Long Term Safety of Clopidogrel in Neonates/Infants With Systemic to Pulmonary Artery Shunt Palliation (CLARINET LT)
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Purpose
This study is the extension of the CLARINET study [NCT00396877 -EFC5314] in neonates or infants with cyanotic congenital heart disease palliated with a systemic-to-pulmonary artery shunt.
The primary objective was to assess the safety up to 18 months of age of the extended use of Clopidogrel 0.2 mg/kg/day in patients for whom the shunt was still in place at one year of age.
The secondary objective was to assess the efficacy on the occurrence of shunt thrombosis requiring intervention or any death.
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Defects, Congenital |
Drug: Clopidogrel Drug: placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Long Term Safety Study in Patients Included in the CLARINET Study With Cyanotic Congenital Heart Disease Palliated With a Systemic-to-pulmonary Artery Shunt and for Whom the Shunt is Still in Place at One Year of Age |
- Number of Participants With Bleeding Events [ Time Frame: Up to a maximum of 6 months ] [ Designated as safety issue: Yes ]
All bleeding events experienced during the study period were collected as for any Adverse Event.
The 'on-treatment' period was defined as the period from inclusion in the extension study up to 28 days after treatment discontinuation, and participants who experienced bleeding events during that period were counted.
- Number of Participants According to Bleeding Type/Etiology [ Time Frame: Up to a maximum of 6 months ] [ Designated as safety issue: Yes ]For all reported bleeding events, the type and the etiology of the bleeding event were collected. Participants who experienced bleeding events during the 'on-treatment period' were counted by bleeding type and etiology.
- Number of Participants With Shunt Thrombosis Requiring Intervention or Deaths [ Time Frame: Up to a maximum of 6 months ] [ Designated as safety issue: No ]
Outcome events, shunt thrombosis requiring intervention or death, experienced during the study period were recorded.
Participants were counted excluding the events that occured after the participant's protocol study end (occurrence of shunt thrombosis, next surgical procedure for correction of the congenital heart disease, death, or 18 months of age, whichever came first).
| Enrollment: | 49 |
| Study Start Date: | January 2009 |
| Study Completion Date: | July 2010 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Placebo
0.2 mL/kg/day matching placebo solution once daily.
|
Drug: placebo
Form: reconstituted solution using matching placebo powder Route: oral or enteric Frequency: once daily Dose: daily dose adjusted for weight |
|
Experimental: Clopidogrel 0.2 mg/kg/day
0.2 mL/kg/day Clopidogrel reconstituted solution at 1mg/mL once daily.
|
Drug: Clopidogrel
Form: reconstituted solution using Clopidogrel powder Route: oral or enteric Frequency: once daily Dose: daily dose adjusted for weight Other Names:
|
Detailed Description:
Patients remained in the treatment group to which they were originally allocated for the CLARINET study and continued blindly their treatment (0.2 mg/kg/day of clopidogrel or placebo) up to the occurrence of shunt thrombosis, next surgical procedure for correction of the congenital heart disease, death, or 18 months of age, whichever came first. The maximum treatment duration were 6 months.
Eligibility| Ages Eligible for Study: | 12 Months and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients randomized in the CLARINET study,
- Still receiving the study drug,
- Palliative systemic-to-pulmonary artery shunt still in place at 1 year of age,
- Investigator's decision to continue based on his/her judgment of the expected benefit / risk of continuing treatment with study drug,
- Signed informed consent to participate in the long-term safety study.
Contacts and Locations| United States, New Jersey | |
| Sanofi-Aventis Administrative Office | |
| Bridgewater, New Jersey, United States, 08807 | |
| Brazil | |
| Sanofi-Aventis Administrative Office | |
| Sao Paulo, Brazil | |
| France | |
| Sanofi-Aventis Administrative Office | |
| Paris, France | |
| Germany | |
| Sanofi-Aventis Administrative Office | |
| Berlin, Germany | |
| Hungary | |
| Sanofi-Aventis Administrative Office | |
| Budapest, Hungary | |
| India | |
| Sanofi-Aventis Administrative Office | |
| Mumbai, India | |
| Italy | |
| Sanofi-Aventis Administrative Office | |
| Milano, Italy | |
| Malaysia | |
| Sanofi-Aventis Administrative Office | |
| Kuala Lumpur, Malaysia | |
| Mexico | |
| Sanofi-Aventis Administrative Office | |
| Mexico, Mexico | |
| Poland | |
| Sanofi-Aventis Administrative Office | |
| Warszawa, Poland | |
| Portugal | |
| Sanofi-Aventis Administrative Office | |
| Porto Salvo, Portugal | |
| Russian Federation | |
| Sanofi-Aventis Administrative Office | |
| Moscow, Russian Federation | |
| Spain | |
| Sanofi-Aventis Administrative Office | |
| Barcelona, Spain | |
| Taiwan | |
| Sanofi-Aventis Administrative Office | |
| Taipei, Taiwan | |
| United Kingdom | |
| Sanofi-Aventis Administrative Office | |
| Guildford Surrey, United Kingdom | |
| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided by Sanofi
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT00833703 History of Changes |
| Other Study ID Numbers: | LTS10916, 2008-004999-53 |
| Study First Received: | January 29, 2009 |
| Results First Received: | July 20, 2011 |
| Last Updated: | August 18, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Sanofi:
|
cyanotic congenital heart disease shunt palliation thrombosis clopidogrel |
Additional relevant MeSH terms:
|
Congenital Abnormalities Heart Defects, Congenital Heart Diseases Cardiovascular Abnormalities Cardiovascular Diseases Clopidogrel Ticlopidine Platelet Aggregation Inhibitors Hematologic Agents Therapeutic Uses Pharmacologic Actions |
Purinergic P2Y Receptor Antagonists Purinergic P2 Receptor Antagonists Purinergic Antagonists Purinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs Fibrinolytic Agents Fibrin Modulating Agents Cardiovascular Agents |
ClinicalTrials.gov processed this record on June 17, 2013