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Safety Evaluation of Clopidogrel Sulfate in Patients With Stable Angina/Old Myocardial Infarction to Whom Percutaneous Coronary Intervention is Being Planned

Information source: Sanofi-Aventis
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Stable Angina; Myocardial Infarction

Intervention: clopidogrel (SR25990) (Drug); ticlopidine (Drug)

Phase: Phase 3

Status: Recruiting

Sponsored by: Sanofi-Aventis

Official(s) and/or principal investigator(s):
Takaaki Issiki, PhD/FACC, Principal Investigator, Affiliation: Division of Cardiology, Dpt of Medicine, Teikyo University

Overall contact:
Public Registry ICD, Email: GV-contact-us@sanofi-aventis.com

Summary

Primary objective:

- To evaluate whether 12 weeks of clopidogrel is superior to ticlopidine in terms of

lower risk of the safety events of interest in patients with stable angina (SA) or old myocardial infarction (OMI) to which percutaneous coronary intervention (PCI) is being planned.

Secondary objectives:

- To compare the incidence of adverse events, adverse drug reactions and bleeding events

in patients treated with clopidogrel versus ticlopidine.

- To compare the incidence of major adverse cardiac events (MACE) and major adverse

cardiac and cerebrovascular events (MACCE) in patients treated with clopidogrel versus ticlopidine

- To evaluate the long-term safety (adverse drug reactions, adverse events, safety events

of interest and bleeding events) of clopidogrel for a total of 52 weeks

- To evaluate MACE and MACCE of clopidogrel for a total of 52 weeks

Clinical Details

Official title: A Randomized, Double Blind, Parallel Group Study to Investigate the Safety of 12 Weeks of Clopidogrel 75 mg Once Daily With a 300 mg Loading Dose Versus Ticlopidine 100 mg Twice Daily in Patients With Stable Angina or Old (Healed) Myocardial Infarction to Which Percutaneous Coronary Intervention is Being Planned - With Extended Treatment of Clopidogrel 75 mg Once Daily for 40 Weeks in a Patients' Subset

Study design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Safety Events of interest

Secondary outcome:

Major Adverse Cardiac Events (MACE) and Major Adverse Cardiac and Cerebrovascular Events (MACCE)

Bleeding events

Adverse Events /Adverse Drug Reactions

Detailed description: After Week 12, one tablet of clopidogrel 75 mg will be administered once daily until Week 52 in a patients' subset(long-term open label phase).

All patients should receive aspirin (81-100 mg once daily) as a background therapy during investigational product administration.

Eligibility

Minimum age: 20 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

Stable Angina / Old Myocardial Infarction patients who meet all of the following criteria:

- Myocardial ischemic finding is proven within 2 months before randomization

- Either ≥ 75% stenosis documented by CAG or severe stenosis confirmed by multi-slice

computerized tomography (MSCT) angiography within 1 month before randomization

- PCI is being planned

Exclusion Criteria:

- Planned coronary artery bypass graft (CABG), emergent/urgent PCI, or staged PCI

- 3-vessel coronary artery disease with significant lesions in each vessel

- Planned PCI associated with 6 or more stent placements

- Not less than 50% stenosis of the left main coronary artery

- Chronic total occlusion (CTO)

- Saphenous vein graft (SVG)

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Locations and Contacts

Public Registry ICD, Email: GV-contact-us@sanofi-aventis.com

Sanofi-aventis Administrative Office, Tokyo, Japan; Recruiting
Additional Information

Starting date: December 2008
Ending date: August 2010
Last updated: October 1, 2009

Page last updated: October 19, 2009

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