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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
Safety and exploratory efficacy of the novel thrombin receptor (PAR-1) antagonist SCH530348 for non-ST-segment elevation acute coronary syndrome.
AIM: A previous phase 2 study of patients undergoing non-urgent PCI treated with SCH530348 plus aspirin and clopidogrel tended to reduce MACE without increased bleeding.This study evaluated the safety of SCH530348 in Japanese patients with NSTE ACS.METHODS: Subjects (117), in whom PCI was planned, received standard-of-care (aspirin, ticlopidine, and heparin) and were randomized 4:1 to receive either SCH530348 (20 or 40 mg loading dose followed by 1 mg/d or 2.5 mg/d for 60 days) or placebo.The key safety endpoint was TIMI major and minor bleeding in the PCI cohort (n=92).The key exploratory efficacy endpoint was MACE and death within 60 days.Addition of SCH530348 to standard-of-care did not significantly increase the rate of TIMI major and minor bleeding (or non-TIMI bleeding) in the primary cohort.RESULTS: Incidence (non-MACE) and discontinuation of AEs were similar across groups.PCI subjects treated with SCH530348 plus standard-of-care experienced a significant reduction in periprocedural MI compared with standard-of-care alone (16.9% vs 42.9%, respectively; p=0.013).There were no deaths or any other MACE.CONCLUSION: SCH530348 added to standard-of-care did not result in excess bleeding in Japanese subjects with NSTE ACS but significantly reduced the incidence of periprocedural MI in subjects undergoing urgent PCI.[1]
