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Editorial
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Volume 359:1287-1289 September 18, 2008 Number 12
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Stroke Prevention — Insights from Incoherence
David M. Kent, M.D., and David E. Thaler, M.D., Ph.D.

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If clinical trials were sporting contests, then it would be fair to say that low-dose aspirin plus extended-release dipyridamole (Aggrenox) was the clear favorite against clopidogrel going into the Prevention Regimen for Effectively Avoiding Second Strokes (PRoFESS) trial (ClinicalTrials.gov number, NCT00153062 [ClinicalTrials.gov] ). The trial, reported on in this issue of the Journal by Sacco et al.,1 tested these two antiplatelet agents for secondary stroke prevention in their first head-to-head contest.

In two previous large randomized clinical trials enrolling patients after stroke (the European Stroke Prevention Study 2 [ESPS2]2 and the European/Australasian Stroke Prevention in Reversible Ischemia Trial3 [ESPRIT, NCT00161070 [ClinicalTrials.gov] ]), . . . [Full Text of this Article]


Source Information

From the Institute for Clinical Research and Health Policy Studies (D.M.K.) and the Departments of Medicine (D.M.K.) and Neurology (D.E.T.), Tufts Medical Center, Tufts University School of Medicine, Boston.

This article (10.1056/NEJMe0806806) was published at www.nejm.org on August 27, 2008.


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