Trial Outcomes & Findings for Establishing the Microcirculatory Effects of Ticagrelor on Tissue Perfusion in Critical Limb Ischemia (NCT NCT02230527)

NCT ID: NCT02230527

Last Updated: 2021-07-07

Results Overview

The primary endpoint is the absolute change in TcPO2 from baseline to month 6 compared between treatment groups.

Recruitment status

TERMINATED

Study phase

PHASE2/PHASE3

Target enrollment

46 participants

Primary outcome timeframe

6 months

Results posted on

2021-07-07

Participant Flow

Participant milestones

Participant milestones
Measure
Clopidogrel
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Overall Study
STARTED
23
23
Overall Study
COMPLETED
18
21
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Clopidogrel
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Overall Study
Withdrawal by Subject
1
1
Overall Study
Death
1
0
Overall Study
Lost to Follow-up
2
1
Overall Study
Other
1
0

Baseline Characteristics

Establishing the Microcirculatory Effects of Ticagrelor on Tissue Perfusion in Critical Limb Ischemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Clopidogrel
n=23 Participants
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
n=23 Participants
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
66.4 years
STANDARD_DEVIATION 11.8 • n=5 Participants
67.2 years
STANDARD_DEVIATION 8.9 • n=7 Participants
66.8 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
18 Participants
n=7 Participants
31 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
11 Participants
n=5 Participants
15 Participants
n=7 Participants
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
African American/Black
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Past/Current Smoker
18 Participants
n=5 Participants
16 Participants
n=7 Participants
34 Participants
n=5 Participants
History of Hypertension
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
History of Diabetes
17 Participants
n=5 Participants
15 Participants
n=7 Participants
32 Participants
n=5 Participants
History of Hyperlipidemia
20 Participants
n=5 Participants
18 Participants
n=7 Participants
38 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Patients with baseline and TCPO2 data available at 6 months

The primary endpoint is the absolute change in TcPO2 from baseline to month 6 compared between treatment groups.

Outcome measures

Outcome measures
Measure
Clopidogrel
n=16 Participants
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
n=15 Participants
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Absolute Change in TcPO2 From Baseline to Month 6
14.9 mmHG
Standard Deviation 17.8
4.2 mmHG
Standard Deviation 19.9

Adverse Events

Clopidogrel

Serious events: 5 serious events
Other events: 3 other events
Deaths: 1 deaths

Ticagrelor

Serious events: 6 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Clopidogrel
n=23 participants at risk
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
n=23 participants at risk
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Vascular disorders
Worsening Limb Ischemia
4.3%
1/23 • Number of events 2 • Through 6 months
Serious adverse events
13.0%
3/23 • Number of events 3 • Through 6 months
Serious adverse events
Vascular disorders
Limb pain/ulcer
8.7%
2/23 • Number of events 2 • Through 6 months
Serious adverse events
17.4%
4/23 • Number of events 4 • Through 6 months
Serious adverse events
Infections and infestations
infection
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
8.7%
2/23 • Number of events 2 • Through 6 months
Serious adverse events
General disorders
Organ failure
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
0.00%
0/23 • Through 6 months
Serious adverse events
Blood and lymphatic system disorders
Anemia
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
Surgical and medical procedures
Amputation
0.00%
0/23 • Through 6 months
Serious adverse events
8.7%
2/23 • Number of events 2 • Through 6 months
Serious adverse events
Cardiac disorders
Stent occlusion
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events

Other adverse events

Other adverse events
Measure
Clopidogrel
n=23 participants at risk
Clopidogrel 75mg by mouth daily Clopidogrel: 75mg once a day by mouth
Ticagrelor
n=23 participants at risk
Ticagrelor 90mg by mouth twice daily Ticagrelor: 90mg twice a day by mouth
Renal and urinary disorders
UTI
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
0.00%
0/23 • Through 6 months
Serious adverse events
Cardiac disorders
Junctional rhythm
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
0.00%
0/23 • Through 6 months
Serious adverse events
Respiratory, thoracic and mediastinal disorders
Shortness of breath
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
30.4%
7/23 • Number of events 7 • Through 6 months
Serious adverse events
Vascular disorders
Foot ulcer
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
Infections and infestations
Osteomyelitis
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
Vascular disorders
Excessive bruising
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events
Renal and urinary disorders
Kidney stone
0.00%
0/23 • Through 6 months
Serious adverse events
4.3%
1/23 • Number of events 1 • Through 6 months
Serious adverse events

Additional Information

Joseph Campbell, MD

Cleveland Clinic

Phone: 216-444-9836

Results disclosure agreements

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