Acute Ischaemic Stroke, Transient Ischaemic Attack
Conditions
Keywords
Acute ischaemic stroke., Transient ischaemic attack.
Brief summary
The primary objective of the study is to compare the effect of 90-day treatment with ticagrelor (180 mg \[two 90 mg tablets\] loading dose on Day 1 followed by 90 mg twice daily maintenance dose for the remainder of the study) vs acetylsalicylic acid (ASA)-aspirin (300 mg \[three 100 mg tablets\] loading dose on Day 1 followed by 100 mg once daily maintenance dose for the remainder of the study) for the prevention of major vascular events (composite of stroke, myocardial infarction \[MI\], and death) in patients with acute ischaemic stroke or transient ischaemic attack (TIA).
Interventions
ticagrelor, 180 mg (two tablets of 90 mg) loading dose on Day 1 followed by 90 mg twice daily.
ASA, 300 mg (three tablets of 100 mg) on Day 1, followed by 100 mg once daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* Men or women equal or elder 40 years of age * Either acute ischaemic stroke or high-risk TIA as defined here and randomisation occurring within 24 hours after onset of symptoms Key
Exclusion criteria
* Planned use of antithrombotic therapy in addition to study medication including antiplatelets (eg, open label ASA, GPIIb/IIIa inhibitors, clopidogrel, ticlopidine, prasugrel, dipyridamole, ozagrel, cilostazol) and anticoagulants (eg, warfarin, oral thrombin and factor Xa inhibitors, bivalirudin, hirudin, argatroban, unfractionated and low molecular weight heparins). - Any history of atrial fibrillation, ventricular aneurysm or suspicion of cardioembolic pathology for TIA or stroke. - Planned carotid, cerebrovascular, or coronary revascularisation that requires halting study medication within 7 days of randomisation. - Receipt of any intravenous or intra-arterial thrombolysis or mechanical thrombectomy within 24 hours prior to randomisation - History of previous symptomatic non-traumatic intracerebral bleed at any time (asymptomatic microbleeds do not qualify), gastrointestinal (GI) bleed within the past 6 months, or major surgery within 30 days.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Composite of Stroke/MI/Death | From randomization up to 97 days | Participants with stroke, MI or death. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Ischaemic Stroke | From randomization up to 97 days | Participants with ischaemic stroke. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). |
| Net Clinical Outcome | From randomization up to 97 days | Participants with stroke, MI, death or life-threatening bleeding. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97). |
| Number of Participants With Composite of Ischaemic Stroke, MI and CV Death | From randomization up to 97 days | Participants with ischaemic stroke, MI or CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). |
| Number of Participants With All-Cause Death | From randomization up to 97 days | Participants with all-cause death. If no event, censoring at the minimum of (last date of event assessment, end of treatment date, day 97). |
| Number of Participants With CV Death | From randomization up to 97 days | Participants with CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). |
| Number of Participants With MI | From randomization up to 97 days | Participants with MI. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97) |
| Number of Participants With Disabling Stroke | From randomization up to 97 days | Participants with disabling stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). |
| Number of Participants by Severity of Stroke and Overall Disability | From randomization up to 97 days | Analysis of severity of stroke and overall disability of patients, using the modified Rankin Score, mRS. Modified Rankin Score: 0 - No symptoms. 1. \- No significant disability. Able to carry out all usual activities, despite some symptoms. 2. \- Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3. \- Moderate disability. Requires some help, but able to walk unassisted. 4. \- Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5. \- Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6. \- Dead. Disability defined as mRS \> 1. Odds ratio and p-value are calculated for ticagrelor versus ASA from a logistic regression model with treatment group, history of stroke and NIHSS (National Institutes of Health Stroke Scale) at baseline as explanatory variables. |
| Number of Participants With Fatal Stroke | From randomization up to 97 days | Participants with fatal stroke. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97). |
| Change in NIHSS | From randomization up to 97 days | Change from baseline to end of treatment visit in NIHSS (National Institutes of Health Stroke Scale): 0 No stroke symptoms 1-4 Minor stroke 5-15 Moderate stroke 16-20 Moderate to severe stroke 21-42 Severe stroke. |
| EQ-5D at Visit 1 (Enrolment) | Visit 1 (Enrolment) | EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
| EQ-5D at Visit 2 (Day 7+-2d) | Visit 2 (Day 7+-2d) | EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
| EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit | End of treatment visit (Day 90+-7d) | EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
| EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit | Premature treatment discontinuation visit(<15 days after last dose) | EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
| Number of Participants With PLATO Major Bleeding Event | From randomization up to 97 days | Participants with PLATO Major bleeding. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). PLATO Major bleeding is defined as a bleed that is any one of: * Fatal * Intracranial (excluding asymptomatic haemorrhagic transformations of ischemic brain infarctions and excluding micro-hemorrhages \<10 mm evident only on gradient-echo MRI) * Intrapericardial bleed with cardiac tamponade * Hypovolaemic shock or severe hypotension due to bleeding and requiring pressors or surgery * Significantly disabling (eg. intraocular with permanent vision loss) * Clinically overt or apparent bleeding associated with a decrease in Hb of more than 30 g/L (1.9 mmol/L; 0.465 mmol/L) * Transfusion of 2 or more units (whole blood or packed red blood cells \[PRBCs\]) for bleeding. |
| Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event | Time from first dose and up to and including 7 days following the date of last dose of the study | Participants discontinuation of study drug due to any bleeding adverse event. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). |
| Number of Participants With Stroke | From randomization up to 97 days | Participants with stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97) |
Countries
Argentina, Australia, Belgium, Brazil, Bulgaria, Canada, Chile, China, Czechia, France, Germany, Hong Kong, Hungary, Israel, Italy, Japan, Mexico, Peru, Philippines, Poland, Romania, Russia, Slovakia, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey (Türkiye), Ukraine, United States, Vietnam
Participant flow
Recruitment details
In total, 13307 patients were enrolled from 674 study sites in 33 countries. The first patient was enrolled on 07 January 2014. The last patient visit took place on 02 March 2016.
Pre-assignment details
Enrolled patients randomised to study drug: 99.2%; n=13199 Patients who were not randomised: 0.8%; n=108 Patients with eligibility criteria not fulfilled: 0.7%; n=93 Patient decision: 0.1%; n=15
Participants by arm
| Arm | Count |
|---|---|
| Ticagrelor 90 mg Ticagrelor 90 mg twice daily (BD) | 6,589 |
| ASA 100 mg ASA 100 mg once daily (OD) | 6,610 |
| Total | 13,199 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Withdrawal by Subject | 46 | 56 |
Baseline characteristics
| Characteristic | Ticagrelor 90 mg | ASA 100 mg | Total |
|---|---|---|---|
| Age, Continuous | 65.8 Years STANDARD_DEVIATION 11.23 | 65.9 Years STANDARD_DEVIATION 11.37 | 65.9 Years STANDARD_DEVIATION 11.3 |
| Age, Customized <65 years | 3021 Participants | 3007 Participants | 6028 Participants |
| Age, Customized >75 years | 1504 Participants | 1491 Participants | 2995 Participants |
| Age, Customized Between 65 and 75 years | 2064 Participants | 2112 Participants | 4176 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 566 Participants | 558 Participants | 1124 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 6023 Participants | 6050 Participants | 12073 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 2 Participants | 2 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 69 Participants | 74 Participants | 143 Participants |
| Race/Ethnicity, Customized Asian | 1957 Participants | 1949 Participants | 3906 Participants |
| Race/Ethnicity, Customized Black or African American | 119 Participants | 120 Participants | 239 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 4 Participants | 1 Participants | 5 Participants |
| Race/Ethnicity, Customized Other | 66 Participants | 56 Participants | 122 Participants |
| Race/Ethnicity, Customized White | 4374 Participants | 4410 Participants | 8784 Participants |
| Sex: Female, Male Female | 2759 Participants | 2724 Participants | 5483 Participants |
| Sex: Female, Male Male | 3830 Participants | 3886 Participants | 7716 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 85 / 6,581 | 383 / 6,549 |
| serious Total, serious adverse events | 533 / 6,581 | 532 / 6,549 |
Outcome results
Number of Participants With Composite of Stroke/MI/Death
Participants with stroke, MI or death. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Composite of Stroke/MI/Death | 442 Participants |
| ASA 100 mg | Number of Participants With Composite of Stroke/MI/Death | 497 Participants |
Change in NIHSS
Change from baseline to end of treatment visit in NIHSS (National Institutes of Health Stroke Scale): 0 No stroke symptoms 1-4 Minor stroke 5-15 Moderate stroke 16-20 Moderate to severe stroke 21-42 Severe stroke.
Time frame: From randomization up to 97 days
Population: NIHSS in patients with an index stroke event
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ticagrelor 90 mg | Change in NIHSS | Missing | 474 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 2 | 28 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 3 | 18 Participants |
| Ticagrelor 90 mg | Change in NIHSS | <=-5 | 132 Participants |
| Ticagrelor 90 mg | Change in NIHSS | -4 | 403 Participants |
| Ticagrelor 90 mg | Change in NIHSS | -3 | 779 Participants |
| Ticagrelor 90 mg | Change in NIHSS | -2 | 1088 Participants |
| Ticagrelor 90 mg | Change in NIHSS | -1 | 1099 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 0 | 681 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 1 | 67 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 4 | 13 Participants |
| Ticagrelor 90 mg | Change in NIHSS | 5 | 6 Participants |
| Ticagrelor 90 mg | Change in NIHSS | >5 | 10 Participants |
| ASA 100 mg | Change in NIHSS | 4 | 11 Participants |
| ASA 100 mg | Change in NIHSS | -1 | 1131 Participants |
| ASA 100 mg | Change in NIHSS | 2 | 31 Participants |
| ASA 100 mg | Change in NIHSS | >5 | 14 Participants |
| ASA 100 mg | Change in NIHSS | 3 | 16 Participants |
| ASA 100 mg | Change in NIHSS | 0 | 683 Participants |
| ASA 100 mg | Change in NIHSS | <=-5 | 127 Participants |
| ASA 100 mg | Change in NIHSS | 5 | 6 Participants |
| ASA 100 mg | Change in NIHSS | -4 | 438 Participants |
| ASA 100 mg | Change in NIHSS | 1 | 79 Participants |
| ASA 100 mg | Change in NIHSS | -3 | 810 Participants |
| ASA 100 mg | Change in NIHSS | Missing | 450 Participants |
| ASA 100 mg | Change in NIHSS | -2 | 1073 Participants |
EQ-5D at Visit 1 (Enrolment)
EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1.
Time frame: Visit 1 (Enrolment)
Population: Include only results from patients who visit the site in-person.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ticagrelor 90 mg | EQ-5D at Visit 1 (Enrolment) | 0.70 Index score | Standard Deviation 0.297 |
| ASA 100 mg | EQ-5D at Visit 1 (Enrolment) | 0.70 Index score | Standard Deviation 0.298 |
EQ-5D at Visit 2 (Day 7+-2d)
EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1.
Time frame: Visit 2 (Day 7+-2d)
Population: Include only results from patients who visit the site in-person.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ticagrelor 90 mg | EQ-5D at Visit 2 (Day 7+-2d) | 0.80 Index score | Standard Deviation 0.244 |
| ASA 100 mg | EQ-5D at Visit 2 (Day 7+-2d) | 0.79 Index score | Standard Deviation 0.262 |
EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit
EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1.
Time frame: End of treatment visit (Day 90+-7d)
Population: Include only results from patients who visit the site in-person.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ticagrelor 90 mg | EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit | 0.85 Index score | Standard Deviation 0.203 |
| ASA 100 mg | EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit | 0.84 Index score | Standard Deviation 0.208 |
EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit
EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1.
Time frame: Premature treatment discontinuation visit(<15 days after last dose)
Population: Include only results from patients who visit the site in-person. The Premature Treatment Discontinuation visit (PTDV) is only done for patients who prematurely and permanently stop study medication.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ticagrelor 90 mg | EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit | 0.72 Index score | Standard Deviation 0.33 |
| ASA 100 mg | EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit | 0.68 Index score | Standard Deviation 0.364 |
Net Clinical Outcome
Participants with stroke, MI, death or life-threatening bleeding. If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Net Clinical Outcome | 457 Participants |
| ASA 100 mg | Net Clinical Outcome | 508 Participants |
Number of Participants by Severity of Stroke and Overall Disability
Analysis of severity of stroke and overall disability of patients, using the modified Rankin Score, mRS. Modified Rankin Score: 0 - No symptoms. 1. \- No significant disability. Able to carry out all usual activities, despite some symptoms. 2. \- Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3. \- Moderate disability. Requires some help, but able to walk unassisted. 4. \- Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5. \- Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6. \- Dead. Disability defined as mRS \> 1. Odds ratio and p-value are calculated for ticagrelor versus ASA from a logistic regression model with treatment group, history of stroke and NIHSS (National Institutes of Health Stroke Scale) at baseline as explanatory variables.
Time frame: From randomization up to 97 days
Population: The population was the full analysis set which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants by Severity of Stroke and Overall Disability | 1107 Participants |
| ASA 100 mg | Number of Participants by Severity of Stroke and Overall Disability | 1194 Participants |
Number of Participants With All-Cause Death
Participants with all-cause death. If no event, censoring at the minimum of (last date of event assessment, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With All-Cause Death | 68 Participants |
| ASA 100 mg | Number of Participants With All-Cause Death | 58 Participants |
Number of Participants With Composite of Ischaemic Stroke, MI and CV Death
Participants with ischaemic stroke, MI or CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Composite of Ischaemic Stroke, MI and CV Death | 423 Participants |
| ASA 100 mg | Number of Participants With Composite of Ischaemic Stroke, MI and CV Death | 475 Participants |
Number of Participants With CV Death
Participants with CV death. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With CV Death | 41 Participants |
| ASA 100 mg | Number of Participants With CV Death | 35 Participants |
Number of Participants With Disabling Stroke
Participants with disabling stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Disabling Stroke | 277 Participants |
| ASA 100 mg | Number of Participants With Disabling Stroke | 307 Participants |
Number of Participants With Fatal Stroke
Participants with fatal stroke. If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Fatal Stroke | 18 Participants |
| ASA 100 mg | Number of Participants With Fatal Stroke | 17 Participants |
Number of Participants With Ischaemic Stroke
Participants with ischaemic stroke. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Ischaemic Stroke | 385 Participants |
| ASA 100 mg | Number of Participants With Ischaemic Stroke | 441 Participants |
Number of Participants With MI
Participants with MI. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97)
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With MI | 25 Participants |
| ASA 100 mg | Number of Participants With MI | 21 Participants |
Number of Participants With PLATO Major Bleeding Event
Participants with PLATO Major bleeding. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). PLATO Major bleeding is defined as a bleed that is any one of: * Fatal * Intracranial (excluding asymptomatic haemorrhagic transformations of ischemic brain infarctions and excluding micro-hemorrhages \<10 mm evident only on gradient-echo MRI) * Intrapericardial bleed with cardiac tamponade * Hypovolaemic shock or severe hypotension due to bleeding and requiring pressors or surgery * Significantly disabling (eg. intraocular with permanent vision loss) * Clinically overt or apparent bleeding associated with a decrease in Hb of more than 30 g/L (1.9 mmol/L; 0.465 mmol/L) * Transfusion of 2 or more units (whole blood or packed red blood cells \[PRBCs\]) for bleeding.
Time frame: From randomization up to 97 days
Population: The population was the safety analysis set, which included all patients who received at least 1 dose of randomized ticagrelor or ASA and for whom post-dose data are available.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With PLATO Major Bleeding Event | 31 Participants |
| ASA 100 mg | Number of Participants With PLATO Major Bleeding Event | 38 Participants |
Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event
Participants discontinuation of study drug due to any bleeding adverse event. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
Time frame: Time from first dose and up to and including 7 days following the date of last dose of the study
Population: The population was the safety analysis set, which included all patients who received at least 1 dose of randomized ticagrelor or ASA and for whom post-dose data are available.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event | 82 Participants |
| ASA 100 mg | Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event | 37 Participants |
Number of Participants With Stroke
Participants with stroke. If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97)
Time frame: From randomization up to 97 days
Population: The population was the full analysis set, which included all randomized patients.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ticagrelor 90 mg | Number of Participants With Stroke | 390 Participants |
| ASA 100 mg | Number of Participants With Stroke | 450 Participants |