acute myocardial infarction | versus other fibrinolytic No demonstrated result for efficacy | 4 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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COMPASS, 1998 | saruplase vs streptokinase | | | Mortalité à long terme 0.86 [0.69; 1.08] Hémorragies majeures précoces 0.84 [0.53; 1.34] Mortalité précoce 0.85 [0.64; 1.12] AVC précoce 1.00 [0.56; 1.80] | PRIMI (vs SK), 1989 | saruplase vs streptokinase | | | | SESAM, 1997 | saruplase vs t-PA | | | Hémorragies majeures précoces 1.10 [0.62; 1.97] Haemorraghic stroke 1.00 [0.14; 7.07] Mortalité précoce 1.23 [0.52; 2.91] AVC précoce 0.80 [0.22; 2.95] reinfarction 1.00 [0.43; 2.37] | PRIMI (vs UK), 1989 | saruplase vs urokinase | | | |
Trial | Treatments | Patients | Method |
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COMPASS, 1998 | saruplase 20-mg bolus and 60-mg infusion over 60 min (n=1542) vs. streptokinase 1.5-MU infusion over 60 min (n=1547) | patients with symptoms compatible with those of acute myocardial infarction for < 6 h | double blind Parallel groups Sample size: 1542/1547 Primary endpoint: death 30d FU duration: 1 y | PRIMI (vs SK), 1989 | sarupalse 20 mg bolus followed by 60 mg infusion for 60 min (n=198) vs. 1.5 million IU streptokinase infused over 60 min (n=203) | patients with acute myocardial infarction were within 4 h of onset of symptoms | double blind Parallel groups Sample size: 198/203 Primary endpoint: patency FU duration: ND | SESAM, 1997 | saruplase 80 mg/hour (n=236) vs. alteplase 100 mg every 3 hours (n=237) | patients with acute myocardial infarction | open Parallel groups Sample size: 236/237 Primary endpoint: patency FU duration: hospital stay | PRIMI (vs UK), 1989 | 20 mg bolus followed by 60 mg infusion for 60 min (n=198) vs. 80 mg recombinant pro-urokinase (n=-9) | with a first acute myocardial infarction within 4 h of onset of symptoms | double blind Parallel groups Sample size: 198/-9 Primary endpoint: FU duration: |
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