NCT01174693

Brief Summary

The purpose of this study is to compare the preventive effect of stroke between triflusal and clopidogrel in ischemic stroke patient based on the cytochrome P450 2C19 (CYP2C19) polymorphism.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
795

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Mar 2010

Longer than P75 for phase_4

Geographic Reach
1 country

18 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2010

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

August 3, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 4, 2010

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
Last Updated

March 17, 2015

Status Verified

March 1, 2015

Enrollment Period

4.8 years

First QC Date

August 3, 2010

Last Update Submit

March 16, 2015

Conditions

Keywords

prospectiverandomizedopen labelmulti-centerdouble-blind for CYP2C19 genotypes

Outcome Measures

Primary Outcomes (1)

  • Time to first recurrent stroke

    The study will finish at least 2 years after the recruit of 1080th patients. Until the finish, patients will continuously take study medications and visit every 3months at the study site. We will measure primary outcome during the follow-up period (minimum 2.8 years to maximum 4 years - maximum time is determined by estimated enrollment time period of 2.8 years).

    2.8 to 4 years

Secondary Outcomes (1)

  • Time to first of composite cardiovascular events, MI or coronary artery revascularization and ischemic stroke

    2.8 to 4 years

Study Arms (2)

Clopidogrel

ACTIVE COMPARATOR

Plavix® 75mg tablet, 75mg once daily, Mode of administration: oral, Duration: from randomization to 31 December 2014

Drug: Clopidogrel

Triflusal

EXPERIMENTAL

Disgre® 150mg or 300mg capsule, 300mg bid, Mode of administration: oral, Duration: from randomization to 31 December 2014

Drug: Triflusal

Interventions

Dose: 150mg or 300mg capsule, 300mg bid, Mode of administration: oral, Duration: from randomization to 31 December 2014

Also known as: Disgren®
Triflusal

Dose: 75mg tablet, 75mg once daily, Mode of administration: oral, Duration: from randomization to 31 December 2014

Also known as: Plavix®
Clopidogrel

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients who have non-cardiogenic ischemic stroke of TOAST classification within 30 days prior to screening
  • ≥ 20 years of age; adult, at the date of signing the informed consent
  • Written informed consent

You may not qualify if:

  • History for bleeding tendency or recent major bleeding within 2 weeks
  • Chronic liver disease (ALT \> 100 IU/L or AST \> 100 IU/L) or renal dysfunction (creatinine \> 4.0 mg/dl)
  • Thrombocytopenia (platelet \< 100,000mm3)
  • Any contraindication of antiplatelet agent
  • Severe congestive heart failure
  • Patients who need to take anticoagulants or two or more antiplatelet agents
  • Severe concomitant disease with the expected survival less than 2 years
  • Pregnant or nursing
  • Any drug clinical trials within 30 days of signing the informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Department of Neurology, Wonju Christian Hospital, Yonei University Wonju College of Medicine

Wŏnju, Gangwon-do, 220-701, South Korea

Location

Department of Neurology, National Health Insurance Corporation Ilsan Hospital

Goyang-si, Gyeonggi-do, 410-719, South Korea

Location

Department of Neurology, CHA Bundang Medical Center, CHA University School of Medicine

Seongnam-si, Gyeonggi-do, 463-712, South Korea

Location

Changwon Fatima Hospital

Changwon, Gyeongsangnam-do, 641-560, South Korea

Location

Keimyung University Dongsan Medical Center

Daegu, 700-712, South Korea

Location

Kyungpook National University Hospital

Daegu, 700-721, South Korea

Location

Yeungnam University Hospital

Daegu, 705-717, South Korea

Location

Department of Neurology, Konyang University Hospital

Daejeon, 302-718, South Korea

Location

Department of Neurology, Chosun University Hospital

Gwangju, 501-717, South Korea

Location

Department of Neurology, National Medical Center

Seoul, 100-799, South Korea

Location

Department of Neurology, Severance Hospital, Yonsei University College of Medicine

Seoul, 120-752, South Korea

Location

KyungHee University Medical Center

Seoul, 130-702, South Korea

Location

Department of Neurology, Kyung Hee University Hospital at Gangdong

Seoul, 134-727, South Korea

Location

Department of Neurology, Gangnam Severance Hospital, Yonsei Univ. College of Medicine

Seoul, 135-720, South Korea

Location

Korea University Anam Hospital

Seoul, 136-705, South Korea

Location

Department of Neurology, Sanggye Paik Hospital, Inje University College of Medicine

Seoul, 139-707, South Korea

Location

Department of Neurology, Korea University Guro Hospital

Seoul, 152-703, South Korea

Location

Department of Neurology, Ewha Womans University Mokdong Hospital

Seoul, 158-710, South Korea

Location

Related Publications (1)

  • Han SW, Kim YJ, Ahn SH, Seo WK, Yu S, Oh SH, Kim YN, Lee KY; MAESTRO Study Investigators. Protocol for the comparison of triflusal and clopidogrel in secondary prevention of stroke based on cytochrome P450 2C19 genotyping (MASETRO study): A multicenter, randomized, open-label, parallel-group trial. Int J Stroke. 2016 Jun;11(4):485-91. doi: 10.1177/1747493015620804. Epub 2016 Jan 5.

MeSH Terms

Conditions

Cerebral Infarction

Interventions

triflusalClopidogrel

Condition Hierarchy (Ancestors)

Brain InfarctionBrain IschemiaCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesStrokeVascular DiseasesCardiovascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

TiclopidineThienopyridinesThiophenesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Officials

  • KyungYul Lee, MD, PhD

    Gangnam Severance Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

August 3, 2010

First Posted

August 4, 2010

Study Start

March 1, 2010

Primary Completion

December 1, 2014

Study Completion

March 1, 2015

Last Updated

March 17, 2015

Record last verified: 2015-03

Locations