new version V2017

antiplatelets drug

A EFFACER - Aspirin - Atopaxar - Cangrelor - Clopidogrel - Dipyridamol - Elinogrel - Prasugrel - Sulfinpyrazone - Ticagrelor - Ticlopidine - Triflusal - Vorapaxar      

TrialStudied treatmentControl treatmentpatientsROBResultNCT

acute coronary syndrome

aspirin
VA-pilotaspirinplaceboNegative
ALDUSA-pilotaspirinplaceboNegative
Frankfurt, 1976aspirincontrolNegative
VA-main, 1983aspirinplaceboSuggesting
Canadian (Aspirin + sulfinpyrazone), 1985aspirin + sulfinpyrazoneplaceboNegative
Canadian (Aspirin vs PBO), 1985aspirinplacebo -
ISIS-pilot, 1987aspirinplaceboNegative
Huddinge, 1988aspirincontrolNegative
Théroux, 1988aspirinplaceboSuggesting
ISIS-2, 1988aspirinplaceboSuggesting
ATACS-pilot, 1990aspirincontrolNegative
RISC, 1990aspirinplaceboSuggesting
Dutch-aspirin, 1990aspirinplaceboNegative
APRICOT, 1993aspirinplaceboSuggesting
atopaxar
LANCELOT ACSatopaxarplacebo Exploratory -
J-LANCELOT, 2010atopaxarplacebo Exploratory -
clopidogrel
CURE, 2001clopidogrel + aspirinaspirinSuggesting
COMMIT, 2005clopidogrelplaceboSuggestingNCT00222573
CLARITY-TIMI 28, 2005clopidogrelplacebo -
CURRENT OASIS 7 (clopidogrel), 2010clopidogrel high-dose regimenclopidogrel standard-dose Low risk of bias Negative NCT00335452
dipyridamol
Prandoni, 1991aspirin + dipyridamolplaceboNegative
elinogrel
ERASE-MI, 2009elinogrelplacebo Exploratory Negative
INNOVATE ongoing elinogrelerror - NCT00751231
prasugrel
TRITON-TIMI 38, 2007prasugrelclopidogrel Low risk of bias Suggesting NCT00097591
TRILOGY ACS (overall population), 2012prasugrelclopidogrel Low risk of bias NegativeNCT00699998
ACAPULCO ongoing prasugrelclopidogrel -
sulfinpyrazone
Wilcox, 1980sulfinpyrazoneplaceboNegative
Louvain sulphinpyrazone, 1983sulfinpyrazoneplaceboNegative
Canadian (sulfinpyrazone alone), 1985sulfinpyrazoneplacebo -
Dutch sulphinpyrazone, 1986sulfinpyrazonecontrolNegative
ticagrelor
DISPERSE-2 (90mg), 2007ticagrelorclopidogrel Exploratory Negative
PLATO, 2009ticagrelorclopidogrel Low risk of bias SuggestingNCT00391872
ticlopidine
Florida UAticlopidineplaceboNegative
Knudsen-A, 1985ticlopidinecontrolNegative
STAI, 1990ticlopidinecontrolSuggesting
trapidil
ModenatrapidilplaceboSuggesting
triflusal
Plaza, 1993triflusalplaceboSuggesting
vorapaxar
TRACER, 2011vorapaxarplacebo (on top standard therapy) Low risk of bias - NCT00527943

acute myocardial infarction

aspirin
Frankfurt, 1976aspirincontrolNegative
ISIS-pilot, 1987aspirinplaceboNegative
Huddinge, 1988aspirincontrolNegative
ISIS-2, 1988aspirinplaceboSuggesting
Dutch-aspirin, 1990aspirinplaceboNegative
APRICOT, 1993aspirinplaceboSuggesting
clopidogrel
COMMIT, 2005clopidogrelplaceboSuggestingNCT00222573
CLARITY-TIMI 28, 2005clopidogrelplacebo -
elinogrel
ERASE-MI, 2009elinogrelplacebo Exploratory Negative
INNOVATE ongoing elinogrelerror - NCT00751231
sulfinpyrazone
Wilcox, 1980sulfinpyrazoneplaceboNegative
Louvain sulphinpyrazone, 1983sulfinpyrazoneplaceboNegative
Dutch sulphinpyrazone, 1986sulfinpyrazonecontrolNegative
ticlopidine
Knudsen-A, 1985ticlopidinecontrolNegative

CABG surgery

aspirin
McEnany, 1982aspirinplaceboNegative
Lorenz, 1984aspirinplaceboNegative
GESIC (aspirin), 1990aspirinplaceboNegative
Sydney, 1991aspirinplacebo -
Hockings, 1993aspirinplacebo -
cangrelor
Bridge ongoing cangrelor placebo - NCT00767507
clopidogrel
CASCADE, 2009clopidogrel+aspirinaspirin Exploratory - NCT00228423
dipyridamol
Pantely, 1979aspirin + dipyridamolcontrolNegative
Des Moines, 1980aspirin + dipyridamolcontrol -
Mayo-A, 1984aspirin + dipyridamolplaceboNegative
Brooks, 1985aspirin + dipyridamolplaceboNegative
Wadsworth, 1985aspirin + dipyridamolplaceboNegative
Leeds-B, 1985aspirin + dipyridamolplacebo -
Czech, 1986aspirin + dipyridamolcontrol -
Brussels, 1987aspirin + dipyridamolcontrolNegative
Toronto dipyridamole, 1987dipyridamolcontrol -
Thaulow, 1987aspirin + dipyridamolplacebo -
Basel, 1989aspirin + dipyridamolplaceboNegative
Ekestrom, 1990dipyridamolplacebo -
GESIC (aspirin+dipyridamol), 1990aspirin + dipyridamolplaceboNegative
sulfinpyrazone
Baur, 1982sulfinpyrazoneplacebo -
sulotroban
German sulotroban, 1989sulotrobancontrol -
ticlopidine
Zurich, 1982ticlopidinecontrol -
Knudsen-B, 1983ticlopidinecontrol -
Romeo, 1983ticlopidinecontrol -
Liège-I, 1984ticlopidineplaceboNegative
Liège-II, 1987ticlopidineplaceboNegative
Kohn, 1990ticlopidinecontrol -

cardiovascular prevention

aspirin
Cardiff I, 1974aspirinplaceboNegative
Munich A, 1975aspirinplacebo -
Munich B, 1975aspirinplacebo -
CDPA, 1976aspirinplaceboNegative
Cardiff II, 1979aspirinplaceboNegative
Vogel, 1979aspirinplaceboSuggesting
AMIS, 1980aspirinplaceboSuggestingNCT00000491
GAMIS, 1980aspirinplaceboNegative
PARIS, 1980aspirinplaceboNegative
Schoop, 1983aspirinplacebo -
Hess, 1985aspirinplacebo -
British Doctor’s Trial, 1988aspirinno treatmentprimary prevention Risk of bias Negative
DAMAD, 1989aspirinplacebo Low risk of bias Negative
PHS (diabetics sub group), 1989aspirinplacebo Low risk of bias Suggesting
Physicians Health Study, 1989aspirinplaceboprimary prevention Low risk of bias Suggesting NCT00000500
ETDRS, 1992aspirinplacebo Low risk of bias Suggesting
SAPAT, 1992aspirinplacebo Low risk of bias Suggesting
Thrombosis Prevention Trial, 1998aspirinplaceboprimary prevention Low risk of bias SuggestingNCT00000614
HOT, 1998aspirinplaceboprimary prevention Low risk of bias Suggesting
JAMIS, 1999aspirinplaceboSuggesting
Primary Prevention Project, 2001aspirinno treatmentprimary prevention Risk of bias Negative
PPP (diabetics sub group), 2003aspirinno treatment Exploratory Negative
WHS (diabetics sub group), 2005aspirinplacebo Exploratory Suggesting
Women’s Health Study, 2005aspirinplaceboprimary prevention Low risk of bias Suggesting
CLIPS, 2007aspirinplacebo Low risk of bias Suggesting
JPAD, 2008aspirinno treatment Risk of bias SuggestingNCT00110448
POPADAD aspirin, 2008aspirinplacebo Low risk of bias NegativeISRCTN53295293
AAA, 2009aspirinplacebosecondary prevention Low risk of bias NegativeISRCTN66587262
ASPREE, 2018aspirinplacebo - NCT01038583
ASCEND, 2018aspirinplaceboSuggesting NCT00135226
JPPP ongoing aspirinno aspirinprimary prevention Risk of bias - NCT00225849
ASCEND (aspirin) ongoing aspirinplacebo - NCT00135226
ACCEPT-D ongoing aspirinplacebo Risk of bias - ISRCTN48110081
clopidogrel
ASCETclopidogrelaspirin Risk of bias NegativeNCT00222261
CAPRIE, 1996clopidogrelaspirinsecondary prevention Low risk of bias Suggesting
CAPRIE (PAD subgroup), 1996clopidogrelaspirinSuggesting
CHARISMA, 2006clopidogrelplacebo (on top aspirin)secondary prevention Low risk of bias Suggesting NCT00050817
dipyridamol
Foulds, 1960dipyridamolplacebo Exploratory -
Zion, 1961dipyridamolplacebo Exploratory -
Dewar, 1961dipyridamolplacebo Exploratory -
Kinsella, 1962dipyridamolplacebo Exploratory -
Leiberman, 1964dipyridamolplacebo Exploratory -
Neumann, 1964dipyridamolplacebo Exploratory -
Atlanta (Sbar), 1967dipyridamolcontrol Exploratory Negative
Becker, 1967dipyridamolcontrol Exploratory Negative
Wirecki, 1967dipyridamolcontrol Exploratory Negative
Igloe, 1970dipyridamolplacebo Exploratory -
PARIS, 1980dipyridamol + aspirinaspirinNegative
PARIS, 1980dipyridamol + aspirinplaceboNegative
Schoop (2), 1983aspirin + dipyridamolplacebo -
Hess (2), 1985aspirin + dipyridamolplacebo -
VA study, 1986aspirin + dipyridamolplacebo -
PARIS-II, 1986dipyridamol + aspirinplaceboNegative
ketanserine
Thulesius, 1987ketanserineplacebo -
Walden, 1991ketanserineplacebo -
PACK, 1996ketanserineplacebo -
picotamide
Coto, 1989picotamideplacebo -
ADEP, 1993picotamideplacebo -
Neirotti, 1994picotamideplacebo -
Cocozza, 1995picotamideplacebo Exploratory Negative
sulfinpyrazone
Dutch, 1980sulfinyrazoneplaceboNegative
suloctidil
Adriaensen, 1976suloctidilplacebo -
Verhaeghe, 1981suloctidilplacebo -
Jones, 1982suloctidilplacebo -
Holm, 1984suloctidilplacebo -
ticagrelor
PEGASUS 60mg, 2015ticagrelorplacebo (on top aspirin)secondary prevention Low risk of bias Suggesting NCT01225562
PEGASUS 90mg, 2015ticagrelorplacebo (on top aspirin)secondary preventionSuggesting NCT01225562
EUCLID, 2016ticagrelorclopidogrel Low risk of bias - NCT01732822
ticlopidine
Birmingham-A, 1979ticlopidineplaceboNegative
Hurlow, 1980ticlopidineplacebo -
Krause, 1980ticlopidineplacebo -
Katsumara, 1982ticlopidineplacebo -
Aukland, 1982ticlopidineplacebo -
London diabetes, 1983ticlopidineplaceboNegative
TIMAD, 1984ticlopidineplaceboNegative
Nyberg, 1984ticlopidineplacebo Low risk of bias Negative
Stiegler, 1984ticlopidineplacebo -
Berglund, 1985ticlopidineplacebo Exploratory Negative
Ellis, 1986ticlopidineplacebo -
Cloarec, 1986ticlopidineplacebo -
Arcan, 1988ticlopidineplacebo -
Balsano, 1989ticlopidineplacebo -
STIMS, 1990ticlopidineplacebo -
BTRS, 1992ticlopidineplaceboNegative
EMATAP, 1993ticlopidineplacebo -
various
CRAMPS, 2000cloricromeneplacebo -
vorapaxar
TRA-2P TIMI 50, 2012vorapaxarplacebo (on top aspirin)secondary prevention Low risk of bias Suggesting NCT00526474
TRA-2P TIMI 50 (no prior stroke sub group), 2012vorapaxarplacebo (on top aspirin)secondary prevention Exploratory Suggesting
TRA-2P TIMI 50 (MI subgroup), 2012vorapaxarplacebo (on top aspirin)secondary prevention Exploratory Suggesting NCT00526474

diabetes type 2

aspirin
DAMAD, 1989aspirinplacebo Low risk of bias Negative
PHS (diabetics sub group), 1989aspirinplacebo Low risk of bias Suggesting
ETDRS, 1992aspirinplacebo Low risk of bias Suggesting
PPP (diabetics sub group), 2003aspirinno treatment Exploratory Negative
WHS (diabetics sub group), 2005aspirinplacebo Exploratory Suggesting
JPAD, 2008aspirinno treatment Risk of bias SuggestingNCT00110448
POPADAD aspirin, 2008aspirinplacebo Low risk of bias NegativeISRCTN53295293
ASCEND (aspirin) ongoing aspirinplacebo - NCT00135226
ACCEPT-D ongoing aspirinplacebo Risk of bias - ISRCTN48110081
picotamide
Cocozza, 1995picotamideplacebo Exploratory Negative
sulfinpyrazone
Dutch, 1980sulfinyrazoneplaceboNegative
ticlopidine
Birmingham-A, 1979ticlopidineplaceboNegative
London diabetes, 1983ticlopidineplaceboNegative
TIMAD, 1984ticlopidineplaceboNegative
Nyberg, 1984ticlopidineplacebo Low risk of bias Negative
BTRS, 1992ticlopidineplaceboNegative

hypertension

aspirin
HOT, 1998aspirinplaceboprimary prevention Low risk of bias Suggesting

percutaneous coronary intervention

cilostazol
Kunishima, 1997cilostazolaspirinNegative
Sekiya, 1998cilostazol + aspirinaspirinNegative
Ochiai, 1999cilostazol + aspirinticlopidine + aspirinNegative
Park, 1999cilostazol + aspirinticlopidine + aspirinNegative
Yoon, 1999cilostazol + aspirinticlopidine + aspirinNegative
Kozuma, 2001cilostazol + aspirinticlopidine + aspirinNegative
Kamishirado, 2002cilostazol + aspirinticlopidine + aspirinNegative
clopidogrel
Müller, 2000clopidogrel + aspirinticlopidine + aspirinNegative
CLASSICS, 2000clopidogrel + aspirinticlopidine + aspirinNegative
TOPPS, 2001clopidogrel + aspirinticlopidine + aspirinNegative
Piamsomboon, 2001clopidogrel + aspirinticlopidine + aspirinNegative
REAL-LATE, ZEST-LATE, 2010clopidogrel+aspirinaspirinNegativeNCT00484926
GRAVITAS, 2011high-dose clopidogrelnormal-dose clopidogrel Risk of bias NegativeNCT00645918
ticlopidine
Hall, 1996ticlopidine + aspirinaspirinNegative
ISAR, 1996ticlopidine + aspirincoumadin + aspirinSuggesting
STARS (vs aspirin), 1998ticlopidine + aspirinaspirinSuggesting
FANTASTIC, 1998ticlopidine + aspirincoumadin + aspirinNegative
MATTIS, 1998ticlopidine + aspirincoumadin + aspirinNegative
STARS (vs coumadin+asp), 1998ticlopidine + aspirincoumadin + aspirinSuggesting
Foussas, 2000ticlopidine + aspirincoumadin + aspirinSuggesting

peripheral vascular diseases

aspirin
Munich A, 1975aspirinplacebo -
Munich B, 1975aspirinplacebo -
Schoop, 1983aspirinplacebo -
Hess, 1985aspirinplacebo -
CLIPS, 2007aspirinplacebo Low risk of bias Suggesting
clopidogrel
CAPRIE (PAD subgroup), 1996clopidogrelaspirinSuggesting
dipyridamol
Schoop (2), 1983aspirin + dipyridamolplacebo -
Hess (2), 1985aspirin + dipyridamolplacebo -
VA study, 1986aspirin + dipyridamolplacebo -
ketanserine
Thulesius, 1987ketanserineplacebo -
Walden, 1991ketanserineplacebo -
PACK, 1996ketanserineplacebo -
picotamide
Coto, 1989picotamideplacebo -
ADEP, 1993picotamideplacebo -
Neirotti, 1994picotamideplacebo -
suloctidil
Adriaensen, 1976suloctidilplacebo -
Verhaeghe, 1981suloctidilplacebo -
Jones, 1982suloctidilplacebo -
Holm, 1984suloctidilplacebo -
ticagrelor
EUCLID, 2016ticagrelorclopidogrel Low risk of bias - NCT01732822
ticlopidine
Hurlow, 1980ticlopidineplacebo -
Krause, 1980ticlopidineplacebo -
Katsumara, 1982ticlopidineplacebo -
Aukland, 1982ticlopidineplacebo -
Stiegler, 1984ticlopidineplacebo -
Ellis, 1986ticlopidineplacebo -
Cloarec, 1986ticlopidineplacebo -
Arcan, 1988ticlopidineplacebo -
Balsano, 1989ticlopidineplacebo -
STIMS, 1990ticlopidineplacebo -
EMATAP, 1993ticlopidineplacebo -
various
CRAMPS, 2000cloricromeneplacebo -

post myocardial infarction

aspirin
Cardiff I, 1974aspirinplaceboNegative
CDPA, 1976aspirinplaceboNegative
Cardiff II, 1979aspirinplaceboNegative
Vogel, 1979aspirinplaceboSuggesting
AMIS, 1980aspirinplaceboSuggestingNCT00000491
GAMIS, 1980aspirinplaceboNegative
PARIS, 1980aspirinplaceboNegative
JAMIS, 1999aspirinplaceboSuggesting
clopidogrel
CAPRIE, 1996clopidogrelaspirin -
dipyridamol
PARIS, 1980dipyridamol + aspirinaspirinNegative
PARIS, 1980dipyridamol + aspirinplaceboNegative
PARIS-II, 1986dipyridamol + aspirinplaceboNegative
ticagrelor
PEGASUS 60mg, 2015ticagrelorplacebo (on top aspirin)secondary prevention Low risk of bias Suggesting NCT01225562
PEGASUS 90mg, 2015ticagrelorplacebo (on top aspirin)secondary preventionSuggesting NCT01225562
vorapaxar
TRA-2P TIMI 50, 2012vorapaxarplacebo (on top aspirin)secondary prevention Low risk of bias Suggesting NCT00526474

post stroke

aspirin
AITA, 1975aspirinplaceboNegative
Reuther , 1976aspirinplaceboNegative
Canadian study (CCSG), 1978aspirinplaceboNegative
DCS, 1980aspirinplaceboNegative
AICLA, 1981aspirinplaceboNegative
Danish low-dose, 1986aspirinplaceboNegative
Swedish study , 1987aspirinplaceboNegative
UK-TIA low dose , 1988aspirinplaceboNegative
UK-TIA high dose , 1988aspirinplaceboSuggesting
SALT , 1991aspirinplaceboNegative
Lindblad , 1991aspirinplaceboSuggesting
ESPS 2 , 1996aspirinplaceboSuggesting

thrombosis prevention

aspirin
MRC, 1972aspirinplacebo Low risk of bias Negative
Zekert-I , 1974Aspirinplacebo Exploratory Suggesting
Loew DVT, 1974aspirinplacebo Low risk of bias -
Clagett, 1975aspirincontrol Risk of bias -
Stockholm-I, 1975Aspirinplacebo Exploratory Negative
Powers , 1976Aspirinplacebo Exploratory Suggesting
Pasteyer, 1977Aspirinno treatment Exploratory Negative
Harris-I, 1977Aspirinplacebo Low risk of bias Suggesting
Vinazzer II, 1977aspirinplacebo Low risk of bias -
Erfurt-B , 1979Aspirinplacebo Exploratory Negative
Erfurt-A, 1979aspirinplacebo Low risk of bias -
McKenna-I, 1980Aspirinplacebo Exploratory Suggesting
Zekert V, 1980aspirinplacebo Low risk of bias -
Vinazzer I, 1980aspirinplacebo Low risk of bias -
Zekert VI, 1982aspirincontrol Risk of bias -
Sautter, 1983Aspirinplacebo Exploratory Suggesting
McBride, 1983Aspirinplacebo Exploratory Negative
Rocha, 1986Aspirinno treatment Exploratory Suggesting
PEP hip-fracture, 2000aspirinplacebo Low risk of bias Suggesting
PEP elective arthroplasty, 2000aspirinplacebo Low risk of bias -
dipyridamol
Parodi I, 1973dipyridamol + aspirincontrol Exploratory Suggesting
Parodi II, 1973dipyridamol + aspirincontrol Risk of bias -
Australian I, 1975dipyridamol + aspirincontrol Risk of bias -
Lyon-I, 1975aspirin + dipyridamolno treatment Exploratory Suggesting
Australian II, 1976dipyridamol + aspirincontrol Risk of bias -
Hamburg, 1976aspirin + dipyridamolplacebo Exploratory Negative
Encke-II , 1976aspirin + dipyridamolplacebo Exploratory Negative
Encke IA, 1976dipyridamol + aspirinplacebo Exploratory -
Encke IB, 1976dipyridamol + aspirinplacebo Exploratory -
Zekert-III, 1977dipyridamol + aspirincontrol Risk of bias -
Weiss, 1977dipyridamol + aspirincontrol Exploratory -
Morris-A , 1977dipyridamolno treatment Exploratory Negative
Morris-B , 1977aspirin + dipyridamolno treatment Exploratory Negative
Toulouse I, 1979dipyridamol + aspirincontrol Risk of bias -
Frankfurt, 1981aspirin + dipyridamolplacebo Exploratory Negative
Harjola DVT, 1982dipyridamol + aspirincontrol Risk of bias -
Chicago, 1982aspirin + dipyridamolcontrol Exploratory Negative
suloctidil
Turpie, 1985Suloctidilplacebo Low risk of bias -
ticlopidine
Walker, 1974ticlopidineplacebo Exploratory -
Lasierra, 1982ticlopidineplacebo Exploratory -
McKenna-II, 1983Ticlopidineplacebo Exploratory Negative
McKenna-II , 1983ticlopidineplaceboNegative
Lyon-IITiclopidineplacebo Exploratory Negative
GardeckiTiclopidineplacebo Exploratory Negative
UFH
Gallus , 1973UFHno treatmentSuggesting
Morris, 1974UFHno treatmentSuggesting
Dechavanne, 1974UFHno treatmentSuggesting
Hampson, 1974UFHplaceboNegative
VTCSG, 1975UFHno treatmentNegative
Dechavanne, 1975UFHno treatmentSuggesting
Abraham-Inpijn , 1975UFHplaceboNegative
Mannucci , 1976UFHno treatmentSuggesting
Galasko , 1976UFHno treatmentSuggesting
Morris , 1977UFHno treatmentNegative
Xabregas , 1977UFHplaceboNegative
Williams , 1978UFHplaceboNegative
Moskovitz, 1978UFHplaceboSuggesting
Moskovitz, 1978UFHplaceboNegative
Bergqvist , 1979UFHno treatmentSuggesting
Bergqvist, 1979UFHno treatmentSuggesting
Lahnborg, 1980UFHplaceboSuggesting
Svend-Hansen, 1981UFHplaceboSuggesting
Welin-Berger, 1982UFHno treatmentNegative