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Doubling the Maintenance Dose of Clopidogrel After Percutaneous Coronary Intervention in Low Responders to Therapy

Information source: University of Pecs
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Stable Angina Pectoris; Percutaneous Coronary Intervention

Intervention: clopidogrel (Drug); clopidogrel plus placebo (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: University of Pecs

Official(s) and/or principal investigator(s):
Ivan G Horvath, MD PhD, Principal Investigator, Affiliation: Heart Institute, University of Pécs, HUNGARY
Daniel Aradi, MD, Study Director, Affiliation: Heart Institute, University of Pécs, HUNGARY
Andras Komocsi, MD PhD, Study Chair, Affiliation: Heart Institute, University of Pécs, HUNGARY

Overall contact:
Daniel Aradi, MD, Phone: 0036302355639, Email: daniel.aradi@kk.pte.hu

Summary

The purpose of the study is to determine whether administration of 150 mg clopidogrel is effective in reducing the 9-month incidence of thromboischemic events compared to 75 mg clopidogrel after elective percutaneous coronary intervention.

Clinical Details

Official title: Doubling the Maintenance Dose of Clopidogrel After Percutaneous Coronary Intervention in Low Responders to Therapy

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Dose Comparison, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Cardiac death or non-fatal myocardial infarction or ischemia-driven target lesion revascularisation.

Secondary outcome:

Academic Research Consortium (ARC-1) definite stent thrombosis

Cardiac death or non-fatal myocardial infarction or ischemia-driven target lesion revascularisation

Cardiac death or non-fatal myocardial infarction or ischemia-driven target lesion revascularisation or TIMI major/minor bleeding

5 microM ADP-induced platelet aggregation assessed by light transmission aggregometer

VASP-PRI

Eligibility

Minimum age: 35 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Clopidogrel-naïve stable angina pectoris (CCS I-III)

- Coronary angiography that reveals significant DE NOVO coronary stenosis (diameter

stenosis greater than 50% in two independent projections) feasible for ad hoc stent implantation

Exclusion Criteria:

- Acute coronary syndrome (STEMI, NSTEMI or unstable angina)

- Administration of clopidogrel/ticlopidine/coumarin in the past 6 weeks

- Contraindication to antiplatelet therapy

- Significant LM stenosis

- PCI due to instent restenosis

- Lesion located in bypass grafts

- Stroke in past one year

- Reduced life expectancy

Locations and Contacts

Daniel Aradi, MD, Phone: 0036302355639, Email: daniel.aradi@kk.pte.hu

Heart Institute, University of Pécs, Dept. of Interventional Cardiology, Pécs 7624, Hungary; Recruiting
Ivan Horvath, MD PhD, Phone: 00363322339, Email: ivan.g.horvath@aok.pte.hu
Balazs Magyari, MD, Sub-Investigator
Erik Kovacs, MD, Sub-Investigator
Attila Konyi, MD, Sub-Investigator
Tunde Pinter, MD, Sub-Investigator
Additional Information

Starting date: March 2008
Ending date: September 2010
Last updated: February 12, 2009

Page last updated: October 19, 2009

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