Lotrafiban

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Eric J. Topol - One of the best experts on this subject based on the ideXlab platform.

  • Randomized, Double-Blind, Placebo-Controlled, International Trial of the Oral IIb/IIIa Antagonist Lotrafiban in Coronary and Cerebrovascular Disease
    2016
    Co-Authors: Eric J. Topol
    Abstract:

    Background—This is the primary report of the large-scale evaluation of Lotrafiban, an orally administered IIb/IIIa receptor antagonist, a unique trial with respect to the platelet antagonist, protocol design, and inclusion of cerebrovascular disease in a significant proportion of patients. Methods and Results—Patients with vascular disease were randomized to Lotrafiban 30 or 50 mg BID on the basis of age and predicted creatinine clearance or placebo in addition to aspirin at a dose ranging from 75 to 325 mg/d at the discretion of the physician-investigator. Follow-up was for up to 2 years. The primary end point was the composite of all-cause mortality, myocardial infarction, stroke, recurrent ischemia requiring hospitalization, and urgent revascular-ization. Of 9190 patients enrolled from 23 countries and 690 hospitals, 41 % had cerebrovascular disease at the time of entry, and 59 % had coronary artery disease. Death occurred in 2.3 % of placebo-assigned patients and 3.0 % of Lotrafiban-group patients (hazard ratio 1.33, 95 % CI 1.03 to 1.72, P50.026), and the cause of excess death was vascular related. There was no significant difference in the primary end point (17.5 % compared with 16.4%, respectively; hazard ratio 0.94, 95 % CI 0.85 to 1.03, P50.19). Serious bleeding was more frequent in the Lotrafiban group (8.0 % compared with 2.8%; P,0.001). Serious bleeding was more common among patients who received higher doses of aspirin (.162 mg/d), with or without Lotrafiban. Conclusions—Lotrafiban, an orally administered platelet glycoprotein IIb/IIIa blocker, induced a 33 % increase in deat

  • randomized double blind placebo controlled international trial of the oral iib iiia antagonist Lotrafiban in coronary and cerebrovascular disease
    Circulation, 2003
    Co-Authors: Eric J. Topol, Donald J Easton, Robert A Harrington, Pierre Amarenco, Robert M Califf, Carmen Graffagnino, Stephen M Davis, H C Diener, James E Ferguson, Desmond J Fitzgerald
    Abstract:

    Background— This is the primary report of the large-scale evaluation of Lotrafiban, an orally administered IIb/IIIa receptor antagonist, a unique trial with respect to the platelet antagonist, prot...

Desmond J Fitzgerald - One of the best experts on this subject based on the ideXlab platform.

Pierre Amarenco - One of the best experts on this subject based on the ideXlab platform.

Carmen Graffagnino - One of the best experts on this subject based on the ideXlab platform.

Stephen M Davis - One of the best experts on this subject based on the ideXlab platform.