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Table 3 Randomized acute ischemic syndrome trials for intravenous glycoprotein IIb/IIIa blockade

From: Platelet glycoprotein IIb/IIIa receptor blockade in coronary artery disease

Trial (number of patients)

Agent tested

Entry criteria

Primary endpoints

PURSUIT (10,948)

Eptifibatide

CP at rest or minimal exertion within

Death, and non-fatal MI, at 30 days

  

24 hours and either ischemic ECG

 
  

changes* or CK-MB elevations

 

PRISM-PLUS (1915)

Tirofiban

CP at rest or minimal exertion within

Death, MI, or refractory ischemia, at 7 days

  

12 hours and either ischemic ECG

 
  

changes* or CK-MB elevations

 

PRISM (3232)

Tirofiban

CP at rest or minimal exertion within

Death, MI or refractory ischemia, at 48 hours

  

24 hours and ischemic ECG changes*

 
  

or CK-MB elevations or history of CAD or

 
  

positive stress test

 

PARAGON A (2282)

Lamifiban

CP at rest within 12 hours and ischemic

Death, and non-fatal MI, at 30 days

  

ECG changes*

 

PARAGON B (5225)

Lamifiban

Patients within 12 hours of symptoms of

The composite incidence of death, MI, or SRI, at

  

acute myocardial ischemia and ECG changes*

30 days

GUSTO IV-ACS (7800)

Abciximab

ACS within last 24 hours; > 5 min anginal

All-cause mortality, composite endpoint of death,

  

symptoms at rest, and either + troponin I/T,

or MI, at 30 days

  

or ST depression ≥ 0.5 mm

 
  1. ACS, Acute coronary syndromes; CAD, coronary artery disease; CK-MB, creatine kinase MB isoenzyme; CP, Chest pain; ECG, electrocardiogram; MI, myocardial infarction; SRI, severe refractory ischemia. * ST depression, T inversion or transient ST elevation.