Evidence mapPaperPMID 41617973Full record

ArticleScientific reports2026

High on-clopidogrel platelet reactivity among diabetic female patients with acute ischaemic stroke.

Mursyid Bustami, Sri Idaiani, Bagas Ariffandi, Nugroho Harry Susanto, Nadira Deanda Putri, Avinindita Nura Lestari, Anyelir Nielya Mutiara Putri, Novaria Sari Dewi Panjaitan, Ari Winasti Satyagraha, Shofiya Rohmah Asyahida and 6 more

Abstract read
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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

16 authors.

Mursyid BustamiClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Sri IdaianiResearch Center for Preclinical and Clinical Medicine, National Research and Innovation Agency, Bogor, Jawa Barat, Indonesia.
Bagas AriffandiClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Nugroho Harry SusantoClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Nadira Deanda PutriClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Avinindita Nura LestariClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Anyelir Nielya Mutiara PutriClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Novaria Sari Dewi PanjaitanCenter for Biomedical Research, National Research and Innovation Agency, Bogor, Jawa Barat, Indonesia.
Ari Winasti SatyagrahaEijkman Research Center for Molecular Biology, National Research and Innovation Agency, Bogor, Jawa Barat, Indonesia.
Shofiya Rohmah AsyahidaClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Ariski FajaridoClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Lena AdnianaClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Cynthia CynthiaClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Yuli FelistiaClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Beny RiliantoClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia.
Anwar SantosoClinical Research Unit, National Brain Center Hospital Mahar Mardjono Jakarta, Jakarta, Indonesia. anwarsantoso@inaheart.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies suggest that diabetes-related thrombotic risk differs by sex. This raises the question of whether this sex-based disparity influences the effectiveness of antithrombotic therapy. Herein, we aimed to investigate the association between sex, diabetes mellitus, and on-clopidogrel platelet reactivity in acute ischaemic stroke patients. This cross-sectional analysis used baseline data from a single-center cohort study where we recruited 650 adults diagnosed with acute ischaemic stroke receiving a 300 mg loading dose of clopidogrel from October 2022 to April 2024. Platelet reactivity was measured using the VerifyNow P2Y12 assay. The analysis was conducted using a multivariable linear regression model with an interaction term between sex and diabetes status. The overall mean platelet reactivity unit (PRU) in our study population was 168.3 ± 61.1 and was significantly higher among diabetic patients (177 ± 60 vs. 162 ± 61, p = 0.004). In our model, neither sex nor diabetes alone were significantly associated with PRU. However, the interaction between female sex and diabetes was associated with a significant increase in PRU by 20 units (95% CI: 3.0 to 37, p = 0.021). Cumulatively, diabetic female patients exhibited a PRU increase of 27.3 units compared to non-diabetic male patients, highlighting a subgroup that may require further clinical assessment.

Indexed as

Blood PlateletsClopidogrelDiabetes MellitusIschemic StrokePlatelet Aggregation InhibitorsAgedBrain IschemiaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPlatelet ActivationSex FactorsClopidogrelPlatelet Aggregation InhibitorsClopidogrelDiabetes mellitusIschaemic strokePlatelet reactivitySex

Identifiers

PMID41617973
PMCPMC12913778

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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.