Why the study?
Prasugrel showed comparable efficacy to clopidogrel in reducing ischemic stroke in a recent phase III study, prompting an overview of its potential role in ischemic stroke management.
Does prasugrel reduce the risk of ischemic stroke in patients with stroke and TIA compared to clopidogrel?
Does prasugrel reduce the risk of ischemic stroke in patients with stroke and TIA compared to clopidogrel?
Prasugrel may serve as a credible antiplatelet option for ischemic stroke management, offering superior antiplatelet effects without the need for genetic testing.
May support prasugrel as alternative in stroke/TIA; leaves open dedicated trials for net benefit and safety.
INTRODUCTION: receptor inhibitor, is not currently recommended in patients with stroke due to a higher rate of recurrent stroke. Prasugrel was associated with comparable efficacy to clopidogrel in reducing the risk of ischemic stroke in a recent phase III study. AREAS COVERED: The authors provide an overview of the potential role of prasugrel in the management of ischemic stroke. The authors searched PUBMED, MEDLINE, and clinicaltrials.org and recently presented trials at the conferences for clinical trials of prasugrel therapy in patients with stroke and TIA, and important original investigations are reviewed. EXPERT OPINION: receptor inhibitor. It can also be considered as a credible option in other races and ethnicities and in other clinical situations that may require DAPT, such as intracranial or carotid stenting. Since prasugrel is associated with a superior antiplatelet effect and is not influenced by genetic polymorphisms, there is no need for platelet function or genetic testing. More work is needed to establish the safety and efficacy of low-dose prasugrel plus aspirin in comparison with currently used clopidogrel plus aspirin in non-East Asian populations.
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Tantry et al. (2023) studied this question.
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