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The TRILOGY ACS trial assessed the efficacy of prasugrel compared to clopidogrel for ischemic outcomes in patients with acute coronary syndrome (ACS). Despite enhanced P2Y12 receptor inhibition with prasugrel, the study found no significant difference in ischemic outcomes. This article explores the implications of the results, the challenges in today's trial designs including NIH funding constraints, and the importance of considering exclusion criteria. It highlights the evolution of anticoagulant trials and the need for patient-centered outcomes in future research.
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TRILOGY ACSNo significant difference in ischemic outcomes despite greater P2Y12 receptor inhibition with prasugrel than with clopidogrel