Safety and Efficacy of Ticagrelor Versus Clopidogrel in Asian/KOREAn Patients With Acute Coronary Syndromes Intended for Invasive Management

NCT ID: NCT02094963

Last Updated: 2018-11-30

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

PHASE4

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-05

Study Completion Date

2018-11-01

Brief Summary

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The purpose of this study is to assess safety and efficacy of Ticagrelor versus Clopidogrel in Asian/KOREAn patients with acute coronary syndromes intended for invasive management.

Detailed Description

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Conditions

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Acute Coronary Syndrome Myocardial Ischemia Heart Diseases Cardiovascular Diseases Angina Pectoris

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ticagrelor

Group Type EXPERIMENTAL

Ticagrelor

Intervention Type DRUG

180mg loading and 90mg bid

Clopidogrel

Group Type ACTIVE_COMPARATOR

Clopidogrel

Intervention Type DRUG

600mg loading and 75mg qd

Interventions

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Ticagrelor

180mg loading and 90mg bid

Intervention Type DRUG

Clopidogrel

600mg loading and 75mg qd

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 and more
* Index event of non-ST or ST segment elevation ACS
* Provision of signed informed consent

Exclusion Criteria

* Hypersensitivity to aspirin or ticagrelor
* Oral anticoagulation therapy that cannot be stopped
* Treated with thrombolysis within 24hrs
* Any other reason the investigator deems the subject to be unsuitable for the study e.g., Active malignant tumor
* Concomitant therapy with strong CYP3A inhibitors, CYP3A substrates with narrow therapeutic index, or strong CYP3A inducers
* Any life-threatening condition with life expectancy less than 6months
* Mental condition (dementia, alcohol or drug abuse) which may be affect study compliance or prevent understanding of the aims, investigational procedures or possible consequences of the study
* High risk due to malignant hypertension
* The conditions associated with increased risk of bradycardiac events
* Subjects with severe liver disease
* Subjects requiring dialysis
* Increased bleeding risk
* History of cerebral hemorrhage, gastrointestinal bleeding within 6months, major surgical procedure within 30days
* Thrombocytopenia or leukopenia
* Positive pregnancy test or is known to be pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CardioVascular Research Foundation, Korea

OTHER

Sponsor Role collaborator

Seung-Jung Park

OTHER

Sponsor Role lead

Responsible Party

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Seung-Jung Park

MD, PhD

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Asan Medical Center

Seoul, Songpa-gu, South Korea

Site Status

Keimyung University Dongsan Medical Center

Daegu, , South Korea

Site Status

Chungnam National University Hospital

Daejeon, , South Korea

Site Status

Dongguk University Gyeongju Hospital

Gyeongju, , South Korea

Site Status

Inje University Ilsan Paik Hospital

Ilsan, , South Korea

Site Status

Gachon University Gil Hospital

Incheon, , South Korea

Site Status

ChonBuk National University Hospital

Jeonju, , South Korea

Site Status

Dong-A Medical Center

Pusan, , South Korea

Site Status

Inje University Pusan Paik Hospital

Pusan, , South Korea

Site Status

Ulsan University Hospital

Ulsan, , South Korea

Site Status

Countries

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South Korea

References

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Jang MH, Kim AR, Kim T, Oh HJ, Lee JH, Lee YJ, Kim S, Lee J, Kim JH, Cha SJ, Kim TO, Kang DY, Lee PH, Ahn JM, Park DW, Park SJ; TICAKOREA Investigators. Age- and Sex-Specific Disparities in Outcomes After Ticagrelor Versus Clopidogrel in East Asian Patients. Am J Cardiol. 2023 Nov 15;207:237-244. doi: 10.1016/j.amjcard.2023.08.124. Epub 2023 Sep 26.

Reference Type DERIVED
PMID: 37757520 (View on PubMed)

Lee J, Kim MJ, Kim M, Park J, Kim H, Cho S, Choi Y, Lee J, Kim JH, Cha SJ, Kim TO, Kang DY, Lee PH, Ahn JM, Park SJ, Park DW; TICAKOREA Study Investigators. Validation of Academic Research Consortium for High Bleeding Risk Definition in East-Asian Patients. JACC Asia. 2023 Feb 7;3(3):390-399. doi: 10.1016/j.jacasi.2022.11.012. eCollection 2023 Jun.

Reference Type DERIVED
PMID: 37323862 (View on PubMed)

Choi Y, Kang DY, Lee J, Lee J, Kim M, Kim H, Park J, Cho S, Lee J, Cha SJ, Kim TO, Lee PH, Ahn JM, Park SJ, Park DW; TICA KOREA Investigators. Ticagrelor Versus Clopidogrel in East Asian Patients With Acute Coronary Syndrome and Diabetes Mellitus. JACC Asia. 2022 Nov 15;2(6):666-674. doi: 10.1016/j.jacasi.2022.07.005. eCollection 2022 Nov.

Reference Type DERIVED
PMID: 36444315 (View on PubMed)

Park DW, Kwon O, Jang JS, Yun SC, Park H, Kang DY, Ahn JM, Lee PH, Lee SW, Park SW, Choi SW, Lee SG, Yoon HJ, Ahn T, Kim MH, Nah DY, Lee SY, Chae JK, Park SJ; TICAKOREA Investigators. Clinically Significant Bleeding With Ticagrelor Versus Clopidogrel in Korean Patients With Acute Coronary Syndromes Intended for Invasive Management: A Randomized Clinical Trial. Circulation. 2019 Dec 3;140(23):1865-1877. doi: 10.1161/CIRCULATIONAHA.119.041766. Epub 2019 Sep 25.

Reference Type DERIVED
PMID: 31553203 (View on PubMed)

Other Identifiers

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AMCCV2013-14

Identifier Type: -

Identifier Source: org_study_id

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