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Ticagrelor+ Aspirin

Phase 3

Intracranial Arteriosclerosis | Small molecule | Neurology |Johnson & Johnson|Last Updated: Jun 11, 2026

Target and mechanism

Molecular targetP2RY12
Target classNegative Allosteric Modulator
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,683

FDA Designations

No designations recorded

Clinical trial landscape

Ticagrelor+ Aspirin · 1 trial · 2 indications

Phase 3 1
NCT05047172Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular AtherostenosisIntracranial Arteriosclerosis
ACTIVE NOT_RECRUITING1,683 Analytics
PHASE3ACTIVE NOT_RECRUITING
Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis
Intracranial ArteriosclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with parenchymal ICH or non-ICH major hemorrhage
Up to 12 months

Non-ICH major hemorrhage is derived from the International Society on Thrombosis and Haemostasis (ISTH) criteria consisting of any of the following: * Fatal bleeding * Symptomatic bleeding in a critical area or organ, such as subarachnoid, intraventricular, subdural, epidural, spinal, intraocular, retroperitoneal, intra-articular or pericardial, or intramuscular with compartment syndrome * Symptomatic bleeding causing a fall in hemoglobin level of 1.24 mmol/L (20g/L or greater) or more, or leading to transfusion of two units or more of whole blood or red cells

Number of participants with ischemic stroke, intracerebral hemorrhage or vascular death
Up to 12 months

The definition of ischemic stroke is the American Heart Association definition that includes acute focal signs or symptoms of cerebral, spinal cord, or retinal involvement of any duration associated with imaging, pathological, or other objective evidence of arterial infarction OR clinical evidence of cerebral, spinal cord, or retinal focal arterial ischemic injury based on symptoms persisting greater than or equal to 24 hours.

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Experimental Arm: Ticagrelor and AspirinEXPERIMENTALTicagrelor (180mg loading dose, then 90mg twice daily) and aspirin (81mg daily)
Standard of Care Arm: Clopidogrel and AspirinACTIVE_COMPARATORClopidogrel (600mg loading dose, then 75mg once daily) and aspirin (81mg daily)
Experimental Arm: Rivaroxaban and AspirinEXPERIMENTALRivaroxaban (2.5mg twice daily) and aspirin (81mg daily)

Interventions

NameTypeDescription
Ticagrelor + AspirinDRUGticagrelor (180 mg loading dose, then 90mg twice daily) and aspirin (81mg daily)
Rivaroxaban + AspirinDRUGlow dose rivaroxaban (2.5mg twice daily) and aspirin (81mg daily)
Clopidogrel + AspirinDRUGclopidogrel (600mg loading dose, then 75mg daily) and aspirin (81mg daily)
Risk Factor ManagementOTHERRisk factors for stroke (LDL, blood pressure, non-HDL cholesterol, diabetes, smoking, weight, and physical activity) will be monitored and managed.
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Eligibility Criteria

Age Range30 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion Criteria: * Acute focal symptoms or signs of any duration associated with imaging, pathological, or other objective evidence of arterial infarction OR clinical evidence of cerebral, spinal cord, or retinal focal arterial ischemic injury based on symptoms persisting greater than or equal t...

Countries:United States
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Frequently asked questions about Ticagrelor+ Aspirin

What is Ticagrelor + Aspirin used for in Intracranial Arteriosclerosis?

Ticagrelor + Aspirin is an investigational combination of two small-molecule drugs being studied for the treatment of Intracranial Arteriosclerosis, a condition involving narrowing of arteries in the brain that can lead to stroke. It is currently in Phase 3 clinical development and has not been approved by the FDA.

How does Ticagrelor + Aspirin work?

Ticagrelor + Aspirin combines two antiplatelet agents that work by different mechanisms to reduce blood clot formation. Ticagrelor inhibits the P2Y12 receptor on platelets, while aspirin irreversibly inhibits the COX-1 enzyme, together decreasing platelet aggregation and the risk of thrombotic events in patients with Intracranial Arteriosclerosis.

Who makes Ticagrelor + Aspirin?

Ticagrelor + Aspirin is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The combination is currently in Phase 3 clinical trials for Intracranial Arteriosclerosis.

What phase is Ticagrelor + Aspirin in?

Ticagrelor + Aspirin is in Phase 3 clinical development. It is an investigational combination therapy that has not yet received FDA approval. The ongoing Phase 3 trial is active but not recruiting participants, with a planned enrollment of 1,683 patients.

What clinical trials is Ticagrelor + Aspirin in?

Ticagrelor + Aspirin is being evaluated in a Phase 3 trial with the identifier NCT05047172, titled 'Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis.' This randomized, double-blind, active-controlled study enrolls adults aged 30 and older in the United States and is currently active but not recruiting.

Is Ticagrelor + Aspirin the same as Ticagrelor + Aspirin?

Yes, Ticagrelor + Aspirin is also known as Ticagrelor + Aspirin. This combination therapy is being studied under the same name in clinical trials for Intracranial Arteriosclerosis, and no alternative brand names have been reported.