Anticoagulant Treatments and Percutaneous Coronary Angioplasty

NCT ID: NCT00669149

Last Updated: 2019-05-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2013-08-03

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine whether adjunction of intravenous anticoagulant therapy (enoxaparin, HNF, bivalirudin) to antiaggregation with clopidogrel and aspirin improves in-hospital results of percutaneous transluminal coronary angioplasty (ptca) in selected patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

* Background : We don't know if using IV anticoagulant therapy is necessary for percutaneous coronary angioplasty in stable patients.
* Purpose : to compare efficacy and security of use or not of different anticoagulant treatments during percutaneous coronary angioplasty in patients with double antiaggregant therapy.
* Abstract : In stable patients pretreated with double antiaggregant therapy use of IV anticoagulants has not been yet evaluated during angioplasty. In this prospective randomized trial we want to compare in such patients the efficacy and security of the administration of IV heparin, IV enoxaparin, IV bivalirudin and no use of anticoagulant during coronary angioplasty. We will evaluate in each group ischaemic events (clinic, ECG and biology) and haemorrhagic events (clinic, biology) with a one month follow up.
* Primary outcome: ischaemic events via troponin Ic measurements during 24 hours post procedure.
* Secondary outcomes: haemorrhagic events : clinical and biological evaluation (Hb, Ht, TIMI score)
* Study design : monocentric randomized clinical trial type therapeutic equivalence phase IV.
* Interventions : In patients prepared with therapeutic association (aspirin clopidogrel) comparison between use or no of anticoagulant (IV heparin, IV enoxaparin or IV bivalirudin).
* Number of subjects : 120 per group (total of 480).
* Statistical analysis : multivariate analysis with logistic regression models : each end point (troponin Ic increase, haemoglobin decrease, …) will be explicated with treatment group and other covariates (sex, age, creatinine, …).

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Coronary Artery Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

1

group without anticoagulant therapy

Group Type EXPERIMENTAL

clopidogrel + aspirin

Intervention Type DRUG

2

group with heparin

Group Type ACTIVE_COMPARATOR

heparin + clopidogrel + aspirin

Intervention Type DRUG

3

group with enoxaparin

Group Type ACTIVE_COMPARATOR

enoxaparin + clopidogrel + aspirin

Intervention Type DRUG

4

group with bivalirudin

Group Type ACTIVE_COMPARATOR

bivalirudin + clopidogrel + aspirin

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

clopidogrel + aspirin

Intervention Type DRUG

heparin + clopidogrel + aspirin

Intervention Type DRUG

enoxaparin + clopidogrel + aspirin

Intervention Type DRUG

bivalirudin + clopidogrel + aspirin

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Plavix Kardégic héparine Choay Plavix Kardégic Lovenox Plavix Kardégic Angiox Plavix Kardégic

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* stable angina pectoris or silent ischaemia

Exclusion Criteria

* instable angina or ACS (Acute Coronary Syndrome)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Centre Hospitalier de PAU

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Nicolas DELARCHE, MD

Role: PRINCIPAL_INVESTIGATOR

CH de Pau

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Centre Hospitalier de Pau

Pau, Pyrénées-Atlantiques, France

Site Status

Countries

Review the countries where the study has at least one active or historical site.

France

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CHPAU 2007/01

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.