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
Cite this record
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
On this page
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.
| List | Outcome | Time frame | Description |
|---|---|---|---|
| Primary | Thrombolysis 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. |
| Primary | ST-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. |
| Secondary | 1st Composite Clinical Endpoint | during the 30 days of treatment | death/MI/stroke/urgent revascularization/stent thrombosis. Adjudicated events except death |
| Secondary | 2nd Composite Clinical Endpoint | within 30 days of study | Death/MI/urgent revascularization. Adjudicated events except death |
| Secondary | Definite Stent Thrombosis | during 30 days of treatment | Definite stent thrombosis is considered to have occurred by either angiographic or pathologic confirmation. It is an adjudicated endpoint |
| Secondary | TIMI Flow Grade 3 Post -PCI | at coroangiography post-PCI | TIMI) flow grade 3 is complete perfusion post-PCI. |
| Secondary | ST Segment Elevation Resolution Post-PCI >= 70% | Between baseline and ECG 60 mn post-PCI | ST segment elevation resolution post PCI \>=70% is defined as complete resolution |
| Secondary | Thrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCI | during PCI | Glycoprotein (GP) IIb/IIIa inhibitors are often used as a rescue or bailout therapy to manage complications arising during percutaneous coronary intervention. |
| Secondary | Major Bleeds Within 48 Hours | within 48 hours of first dose | non CABG related bleeds, (PLATO definition) include Life threatening and other major bleeds |
| Secondary | Minor and Major Bleedings Within 48 Hours | within 48 hours of first dose | non CABG related bleeds (PLATO definition) |
1 to 10 of 12Source ClinicalTrials.gov
See all 12 registered outcomesOutcomes12
Each outcome the trial posted results for, in ClinicalTrials.gov's words.
| Type | Outcome | Time frame | Population | Units | Measured as |
|---|---|---|---|---|---|
| PRIMARY | Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint) | At initial angiography, pre PCI | mITT, on patients with non missing values | patients | NUMBER |
| PRIMARY | ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint) | Between baseline and PCI | mITT, on patients with non missing values | patients | NUMBER |
| SECONDARY | 1st Composite Clinical Endpoint | during the 30 days of treatment | mITT | patients | NUMBER |
| SECONDARY | 2nd Composite Clinical Endpoint | within 30 days of study | mITT | patients | NUMBER |
| SECONDARY | Definite Stent Thrombosis | during 30 days of treatment | mITT | patients | NUMBER |
| SECONDARY | TIMI Flow Grade 3 Post -PCI | at coroangiography post-PCI | mITT, on patients with non missing TIMI flow grade values | patients | NUMBER |
| SECONDARY | ST Segment Elevation Resolution Post-PCI >= 70% | Between baseline and ECG 60 mn post-PCI | mITT on patients with non missing ECG values | patients | NUMBER |
| SECONDARY | Thrombotic Bail-out With GPIIb/IIIa Inhibitors at Initial PCI | during PCI | mITT | patients | NUMBER |
| SECONDARY | Major Bleeds Within 48 Hours | within 48 hours of first dose | Safety | patients | NUMBER |
| SECONDARY | Minor and Major Bleedings Within 48 Hours | within 48 hours of first dose | Safety | patients | NUMBER |
1 to 10 of 12Source ClinicalTrials.gov
See all 12 outcomesResults by group24
Each measurement the trial posted, group by group, in the words and numbers it posted.
| Outcome | Group | Category | Value | Spread | Units |
|---|---|---|---|---|---|
| Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint) | Pre-hospital Ticagrelor | 143 | patients | ||
| Thrombolysis In Myocardial Infarction (TIMI) Flow Grade 3 of MI Culprit Vessel at Initial Angiography (Co-primary Endpoint) | In-hospital Ticagrelor | 145 | patients | ||
| ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint) | Pre-hospital Ticagrelor | 102 | patients | ||
| ST-segment Elevation Resolution Pre PCI ≥70% (Co-primary Endpoint) | In-hospital Ticagrelor | 102 | patients | ||
| 1st Composite Clinical Endpoint | Pre-hospital Ticagrelor | 41 | patients | ||
| 1st Composite Clinical Endpoint | In-hospital Ticagrelor | 42 | patients | ||
| 2nd Composite Clinical Endpoint | Pre-hospital Ticagrelor | 39 | patients | ||
| 2nd Composite Clinical Endpoint | In-hospital Ticagrelor | 34 | patients | ||
| Definite Stent Thrombosis | Pre-hospital Ticagrelor | 2 | patients | ||
| Definite Stent Thrombosis | In-hospital Ticagrelor | 11 | patients |
1 to 10 of 24Source ClinicalTrials.gov
See all 24 results by groupParticipant flow10
How many started, completed or left each group, period by period.
| Period | Milestone | Group | Participants | Units counted |
|---|---|---|---|---|
| Overall Study | STARTED | Pre-hospital Ticagrelor | 909 | |
| Overall Study | STARTED | In-hospital Ticagrelor | 953 | |
| Overall Study | Modified Intent to Treat Population | Pre-hospital Ticagrelor | 906 | |
| Overall Study | Modified Intent to Treat Population | In-hospital Ticagrelor | 952 | |
| Overall Study | Safety Population | Pre-hospital Ticagrelor | 908 | |
| Overall Study | Safety Population | In-hospital Ticagrelor | 950 | |
| Overall Study | COMPLETED | Pre-hospital Ticagrelor | 844 | |
| Overall Study | COMPLETED | In-hospital Ticagrelor | 897 | |
| Overall Study | NOT COMPLETED | Pre-hospital Ticagrelor | 65 | |
| Overall Study | NOT COMPLETED | In-hospital Ticagrelor | 56 |
Source ClinicalTrials.gov
Adverse events306
Each adverse event the trial posted, group by group: the participants affected out of those at risk.
| Type | Event | Organ system | Group | Affected | At risk | Events |
|---|---|---|---|---|---|---|
| other | Ventricular tachycardia | Cardiac disorders | Ticagrelor In-Hosp | 81 | 950 | |
| other | Ventricular tachycardia | Cardiac disorders | Ticagrelor Pre-Hosp | 79 | 908 | |
| other | Dyspnoea | Gastrointestinal disorders | Ticagrelor In-Hosp | 86 | 950 | |
| other | Dyspnoea | Gastrointestinal disorders | Ticagrelor Pre-Hosp | 62 | 908 | |
| other | Nausea | Gastrointestinal disorders | Ticagrelor In-Hosp | 49 | 950 | |
| other | Nausea | Gastrointestinal disorders | Ticagrelor Pre-Hosp | 41 | 908 | |
| other | Non cardiac chest pain | General disorders | Ticagrelor In-Hosp | 52 | 950 | |
| other | Non cardiac chest pain | General disorders | Ticagrelor Pre-Hosp | 42 | 908 | |
| other | Hypotension | Vascular disorders | Ticagrelor In-Hosp | 30 | 950 | |
| other | Hypotension | Vascular disorders | Ticagrelor Pre-Hosp | 44 | 908 |
1 to 10 of 306Source ClinicalTrials.gov
See all 306 adverse eventsAdverse event totals6
The totals the trial posted for each group.
| Total | Group | Affected | At risk |
|---|---|---|---|
| Total, all-cause mortality | Ticagrelor In-Hosp | ||
| Total, all-cause mortality | Ticagrelor Pre-Hosp | ||
| Total, other adverse events | Ticagrelor In-Hosp | 529 | 950 |
| Total, other adverse events | Ticagrelor Pre-Hosp | 469 | 908 |
| Total, serious adverse events | Ticagrelor In-Hosp | 143 | 950 |
| Total, serious adverse events | Ticagrelor Pre-Hosp | 140 | 908 |
Source ClinicalTrials.gov
Papers11
The papers the trial lists on ClinicalTrials.gov.
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 |
Source Trial comparisons
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.
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