Overcome Biochemical Aspirin Resistance Through Cilostazol Combination
ARCC
Phase 4 Study of Additional Cilostazol for Overcoming Biochemical Aspirin Resistance in the Chronic Stroke Patients
1 other identifier
interventional
244
1 country
4
Brief Summary
This study will recruit 316 ischemic stroke patients taking aspirin. They will be randomly assigned into cilostazol group or placebo group. Every patients will take 200mg of cilostazol a day or placebo for 1 month. The primary outcome variable of this study is rate of biochemical aspirin resistance on the Ultra Rapid Platelet Function Assay-ASA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Mar 2007
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2007
CompletedFirst Submitted
Initial submission to the registry
March 12, 2007
CompletedFirst Posted
Study publicly available on registry
March 13, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2008
CompletedResults Posted
Study results publicly available
January 18, 2010
CompletedJanuary 18, 2010
November 1, 2009
1.3 years
March 12, 2007
January 22, 2009
December 10, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Aspirin Resistance (ARU ≥ 550)
The number of patients with aspirin reaction units (ARUs) values ≥ 550 on the Ultra Rapid Platelet Function Assay-ASA among the recruited patients
4 weeks after treatment
Secondary Outcomes (6)
Aspirin Resistance (ARU ≥ 500)
4 weeks after reatment
Bleeding Time (BT)
4 weeks after reatment
Fatal or Major Bleeding Complications;
events ocurred during study medication after randomization
Any Bleeding Complications
events ocurred during study medication after randomization
Difference of Post-treatment ARU and Baseline ARU
baseline ARU measured at the randomization and post-treatment ARU measured at the 4weeks treatment with study medication
- +1 more secondary outcomes
Study Arms (2)
1 Cilostazol
EXPERIMENTAL100mg of Cilostazol twice a day
Placebo
PLACEBO COMPARATORmatching placebo to cilostazol
Interventions
placebo 1 tablet twice a day matching for cilostazol
Eligibility Criteria
You may qualify if:
- Symptomatic cerebral infarction documented on MRI or CT
- More than 35 years of age
- Patients taking aspirin 100mg a day for 2 weeks or more before randomization
You may not qualify if:
- Patients taking any antiplatelets other than aspirin within 2 weeks before randomization
- Patients taking any anticoagulants within 2 weeks before randomization
- Patients taking thrombolytic therapy within 2 weeks before randomization
- Patients taking any NSAIDs within 2 weeks before randomization
- Patients who need to take NSAIDs regularly (e.g. rheumatic arthritis).
- Bleeding diathesis
- Chronic liver disease (ALT \> 100 or AST \> 100) or chronic renal disease (creatinine \> 3.0mg/dl)
- Anemia (hemoglobin \< 10mg/dl) or thrombocytopenia (platelet count less than 100,000/mm3)
- Pregnant or lactating patients
- Patients scheduled for angioplasty or revascularization procedures within 4 weeks
- Patients scheduled for any surgery or invasive procedures within 4 weeks
- Patients having acute coronary syndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Asan Medical Centerlead
- Korea Otsuka Pharmaceutical Co., Ltd.collaborator
Study Sites (4)
Jae-Kwan Cha
Busan, Busan, 602-715, South Korea
Eulji University Hospital
Daejeon, 302-799, South Korea
Kangdong Sacred Heart Hospital, Hallym University
Seoul, 134-701, South Korea
Asan Medical Center
Seoul, 138-736, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Professor Sun U. Kwon
- Organization
- Asan Medical Center, University of Ulsan College of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Sun U Kwon, MD. PhD.
Asan Medical Center, Univsersity of Ulsan, Medical College
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 12, 2007
First Posted
March 13, 2007
Study Start
March 1, 2007
Primary Completion
June 1, 2008
Study Completion
July 1, 2008
Last Updated
January 18, 2010
Results First Posted
January 18, 2010
Record last verified: 2009-11