Short vs Long Duration Dual Antiplatelet Therapy in Patients Undergoing Lower Extremity Endovascular Revascularization

NCT ID: NCT02433587

Last Updated: 2019-10-07

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-31

Study Completion Date

2023-07-31

Brief Summary

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The primary objective of the trial is to evaluate short versus long duration dual antiplatelet therapy in patients undergoing lower extremity endovascular revascularization.

Detailed Description

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Conditions

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Peripheral Arterial Disease Endovascular Procedures

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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Short Term

The short term group will continue Aspirin 81mg and Clopidogrel 75mg for 1 month after the intervention. After that, they will continue Aspirin 81mg only.

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Patients will take Aspirin 81 mg

Clopidogrel

Intervention Type DRUG

Patients will take Clopidogrel 75 mg

Long Term

The long term group will continue Aspirin 81mg and Clopidogrel 75mg for 6 months after the intervention. After this time, they will continue on Aspirin 81mg only.

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Patients will take Aspirin 81 mg

Clopidogrel

Intervention Type DRUG

Patients will take Clopidogrel 75 mg

Interventions

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Aspirin

Patients will take Aspirin 81 mg

Intervention Type DRUG

Clopidogrel

Patients will take Clopidogrel 75 mg

Intervention Type DRUG

Other Intervention Names

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Acetylsalicylic acid (ASA) Plavix

Eligibility Criteria

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Inclusion Criteria

1. Provide signed informed consent before initiation of any study related procedures
2. Be at least 18 years of age
3. Successful percutaneous lower extremity (iliac and infrainguinal) endovascular revascularization (percutaneous transluminal angioplasty, and /or stent).
4. At least 1 vessel run-off in segment distal to the intervention
5. Rutherford Classification 2-5 that is unresponsive to medical therapy

Exclusion Criteria

1. Acute limb ischemia
2. Procedure includes device deployment that has specific FDA regulations for anticoagulation/anti-platelet medication regimen.
3. Patient undergoing atherectomy procedure
4. Intervention includes deployment of drug eluted stent
5. Critical limb ischemia (Rutherford Classification 6)
6. Thrombocytopenia: Platelet count \<50k
7. Liver disease (Childs-Pugh B or C)
8. Existing need for on going clopidogrel therapy
9. Proton Pump Inhibitor Use (If unable to be switched)
10. Need for therapeutic anticoagulation
11. Known hypercoagulable disorder
12. Allergy or contraindication to aspirin or clopidogrel
13. Pregnancy
14. Patients enrolled in another investigational drug or device study within the past 30 days
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals Cleveland Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Vikram S. Kashyap, M.D.

Chief, Division of Vascular Surgery & Endovascular Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Hospitals Case Medical Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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08-14-29

Identifier Type: -

Identifier Source: org_study_id

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