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Trial · NCT03381742

Efficacy and Safety of Low-dose Ticagrelor

NCT03381742, Phase 2, Phase 3, Completed, First Affiliated Hospital of Harbin Medical University; results first posted 2019-09-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Low-dose Ticagrelor. Trials, record NCT03381742. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03381742

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Trial

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

Title
Efficacy and Safety of Low-dose Ticagrelor
NCT number
NCT03381742
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
3,043 participants, actual
Lead sponsor
First Affiliated Hospital of Harbin Medical University
Conditions
Coronary Artery Disease
Interventions
Ticagrelor, ticagrelor, ticagrelor, clopidogrel
First posted
2017-12-22
Last updated
2019-09-30
Results first posted
2019-09-30

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryADP-induced Inhibition of Platelet Aggregationup to 5 days
The venous blood samples for platelet function test were drawn after an overnight fast, at 12 hours post-last study-drug dose for subjects receiving twice-daily administrations, and at 24 hours post-last study-drug dose for subjects treated with once-daily regimens. The blood was collected in an evacuated vacuum tube containing 3.2% trisodium citrate and lithium heparin. Then the samples were processed within two hours of blood draw according to standard operating procedure. The physical properties of samples were analyzed using Thromboelastography (TEG) Hemostasis Analyzer (CFMS LEPU-8800, Lepu Medical Technology Co., Ltd, Beijing, China) and automated analytical software. TEG test used four channels to detect the effects of anti-platelet therapy via the arachidonic acid (AA) and ADP pathways. TEG test results were expressed in terms of ADP-induced inhibition of platelet aggregation (IPA, range 0% - 100%), with higher values indicating greater platelet inhibition.
PrimaryNumber of Participants With Bleeding (Major or Minor Bleeding)up to 5 days
Major bleeding was defined as type ≥ 3 and minor bleeding as types 1 and 2, in accordance to the Bleeding Academic Research Consortium classification. (Mehran R et al. Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation. 2011 Jun 14;123(23):2736-47. doi: 10.1161/CIRCULATIONAHA.110.009449.)
SecondaryADP-induced Platelet-fibrin Clot Strength (MA)up to 5 days
The physical properties of samples were analyzed using Thromboelastography (TEG) Hemostasis Analyzer (CFMS LEPU-8800, Lepu Medical Technology Co., Ltd, Beijing, China) and automated analytical software. TEG test used four channels to detect the effects of anti-platelet therapy via the arachidonic acid (AA) and ADP pathways. TEG test results were expressed in terms of ADP-induced platelet-fibrin clot strength (MA). A MA\>47mm was shown to have a high predictive value for 3-year post-PCI ischemic events during dual antiplatelet therapy. Moreover, ROC curve and quartile analysis suggested MA\<31 mm as a predictive value for post-PCI bleeding events (J Am Coll Cardiol. 2013;62(24):2261-73. doi: 10.1016/j.jacc.2013.07.101.).
SecondaryNumber of Participants With High On-Treatment Platelet Reactivity (HTPR)up to 5 daysHTPR was defined as IPA ≤ 30% and MA ≥ 47 mm.
SecondaryNumber of Participants With Cardiovascular Event (Cardiovascular Death, New-onset Myocardial Infarction, or Stroke)up to 5 days
Cardiovascular death was defined as sudden cardiac death, fatal myocardial infarction, death due to heart failure, or death due to other cardiovascular causes. Stroke was defined as the focal loss of neurologic function caused by an ischemic or a hemorrhagic event with residual symptoms lasting at least 24 hours or eventually leading to death.
SecondaryNumber of Participants With New-onset Dyspneaup to 5 daysNew-onset dyspnea in patients without previous history of dyspnea

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYADP-induced Inhibition of Platelet Aggregationup to 5 dayspercentage of inhibition of platelet aggMEDIAN
PRIMARYNumber of Participants With Bleeding (Major or Minor Bleeding)up to 5 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYADP-induced Platelet-fibrin Clot Strength (MA)up to 5 daysmmMEDIAN
SECONDARYNumber of Participants With High On-Treatment Platelet Reactivity (HTPR)up to 5 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Cardiovascular Event (Cardiovascular Death, New-onset Myocardial Infarction, or Stroke)up to 5 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With New-onset Dyspneaup to 5 daysParticipantsCOUNT_OF_PARTICIPANTS

Results by group52

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

OutcomeGroupCategoryValueSpreadUnits
ADP-induced Inhibition of Platelet AggregationClopidogrel 75mg Qdpo.54.9Inter-Quartile Range 31.9 to 79.1percentage of inhibition of platelet agg
ADP-induced Inhibition of Platelet AggregationTicagrelor 90mg Bidpo.80.6Inter-Quartile Range 64.1 to 94percentage of inhibition of platelet agg
ADP-induced Inhibition of Platelet AggregationTicagrelor 45mg Bidpo.73.6Inter-Quartile Range 52.6 to 93.7percentage of inhibition of platelet agg
ADP-induced Inhibition of Platelet AggregationTicagrelor 90mg Qdpo.66Inter-Quartile Range 46.9 to 87percentage of inhibition of platelet agg
Number of Participants With Bleeding (Major or Minor Bleeding)Clopidogrel 75mg Qdpo.Minor bleeding15Participants
Number of Participants With Bleeding (Major or Minor Bleeding)Ticagrelor 90mg Bidpo.Minor bleeding30Participants
Number of Participants With Bleeding (Major or Minor Bleeding)Ticagrelor 45mg Bidpo.Minor bleeding14Participants
Number of Participants With Bleeding (Major or Minor Bleeding)Ticagrelor 90mg Qdpo.Minor bleeding9Participants
Number of Participants With Bleeding (Major or Minor Bleeding)Clopidogrel 75mg Qdpo.Major bleeding0Participants
Number of Participants With Bleeding (Major or Minor Bleeding)Ticagrelor 90mg Bidpo.Major bleeding0Participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTicagrelor 45mg Bidpo.525
Overall StudySTARTEDTicagrelor 90mg Bidpo.501
Overall StudySTARTEDClopidogrel 75mg Qdpo.1,511
Overall StudySTARTEDTicagrelor 90mg Qdpo.506
Overall StudyCOMPLETEDTicagrelor 45mg Bidpo.525
Overall StudyCOMPLETEDTicagrelor 90mg Bidpo.501
Overall StudyCOMPLETEDClopidogrel 75mg Qdpo.1,511
Overall StudyCOMPLETEDTicagrelor 90mg Qdpo.506
Overall StudyNOT COMPLETEDTicagrelor 45mg Bidpo.0
Overall StudyNOT COMPLETEDTicagrelor 90mg Bidpo.0

Adverse events0

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

None in this release.

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityClopidogrel 75mg Qdpo.01,511
Total, all-cause mortalityTicagrelor 90mg Bidpo.0501
Total, all-cause mortalityTicagrelor 45mg Bidpo.0525
Total, all-cause mortalityTicagrelor 90mg Qdpo.0506
Total, other adverse eventsClopidogrel 75mg Qdpo.01,511
Total, other adverse eventsTicagrelor 90mg Bidpo.0501
Total, other adverse eventsTicagrelor 45mg Bidpo.0525
Total, other adverse eventsTicagrelor 90mg Qdpo.0506
Total, serious adverse eventsClopidogrel 75mg Qdpo.01,511
Total, serious adverse eventsTicagrelor 90mg Bidpo.0501

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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/NCT03381742

GET https://conductscience.org/api/trials/v1/NCT03381742/results?page=2