Reversibility of Dual Antiplatelet Therapy by Platelets
2 other identifiers
interventional
6
1 country
1
Brief Summary
The objective of the study is to test the hypothesis whether or not autologous stored platelets are able to offset the antiplatelet effect of aspirin and clopidogrel as assessed by state-of-the-art platelet function assays.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Nov 2010
Shorter than P25 for phase_2
1 active site
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
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
November 19, 2010
CompletedFirst Posted
Study publicly available on registry
November 25, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2011
CompletedApril 28, 2011
April 1, 2011
3 months
November 19, 2010
April 27, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pharmacodynamic assessment of platelet function as assessed by 5 and 20 micromolar ADP
pharmacodynamic measurements of platelet function will be assessed at baseline, after 3 days administration of aspirin and clopidogrel (300 mg loading with aspirin and clopidogrel, maintenance with 100 mg aspirin and 75 mg clopidogrel, respectively) after retransfusion of stored platelets and 24 hours thereafter
7 days
Secondary Outcomes (3)
Pharmacodynamic assessment of platelet function as assessed by 20 mM arachidonic acid
7 days
Pharmacodynamic assessment of platelet function as assessed by Vasodilator stimulated phosphoprotein (VASP) phosphorylation (platelet reactivity index; PRI)
7 days
Pharmacodynamic assessment of platelet function as assessed by expression of GP IIb/IIIa receptors and P-selectin (Mean fluorescence intensity %)
7 days
Study Arms (1)
autologous stored platelets
EXPERIMENTALInterventions
Administration of autologous stored platelets
administration of autologous stored platelets
Eligibility Criteria
You may qualify if:
- Informed consent
- Age of consent
- Weight: 70 kg - 100 kg
- Platelet count 240 000 to 440 000/µL
- Hematocrit \> 40%
- readiness to refrain from any activities prone to injury during the study period.
You may not qualify if:
- Allergy against aspirin or clopidogrel
- History of bleeding
- History of peptic ulcer
- Intake of aspirin or NSAR during the last ten days before screening
- Gastrointestinal disease precluding resorption of aspirin and clopidogrel
- Scheduled surgery
- Any current medication
- History of hepatic disease
- µm ADP induced aggregation \< 60% at screening
- CYP2C19 polymorphisms
- Donation of blood within the preceding 4 weeks
- Neurotic disease
- Current smoking
- Drug addiction
- Intake of grapefruits during the last 10 days before
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medical University of Grazlead
- Novo Nordisk A/Scollaborator
- CSL Behringcollaborator
Study Sites (1)
Department of anesthesia and intensive care medicine, Medical Univerity of Graz
Graz, 8036, Austria
Related Publications (1)
Pruller F, Drexler C, Archan S, Macher S, Raggam RB, Mahla E. Low platelet reactivity is recovered by transfusion of stored platelets: a healthy volunteer in vivo study. J Thromb Haemost. 2011 Aug;9(8):1670-3. doi: 10.1111/j.1538-7836.2011.04392.x. No abstract available.
PMID: 21649849DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mahla Elisabeth, MD
Dept. of Anesthesia and Intensive Care Medicine, Medical University of Graz
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 19, 2010
First Posted
November 25, 2010
Study Start
November 1, 2010
Primary Completion
February 1, 2011
Study Completion
March 1, 2011
Last Updated
April 28, 2011
Record last verified: 2011-04