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The Inhibition of Platelet Antiaggregating Activity of Clopidogrel by Atorvastatin Detected by Erythromycin Breath Test: a Metabolic Inhibition of Hepatic Cytochrome P450-3A

Information source: National Center for Research Resources (NCRR)
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypercholesterolemia; Thrombosis

Intervention: Clopidogrel (Drug); Atorvastatin (Drug)

Phase: N/A

Status: Recruiting

Sponsored by: National Center for Research Resources (NCRR)

Overall contact:
Wei C. Lau, M.D., Phone: 1-734-936-4280

Summary

The objective of this study is to determine if the action of the drug called clopidogrel, that you will start taking, will be decreased by another drug called atorvastatin, that you will also start taking. Clopidogrel is an oral antiplatelet agent that has been shown to prevent strokes and heart attacks. Atorvastatin is a cholesterol lowering agent. Twenty adults 18-75 years of age requiring cholesterol-lowering agent and antiplatelet agent therapy will be recruited for this study during their cardiology clinic visitation. In one group, antiplatelet agent (clopidogrel) regimen will be administered first, then followed by cholesterol-lowering medication (atorvastatin). In the second group, atorvastatin will be administered first, followed by clopidogrel. A new test called the erythromycin breath test will be administered to you three times during the study to measure how your liver will metabolize these drugs. Blood samples will also be obtained to assess platelet function. The criteria for exclusion are patient refusal or inability to give written consent, patients with allergic reaction to erythromycin, patients with known bleeding problems, liver disease, significant lung disease kidney disease and pregnancy. Patients with psychiatric impairment and documented history of substance abuse will also be excluded from the study.

Clinical Details

Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Eligibility

Minimum age: 18 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Males and females age 18-75 years of age without bias in racial and ethnic

background, undergoing percutaneous coronary intervention requiring antiplatelet therapy: 1. Patients presented to cardiology clinic requiring cholesterol lowering agent 2. Patients presented to cardiology clinic requiring antiplatelet agent. Exclusion Criteria:

- Refusal or inability to give written consent

- Allergic reaction to erythromycin

- Have known bleeding problems, liver disease, significant lung disease kidney disease

- Pregnancy

- Psychiatric impairment and documented history of substance abuse

Locations and Contacts

Wei C. Lau, M.D., Phone: 1-734-936-4280

1G323 University Hospital, Box 0048 1500 E Medical Center Drive, Ann Arbor, Michigan 48109, United States; Recruiting
Additional Information


Last updated: June 23, 2005

Page last updated: August 23, 2015

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