Acute cardiac care & resuscitation

Cangrelor versus crushed ticagrelor in patients with acute myocardial infarction and cardiogenic shock: rationale and design of the randomised, double-blind DAPT-SHOCK-AMI trial

EuroInterventionPublished Randomised controlled trial

Study context

Population
Patients with initial cardiogenic shock complicating acute myocardial infarction (MI) undergoing primary angioplastyplanned, approximately
Participants
550 patients
Planned comparison
IV cangrelor vs crushed ticagrelor
Primary endpoint
All-cause death, MI or stroke
Follow-up
30 days
Methodological detailsrationale and design, double-blind, placebo-controlled, multicentre, 5 countries, Main secondary endpoints within 1 year: net clinical endpoint (death, MI, urgent revascularisation of infarct-related artery, stroke or BARC major bleeding); CV death, MI, urgent revascularisation or HF; HF; CV death, Platelet reactivity substudy (VASP phosphorylation): periprocedural rate of onset and proportion achieving effective P2Y12 inhibition
  • Rationale and design
  • Double-blind
  • Placebo-controlled
  • Multicentre
  • 5 countries
  • Main secondary endpoints within 1 year: net clinical endpoint (death, MI, urgent revascularisation of infarct-related artery, stroke or BARC major bleeding); CV death, MI, urgent revascularisation or HF; HF; CV death
  • Platelet reactivity substudy (VASP phosphorylation): periprocedural rate of onset and proportion achieving effective P2Y12 inhibition

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Cangrelor versus crushed ticagrelor in patients with acute myocardial infarction and cardiogenic shock: rationale and design of the randomised, double-blind DAPT-SHOCK-AMI trial. EuroIntervention. Published 21 October 2024. doi:10.4244/eij-d-24-00203

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