OASIS in ACS: with Updates on 2011 ESC Guidelines on Anticoagulation Donato Maranon, MD, FPCP, FPCC, FACC Dramatic Improvement of Outcome over the Last 30 years Antiplatelet agents Anticoagulants Revascularization / Reperfusion / Thrombolysis Long term treatment / secondary prevention Implementation of guidelines Therapeutic Options in Acute Coronary Syndromes Anti-ischemic treatment Antiplatelet agents Anticoagulants Revascularization/Reperfusion/Thrombolysis Long term treatment/secondary prevention Targets for antithrombotics Tissue factor Collagen Aspirin Plasma clotting cascade Direct Xa inhib ADP Thromboxane A2 Prothrombin Fondaparinux LMWH Heparin AT AT Factor Xa Conformational activation of GPIIb/IIIa GPIIb/IIIa inhibitors Thrombin Platelet aggregation Bivalirudin Hirudin Dabigatran Clopidogrel Prasugrel AZD 6140 Fibrinogen Fibrin Thrombus Net Clinical Benefit of Anticoagulants ROADMAP TO UA/NSTEMI Early Conservative Strategy • • • • • • Bedrest, O2 if indicated Nitrates, Morphine, BB, ACEi Aspirin, Clopidogrel LMWH or UFH or Fondaparinux Monitor with serial ECG and cardiac biomarkers Eptifibatide or Tirofiban, if with continuing ischemia, elevated TnT or TnI, and other high risk factors ROADMAP TO UA/NSTEMI Early Invasive Strategy • • • • Bedrest, O2 if needed Nitrates, Morphine, BB, ACEi Aspirin, LMWH or UFH GP IIb/IIIa, tirofiban, eptifibatide, or abciximab is added to aspirin, clopidogrel and heparin if PCI needed Guidelines Recommendations for Anticoagulation • Anticoagulation is recommended for all patients in addition to antiplatelet therapy (I-A) • Anticoagulation should be selected according to the risk of both ischaemic and bleeding events (I-B) • Several anticoagulants are available, namely UFH, LMWH, Fondaparinux, bivalirudin. The choice depends on the initial strategy (urgent invasive, early invasive, or conservative strategies (I-B) • In an urgent invasive strategy UFH (I-C), or enoxaparin (IIa-B) or bivalirudin (I-B) should be immediately started 2007 ESC Guidelines Guidelines Recommendations for Anticoagulation • In a non-urgent situation, as long as decision between early invasive or conservative strategy is pending: – Fondaparinux is recommended on the basis of the most favourable efficacy/safety profile (I-A) – Enoxaparin with a less favourable efficacy/safety profile than fondaparinux should be used only if the bleeding risk is low (IIa-B) – As efficacy/safety profile of LMWH (other than enoxaparin) or UFh relative to fondaparinux is unknown; these anticoagulants cannot be recommended over fondaparinux (IIa-B) 2007 ESC Guidelines OASIS 5: An International, Multicenter, Randomized, Double-Blind, Double-Dummy Trial in 41 Countries 20,078 patients with UA/NSTEMI Aspirin, Clopidogrel, anti-GPIIb/IIIa, planned Cath/PCI as per local practice Randomization Fondaparinux Enoxaparin 2.5 mg s.c. od up to 8 days 1 mg/kg s.c. bid for 2-8 days 1 mg/kg s.c. od if ClCr<30mL/min Vital status ascertained in 20,066 (99.9%) Lost to follow-up at day 9: fondaparinux: n=7 and enoxaparin: n=5 1. Michelangelo OASIS 5 Steering Committee. Am Heart J 2005;150:1107.e1-.e10 2. OASIS 5 Investigators. N Engl J Med 1464-76 Study Objectives and Outcomes Objectives Primary efficacy objective: To demonstrate non-inferiority of fondaparinux compared with enoxaparin Primary safety objective: To determine whether fondaparinux was superior to enoxaparin in preventing major bleeding Outcomes (centrally adjudicated) Primary efficacy:1st occurrence of the composite of death, MI, or refractory ischemia(RI) up to day 9 Primary safety: Major bleeding up to day 9 Risk benefit: Death, MI, refractory ischemia, major bleeds up to day 9 Secondary: Above & each component separately at days 30 and 180 1. Michelangelo OASIS 5 Steering Committee. Am Heart J 2005;150:1107.e1-.e10 2. OASIS 5 Investigators. N Engl J Med 2006;354:1464-76 Key Messages from OASIS 5 1. Major bleeding risk reduction 2. Significant risk reduction for death and death/ MI/ stroke 30 days and 6 months 3. Consistent effect in every subset of patients 1. 2. 3. 4. PCI Elderly Renal failure Irrespective of initial risk category 4. Excess of catheter thrombus formation during PCI 0.01 0.02 0.03 0.04 0.05 0.06 HR 1.01 95% CI 0.90-1.13 Enoxaparin Fondaparinux 0.0 Cumulative Hazard Death/MI/RI: Day 9 0 1 2 3 4 5 Days 6 7 8 9 Enoxaparin 0.02 0.03 HR 0.53 95% CI 0.45-0.62 P<<0.00001 0.01 Fondaparinux 0.0 Cumulative Hazard 0.04 Major Bleeding: 9 Days 0 1 2 3 4 5 Days 6 7 8 9 Mortality: Day 30 0.02 Fondaparinux 0.01 HR 0.83 95% CI 0.71-0.97 P=0.022 0.0 Cumulative Hazard 0.03 Enoxaparin 0 3 6 9 12 15 Days 18 21 24 27 30 Mortality at 6 Months 0.04 Fondaparinux 0.02 HR 0.89 95% CI 0.79-0.99 P=0.037 0.0 Cumulative Hazard 0.06 Enoxaparin 0 20 40 60 80 100 Days 120 140 160 180 Increased Mortality at Days 30/180 in Patients with Major Bleeds by Day 9 in OASIS 5 0,2 Cumulative Hazard Maj Bleed 9 days 0,15 0,1 No Maj Bleed 9 days 0,05 0 Adjusted HR (95% CI) at day 30: 5.06 (4.59-5.62); at day 180: 3.16 (2.92-3.44) 0 30 60 90 Days Budaj et al. JACC 2006;abstract 972-224 120 150 180 Bleeding Rates: Day 9 Outcome Enox (%) Fonda (%) HR (95% CI) P value No. Randomized 10021 10057 Total Bleed 7.3 3.3 0.44 (0.39-0.50) <<0.0001 Major Bleed 4.1 2.2 0.52 (0.44-0.61) <<0.0001 TIMI Major Bleed 1.3 0.7 0.55 (0.41-0.74) <<0.0001 Minor Bleed 3.2 1.1 0.35 (0.28-0.43) <<0.0001 Categories of Major Bleeds at 9 Days Enox (No. Pts) Fonda (No. Pts) 10021 10057 412 (4.1%) 217 (2.2%) Intracranial 7 7 Surgery req’d to stop bleed 77 41 0.0001 Retroperitoneal 37 9 0.0001 Hb 3 g/dL 312 150 0.0001 Transfusion 2 units 287 164 0.0001 No. Rand. Total Bleeding P <<0.0001 Does the Lower Bleeding Rate at 9 Days Translate into Lower Long Term Mortality? No. Deaths at 30 Days Patients with Enox Fonda Difference No Bleeds 278 260 -18 Minor Bleeds 19 10 -9 Major bleeds 55 25 -30 Total: 352 295 -57 -39 (68.4%) No. Deaths at 180 Days No. Bleeds 528 518 -10 Minor Bleeds 31 13 -18 Major Bleeds 76 35 -41 Total: 635 566 -69 -59 (85.5%) Relative Impact of MI, Refractory Ischemia or Bleeding on Mortality OASIS-5 Nonfatal MI Crude Odds Ratio for Death (95% CI) 30 Days 30 to 180 180 Days Days 9.6 (7.7-12.0) 2.2 (1.5-3.3) 5.6 (4.6-6.7) Refractory Ischemia Major Bleeds 4.0 (2.9-5.6) 1.4 (0.8-2.3) 2.6 (2.0-3.5) 6.5 (5.1-8.2) 2.1 (1.4-3.0) 4.1 (3.3-5.0) Minor Bleeds 3.0 (2.1-4.3) 1.5 (0.9-2.4) 2.2 (1.6-2.9) Impact of Major Bleeding, Re-MI and Transfusion on risk of Death: ACUITY trial Myocardial infarction Hazard Ratio (95% CI) Deaths P value 3.1 (2.4 to 3.9) 77 <0.001 Major bleeding 3.5 (2.7 to 4.4) 93 <0.001 Blood transfusion 4.5 (3.4 to 5.9) 70 <0.001 0.5 1 2 4 8 Hazard ratio (95%CI) Mehran, R. et al. Eur Heart J 2009 30:1457-1466 OASIS-5 Less Bleeding = Less Deaths Deaths Reduced by 17% Enoxaparin 0.03 0.02 HR: 0.83 95% CI: 0.71-0.97 p=0.02 0.0 0.01 Fondaparinux Fondaparinux 0.01 0.02 0.03 HR: 0.52 95% CI: 0.44-0.61 p<0.001 Cumulative Hazard Enoxaparin 0.0 Cumulative Hazard 0.04 Bleeding Reduced by 50% 0 1 2 3 4 5 Days 6 7 8 9 0 3 6 9 12 15 18 21 24 27 30 Days Yusuf S, Mehta S, et al. OASIS-5 Investigators NEJM 2006 A Shift in the Paradigm Fondaparinux makes it possible to reduce both ischemic risk (death, death/MI, death/MI/stroke) and bleeding risk First ever observed with an anticoagulant in ACS Comparison of Anticoagulant Activities of Enoxaparin and Fondaparinux in OASIS 5 Anderson J. J Thromb Haemostasis 2010; 8: 243-9 OASIS 5 0.01 0.02 0.03 0.04 0.05 0.06 Cumulative Hazard Death/MI/RI: Day 9 Enoxaparin vs Fondaparinux Enoxaparin (n=42) Fondaparinux (n=48) Mean SD Mean SD 0.2 6hr anti-Xa (IU/ml) 1.2 0.45 0.5 6hr Xa-clot (seconds) 111.8 29.6 64.9 6hr ETP AUC (mA) 206.4 90.6 386.7 <0.0001 HR 17.7 1.01 <0.001 95% CI 0.90-1.13 51.5 Enoxaparin <0.001 Fondaparinux 0.0 0 P-value 2 3 thrombin 4 potential 5 6 under 7the curve8 ETP1AUC, endogenous area Days 9 A New Concept is Born 1. 2. 3. 4. Bleeding carries a high risk of death, MI and stroke Rate of major bleeding is as high as the rate of death at the acute phase of NSTE-ACS Prevention of bleeding is equally as important as prevention of ischemic events and results in a significant risk reduction for death, MI and stroke Risk stratification for bleeding should be part of the decision making process OASIS 5 Conclusions Patients Undergoing PCI 1. A lower incidence of vascular access site complications was observed with fondaparinux 2. Fewer bleeding complications with fondaparinux irrespective of the timing of last study drug administration 3. Fewer bleeding complications with fondaparinux irrespective of the use of UFH prior to PCI 4. A higher rate of guiding catheter thrombosis was observed with fondaparinux when PCI was performed without UFH, but this was largely avoided if UFH was used just before/during the procedure OASIS 5 Investigators. N Engl J Med 2006;354:1464-76 Fondaparinux in PCI Clinical Events after PCI: Day 30 Event Rate (%) P=0.004 14 12 10 8 6 4 2 0 11,7 P=0.60 5,4 5,7 P=0.68 2,1 5,4 2,8 2 Death P<0.0001 9,5 MI Enox (n=3089) Major Bleeds Fonda (n=3118) Death, MI,Stroke or Major Bleed Vascular Access Site Complications, Large Hematomas and Pseudo-aneurysms 9 8 7 6 5 4 3 2 1 0 HR 0.41 P<<0.0001 Enox Fonda 8,1 HR 0.36 P<<0.0001 3,3 HR 0.63 P=0.033 1,6 1 4,4 1,6 Vasc Access Site Pseudo-aneurysm Large Hematoma Complication Catheter-Related Thrombus with Enoxaparin and Fondaparinux Enoxaparin 8 cases total: 6 when PCI performed within 6 h of last enox dose where no UFH was given Rate is 6/1431=0.42% In Enoxaparin patients receiving study UFH, there was 1 case. 1 case time of PCI not ascertained Fondaparinux 29 cases (UFH was not routinely given to fonda group) Rate is 29/3135=0.9% When open label UFH was used prior to PCI (5000 U mean), only 1 case of catheter thrombus was reported Mean dose of UFH for PCI used in OASIS 5: 47 IU/kg Adding UFH to Fondaparinux for PCI is Safe and Preserves the Lower Bleeding with Fondaparinux No UFH post-Randomization UFH or equivalent placebo mandated by protocol during PCI Open Label UFH Overall Enox Fonda HR CI 1.2 0.5 0.45 0.18–1.11 (n=1,277) (n=1,313) 1.1 0.4 0.34 0.12–0.95 (n=1,229) (n=1,279) 2.7 1.3 0.48 0.20–1.17 (n=598) (n=543) 1.5 0.6 0.42 0.24–0.71 (n=3,104) (n=3,135) Mean dose of UFH for PCI used in OASIS 5: 47 IU/kg Yusuf S. et al. N Engl J Med. 2006;354:2829 OASIS 5 PCI: Net Clinical Benefit Favours Fondaparinux in Invasively Managed Patients Death/MI/Stroke/Major Bleeding 12 RR 0.78 P=0.004 RR 0.76 P=0.035 10 8 Death, MI, Stoke, Major 6 Bleeding (%) 4 Enoxaparin Fondaparinux 2 0 ALL PCI Mehta et al. JACC 2006;abstract 821-5 Mehta et. al. JACC 2007, in press EARLY PCI < 24h Conclusions for PCI 1. Patients who underwent an early invasive strategy in OASIS 5 trial had superior net benefit with fondaparinux compared to enoxaparin 2. Fondaparinux is safe and effective as upstream therapy in patients undergoing PCI and reduces bleeding by half compared to enoxaparin 3. Catheter thrombus occurs very rarely in comparison with death or re-MI and appears to be avoided with standard UFH for the PCI itself without increasing major bleeding 4. Adjunctive UFH (50 IU/kg) with or without GP IIb/IIIa antagonist is recommended as PCI anticoagulation Simple Transition of Patients Initiated on Fondaparinux to the Catheterization Lab Treat with ASA, clopidogrel and fondaparinux, +/- IV glycoprotein IIb/IIIa inhibitor in the ER Proceed to Cath Lab as usual* If PCI needed, give UFH (dose 50 units/kg) +/glycoprotein IIb/IIIa inhibitor Post procedure, follow usual practice for sheath removal. Immediate removal if closure device or radial and 6 hours after last fondaparinux subcut dose if no closure device used *May perform cath>6 hours after last subcut dose if this was center’s usual practice with using LMWH Low vs. Standard Dose Unfractionated Heparin for Percutaneous Coronary Intervention in Acute Coronary Syndromes Patients treated with Fondaparinux: the FUTURA/OASIS 8 Randomised Trial Sanjit S. Jolly on behalf of FUTURA/OASIS 8 Trial Group FUTURA Trial Study Objectives • Primary Objective: To determine whether Low fixed dose vs. Standard ACT guided unfractionated heparin during PCI reduces the composite of peri-PCI* major, minor bleeding and vascular access site complications in ACS patients treated with fondaparinux • Secondary Objective: To determine if major bleeding rates in FUTURA (with unfractionated heparin added to fondaparinux) are higher than OASIS 5 PCI (with Fondaparinux used alone) • *Peri-PCI defined within 48 hours following PCI Study Design Adjunctive therapy during PCI Std Dose UFH Coronary Angiography/PCI to be performed within 72 hours Double Blind (85 U/kg or 60 U/kg with GP IIb/IIIa) 30 Day Follow-Up ACT guided* NSTEACS Fonda 2.5 mg sc Angio with PCI R Low Dose UFH (50 U/kg irrespective of GP IIb/IIIa) – without ACT With at least 2 of following: • Age>60 • elevated biomarkers • ECG changes Patients were not eligible if required urgent coronary angiography (<120 min) due to clinical instability Angio No PCI Registry 30 Day Follow-Up 30 Day Follow-Up *ACT Targets consistent with current guidelines Study Outcome Definitions Major Bleeding (OASIS 5) •Fatal •Symptomatic ICH •Retroperitoneal hemorrhage •Intraocular bleeding leading to significant vision loss •Requiring surgical intervention •Hb drop of ≥3 g/dL • Blood transfusion of > two units RBCs Minor Bleeding Any other significant bleeding leading to transfusion of one unit of blood or discontinuation of antithrombotic therapy. Major Vascular Access Site Complications •Large hematoma (≥5 cm or requiring intervention) •Pseudoaneurysm requiring treatment •Arterio-venous fistula •Other vascular surgery related to the access site Baseline and Procedural Characteristics Age (years) Male (%) Diabetes (%) ECG changes (%) Elevated Troponin I or T (%) Aspirin (%) Clopidogrel (%) Procedural GP IIb/IIIa (%) Femoral Access (%) Any Stents placed (%) Standard Dose UFH N=1002 Low Dose UFH N=1024 65.5 68.5 27.9 74.6 78.8 96.1 96.3 26.4 62.4 94.0 65.3 67.3 26.1 75.3 81.3 95.4 94.6 25.8 64.2 93.7 Primary Outcome at 48 h Peri-PCI major, minor bleeds and vascular access complications Standard Dose UFH (n=1002) Low Dose UFH (n=1024) OR 95% CI P 5.8% 4.7% 0.80 0.54-1.19 0.27 Primary Outcome at 48 h Peri-PCI major, minor bleeds and vascular access complications Standard Dose UFH (n=1002) Low Dose UFH (n=1024) OR 95% CI P 5.8% 4.7% 0.80 0.54-1.19 0.27 Components of primary outcome (Peri-PCI) Major bleeds 1.2% 1.4% 1.14 0.53-2.49 0.73 Minor bleeds Major vascular access site complications 1.7% 0.7% 0.40 0.16-0.97 0.04 4.3% 3.2% 0.74 0.47-1.18 0.21 Secondary Outcomes at 30 days Standard Low Dose UFH Dose UFH (n=1002) (n=1024) OR 95% CI P Key Secondary outcome: Peri-PCI major bleeding, death, MI, TVR 3.9% 5.8% 1.51 1.00-2.28 0.05 Death, MI, TVR 2.9% 4.5% 1.58 0.98-2.53 0.06 Death 0.6% 0.8% 1.31 0.45-3.78 MI 2.5% 3.0% 1.22 0.72-2.08 TVR 0.3% 0.9% 2.95 0.80-10.9 Stent thrombosis 0.5% 1.2% 2.36 0.83-6.73 0.11 Catheter thrombosis 0.1% 0.5%* 4.91 0.57-42.1 0.15 * One event occurred during coronary angiography after randomization Outcomes to 30 days Major Bleed at 30 days 0.05 Death/MI/TVR at 30 days 0.05 0.04 0.04 Low dose 2.2% vs. Standard dose 1.8%, HR 1.20 (95% CI 0.64-2.23, p=0.57) 0.03 0.03 Low dose 4.5% vs. Standard dose 2.9% HR 1.56 (95% CI 0.98-2.48, p=0.06) 0.02 0.02 0.01 0.01 Standard Dose Low Dose Standard Dose Low Dose 0.0 0.0 0 3 6 9 12 15 18 21 24 27 0 30 3 6 9 12 No. at Risk No. at Risk Days 15 18 21 24 27 30 Days Standard Dose 1002 986 981 980 980 978 Standard Dose 1002 980 975 975 974 971 Low Dose 1002 1001 998 997 994 Low Dose 997 988 982 981 978 1024 1024 Subgroup analysis showed consistent results for primary outcome and for death/MI/TVR for pre-specified subgroups of: Age, Sex, GP IIb/IIIa, BMI, CrCl, Arterial access site Comparison to OASIS 5 Major Bleeding Adjusted Major bleeding* rate (95% CI) FUTURA standard dose UFH 1.1% (0.6-2.1) FUTURA low dose UFH 1.2 % (0.6-2.2) OASIS 5 PCI Fondaparinux Major bleeding* OASIS 5 PCI Enoxaparin Major bleeding* 1.5% 3.6% • Adding unfractionated heparin during PCI to fondaparinux does not appear to increase peri-PCI major bleeding *Major bleeding rates within 48 hours following PCI Conclusions • No significant difference in major/minor bleeding or vascular complications between Low fixed dose and Standard dose unfractionated heparin • While low dose heparin reduced minor bleeding there was a trend towards reduced efficacy • The use of unfractionated heparin for PCI on a background of fondaparinux did not increase major bleeding when compared to fondaparinux alone and lower than that previously observed with enoxaparin Implications • ACS patients treated with fondaparinux can undergo PCI safely with unfractionated heparin • No evidence to depart from guideline recommended standard dose regimen of unfractionated heparin during PCI • Adding unfractionated heparin during PCI to fondaparinux preserves the benefits and safety of fondaparinux (ie. reduced bleeding) while minimizing catheter thrombus Highlights of the Latest European Society of Cardiology Guidelines on Anticoagulants ESC Guidelines 2011 European Heart Journal ESC Guidelines European Heart Journal doi:10.1093/eurheart/ehr236 ESC 2011 Guidelines in ACS in patients without presenting persistent ST-segment elevation Fondaparinux (2.5mg subcutaneously daily) is recommended as having the most favourable efficacy – safety profile with respect to anticoagulation GRADE 1 A ESC Guidelines European Heart Journal doi:10.1093/eurheart/ehr236 ESC 2011 Guidelines in ACS in patients without presenting persistent ST-segment elevation Fondaparinux Contraindicated in severe renal failure (CrCl<20mL/min). Drug of choice in patients with moderately reduced renal function (CrCl 30 – 60 mL/min) ESC Guidelines European Heart Journal doi:10.1093/eurheart/ehr236 Recommendation for Invasive evaluations and revascularization ESC Guidelines European Heart Journal doi:10.1093/eurheart/ehr236 How Should Fondaparinux Be Used in Patients with UA/NSTEMI? Administer fondaparinux (2.5 mg sc od) for up to 8 days or until hospital discharge if earlier If a patient needs to undergo an invasive procedure during the treatment period, the following is recommended: – PCI: UFH should be used during the procedure – CABG surgery: fondaparinux where possible should not be given during the 24 h before surgery and may be restarted 48 h postoperatively THANK YOU