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The PARTHENON Clinical Development Program: the Role of Ticagrelor in Patients with Atherothrombotic Disease
1College of Pharmacy, University of Nebraska Medical Center, 986145 Nebraska Medical Center, Omaha, NE, 68198-6145, USA. pdobesh@unmc.edu.
Insights
Cardiovascular disease (CVD) remains a leading cause of death and high costs in the US, driven by atherosclerosis and platelet activity. The PARTHENON program evaluates ticagrelor to see if potent antiplatelet therapy can reduce cardiovascular events.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Clinical Trials
Background:
- Cardiovascular disease (CVD) is the leading cause of mortality in the USA, with significant economic burden.
- Atherosclerosis and its thrombotic complications, involving platelet activity, are central to CVD etiology.
- Optimal antiplatelet therapy for atherosclerotic CVD varies by vascular bed and requires further definition.
Purpose of the Study:
- To investigate the efficacy and safety of ticagrelor in patients with atherosclerotic CVD.
- To compare ticagrelor with established antiplatelet therapies or placebo.
- To determine if a more potent antiplatelet agent can reduce cardiovascular events.
Main Methods:
- The PARTHENON program comprises completed and ongoing Phase III clinical trials.
- Trials assess ticagrelor's performance in atherosclerotic cardiovascular disease.
- Comparisons include established antiplatelet therapies and placebo.
Main Results:
- Data from the PARTHENON program is being compiled and analyzed.
- Efficacy and safety outcomes of ticagrelor are under evaluation.
- Results will inform the optimal use of antiplatelet therapy in atherosclerotic CVD.
Conclusions:
- Ticagrelor is being investigated as a potent antiplatelet therapy option.
- The PARTHENON program aims to define optimal antiplatelet strategies for atherosclerotic CVD.
- Findings will contribute to reducing cardiovascular events and mortality.
Abstract:
Although the rate of cardiovascular disease (CVD)-related mortality has declined over the last decade, it is still the leading cause of mortality in the USA, accounting for over 1.4 million deaths annually. In addition, total direct (primarily hospital admissions) and indirect costs of CVD in the US is over $316 billion annually and is expected to grow to over $918 billion by 2030. Much of the etiology of CVD is due to atherosclerosis and its thrombotic complications, and central to this is the role of platelets. Atherosclerosis is a systemic disease, with meaningful morbidity and mortality when present in the coronary, cerebral, or major peripheral arteries. The recommended antiplatelet therapy differs based on the vascular bed impacted, with the optimal antiplatelet therapy yet to be defined. The PARTHENON program is a series of completed and ongoing phase III clinical trials investigating the efficacy and safety of ticagrelor in atherosclerotic CVD in comparison with established antiplatelet therapy or placebo. The overall aim of the program is to determine if more potent antiplatelet therapy, with different pharmacology, may reduce cardiovascular events in patients with atherosclerotic disease.
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