Comparison of Cilostazol-based Triple Antiplatelet Therapy Versus Dual Antiplatelet Therapy for Outcomes of below-the Knee Endovascular Intervention in Patients With Critical Limb Ischemia (TAP CLI Study)

NCT ID: NCT02829151

Last Updated: 2019-01-14

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

390 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-21

Study Completion Date

2021-10-31

Brief Summary

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* Prospective, randomized, controlled, multi-center study
* A total of 390 subjects with critical limb ischemia will be included according to inclusion and exclusion criteria.
* Patients will be randomized in a 1:1:1 manner into triple antiplatelet therapy (TAP: aspirin, clopidogrel, cilostazol) group, dual antiplatelet therapy (DAP: aspirin, clopidogrel) A group, or DAP (aspirin, cilostazol) B group.
* All patients will be treated with angioplasty for critical limb ischemia.
* Patients will be followed clinically for 1 year after the procedure.
* Ankle-brachial index and Image study follow-up (Duplex US or CT angiography) will be performed at 1 year.

Detailed Description

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Conditions

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Critical Limb Ischemia

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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Triple antiplatelet therapy group

Patient group with triple antiplatelet therapy using aspirin, clopidogrel, and cilostazol

Group Type EXPERIMENTAL

Triple antiplatelet therapy (aspirin (100 mg), clopidogrel (75 mg), and cilostazol (200 mg) )

Intervention Type DRUG

Combination antiplatelet therapy using aspirin (100 mg), clopidogrel (75 mg), and cilostazol (200 mg) after the index angioplasty

DAP (Dual antiplatelet therapy) A

Patient group with dual antiplatelet therapy using aspirin and clopidogrel

Group Type ACTIVE_COMPARATOR

Dual antiplatelet therapy (aspirin (100 mg) and clopidogrel (75 mg)) using aspirin and clopidogrel

Intervention Type DRUG

Combination antiplatelet therapy using aspirin (100 mg) and clopidogrel (75 mg) after the index angioplasty

DAP (Dual antiplatelet therapy) B

Patient group with angioplasty using aspirin and cilostazol

Group Type ACTIVE_COMPARATOR

Dual antiplatelet therapy (aspirin (100 mg) and cilostazol (200 mg)) using aspirin and cilostazol

Intervention Type DRUG

Combination antiplatelet therapy using aspirin (100 mg) and cilostazol (200 mg) after the index angioplasty

Interventions

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Triple antiplatelet therapy (aspirin (100 mg), clopidogrel (75 mg), and cilostazol (200 mg) )

Combination antiplatelet therapy using aspirin (100 mg), clopidogrel (75 mg), and cilostazol (200 mg) after the index angioplasty

Intervention Type DRUG

Dual antiplatelet therapy (aspirin (100 mg) and clopidogrel (75 mg)) using aspirin and clopidogrel

Combination antiplatelet therapy using aspirin (100 mg) and clopidogrel (75 mg) after the index angioplasty

Intervention Type DRUG

Dual antiplatelet therapy (aspirin (100 mg) and cilostazol (200 mg)) using aspirin and cilostazol

Combination antiplatelet therapy using aspirin (100 mg) and cilostazol (200 mg) after the index angioplasty

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 19 years old
* Patients with critical limb ischemia (Rutherford 4 \& 5)
* Successful below-the knee endovascular intervention.

Exclusion Criteria

* Major bleeding event within recent 3 months or high risk of major bleeding
* Patients requiring anticoagulation
* Allergic reactions to antiplatelet drugs
* Acute limb ischemia
* Severe hepatic dysfunction (3 times normal reference values)
* Pregnant women or women with potential childbearing
* Life expectancy \< 1 year due to comorbidity
* Previous amputations in the target limb
Minimum Eligible Age

19 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Division of Cardiology, Department of Internal Medicine, Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Facility Contacts

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Dong-Hoon Choi, MD

Role: primary

82 2 2228 8449

Other Identifiers

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4-2015-1104

Identifier Type: -

Identifier Source: org_study_id

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