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      <comment>Population Health Research Institute, McMaster University, Hamilton, ON, Canada            
            Hospital Universitari Vall d´Hebron, Barcelona, Spain            
            National Cerebral and Cardiovascular Center, Osaka, Japan            
            Semmelweis University, Budapest, Hungary            
            Hospital of the University of Pennsylvania, Philadelphia, PA, United States            
            Oregon Health and Science University, Portland, OR, United States            
            National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece            
            University of Thessaly, Larissa, Greece            
            Institute of Psychiatry and Neurology, Warsaw, Poland            
            University of Alberta Hospital, Edmonton, AB, Canada            
            University of Paris, Bichat Hospital, Paris, France            
            Dept Neurology and Center for Stroke Research Berlin, Charité- Universitätsmedizin Berlin, Berlin, Germany            
            University Duisburg-Essen, Essen, Germany            
            Vanderbilt University Medical Center, Nashville, TN, United States            
            Bristol Myers Squibb, Princeton, NJ, United States            
            The University of Western AustraliaPerth, Australia            
            Perron Institute for Neurological and Translational SciencePerth, Australia            
            Cited By :1            
            Export Date: 6 January 2023            
            CODEN: JSCDF            
            Correspondence Address: Sharma, M.; Population Health Research Institute, DBCVSRI C4-120, 237 Barton Street East, Canada; email: mike.sharma@phri.ca            
            Chemicals/CAS: acetylsalicylic acid, 493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1; blood clotting factor 11, 9013-55-2; blood clotting factor 9, 9001-28-9; clopidogrel, 113665-84-2, 120202-66-6, 90055-48-4, 94188-84-8, 120202-65-5, 120202-67-7, 894353-16-3, 744256-69-7; milvexian, 1802425-99-5; blood clotting factor 11a; Aspirin; Clopidogrel; Factor XIa; Fibrinolytic Agents; Platelet Aggregation Inhibitors</comment>
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      <title>Rationale and design of the AXIOMATIC-SSP phase II trial: Antithrombotic treatment with factor XIa inhibition to Optimize Management of Acute Thromboembolic events for Secondary Stroke Prevention</title>
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      <abstractText>Background: Individuals with ischemic stroke or transient ischemic attack (TIA) have a high early risk of ischemic stroke despite dual antiplatelet therapy. The risk of ischemic stroke, and associated disability, represents a significant unmet clinical need. Genetic variants resulting in reduced factor XI levels are associated with reduced risk for ischemic stroke but are not associated with increased intracranial bleeding. Milvexian is an oral small-molecule inhibitor of FXIa that binds activated factor XI with high affinity and selectivity and may reduce the risk of stroke when added to antiplatelet drugs without significant bleeding. We aimed to evaluate the dose-response relationship of milvexian in participants treated with dual antiplatelets. Methods: We began a phase II, double-blinded, randomized, placebo-controlled trial at 367 sites in 2019. Participants (N = 2366) with ischemic stroke (National Institutes of Health Stroke Scale score ≤7) or high-risk TIA (ABCD2 score ≥6) were randomized to 1 of 5 doses of milvexian or placebo for 90 days. Participants also received clopidogrel 75 mg daily for the first 21 days and aspirin 100 mg for 90 days. The efficacy endpoint was the composite of ischemic stroke or incident infarct on magnetic resonance imaging. Major bleeding, defined as type 3 or 5 bleeding according to the Bleeding Academic Research Consortium, was the safety endpoint. Participant follow-up will end in 2022. Conclusion: The AXIOMATIC-SSP trial will evaluate the dose-response of milvexian for ischemic stroke occurrence in participants with ischemic stroke or TIA. © 2022</abstractText>
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      <link>/api/publication/33091346</link>
      <label>Sharma M. et al. Rationale and design of the AXIOMATIC-SSP phase II trial: Antithrombotic treatment with factor XIa inhibition to Optimize Management of Acute Thromboembolic events for Secondary Stroke Prevention. (2022) JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES 1052-3057 1532-8511 31 10</label><template>&lt;div class=&quot;JournalArticle Publication short-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;span class=&quot;author-name&quot; &gt; Sharma, M. ✉ &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Molina, C.A. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Toyoda, K. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10000800&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10000800&quot; target=&quot;_blank&quot;&gt;Bereczki, D.&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Kasner, S.E. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Lutsep, H.L. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Tsivgoulis, G. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Ntaios, G. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Czlonkowska, A. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Shuaib, A. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; et al. &lt;/div &gt;&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;33091346&quot; mtid=&quot;33091346&quot; target=&quot;_blank&quot;&gt;Rationale and design of the AXIOMATIC-SSP phase II trial: Antithrombotic treatment with factor XIa inhibition to Optimize Management of Acute Thromboembolic events for Secondary Stroke Prevention&lt;/a&gt;&lt;/div&gt; &lt;div class=&quot;pub-info&quot;&gt; &lt;span class=&quot;journal-title&quot;&gt;JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES&lt;/span&gt; &lt;span class=&quot;journal-volume&quot;&gt;31&lt;/span&gt; : &lt;span class=&quot;journal-issue&quot;&gt;10&lt;/span&gt; &lt;span class=&quot;page&quot;&gt; Paper: 106742 , 12 p. &lt;/span&gt; &lt;span class=&quot;year&quot;&gt;(2022)&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;pub-end&quot;&gt;&lt;div class=&quot;identifier-list&quot;&gt; &lt;span class=&quot;identifiers&quot;&gt; &lt;span class=&quot;id identifier oa_GREEN&quot; title=&quot; Green &quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;10.1016/j.jstrokecerebrovasdis.2022.106742&quot; target=&quot;_blank&quot; href=&quot;https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106742&quot;&gt; DOI &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;000864176400018&quot; target=&quot;_blank&quot; href=&quot;https://www.webofscience.com/wos/woscc/full-record/000864176400018&quot;&gt; WoS &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;85136586231&quot; target=&quot;_blank&quot; href=&quot;http://www.scopus.com/record/display.url?origin=inward&amp;eid=2-s2.0-85136586231&quot;&gt; Scopus &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;36037679&quot; target=&quot;_blank&quot; href=&quot;http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=36037679&amp;dopt=Abstract&quot;&gt; PubMed &lt;/a&gt; &lt;/span&gt; &lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;short-pub-prop-list&quot;&gt; &lt;span class=&quot;short-pub-mtid&quot;&gt; Publication:33091346 &lt;/span&gt; &lt;span class=&quot;status-holder&quot;&gt;&lt;span class=&quot;status-data status-VALIDATED&quot;&gt; Validated &lt;/span&gt;&lt;/span&gt; &lt;span class=&quot;pub-core&quot;&gt;Core Citing &lt;/span&gt; &lt;span class=&quot;pub-type&quot;&gt;Journal Article (Article ) &lt;/span&gt; &lt;!-- &amp;&amp; !record.category.scientific --&gt; &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt; &lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt; &lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 39&lt;/span&gt; | Independent citation: 34 | Self citation: 5 | Unknown citation: 0 | Number of citations in WoS: 36 | Number of citations in Scopus:&amp;nbsp;37 | WoS/Scopus assigned:&amp;nbsp;39 | Number of citations with DOI:&amp;nbsp;39 &lt;/div&gt; &lt;/div&gt; &lt;/div&gt; &lt;/div&gt;</template><template2>&lt;div class=&quot;JournalArticle Publication long-list&quot;&gt;
&lt;div class=&quot;authors&quot;&gt;
	&lt;img title=&quot;Forrásközlemény&quot; style=&quot;float: left&quot; src=&quot;/frontend/resources/grid/publication-core-icon.png&quot;&gt;
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		&lt;div class=&quot;autype autype0&quot;&gt;				&lt;span class=&quot;author-name&quot; &gt;Sharma M. ✉
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Molina C.A.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Toyoda K.
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10000800&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10000800&quot; target=&quot;_blank&quot;&gt;Bereczki D.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Bereczki Dániel&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Stroke&lt;/span&gt;)
			&lt;/a&gt;
    &lt;/span&gt;
&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Department of Neurology&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Kasner S.E.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Lutsep H.L.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Tsivgoulis G.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Ntaios G.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Czlonkowska A.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Shuaib A.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Amarenco P.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Endres M.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Diener H.C.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Gailani D.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Kahl A.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Donovan M.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Perera V.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Li D.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Hankey G.J.
    &lt;/span&gt;

				    &lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;33091346&quot; target=&quot;_blank&quot;&gt;Rationale and design of the AXIOMATIC-SSP phase II trial: Antithrombotic treatment with factor XIa inhibition to Optimize Management of Acute Thromboembolic events for Secondary Stroke Prevention&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES&lt;/span&gt;

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		&lt;span class=&quot;journal-volume&quot;&gt;31&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;10&lt;/span&gt;
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		Paper 106742.
	 12 p. 
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		&lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 39&lt;/span&gt;
		| Independent citation: 34
		| Self citation: 5
		| Unknown citation: 0
		| Number of citations in WoS: 36 
		|  Number of citations in Scopus:&amp;nbsp;37 
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&lt;div class=&quot;lastModified&quot;&gt;Last Modified: 2022.11.04. 10:20 Ágnes Szalóky-Siki (SE_KK_Admin5_SZSA, admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Comments&lt;/u&gt;: Population Health Research Institute, McMaster University, Hamilton, ON, Canada            
            Hospital Universitari Vall d´Hebron, Barcelona, Spain            
            National Cerebral and Cardiovascular Center, Osaka, Japan            
            Semmelweis University, Budapest, Hungary            
            Hospital of the University of Pennsylvania, Philadelphia, PA, United...&lt;/pre&gt;
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