E LA - eng PT - Journal Article PT - Review PL - United States TA - Am J Ther JT - American journal of therapeutics JID - 9441347 RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Purinergic P2Y Receptor Antagonists) RN - A74586SNO7 (Clopidogrel) RN - G89JQ59I13 (Prasugrel Hydrochloride) RN - GLH0314RVC (Ticagrelor) RN - K72T3FS567 (Adenosine) RN - OM90ZUW7M1 (Ticlopidine) SB - IM MH - Acute Coronary Syndrome/*therapy MH - Adenosine/*analogs & derivatives/therapeutic use MH - Clopidogrel MH - Humans MH - Myocardial Infarction/*therapy MH - *Percutaneous Coronary Intervention MH - Platelet Aggregation Inhibitors/*therapeutic use MH - Prasugrel Hydrochloride/*therapeutic use MH - Proportional Hazards Models MH - Purinergic P2Y Receptor Antagonists/*therapeutic use MH - Randomized Controlled Trials as Topic MH - Ticagrelor MH - Ticlopidine/analogs & derivatives/therapeutic use PMC - PMC5102280 COIS- Steen Husted has received speaker fees from AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, and Pfizer, and is an advisory board member for AstraZeneca, Bayer, Bristol-Myers Squibb, and Pfizer. Eric Boersma has received honorarium from Sanofi-Aventis, Medtronic, and Servier. EDAT- 2015/04/02 06:00 MHDA- 2017/02/15 06:00 PMCR- 2016/11/09 CRDT- 2015/04/02 06:00 PHST- 2015/04/02 06:00 [pubmed] PHST- 2017/02/15 06:00 [medline] PHST- 2015/04/02 06:00 [entrez] PHST- 2016/11/09 00:00 [pmc-release] AID - AJT-201548 [pii] AID - 10.1097/MJT.0000000000000237 [doi] PST - ppublish SO - Am J Ther. 2016 Nov/Dec;23(6):e1876-e1889. doi: 10.1097/MJT.0000000000000237.