Type 2 & other diabetes

Diabetes Mellitus and Early Antiplatelet Treatment for Minor Stroke Following Intravenous Thrombolysis: Prespecified Secondary Analysis of the EAST Trial

Diabetes Obes MetabPublished Secondary analysis of the EAST randomised trial

Primary result · Excellent functional outcome (mRS 0-1) by DM statusResult — go to the resultAdjusted odds ratio 2.76 95% CI 1.22–6.22

Authors' conclusion

For Chinese patients with minor stroke receiving intravenous thrombolysis, early DAPT was potentially associated with a higher likelihood of excellent functional outcome at 90 days in those with a pre-existing history of DM.

Study context

Population
Chinese patients with minor stroke receiving intravenous thrombolysis, stratified by diabetes mellitus (DM) status (history of DM, newly diagnosed DM, non-DM)analysed
Participants
995 patients
Comparison
Early dual antiplatelet therapy (DAPT) vs placebo after intravenous thrombolysis, by DM status
Primary endpoint
Excellent functional outcome (modified Rankin Scale score 0-1)
Follow-up
90 days
Methodological detailsprespecified, subgroup analysis by DM status, modified intention-to-treat population
  • Prespecified
  • Subgroup analysis by DM status
  • Modified intention-to-treat population

Primary result

As reported in the abstract

Excellent functional outcome (mRS 0-1) by DM status

Adjusted odds ratio

2.76

95% CI 1.22–6.22

P = 0.02

Early DAPTvs Placebo
adjusted OR 2.76 (95% CI 1.22–6.22); P = 0.02
History of DM: Early DAPT vs placebo
91.2% vs. 81.7%
Newly diagnosed DM: Early DAPT vs placebo
81.8% vs. 83.3%
Non-DM: Early DAPT vs placebo
89.6% vs. 92.5%
Interaction across subgroups not significant
P for interaction = 0.09

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Diabetes Mellitus and Early Antiplatelet Treatment for Minor Stroke Following Intravenous Thrombolysis: Prespecified Secondary Analysis of the EAST Trial. Diabetes Obes Metab. Published 7 April 2026. doi:10.1111/dom.70745

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