Cilostazol and Endothelial Progenitor Cell

NCT ID: NCT04407312

Last Updated: 2020-05-29

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-01

Study Completion Date

2020-07-31

Brief Summary

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To assess impact of adjunctive cilostazol on endothelial progenitor cell (EPC) mobilization in patients with acute myocardial infarction (To reveal the role of cilostazol in up-regulation of EPC count)

Detailed Description

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Primary endpoint: % Change of EPC count

Secondary endpoints:

1. Changes of ADP/AA/collagen-induced PFT
2. Changes of lipid profile and high sensitivity-C-reactive protein
3. Change of TEG measurements
4. Change of PWV
5. Predictors of EPC count (baseline and 1-month)
6. ischemic (CV death, MI \& stroke) and bleeding events (BARC)

Conditions

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Myocardial Infarction, Acute

Keywords

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Endothelial progenitor cell Myocardial infarction, acute Platelets Cilostazol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CILO group

Intervention:

Suspected patients with AMI were loaded with 600-mg clopidogrel and 300-mg aspirin in the emergency room.

After 3 to 5 days post-PCI (before discharge), patients were randomly allocated to the CILO group or the placebo group (1:1 fashion) based on a computer-generated randomization sequence.

For the CILO group, cilostazol-SR 200 mg daily was added to dual antiplatelet therapy with aspirin (100 mg daily) and clopidogrel (75 mg daily).

Study drug is maintained for 30 days. Double blinded, Randomized, Placebo controlled Trial.

Drug:

Cilostazol-SR, Tablet, 200mg, once daily. Astrix, Capsule, 100mg, once daily. Plavix, tablet, 75mg, once daily.

Group Type EXPERIMENTAL

Cilostazol Tablets

Intervention Type DRUG

Cilostazol-SR, capsule, 200mg, once daily, 30 days.

Aspirin

Intervention Type DRUG

Astrix, capsule,100mg, once daily, 30 days.

Clopidogrel

Intervention Type DRUG

Plavix, tablet, 75mg, once daily, 30 days.

Placebo group

Intervention:

Suspected patients with AMI were loaded with 600-mg clopidogrel and 300-mg aspirin in the emergency room.

After 3 to 5 days post-PCI (before discharge), patients were randomly allocated to the CILO group or the placebo group (1:1 fashion) based on a computer-generated randomization sequence.

In the Placebo group, placebo tablet was administered on top of dual antiplatelet therapy with aspirin (100 mg daily) and clopidogrel (75 mg daily).

Study drug is maintained for 30 days. Double blinded, Randomized, Placebo controlled Trial.

Drug:

Placebo, Tablet, 200mg, once daily. Astrix, Capsule, 100mg, once daily. Plavix, tablet, 75mg, once daily.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Placebo, tablet, 200mg, once daily, 30 days.

Aspirin

Intervention Type DRUG

Astrix, capsule,100mg, once daily, 30 days.

Clopidogrel

Intervention Type DRUG

Plavix, tablet, 75mg, once daily, 30 days.

Interventions

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Cilostazol Tablets

Cilostazol-SR, capsule, 200mg, once daily, 30 days.

Intervention Type DRUG

placebo

Placebo, tablet, 200mg, once daily, 30 days.

Intervention Type DRUG

Aspirin

Astrix, capsule,100mg, once daily, 30 days.

Intervention Type DRUG

Clopidogrel

Plavix, tablet, 75mg, once daily, 30 days.

Intervention Type DRUG

Other Intervention Names

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Cilostazol-SR Astrix Plavix

Eligibility Criteria

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Inclusion Criteria

* naïve AMI
* undergoing successful coronary stent implantation

Exclusion Criteria

* high-risk patients for thrombotic event;
* a history of active bleeding or bleeding diatheses;
* contraindication to antiplatelet therapy;
* hemodynamic or electrical instability;
* oral anticoagulation therapy;
* left ventricular ejection fraction \< 30%;
* leukocyte count \< 3,000/mm3 and/or platelet count \< 100,000/mm3;
* AST or ALT \> 3 times the respective the upper limit;
* serum creatinine level \> 3.5 mg/dL;
* stroke within 3 months;
* pregnancy;
* non-cardiac disease with a life expectancy \< 1 year;
* any patients not tolerable or suitable for coronary intervention; and
* inability to follow the protocol
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea Otsuka Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Gyeongsang National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yongwhi Park, MD, PhD.

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Young-Hoon Jeong, MD,.PhD

Role: PRINCIPAL_INVESTIGATOR

Gyeongsang National University Changwon Hospital

References

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Park Y, Kim JH, Kim TH, Koh JS, Hwang SJ, Hwang JY, Jeong YH. Adjunctive Cilostazol to Dual Antiplatelet Therapy to Enhance Mobilization of Endothelial Progenitor Cell in Patients with Acute Myocardial Infarction: A Randomized, Placebo-Controlled EPISODE Trial. J Clin Med. 2020 Jun 1;9(6):1678. doi: 10.3390/jcm9061678.

Reference Type DERIVED
PMID: 32492942 (View on PubMed)

Other Identifiers

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GNUHIRB 2012-01-005

Identifier Type: -

Identifier Source: org_study_id