Identification of Clopidogrel CYP2C19 Metabolizer and Thienopyridine Treatment After an Acute Coronary Syndrome
GAMMA
Bedside Genetic Approach to Identify Clopidogrel CYP2C19 Metabolizer and Optimize Maintenance Thienopyridine Treatment After an Acute Coronary Syndrome: The GAMMA Study
2 other identifiers
observational
270
1 country
1
Brief Summary
To demonstrate that a strategy of fast genetic testing performed in outpatient clinic allows to select adequately one of the 2 antiplatelet treatments approved in the same indication (ACS with PCI - prasugrel 10mg MD or clopidogrel 75mg MD). Patients will reach similar levels of platelet inhibition with the 2 different thienopyridines suggesting optimal risk/benefit ratio in most patients with individualized therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2011
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
July 1, 2011
CompletedFirst Submitted
Initial submission to the registry
July 7, 2011
CompletedFirst Posted
Study publicly available on registry
July 11, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedFebruary 10, 2014
February 1, 2014
1.3 years
July 7, 2011
February 7, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
proportion of patients who are within the optimal prespecified window of P2Y12 inhibition
the proportion of rapid metabolizers treated with a 75mg clopidogrel MD within the optimal range of P2Y12 inhibition at 30 days, (defined as a threshold of 220 AU·min up to 350 AU·min of ADP-induced platelet aggregation measured by the Multiple Electrode platelet Aggregometry - Multiplate analyzer, Dynabyte, Munich, Germany or a % inhibition between 30% up to 80% using the VerifyNowTMP2Y12 platform),
At one month
Secondary Outcomes (1)
proportion of patients who are within the optimal prespecified window of P2Y12 inhibition
at 45 days
Study Arms (1)
Patients treated for ACS
ACS patients who recently underwent stent PCI, who are stable and eligible for prasugrel or clopidogrel therapy.
Eligibility Criteria
ACS patients who recently underwent stent PCI, who are stable and eligible for prasugrel or clopidogrel therapy.
You may qualify if:
- \- ACS patients who underwent Percutaneous coronary intervention
You may not qualify if:
- Anemia \<10g/dL
- Indication for VKA
- Recent bleeding or planned surgery
- Thrombopenia \<80 000/µl
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
ACTION-Institut de Cardiologie-Groupe Hospitalier Pitié-Salpêtrière (APHP) Université Pierre et Marie Curie (UPMC)
Paris, 75013, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean Philippe COLLET, PUPH
Assistance Publique - Hôpitaux de Paris
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 7, 2011
First Posted
July 11, 2011
Study Start
July 1, 2011
Primary Completion
November 1, 2012
Study Completion
November 1, 2012
Last Updated
February 10, 2014
Record last verified: 2014-02