Trial in Subjects Undergoing Cardiac Catheterization With Planned Percutaneous Coronary Intervention With Stenting

NCT ID: NCT00357968

Last Updated: 2010-08-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2007-06-30

Brief Summary

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The purpose of this study is to provide information of the relative potency of prasugrel and clopidogrel on platelet function studies, inflammation, and myocyte necrosis in subjects undergoing elective percutaneous coronary intervention (PCI).

Detailed Description

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Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Prasugrel to Clopidogrel

One time oral loading dose (LD) of 60-mg Prasugrel and placebo matched to clopidogrel (plus oral enteric coated aspirin 325 mg to 500 mg is recommended) followed by 10-mg Prasugrel and placebo matched to clopidogrel taken orally once a day for 14 days. Patients cross-over to 150 mg clopidogrel and placebo matched to prasugrel taken orally once a day for the next 14 days.

Group Type EXPERIMENTAL

Prasugrel

Intervention Type DRUG

Administered orally

Clopidogrel

Intervention Type DRUG

Administered orally

Placebo for Prasugrel

Intervention Type DRUG

Administered orally

Placebo for Clopidogrel

Intervention Type DRUG

Administered orally

Clopidogrel to Prasugrel

One time oral LD of 600 mg clopidogrel and placebo matched to prasugrel (plus oral enteric coated aspirin 325 mg to 500 mg is recommended) followed by 150 mg clopidogrel and placebo matched to prasugrel taken orally once a day for 14 days. Patients cross-over to 10 mg prasugrel and placebo tablets matched to clopidogrel taken orally once a day for the next 14 days.

Group Type ACTIVE_COMPARATOR

Prasugrel

Intervention Type DRUG

Administered orally

Clopidogrel

Intervention Type DRUG

Administered orally

Placebo for Prasugrel

Intervention Type DRUG

Administered orally

Placebo for Clopidogrel

Intervention Type DRUG

Administered orally

Interventions

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Prasugrel

Administered orally

Intervention Type DRUG

Clopidogrel

Administered orally

Intervention Type DRUG

Placebo for Prasugrel

Administered orally

Intervention Type DRUG

Placebo for Clopidogrel

Administered orally

Intervention Type DRUG

Other Intervention Names

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LY 640315 Effient Efient

Eligibility Criteria

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Inclusion Criteria

* Subjects greater than or equal to 18 years of age undergoing cardiac catheterization with planned percutaneous coronary intervention (if coronary anatomy is suitable) for an indication of chest pain +/or anginal equivalent felt by the treating physician to be related to coronary ischemia.
* At least one of the following (a through c):

1. Functional study (exercise, or pharmacologic) within the past 8 weeks consistent with ischemia as manifested by at least one of the following:

1. A reversible defect on nuclear imaging.
2. A reversible wall-motion abnormality by echocardiography.
3. Horizontal or down-sloping ST-depressions greater than 1 mm on electrocardiogram (ECG) (if no imaging performed).
2. Prior coronary revascularization \[percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG)\].
3. A cardiac catheterization with at least one coronary artery lesion amenable to PCI (not yet performed) within 14 days prior to enrollment.

Exclusion Criteria

* Known creatine kinase-myocardial bands (CK-MB)or cardiac troponin greater than the upper limit of normal at time of screening
* Planned PCI for acute myocardial infarction (MI) or planned PCI within 48 hours of fibrinolytic therapy for ST segment elevation myocardial infarction (STEMI)
* Have cardiogenic shock at the time of screening (systolic blood pressure 90 mm Hg associated with clinical evidence of end-organ hypoperfusion, or subjects requiring vasopressors to maintain systolic blood pressure over 90 mm Hg and associated with clinical evidence of end-organ hypoperfusion).
* Refractory ventricular arrhythmias
* Have New York Heart Association Class IV congestive heart failure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role collaborator

The TIMI Study Group

OTHER

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Eli Lilly

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Jacksonville, Florida, United States

Site Status

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Worcester, Massachusetts, United States

Site Status

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Ann Arbor, Michigan, United States

Site Status

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Rapid City, South Dakota, United States

Site Status

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Lille, , France

Site Status

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Marseille, , France

Site Status

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Paris, , France

Site Status

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Tours, , France

Site Status

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Bad Krozingen, , Germany

Site Status

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Berlin, , Germany

Site Status

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Giessen, , Germany

Site Status

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München, , Germany

Site Status

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Tübingen, , Germany

Site Status

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Haifa, , Israel

Site Status

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Jerusalem, , Israel

Site Status

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Tel Litwinsky, , Israel

Site Status

Countries

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United States France Germany Israel

Other Identifiers

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H7T-MC-TABL

Identifier Type: OTHER

Identifier Source: secondary_id

10635

Identifier Type: -

Identifier Source: org_study_id