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September 18, 2026JAMA Cardiology

Pooled Prasugrel Doses in a P2Y12 Network Meta-Analysis—Reply

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Authors

SBSripal BangaloreMMM. Haisum MaqsoodUKUpendra Kaul

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Overview

Meta-analytic correspondence reveals robust efficacy across pooled prasugrel doses in acute coronary syndrome, supporting flexible antiplatelet evaluation strategies.

Key Points

  • To address methodological considerations and justify the strategy of pooling variable prasugrel dosing regimens within a P2Y12 inhibitor network meta-analysis.
  • Assessed methodological concerns raised regarding the pooling of different prasugrel doses across randomized clinical trials.
  • Evaluated network meta-analysis model assumptions and treatment comparability across clinical trial arms.
  • Clarified that pooling prasugrel doses maintains consistent relative risk estimates compared with other P2Y12 inhibitors.
  • Affirmed that network meta-analysis sensitivity analyses support the primary cardiovascular and bleeding outcome conclusions.

Cite This Study

Bangalore et al. (2026) studied this question.

synapsesocial.com/papers/6aacf63d0c46fbdff987ddachttps://doi.org/10.1001/jamacardio.2026.3440
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