Trial Outcomes & Findings for Walking Effect of Long Term Ticagrelor in Subjects With PAD Who Have Undergone EVR (NCT NCT02227368)

NCT ID: NCT02227368

Last Updated: 2017-07-19

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

26 Weeks

Results posted on

2017-07-19

Participant Flow

A total of 71 subjects were screened at 16 centers throughout the United States of America (USA). First subject enrolled: 20Oct2014. Last subject last visit: 23May2016. Date of early study termination: 21Oct2015

A total of 40 subjects were randomised. Thirty-one subjects were not randomised due to not meeting inclusion/exclusion criteria (20 subjects), withdrawing consent prior to randomisation (2 subjects), and other reasons (9 subjects) including not being able to return for randomisation within 48 hours of the qualifying revascularization.

Participant milestones

Participant milestones
Measure
Ticagrelor
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Overall Study
STARTED
16
24
Overall Study
Sujects Who Received Treatment
16
24
Overall Study
Sujects Who Completed Treatment
10
17
Overall Study
COMPLETED
14
20
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Ticagrelor
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Overall Study
No EVR/not PAD/PI decision/RLE bypass
0
4
Overall Study
Lost to Follow-up
1
0
Overall Study
Adverse Event
1
0

Baseline Characteristics

Walking Effect of Long Term Ticagrelor in Subjects With PAD Who Have Undergone EVR

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ticagrelor
n=16 Participants
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
n=24 Participants
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
69.1 years
STANDARD_DEVIATION 9.15 • n=5 Participants
67.0 years
STANDARD_DEVIATION 8.31 • n=7 Participants
67.9 years
STANDARD_DEVIATION 8.60 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
15 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
21 Participants
n=7 Participants
34 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
20 Participants
n=7 Participants
31 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 26 Weeks

Population: ITT population is the analysis population. Six subjects without evaluable baseline were excluded from the analysis.

Outcome measures

Outcome measures
Measure
Ticagrelor
n=14 Participants
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
n=20 Participants
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Change From Baseline in Log Transformed Peak Walking Time (PWT) at Week 26 or Early Termination (ET)
0.0 log(Second)
Interval -0.2 to 0.2
0.1 log(Second)
Interval 0.0 to 0.3

SECONDARY outcome

Timeframe: 26 Weeks

Population: ITT population is the analysis population. Twelve subjects without evaluable baseline were excluded from the analysis.

Outcome measures

Outcome measures
Measure
Ticagrelor
n=12 Participants
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
n=16 Participants
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Change From Baseline in Log Transformed Claudication Onset Time (COT) at Week 26 or Early Termination (ET)
0.6 log(Second)
Interval 0.1 to 1.1
0.5 log(Second)
Interval 0.1 to 0.8

Adverse Events

Ticagrelor

Serious events: 4 serious events
Other events: 1 other events
Deaths: 0 deaths

Aspirin

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ticagrelor
n=16 participants at risk
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
n=24 participants at risk
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Cardiac disorders
Coronary artery disease
6.2%
1/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
0.00%
0/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Infections and infestations
Cellulitis
0.00%
0/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
4.2%
1/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Infections and infestations
Osteomyelitis
0.00%
0/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
4.2%
1/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Nervous system disorders
Syncope
6.2%
1/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
0.00%
0/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
4.2%
1/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Vascular disorders
Haemorrhage
6.2%
1/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
0.00%
0/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Vascular disorders
Hypotension
6.2%
1/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
0.00%
0/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Vascular disorders
Peripheral artery stenosis
0.00%
0/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
4.2%
1/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.

Other adverse events

Other adverse events
Measure
Ticagrelor
n=16 participants at risk
Ticagrelor 90mg twice a day plus aspirin placebo once daily
Aspirin
n=24 participants at risk
Aspirin 100mg once daily plus ticagrelor placebo twice a day
Injury, poisoning and procedural complications
Procedural haemorrhage
6.2%
1/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
0.00%
0/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
Vascular disorders
Arterial occlusive disease
0.00%
0/16 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.
4.2%
1/24 • 26 weeks treatment period + 30 days followup
Only SAEs and AEs of interest were collected for this study. Treatment Emergent SAEs and Treatment Emergent AEs of interest are reported here.

Additional Information

Naeem Khan, MD

AstraZeneca Pharmaceuticals LP

Phone: +1 302-885-8976

Results disclosure agreements

  • Principal investigator is a sponsor employee The disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review. The sponsor can require Confidential Information to be removed and the sponsor can extend the embargo for an additional 90 days.
  • Publication restrictions are in place

Restriction type: OTHER