Trial Outcomes & Findings for Aspirin Resistance and Stroke Risk: Platelet Function Analysis in Patients With Ischemic Events (NCT NCT01586975)

NCT ID: NCT01586975

Last Updated: 2015-12-31

Results Overview

Platelet Function Analysis (PFA) lab results: PFA was performed using the PFA 100 device (Dade-Behring), which uses a higher sheer stress flow cytometry paradigm to measure the time in seconds to closing of an aperture. Normal is defined as \<172 seconds."

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

93 participants

Primary outcome timeframe

3-6 months (Collected once between regulalary scheduled follow-up visit between 3-6 months)

Results posted on

2015-12-31

Participant Flow

Patients with cerebrovascular disease and taking one or more antiplatelet medication were consented for study participation from 2007 though 2010. Patients were recruiting on the inpatient stroke unit at Northwestern Memorial Hospital and seen in the outpatient stroke clinic.

Participant milestones

Participant milestones
Measure
Clopidogrel 75 mg
Clopidogrel 75 mg QD
Aspirin 81 mg
Aspirin 81 mg QD
Aspirin > 300 mg
Aspiring \> 300 mg QD
Overall Study
STARTED
15
32
46
Overall Study
COMPLETED
15
32
46
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Aspirin Resistance and Stroke Risk: Platelet Function Analysis in Patients With Ischemic Events

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Clopidogrel 75 mg
n=15 Participants
Clopidogrel 75 mg QD
Aspirin 81 mg
n=32 Participants
Aspirin 81 mg QD
Aspiring >300 mg
n=46 Participants
Aspirin \>300 mg QD
Total
n=93 Participants
Total of all reporting groups
Age, Customized
60.6 years
n=5 Participants
67.4 years
n=7 Participants
56.2 years
n=5 Participants
60.7 years
n=4 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
16 Participants
n=7 Participants
26 Participants
n=5 Participants
51 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
16 Participants
n=7 Participants
20 Participants
n=5 Participants
42 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
13 Participants
n=4 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
25 Participants
n=7 Participants
37 Participants
n=5 Participants
75 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
32 participants
n=7 Participants
46 participants
n=5 Participants
93 participants
n=4 Participants

PRIMARY outcome

Timeframe: 3-6 months (Collected once between regulalary scheduled follow-up visit between 3-6 months)

Platelet Function Analysis (PFA) lab results: PFA was performed using the PFA 100 device (Dade-Behring), which uses a higher sheer stress flow cytometry paradigm to measure the time in seconds to closing of an aperture. Normal is defined as \<172 seconds."

Outcome measures

Outcome measures
Measure
Clopidogrel 75 mg
n=15 Participants
Clopidogrel 75 mg QD
Aspirin 81 mg
n=32 Participants
open label Aspirin
Aspirin > 300 mg
n=46 Participants
open-label Aspirin
PFA1
202.0 seconds
Standard Error 27.1
271.1 seconds
Standard Error 14.9
234.7 seconds
Standard Error 13.4

Adverse Events

Clopidogrel 75 mg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Aspirin 81 mg

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Aspirin >300 mg

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Clopidogrel 75 mg
n=15 participants at risk
Clopidogrel 75 mg QD
Aspirin 81 mg
n=32 participants at risk
Aspirin 81 mg QD
Aspirin >300 mg
n=46 participants at risk
Aspirin \>300 mg QD
Vascular disorders
Clinical Stroke
0.00%
0/15 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
3.1%
1/32 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/46 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
Cardiac disorders
MI
0.00%
0/15 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/32 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
2.2%
1/46 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
Vascular disorders
TIA
0.00%
0/15 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/32 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
2.2%
1/46 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.

Other adverse events

Other adverse events
Measure
Clopidogrel 75 mg
n=15 participants at risk
Clopidogrel 75 mg QD
Aspirin 81 mg
n=32 participants at risk
Aspirin 81 mg QD
Aspirin >300 mg
n=46 participants at risk
Aspirin \>300 mg QD
Vascular disorders
Nose bleeds
0.00%
0/15 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
6.2%
2/32 • Number of events 2 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
4.3%
2/46 • Number of events 2 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
Immune system disorders
Bruising
6.7%
1/15 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/32 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/46 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
Gastrointestinal disorders
GI bleeding
6.7%
1/15 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
3.1%
1/32 • Number of events 1 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.
0.00%
0/46 • Patients were monitored via routine clinic/office visits to determine if they had an ischemic vascular event or hemorrhagic event. These follow-up visits were scheduled every 3-6 months as per their regularly scheduled clinic follow-up visits.

Additional Information

Northwestern University

Northwestern University

Phone: 312.503.4394

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place