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Trial · NCT01347580

A 30 Day Study to Evaluate Efficacy and Safety of Pre-hospital vs. In-hospital Initiation of Ticagrelor Therapy in STEMI Patients Planned for Percutaneous Coronary Intervention (PCI)

NCT01347580, Phase 4, Completed, AstraZeneca; results first posted 2015-02-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A 30 Day Study to Evaluate Efficacy and Safety of Pre-hospital vs. In-hospital Initiation of Ticagrelor Therapy in STEMI Patients Planned for Percutaneous Coronary Intervention (PCI). Trials, record NCT01347580. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01347580

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A 30 Day Study to Evaluate Efficacy and Safety of Pre-hospital vs. In-hospital Initiation of Ticagrelor Therapy in STEMI Patients Planned for Percutaneous Coronary Intervention (PCI)
NCT number
NCT01347580
Status
Completed
Phases
Phase 4
Enrollment
1,875 participants, actual
Lead sponsor
AstraZeneca
Conditions
Myocardial Infarction, Segment Elevation Myocardial Infarction (STEMI)
Interventions
Ticagrelor, Placebo
First posted
2011-05-04
Last updated
2015-07-22
Results first posted
2015-02-11
Limitations and caveats
This urgent setting study included 8.6% of patients with symptoms of MI in ambulance but having finally not a STEMI diagnosis in cathlab.~No prespecified hypothesis and procedure for adjustment was made on secondary endpoints.

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)At initial angiography, pre PCI
(TIMI) flow grade classification is used to assess coronary blood flow in acute coronary syndromes. grade 0:no reperfusion, grade 1: penetration without perfusion, grade 2: Partial reperfusion, grade 3: complete perfusion.
PrimaryST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)Between baseline and PCI
ST segment elevation resolution is the mean ST elevation pre-hospital minus the mean STelevation pre-PCI divided by the mean ST elevation pre-hospital. It is expressed as a percentage and split in 2 categories , complete (≥70%) versus incomplete (\<70%) resolution.
Secondary1st Composite Clinical Endpointduring the 30 days of treatmentdeath/MI/stroke/urgent revascularization/stent thrombosis. Adjudicated events except death
Secondary2nd Composite Clinical Endpointwithin 30 days of studyDeath/MI/urgent revascularization. Adjudicated events except death
SecondaryDefinite Stent Thrombosisduring 30 days of treatmentDefinite stent thrombosis is considered to have occurred by either angiographic or pathologic confirmation. It is an adjudicated endpoint
SecondaryTIMI Flow Grade 3 Post -PCIat coroangiography post-PCITIMI) flow grade 3 is complete perfusion post-PCI.
SecondaryST Segment Elevation Resolution Post-PCI >= 70%Between baseline and ECG 60 mn post-PCIST segment elevation resolution post PCI \>=70% is defined as complete resolution
SecondaryThrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCIduring PCIGlycoprotein (GP) IIb/IIIa inhibitors are often used as a rescue or bailout therapy to manage complications arising during percutaneous coronary intervention.
SecondaryMajor Bleeds Within 48 Hourswithin 48 hours of first dosenon CABG related bleeds, (PLATO definition) include Life threatening and other major bleeds
SecondaryMinor and Major Bleedings Within 48 Hourswithin 48 hours of first dosenon CABG related bleeds (PLATO definition)

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYThrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)At initial angiography, pre PCImITT, on patients with non missing valuespatientsNUMBER
PRIMARYST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)Between baseline and PCImITT, on patients with non missing valuespatientsNUMBER
SECONDARY1st Composite Clinical Endpointduring the 30 days of treatmentmITTpatientsNUMBER
SECONDARY2nd Composite Clinical Endpointwithin 30 days of studymITTpatientsNUMBER
SECONDARYDefinite Stent Thrombosisduring 30 days of treatmentmITTpatientsNUMBER
SECONDARYTIMI Flow Grade 3 Post -PCIat coroangiography post-PCImITT, on patients with non missing TIMI flow grade valuespatientsNUMBER
SECONDARYST Segment Elevation Resolution Post-PCI >= 70%Between baseline and ECG 60 mn post-PCImITT on patients with non missing ECG valuespatientsNUMBER
SECONDARYThrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCIduring PCImITTpatientsNUMBER
SECONDARYMajor Bleeds Within 48 Hourswithin 48 hours of first doseSafetypatientsNUMBER
SECONDARYMinor and Major Bleedings Within 48 Hourswithin 48 hours of first doseSafetypatientsNUMBER

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)Pre-hospital Ticagrelor143patients
Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint)In-hospital Ticagrelor145patients
ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)Pre-hospital Ticagrelor102patients
ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint)In-hospital Ticagrelor102patients
1st Composite Clinical EndpointPre-hospital Ticagrelor41patients
1st Composite Clinical EndpointIn-hospital Ticagrelor42patients
2nd Composite Clinical EndpointPre-hospital Ticagrelor39patients
2nd Composite Clinical EndpointIn-hospital Ticagrelor34patients
Definite Stent ThrombosisPre-hospital Ticagrelor2patients
Definite Stent ThrombosisIn-hospital Ticagrelor11patients

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPre-hospital Ticagrelor909
Overall StudySTARTEDIn-hospital Ticagrelor953
Overall StudyModified Intent to Treat PopulationPre-hospital Ticagrelor906
Overall StudyModified Intent to Treat PopulationIn-hospital Ticagrelor952
Overall StudySafety PopulationPre-hospital Ticagrelor908
Overall StudySafety PopulationIn-hospital Ticagrelor950
Overall StudyCOMPLETEDPre-hospital Ticagrelor844
Overall StudyCOMPLETEDIn-hospital Ticagrelor897
Overall StudyNOT COMPLETEDPre-hospital Ticagrelor65
Overall StudyNOT COMPLETEDIn-hospital Ticagrelor56

Adverse events306

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVentricular tachycardiaCardiac disordersTicagrelor In-Hosp81950
otherVentricular tachycardiaCardiac disordersTicagrelor Pre-Hosp79908
otherDyspnoeaGastrointestinal disordersTicagrelor In-Hosp86950
otherDyspnoeaGastrointestinal disordersTicagrelor Pre-Hosp62908
otherNauseaGastrointestinal disordersTicagrelor In-Hosp49950
otherNauseaGastrointestinal disordersTicagrelor Pre-Hosp41908
otherNon cardiac chest painGeneral disordersTicagrelor In-Hosp52950
otherNon cardiac chest painGeneral disordersTicagrelor Pre-Hosp42908
otherHypotensionVascular disordersTicagrelor In-Hosp30950
otherHypotensionVascular disordersTicagrelor Pre-Hosp44908

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTicagrelor In-Hosp
Total, all-cause mortalityTicagrelor Pre-Hosp
Total, other adverse eventsTicagrelor In-Hosp529950
Total, other adverse eventsTicagrelor Pre-Hosp469908
Total, serious adverse eventsTicagrelor In-Hosp143950
Total, serious adverse eventsTicagrelor Pre-Hosp140908

Papers11

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23537967DERIVEDPubMed
25175921RESULTPubMed
26952907DERIVEDPubMed
27196998DERIVEDPubMed
27666002DERIVEDPubMed
28622941DERIVEDPubMed
28939567DERIVEDPubMed
29421001DERIVEDPubMed
29421015DERIVEDPubMed
30302940DERIVEDPubMed

1 to 10 of 11

See all 11 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Ticagrelor In-Hosp vs Ticagrelor Pre-Hosp: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01347580

GET https://conductscience.org/api/trials/v1/NCT01347580/results?page=2