Evidence mapPaperPMID 40029501Full record

ArticleClinical pharmacokinetics2025

Ticagrelor is Associated with Increased Rosuvastatin Blood Concentrations in Patients who have had a Myocardial Infarction.

Tjaša Dermota, Borut Jug, Jurij Trontelj, Mojca Božič Mijovski

Abstract read
In one paragraph

Article in Clinical pharmacokinetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Oral P2YEuropean cardiology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Tjaša DermotaUniversity Medical Centre Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia. tjasa.dermota@kclj.si.ORCID 0009-0004-8736-2713
Borut JugUniversity Medical Centre Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.ORCID 0000-0001-6015-2127
Jurij TronteljFaculty of Pharmacy, University of Ljubljana, Ljubljana, Slovenia.
Mojca Božič MijovskiUniversity Medical Centre Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.ORCID 0000-0002-1460-9410

Funding

Javna Agencija za Raziskovalno Dejavnost RS P3-0308
6 · The paper itself

Abstract

aimsThe primary objective of this study was to determine whether concomitant therapy with ticagrelor and rosuvastatin affects rosuvastatin plasma concentrations in patients receiving rosuvastatin 40 mg/day after myocardial infarction.

methodsWe included 93 patients who had experienced a myocardial infarction and were receiving high-dose rosuvastatin 40 mg/day and a P2Y12 receptor antagonist, either ticagrelor, prasugrel or clopidogrel. We used liquid chromatography with tandem mass spectrometry to measure rosuvastatin plasma concentrations after liquid-liquid extraction.

resultsRosuvastatin plasma concentrations (9.7 ng/mL) were approximately twice as high in patients receiving ticagrelor therapy as in those receiving prasugrel (5.1 ng/mL, p < 0.001) or clopidogrel (5.0 ng/mL, p = 0.009), and ticagrelor was an independent factor influencing rosuvastatin concentrations. In addition, creatinine levels were associated with increased rosuvastatin concentrations (p = 0.039).

conclusionOur results suggest an important pharmacokinetic interaction between ticagrelor and rosuvastatin, leading to approximately two-fold higher rosuvastatin plasma concentrations in those receiving concomitant ticagrelor than in those receiving prasugrel or clopidogrel. The association is significant and independent of other potential factors influencing rosuvastatin levels, indicating its potential clinical relevance.

Indexed as

AdenosineHydroxymethylglutaryl-CoA Reductase InhibitorsMyocardial InfarctionPurinergic P2Y Receptor AntagonistsRosuvastatin CalciumAgedClopidogrelDrug InteractionsFemaleHumansMaleMiddle AgedPlatelet Aggregation InhibitorsPrasugrel HydrochlorideTicagrelorAdenosineClopidogrelHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsPrasugrel HydrochloridePurinergic P2Y Receptor AntagonistsRosuvastatin CalciumTicagrelor

Identifiers

PMID40029501
PMCPMC12041183

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.