Review Article

Comparison of Different Chronic Maintenance Antithrombotic Strategies in Patients with Coronary Artery Disease: A Systematic Review and Network Meta-Analysis

Table 1

Baseline characteristics of the included studies.

Research/yearMaintenance regimenAge, yr.Male, (%)ACS, (%)Hypertension, (%)Diabetes, (%)Dyslipidemia, (%)Chronic kidney disease, (%)Previous MI, (%)

HOST-EXAM trial/2021Aspirin ()63·4 (10·7)2039 (74·7%)1957 (71.7%)1674 (61·4%)935 (34·3%)1883 (69·0%)337 (12·4%)435 (15·9%)
Clopidogrel ()63·5 (10·7)2015 (74·4%)1964 (72.5%)1664 (61·4%)925 (34·1%)1884 (69·5%)356 (13·1%)437 (16·1%)

CAPRIE/1996Aspirin ()58·3 (11·3)81%34%38%15%42%NDND
Clopidogrel ()58·6 (11·4)81%34%39%14%41%NDND

THEMIS-PCI/2019Aspirin ()66·0 (61·0–72·0)3880 (69.8)ND5136 (91·8)5596 (100%)4967 (88·8)NDND
Ticagrelor ()66·0 (61·0–72·0)3838 (69.1)ND5127 (92·2)5558 (100%)4922 (88·6)NDND

GLOBAL LEADERS landmark-analysis/2022Aspirin ()4519 (77.7)2585 (44.5%)72.8 (4,214/5,792)24.1 (1,402/5,810)70.4 (3,970/5,639)ND22.9 (1,326/5,801)
Ticagrelor ()4135 (77.9)2566 (48.3%)73.4 (3,885/5,290)24.3 (1,287/5,303)69.6 (3,561/5,119)ND21.8 (1,153/5,295)

ARCTIC-Interruption/2014Aspirin ()64 (57–73)503 (81%)ND388 (62%)222 (36%)426 (68%)ND186 (30%)
Aspirin plus clopidogrel ()64 (57–73)508 (80%)ND376 (59%)198 (31%)428 (67%)ND197 (31%)

DAPT/2014Aspirin ()3657 (74%)2103 (42.6%)3649/4934 (74.0)1481/4927 (30.1)NDND1026/4870 (21.1)
Aspirin plus clopidogrel ()3778 (75.3%)2148 (42.8%)3796/5006 (75.8)1556/5006 (31.1)NDND1092/4953 (22.0)

DES-LATE/2013Aspirin ()1749 (69.6%)1551 (61.7%)1423 (56.6%)709 (28.2%)NDND92 (3.7%)
Aspirin plus clopidogrel ()1749 (69.1%)1512 (59.7%)1479 (58.4%)709 (28.0%)NDND103 (4.1%)

OPTIDUAL/2016Aspirin ()547 (79.3%)262 (38.0%)417 (60.4)222 (32.2)NDND122 (17.7)
Aspirin plus clopidogrel ()568 (81.7%)239 (34.4%)396 (57.0)213 (30.6)NDND119 (17.1)

PEGASUS-TIMI 54/2015Aspirin ()5350 (75.7%)6652/7057 (94.3%)5484 (77.6)2257 (31.9)5451 (77.1)1649/6985 (23.6)7067 (100%)
Aspirin plus ticagrelor 60 mg ()5384 (76.4%)6599/7035 (93.8%)5461 (77.5)2308 (32.8)5380 (76.4)1547/6955 (22.2)7045 (100%)
Aspirin plus ticagrelor 90 mg ()5368 (76.1%)6661/7043 (94.6%)5462 (77.5)2241 (31.8)5410 (76.7)1653/6958 (23.8)7050 (100%)

COMPASS/2017Aspirin ()69 (65–73)6615 (80%)ND6280 (76%)3040 (37%)NDND5721 (69%)
Aspirin plus low-dose rivaroxaban ()69 (65–73)6577 (79%)ND6218 (75%)3043 (37%)NDND5654 (68%)

BMI: body mass index; PCI: percutaneous coronary intervention; RCT: randomized controlled trial; STEMI: ST-segment elevation myocardial infarction; ACS: acute coronary syndrome; DAPT: dual antiplatelet therapy; MI: myocardial infarction; ST: stent thrombosis; MACE: major adverse cardiac event; NACE: net adverse clinical event.