Double the Dose of Clopidogrel or Switch to Prasugrel to Antagonize Proton Pump Inhibitor Interaction.

NCT ID: NCT01175200

Last Updated: 2012-07-04

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2012-07-31

Brief Summary

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This study will establish the optimal therapeutic strategy for patients with a coronary artery disease (CAD) and chronically treated with clopidogrel 75 mg/day requiring co-administration of an anti-platelet treatment with P2Y12 antagonist and a PPI for treatment/prevention of GI ulceration.

Detailed Description

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Conditions

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Anti Platelet Effects

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Prasugrel

Group Type ACTIVE_COMPARATOR

Prasugrel

Intervention Type DRUG

antiplatelet agent

Clopidogrel

Group Type ACTIVE_COMPARATOR

Clopidogrel

Intervention Type DRUG

antiplatelet agent

Lansoprazole

proton pump inhibitor

Group Type ACTIVE_COMPARATOR

Lansoprazole

Intervention Type DRUG

proton pum inhibitor

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo comparator similar to lansoprazole

Interventions

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Clopidogrel

antiplatelet agent

Intervention Type DRUG

Prasugrel

antiplatelet agent

Intervention Type DRUG

Lansoprazole

proton pum inhibitor

Intervention Type DRUG

Placebo

placebo comparator similar to lansoprazole

Intervention Type DRUG

Other Intervention Names

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Lanzor Ogast

Eligibility Criteria

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Inclusion Criteria

* patient with stable Coronary Artery Disease (\< 3 months) treated with clopidogrel (75mg/d)
* Between 18 and 75 years of age
* Body Mass Index between 18 and 30 kg/m2 and body weight not less than 60 kg
* No major bleeding according to ISTH definition
* Subjects who signed an informed consent document
* Subjects who signed a separate pharmacogenomic informed consent document
* Subjects registered to the French national welfare system

Exclusion Criteria

* Personal or family history of coagulation or bleeding disorders
* Use of known inhibitors or inducers of CYP2C19 and CYP3A including grape fruit juice intake
* Known hypersensitivity to lansoprazole, its excipients, or substituted benzimidazoles,
* Known hypersensitivity to clopidogrel / prasugrel
* Anti-platelet treatment other than clopidogrel + aspirin within 7 days before inclusion
* Any formal indication to maintain PPI treatment
* PPI within 15 days before inclusion in the study
* Active pathology with 10 days before inclusion
* Prior history of stent thrombosis
* Prior history of Stroke
* Employee of the investigator or study center, with direct involvement in the proposed study or other studies under the direction of that investigator or study center, as well as family members of the employees or the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Groupe Hospitalier Pitie-Salpetriere

OTHER

Sponsor Role collaborator

Medco Health Solutions, Inc.

INDUSTRY

Sponsor Role collaborator

Ascopharm Groupe Novasco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pitié Salpétrière Hospital

Paris, , France

Site Status

Countries

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France

Other Identifiers

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DOSAPI

Identifier Type: -

Identifier Source: org_study_id