Arachidonic Acid-induced Platelet Aggregation Rate in Patients With Stable CAD Treated With Ticagrelor Monotherapy
An Open Label, Two Arms, Randomized Controlled Pilot Study Comparing the Arachidonic Acid-induced Platelet Aggregation Rate in Patients With Stable Coronary Artery Disease Treated With Ticagrelor Monotherapy or Ticagrelor and Asprin
1 other identifier
interventional
70
1 country
1
Brief Summary
This study was a feasibility trial that was designed to provide preliminary observations and generate hypotheses for future studies. The aim of the study is to estimate the difference of arachidonic acid induced platelet aggregation rate between ticagrelor mono-therapy and aspirin/ticagrelor dual-therapy after 14 days of treatment in patients with stable coronary artery disease. The potential hypothesis is that the arachidonic acid (AA) induced platelet aggregation rate after 2 weeks of ticagrelor mono-therapy is comparable to that of aspirin/ticagrelor dual-therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Aug 2014
Shorter than P25 for phase_4
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
First Submitted
Initial submission to the registry
July 24, 2014
CompletedStudy Start
First participant enrolled
August 1, 2014
CompletedFirst Posted
Study publicly available on registry
August 18, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedJune 21, 2016
June 1, 2016
10 months
July 24, 2014
June 20, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The rate of AA induced platelet aggregation
The rate of AA induced platelet aggregation will be measured at day 14 after randomization.
Day 14 after randomization
Secondary Outcomes (4)
The rate of ADP induced platelet aggregation
Day 7 and day 14 after randomization
The rate of collagen induced platelet aggregation
Day 7 and day 14 after randomization
The serum concentration of Thromboxane B2
Day 7 and day 14 after randomization
The rate of AA induced platelet aggregation
Day 7 after randomization
Study Arms (2)
ticagrelor mono-therapy
EXPERIMENTALTake ticagrelor 90 mg Bid for 2 weeks.
aspirin/ticagrelor dual-therapy
ACTIVE COMPARATORTake ticagrelor 90mg Bid plus Aspirin 100mg Qd and treated for 2 weeks.
Interventions
90 mg bid for 2 weeks
Eligibility Criteria
You may qualify if:
- Provision of informed consent prior to any study specific procedures.
- Aged \>18 years.
- Documented stable coronary artery disease.
- Currently receiving dual-antiplatelet therapy with aspirin 100mg/d and clopidogrel 75mg/d.
You may not qualify if:
- History of acute coronary syndrome within 12 months of screening.
- History of percutaneous coronary intervention within 12 months of screening.
- Any indication (eg, atrial fibrillation,prosthetic heart valve, or coronary stent) for antithrombotic therapy(eg, warfarin, clopidogrel, or aspirin dose other than 75 to 100 mg/during the study period).
- AA induced platelet aggregation rate \>20% on aspirin+clopidogrel measured by light transmission platelet aggregation test with the past 3 months.
- Congestive heart failure or left ventricular ejection fraction \<35%.
- Forced expiratory volume in the first second forced vital capacity below the lower limits of normal.
- Bleeding diathesis or severe pulmonary disease.
- Active pathological bleeding.
- History of intracranial hemorrhage.
- Hypersensitivity to ticagrelor or any of the excipients.
- Severe hepatic impairment.
- Pregnancy.
- Current smoking.
- Platelet count \<100 000/mm3 or hemoglobin \<10 g/dL.
- HemoglobinA1c \>10%.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yong Huolead
Study Sites (1)
Peking University First Hospital
Beijing, 100034, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Huo Yong, MD
Peking University First Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- The director of the Department of Cardiology and heart center of Peking University First Hospital
Study Record Dates
First Submitted
July 24, 2014
First Posted
August 18, 2014
Study Start
August 1, 2014
Primary Completion
June 1, 2015
Study Completion
August 1, 2015
Last Updated
June 21, 2016
Record last verified: 2016-06
Data Sharing
- IPD Sharing
- Will not share