Comparison of Low-Dose, Standard-Dose Ticagrelor and Clopidogrel for Inhibition of Platelet Reactivity in Patients With Acute Coronary Syndromes

NCT ID: NCT02319941

Last Updated: 2017-06-16

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

PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-20

Study Completion Date

2017-03-10

Brief Summary

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The purpose of this study is to compare Low-Dose, Standard-Dose Ticagrelor and Clopidogrel for Inhibition of Platelet Reactivity in Patients with Acute Coronary Syndromes

Detailed Description

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Conditions

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Acute Coronary Syndrome

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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Low dose ticagrelor

60mg bid

Group Type EXPERIMENTAL

ticagrelor

Intervention Type DRUG

standard dose ticagrelor

90mg bid

Group Type ACTIVE_COMPARATOR

ticagrelor

Intervention Type DRUG

standard dose clopidogrel

75mg qd

Group Type ACTIVE_COMPARATOR

clopidogrel

Intervention Type DRUG

Interventions

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ticagrelor

Intervention Type DRUG

clopidogrel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ST elevation or non ST elevation acute coronary syndrome patients of chest pain within 24 hours

Exclusion Criteria

* Known hypersensitivity to clopidogrel and ticagrelor and aspirin
* Treatment with anticoagulants
* Exposure to a thrombolytic agent within 24 hours prior to randomization
* Use of glycoprotein IIb - IIIa inhibitors at randomization
* History of major hemorrhage (intracranial, gastrointestinal, etc.)
* clotting disorder and/or bleeding disorder
* Any history of Severe renal or hepatic dysfunction
* Hematologic disorder including a Hemoglobin less than 10 g/L or a platelet count less than 80,000 cells/mm3
* Cardiac shock, severe left ventricular dysfunction LVEF less than 30%
* Sick sinus syndrome or second degree of av block without permanent pacemaker
* No concurrent cytochrome p450 3a inhibitors and enhancers within 2 weeks
* Subject has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (eg,drug and alcohol abuse, mental illness) or that could prevent, limit, or confound the protocol-specified assessments.
* Life expectancy of less than 6 months
* Pregnancy or lactating
* Participation in any drug study in the previous 3 months
* Inability to follow the protocol and comply with follow-up requirements or any other reason that the investigator feels would place the patient at increased risk
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Roche Pharma AG

INDUSTRY

Sponsor Role collaborator

KBM pharm

UNKNOWN

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

Countries

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South Korea

References

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Park DW, Lee PH, Jang S, Lim HS, Kang DY, Lee CH, Ahn JM, Yun SC, Park SW, Park SJ. Effect of Low-Dose Versus Standard-Dose Ticagrelor and Clopidogrel on Platelet Inhibition in Acute Coronary Syndromes. J Am Coll Cardiol. 2018 Apr 10;71(14):1594-1595. doi: 10.1016/j.jacc.2018.02.010. No abstract available.

Reference Type DERIVED
PMID: 29622168 (View on PubMed)

Other Identifiers

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AMCCV2014-07

Identifier Type: -

Identifier Source: org_study_id

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