Review Article

Glycoprotein IIb/IIIa Antagonists in Acute Coronary Syndromes Undergoing PCI: A Long Way to Select Optimal Agent and Route

Table 1

Short-term (30-day) mortality plus nonfatal acute myocardial infarction with glycoprotein (GP) IIb/IIIa inhibitor’s administration.

Study nameStudy typePrimary end-pointOdds ratio95% CI

Upstream versus downstream1.00.8–1.2
 ACUITYRCT30-day death0.90.6–1.2
 CLOTILDARCT30-day death0.70.1–4.0
 EARLY ACSRCT30-day death1.18.9–1.4
 ELISARCT30-day death0.60.1–2.6
 EARLY pilotRCT30-day death5.20.2–109
 Liu et al.RCT30-day death3.00.1–76
 ELISA 2RCT30-day death1.00.1–16
Small molecules versus abciximab0.90.8–1.2
 Danzi et al.RCT30-day ALL+NFami2.00.1–75
 Ernst et al.RCT30-day ALL+NFami0.80.1–8.0
 EVA-AMIRCT30-day ALL+NFami1.00.5–5.0
 MULTISTRATEGYRCT30-day ALL+NFami0.60.2–2.0
 FATARCT30-day ALL+NFami2.00.6–8.0
 Raveedran et al.R30-day ALL+NFami0.70.3–3.0
 Midei et al.R30-day ALL+NFami2.00.6–7.0
 Lachance et al.R30-day ALL+NFami1.50.4–7.0
 Gurm et al.R30-day ALL+NFami0.80.6–1.5

Modified from [2, 4].
CI: confidence intervals; RCT: randomised clinical trial; R: registry; NFami: non fatal acute myocardial infarction. Note that odds ratios and CI were rounded off.
There was no significant advantage comparing administration modalities or type of GP IIb/IIIa antagonist (comparison confined to small molecules versus abciximab).