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Examples of ethnicity and geography issues in global clinical trials ...

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Trial Design<br />

Placebo<br />

NSTE Acute Coronary<br />

Syndromes<br />

1:1<br />

R<strong>and</strong>omized<br />

Double-bl<strong>in</strong>d<br />

Key <strong>in</strong>clusion criteria<br />

• With<strong>in</strong> 24 hrs <strong>of</strong> symptoms<br />

• biomarkers or ECG changes<br />

• 1 other high-risk feature<br />

Vorapaxar<br />

Load<strong>in</strong>g: 40 mg<br />

Ma<strong>in</strong>tenance: 2.5 mg daily<br />

Follow-up: 1, 4, 8, 12 months, then every 6 months<br />

St<strong>and</strong>ard <strong>of</strong> care based on practice guidel<strong>in</strong>es<br />

Efficacy Endpo<strong>in</strong>ts<br />

Primary: CV death, MI, stroke, hospitalization for ischemia, urgent revascularization<br />

Key Secondary: CV death, MI, stroke<br />

Bleed<strong>in</strong>g Endpo<strong>in</strong>ts: GUSTO moderate or severe <strong>and</strong> cl<strong>in</strong>ically significant TIMI bleed<strong>in</strong>g

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