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ȣ - 540260 183 |
Effects of Additional Sarpogrelate HCL on Inhibition of Platelet Function in Patients Underwent Percutaneous Coronary Intervention |
동아대학교 의과대학 순환기내과 |
조용락, 김무현, 어룡호, 백희경, 이주영, 오영희, 장홍철, 김보성, 박태호, 김영대 |
Background and Objectives: Sarpogrelate HCL (Anplag) is a 5-hydroxytryptamine subtype 2A (5-HT2A) receptor antagonist. A previous study reported that adjunctive anplag of 300 mg to aspirin and ticlopidine reduced the rate of in-stent restenosis compared to control group. We sought to assess effects of 300-mg anplag in addition to aspirin and clopidogrel on platelet inhibition in patients underwent drug-eluting stents insertion. Subjects and Methods: This is a randomized, cross-over designed, prospective study. Thirty eligible patients were enrolled and received dual or triple antiplatelet therapies for 2 weeks and then crossed and administered to opposite therapy for 2 weeks. Platelet function tests by multiple electrode aggregometry and light transmittance aggregometry were performed just before and 2 and 4 weeks after administration. Results: Baseline platelet function was measured at 24±2 hours after administration of loading doses of 300-mg aspirin and 300-mg clopidogrel. We calculated percentage of platelet inhibition (PPI) as a formula: (POST-BASE)/BASE. Preliminary data showed no significant difference in comparison of percentage of platelet inhibition in both groups (table). Final result will be presented. Conclusions: Preliminary data suggested an adjunctive sarpogrelate HCL of 300 mg to aspirin and clopidogrel did not show an additional benefits on laboratory platelet inhibition compared to conventional dual therapy.
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Table1. Comparison of platelet inhibion in both treated groups.
PPI (%) |
Dual therapy (aspirin + clopidogrel) |
Triple therapy (adjunctive sarpogrelate HCL) |
p-value |
ADPtest-AUC |
46.2±83.1% |
36.1±62.5% |
0.429 |
ASPItest-AUC |
50.9±106.6% |
21.2±78.3% |
0.171 |
COLtest-AUC |
29.1±69.2% |
29.4±62.8% |
0.478 |
10-uM ADP (LTA) |
80.9±175.9% |
46.1±115.4% |
0.118 |
0.5-mM AA (LTA) |
46.3±93.9% |
88.5±158.1% |
0.172 |
2-uM collagen (LTA) |
329.8±759.0% |
173.8±209.4% |
0.384 | PPI (percentage of platelet inhibition) = (POST-BASE)/BASE x 100%
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