Abciximab  1993-2001

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ESC 2001 Meeting Coverage


AHA 2001 Meeting Coverage

Efficacy and safety of tenecteplase in combination with enoxaparin, abciximab, or unfractionated heparin: the ASSENT-3 randomised trial in acute myocardial infarction
Lancet 2001;358:605-13
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11530146 

THE LANCET/THEHEART.ORG PRESENT
ASSENT 3: tenecteplase in combination with enoxaparin, abciximab, or unfractionated heparin
http://www.theheart.org/index.cfm?doc_id=25125
Dr Frans Van de Werf reviews the clinical implications of ASSENT 3 with Drs Paul Armstrong, Christopher Granger, and Lars Wallentin.
The ASSENT 3 results, which were published in the August 25 issue of The Lancet, compared 3 possible therapeutic combinations with tenecteplase: enoxaparin, abciximab, or unfractionated heparin

GUSTO V — the first major trial evaluating thrombolysis plus GP IIb/IIIa blockade in MI patients
 http://www.theheart.org/index.cfm?doc_id=23550
Originally netcast on June 14, 2001
Drs Robert Califf, Michael Lincoff, Eric Topol, and Frans Van de Werf review the clinical implications of GUSTO V. GUSTO V is the first large-scale trial to compare the use of a GP IIb/IIIa blocker in combination with a thrombolytic; 16 588 AMI patients were randomized.

Combination fibrinolytic and GP IIb/IIIa blocker therapy — where next?
http://www.theheart.org/index.cfm?doc_id=24200
The world has scarcely had time to digest the results of GUSTO V, but already plans are afoot for the next wave of studies. [July 18 2001]

SELF-PACED LEARNING
Anti-inflammatory effects of abciximab
With slide / Some of the long-term benefits of the GP IIb/IIIa receptor inhibitor abciximab after PCI may be related to an anti-inflammatory effect. [July 11]
http://www.theheart.org/index.cfm?doc_id=24126

Reperfusion therapy for acute myocardial infarction with fibrinolytic therapy or combination reduced fibrinolytic therapy and platelet glycoprotein IIb/IIIa inhibition: the GUSTO V randomised trial
Topol EJ.
Lancet 2001;357:1905-14
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11425410 
A total of 16 588 patients in the first six hours of evolving ST segment elevation MI were randomly assigned standard dose reteplase (n = 8260) or half dose reteplase and full dose abciximab (n = 8328). There was no difference in death rates at 30 days, as the small reduction in death/MI rates with dual treatment was balanced by increased bleeding related complications.

Abciximab plus low-dose thrombolitics for AMI
Two studies indicate that a combination of abciximab (ReoPro) and a half-dose thrombolytic may be an alternative treatment for acute myocardial infarction (AMI).
http://cardiology.medscape.com/42293.rhtml?srcmp=card-090701

Comparison of two platelet glycoprotein IIb/IIIa inhibitors, tirofiban and abciximab, for the prevention of ischemic events with percutaneous coronary revascularization
Topol EJ, et al. for the TARGET Investigators
N Engl J Med 2001;344:1888-94
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11419425 
Comment

Comparative 30-day economic and clinical outcomes of platelet glycoprotein IIb/IIIa inhibitor use during elective percutaneous coronary intervention: Prairie ReoPro versus Integrilin Cost Evaluation (PRICE) Trial
Am Heart J 2001;141:402-9
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11231437 

Platelet glycoprotein IIb/IIIa inhibition with coronary stenting for acute myocardial infarction
Montalescot G, et al. for the ADMIRAL Investigators
N Engl J Med 2001;344:1895-903
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11419426  Comment

Effect of glycoprotein IIb/IIIa receptor blocker abciximab on outcome in patients with acute coronary syndromes without early coronary revascularisation: the GUSTO IV-ACS randomised trial
Simoons ML.
Lancet 2001;357:1915-24
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11425411 
Comment

Abciximab and early adjunctive percutaneous coronary intervention are associated with improved ST-segment resolution after thrombolysis: Observations from the TIMI 14 Trial
de Lemos JA, et al.
Am Heart J 2001;141:592-8
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11275925
A strategy that uses a combination reperfusion regimen that includes abciximab, followed by early adjunctive PCI, is associated with greater ST-segment resolution, which may reflect enhanced tissue level and microvascular perfusion.

Hemorrhagic and vascular complications after percutaneous coronary intervention with adjunctive abciximab
Cote AV, et al.
Mayo Clin Proc 2001;76:890-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11560299
 

Long-term mortality benefit with abciximab in patients undergoing percutaneous coronary intervention
Anderson KM, et al.
J Am Coll Cardiol 2001;37:2059-65
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11419888
The evidence from 9,290 randomized PCI patients shows a mortality benefit provided by abciximab bolus plus 12-h infusion.

AVAILABLE FOR SELF-PACED LEARNING
Long-Term Benefits of Pharmacologic Therapy in PCI
http://www.theheart.org/index.cfm?doc_id=24284
CME credit: 1 hour, category 1
New provocative data provide updated information on the long-term benefits of pharmacologic therapy in PCI. Drs Eric Topol, David Moliterno, and Marc Cohen discuss these exciting data.

Abciximab readministration: results of the ReoPro Readministration Registry
Tcheng JE, et al.
Circulation 2001;104:870-5
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11514371
The results, including overall rates of thrombocytopenia, were consistent with randomized clinical trials of first abciximab treatment. However, there was a shift from mild to profound thrombocytopenia, and cases of delayed presentation and of recurrent thrombocytopenia were seen.

Effects of Abciximab on the architecture of platelet-rich clots in patients with acute myocardial infarction undergoing primary coronary intervention
Collet JP, et al.
Circulation 2001;103:2328-31
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11352878
Abciximab dramatically reduces platelet aggregate size and increases the fibrin accessibility of ex vivo PRC in AMI patients. These modifications could participate in the better coronary artery patency observed with abciximab.

Effectiveness and safety of abciximab after failed thrombolytic therapy
Cantor WJ, et al.
Am J Cardiol 2001;87:439-42, A4
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11179529
Among 214 patients treated with abciximab within 24 hours of full-dose thrombolytic therapy, major bleeding occurred in 50 patients (23%) and intracranial hemorrhage occurred in 3 patients (1.4%). The independent multivariate predictors of major bleeding were age (odds ratio [OR] 1.53/10 years, 95% CI 1.05 to 2.21, p = 0.03), time from thrombolytic to abciximab (OR 0.91/hour, 95% CI 0.83 to 0.99, p = 0.03), and intra-aortic balloon pump insertion (OR 4.42, 95% CI 2.00 to 9.72, p = 0.0002).

Late-Breaking Clinical Trial 
GUSTO IV ACS
  Califf R Presented at ESC 2000 Meeting
  Additional Comments: Click here  Full slide set by Robert Califf, M.D. Click ere or here
No ACS Benefit for Abciximab in GUSTO IV-ACS. This trial enrolled 7,800 patients with ACS, with patients randomized to either placebo or abciximab. Treatment with abciximab for either 24 or 48 hours on top of aspirin and unfractionated or low molecular weight heparin does not reduce death or MI in patients with ACS not undergoing early revascularization
Click here to view the full article

EPIC, EPILOG, EPISTENT - Abciximab reduces mortality in diabetics following percutaneous coronary intervention
  Bhatt DL et al.
  J Am Coll Cardiol 2000;35:922-8
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010732889
Abciximab decreases the mortality of diabetic patients to the level of placebo-treated nondiabetic patients. This beneficial effect is noteworthy in those diabetic patients who are also hypertensive and obese and in diabetics undergoing multivessel intervention. Besides its potential role in reducing repeat intervention for stented diabetic patients, abciximab therapy should be strongly considered in diabetic patients undergoing PCI to improve their survival. 

STOPAMI - Coronary stenting plus platelet glycoprotein IIb/IIIa blockade compared with tissue plasminogen activator in acute myocardial infarction. STOPAMI Investigators
  Schomig A et al. for the STOPAMI Investigators
  N Engl J Med 2000;343:385-91
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010933737
In patients with acute myocardial infarction, coronary stenting plus abciximab leads to a greater degree of myocardial salvage and a better clinical outcome than does fibrinolysis with a tissue plasminogen activator.

Effect of glycoprotein IIb/IIIa receptor blockade with abciximab on clinical and angiographic restenosis rate after the placement of coronary stents following acute myocardial infarction
  Neumann FJ, et al.
  J Am Coll Cardiol 2000;35:915-21
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010732888
In patients undergoing stenting following AMI, abciximab exerted beneficial effects by substantially reducing the 30-day rate of major adverse cardiac events. During one-year follow-up, there was no additional benefit from a reduction in TLR nor did abciximab reduce angiographic restenosis.

The benefit of abciximab in percutaneous coronary revascularization is not device-specific
  Bhatt DL et al.
  Am J Cardiol 2000;85:1060-4
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010781752
Pooled data from the 5 placebo-controlled trials of abciximab during PCI demonstrate that a decrease in death and MI is achieved with abciximab regardless of the type of device used (PTCA alone, stenting, or DCA), without an increase in significant bleeding complications..

TIMI 14 - Abciximab improves both epicardial flow and myocardial reperfusion in ST-elevation myocardial infarction.
  de Lemos JA et al.
  Circulation 2000;101:239-43
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010645918 
In the TIMI 14 trial, a dose-ranging angiographic study, combined therapy with abciximab plus reduced-dose tPA enhanced the speed and efficacy of epicardial reperfusion. In addition, it improved myocardial (microvascular) reperfusion, as reflected in greater ST-segment resolution. This finding may translate into improved clinical outcomes by enhancing myocardial salvage.

Effects of abciximab, ticlopidine, and combined Abciximab/Ticlopidine therapy on platelet and leukocyte function in patients undergoing coronary angioplasty
  Fredrickson BJ et al.
  Circulation 2000;101:1122-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010715258
Combined therapy with abciximab and ticlopidine has a prolonged inhibitory effect on mural thrombosis formation relative to either treatment alone. Further, this study demonstrated an unexpected effect of abciximab in enhancing P-selectin- mediated leukocyte adhesion.

Unexpected Mortality Reduction with Abciximab for In-Stent Restenosis
  Mukherjee D || Ellis SG
  J Invasive Cardiol 2000;12:540-544
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011060563.
  Click here to view the full article 
At 1- year follow-up, there was a significantly lower incidence of myocardial infarction (2.5% versus 5.3%; p < 0.05) and lower mortality (1.2% versus 5.8%; p < 0.01) in the abciximab-treated group. There was no difference in the incidence of revascularization. The findings of a lowered mortality and myocardial infarction rate with abciximab warrants further prospective study in patients with in-stent restenosis. 

Editorial
Avoidance of Adverse Events in Restenotic Lesions with Abciximab? 
  Linnemeier TJ
  J Invasive Cardiol 2000;12:545-546
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011060564 
  Click here to view the full article

Clinical outcomes following "Rescue" administration of abciximab in patients undergoing percutaneous coronary angioplasty
  Fuchs S || Leon MB
  J Invasive Cardiol 2000;12:497-501
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011022207 
  Click here to view the full article 
Rescue administration of abciximab is associated with relatively low in-hospital complications and favorable long-term outcome in patients with sub-optimal angioplasty results and/or procedure-related complications, although peri-procedural non-Q wave MI rate is high. 

Editorial
"Rescue" platelet GP IIb/IIIa inhibitor therapy in percutaneous coronary intervention: bailing out of a sunken ship 
 
Kandzari DE || Sketch MH Jr.
  J Invasive Cardiol 2000;12:502-4
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011022208 
  Click here to view the full article

Reduced thrombus burden with abciximab delivered locally before percutaneous intervention in saphenous vein grafts
 
Barsness GW et al.
  Am Heart J 2000;139:824-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010783216 
  Click here to view the full article

Local abciximab delivery before percutaneous intervention for de novo SVG stenoses followed by intravenous infusion is associated with significantly reduced thrombus burden, significantly improved percent diameter stenosis, and excellent acute procedural results. 

Antithrombotic effects of abciximab
Hayes R, et al.
Am J Cardiol 2000;85:1167-72.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10801995

Clinical outcomes following "rescue" administration of abciximab in patients undergoing percutaneous coronary angioplasty
Fuchs S, et al.
J Invasive Cardiol 2000;12:497-501.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=11022207

In vivo demonstration of an antithrombin effect of abciximab
Ambrose JA, et al.
Am J Cardiol 2000;86:150-2.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10913474

Clinical risk factors for ischemic complications after percutaneous coronary interventions: results from the EPIC trial. The EPIC Investigators
Thel MC, et al.
Am Heart J 1999;137:264-73.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9924160

Sustained suppression of ischemic complications of coronary intervention by platelet GP IIb/IIIa blockade with abciximab: one-year outcome in the EPILOG trial.Evaluation in PTCA to Improve Long-term Outcome with abciximab GP IIb/IIIa blockade
Lincoff AM, et al.
Circulation 1999;99:1951-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10208997

Effects of platelet glycoprotein IIb/IIIa inhibition with abciximab on thrombin generation and activity during percutaneous coronary intervention
Dangas G, et al.
Am Heart J 1999;138:49-54.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10385763

Complications associated with combined use of abciximab and an intracoronary thrombolytic agent (urokinase or tissue-type plasminogen activator)
Yaryura RA, et al.
Am J Cardiol 1998;82:518-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9723644

Evolution of improved antithrombotic and antiplatelet agents: genesis of the Comparison of Abciximab Complications with Hirulog [and back-Up Abciximab] Events Trial (CACHET)
Topol EJ.
Am J Cardiol 1998;82:63P-68P.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9809894

Preferential benefit of platelet glycoprotein IIb/IIIa receptor blockade: specific considerations by device and disease state
Kereiakes DJ.
Am J Cardiol 1998;81:49E-54E.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9551595

Platelet glycoprotein IIb/IIIa receptor blockade with abciximab reduces ischemic complications in patients undergoing directional coronary atherectomy. EPILOG Investigators. Evaluation of PTCA to Improve Long- term Outcome by c7E3 GP IIb/IIIa Receptor Blockade
Ghaffari S, et al.
Am J Cardiol 1998;82:7-12.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9671000

Reduction in complications of angioplasty with abciximab occurs largely independently of baseline lesion morphology. EPIC and EPILOG Investigators. Evaluation of 7E3 for the Prevention of Ischemic Complications. Evaluation of PTCA To Improve Long-term Outcome with abciximab GPIIb/IIIa Receptor Blockade
Ellis SG, et al.
J Am Coll Cardiol 1998;32:1619-23.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9822087

Administration of abciximab during percutaneous coronary intervention reduces both ex vivo platelet thrombus formation and fibrin deposition: implications for a potential anticoagulant effect of abciximab
Dangas G, et al.
Arterioscler Thromb Vasc Biol 1998;18:1342-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9714143

Occurrence and clinical significance of thrombocytopenia in a population undergoing high-risk percutaneous coronary revascularization. Evaluation of c7E3 for the Prevention of Ischemic Complications (EPIC) Study Group
Berkowitz SD, et al.
J Am Coll Cardiol 1998;32:311-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9708455

Standard versus low-dose weight-adjusted heparin in patients treated with the platelet glycoprotein IIb/IIIa receptor antibody fragment abciximab (c7E3 Fab) during percutaneous coronary revascularization. PROLOG Investigators
Lincoff AM, et al.
Am J Cardiol 1997;79:286-91.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9036746

Rapid and simple platelet function assay to assess glycoprotein IIb/IIIa receptor blockade
Coller BS, et al.
Circulation 1997;95:860-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9054743

Acute profound thrombocytopenia after C7E3 Fab (abciximab) therapy
Berkowitz SD, et al.
Circulation 1997;95:809-13.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9054735

In vitro effects of the platelet glycoprotein IIb/IIIa receptor antagonist c7E3 Fab on the activated clotting time
Ammar T, et al.
Circulation 1997;95:614-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9024148

Platelet glycoprotein IIb/IIIa receptor blockade and low-dose heparin during percutaneous coronary revascularization.
The EPILOG Investigators
N Engl J Med 1997;336:1689-96.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9182212

More evidence for a beneficial effect of platelet glycoprotein IIb/IIIa- blockade during coronary interventions. Latest results from the EPILOG and CAPTURE trials
van de Werf F.
Eur Heart J 1996;17:325-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8737200

Antithrombotic assessment of the effects of combination therapy with the anticoagulants efegatran and heparin and the glycoprotein IIb-IIIa platelet receptor antagonist 7E3 in a canine model of coronary artery thrombosis
Shetler TJ, et al.
Circulation 1996;94:1719-25.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8840866

Inhibition of platelet-mediated, tissue factor-induced thrombin generation by the mouse/human chimeric 7E3 antibody. Potential implications for the effect of c7E3 Fab treatment on acute thrombosis and "clinical restenosis"
Reverter JC, et al.
J Clin Invest 1996;98:863-74.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8698879

Effects of platelet glycoprotein IIb/IIIa receptor blockade by a chimeric monoclonal antibody (abciximab) on acute and six-month outcomes after percutaneous transluminal coronary angioplasty for acute myocardial infarction. EPIC investigators
Lefkovits J, et al.
Am J Cardiol 1996;77:1045-51.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8644655

Increased risk of non-Q wave myocardial infarction after directional atherectomy is platelet dependent: evidence from the EPIC trial. Evaluation of c7E3 for the Prevention of Ischemic Complications
Lefkovits J, et al.
J Am Coll Cardiol 1996;28:849-55.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8837559

Differential dose-response to oral xemilofiban after antecedent intravenous abciximab. Administration for complex coronary intervention
Kereiakes DJ, et al.
Circulation 1996;94:906-10.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8790024

Effect of platelet glycoprotein IIb/IIIa integrin blockade on activated clotting time during percutaneous transluminal coronary angioplasty or directional atherectomy (the EPIC trial). Evaluation of c7E3 Fab in the Prevention of Ischemic Complications trial
Moliterno DJ, et al.
Am J Cardiol 1995;75:559-62.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7887377

Shear-induced platelet aggregation is inhibited by in vivo infusion of an anti-glycoprotein IIb/IIIa antibody fragment, c7E3 Fab, in patients undergoing coronary angioplasty
Konstantopoulos K, et al.
Circulation 1995;91:1427-31.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7867183 

An overview of the results of the EPIC trial
Califf RM, et al.
Eur Heart J 1995;16 Suppl L:43-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8869018

Bleeding complications with the chimeric antibody to platelet glycoprotein IIb/IIIa integrin in patients undergoing percutaneous coronary intervention. EPIC Investigators
Aguirre FV, et al.
Circulation 1995;91:2882-90.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7796496

Randomised trial of coronary intervention with antibody against platelet IIb/IIIa integrin for reduction of clinical restenosis: results at six months. The EPIC Investigators
Topol EJ, et al.
Lancet 1994;343:881-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7908357

Pharmacodynamics of chimeric glycoprotein IIb/IIIa integrin antiplatelet antibody Fab 7E3 in high-risk coronary angioplasty
Tcheng JE, et al.
Circulation 1994;90:1757-64.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7923659 

Effects of profound platelet inhibition with c7E3 before coronary angioplasty on complications of coronary bypass surgery. EPIC Investigators. Evaluation Prevention of Ischemic Complications
Boehrer JD, et al.
Am J Cardiol 1994;74:1166-70.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7977081

Cyclic flow variations after coronary angioplasty in humans: clinical and angiographic characteristics and elimination with 7E3 monoclonal antiplatelet antibody
Anderson HV, et al.
J Am Coll Cardiol 1994;23:1031-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8144764

Profound inhibition of platelet aggregation with monoclonal antibody 7E3 Fab after thrombolytic therapy. Results of the Thrombolysis and Angioplasty in Myocardial Infarction (TAMI) 8 Pilot Study
Kleiman NS, et al.
J Am Coll Cardiol 1993;22:381-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8335808

Safety and antiplatelet effect of murine monoclonal antibody 7E3 Fab directed against platelet glycoprotein IIb/IIIa in patients undergoing elective coronary angioplasty
Ellis SG, et al.
Coron Artery Dis 1993;4:167-75.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8269208

Lack of usefulness of prolonged bleeding times in predicting hemorrhagic events in patients receiving the 7E3 glycoprotein IIb/IIIa platelet antibody. The TAMI Study Group
Bernardi MM, et al.
Am J Cardiol 1993;72:1121-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8237799