Platelet Function Assessment for Atherothrombotic Patients
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|ClinicalTrials.gov Identifier: NCT00513149|
Recruitment Status : Unknown
Verified January 2011 by National Taiwan University Hospital.
Recruitment status was: Recruiting
First Posted : August 8, 2007
Last Update Posted : January 24, 2011
|Condition or disease||Intervention/treatment||Phase|
|Coronary Artery Disease||Drug: Clopidogrel||Phase 4|
Methods and Expected Results-In this prospective follow-up study, we will assess the predictive power of different assays of platelet function (PFA-100, plasma levels of von Willebrand factor, P-selectin, soluble CD40 ligand, and myeloid-related protein-8/14, and ADP-induced P-selectin [CD62P] expression on platelets by flow cytometry) before and after high-dose (600 mg) clopidogrel loading, at 3-month follow-up, and at study end on the occurrence of major cardiovascular events (MACE)(death, myocardial infarction, stroke, and coronary revascularization). We will also evaluate the correlations between different assays of platelet function. Based on our previous pilot study which demonstrated that a significant association between collagen-ADP closure time measured by PFA-100 and the occurrence of major cardiovascular events in 130 patients undergoing coronary angioplasty followed up for 6 months, we plan to include 150-200 patients into the present study. The total inclusion period is estimated to be 1 year. Therefore, a total of 2 to 2.5 years will be needed to complete this study. In the first year, we will analyze (1) the correlations between various platelet parameters and coronary angiographic findings; (2) the correlations among different platelet function measurements; and (3) the responsiveness of CADP-CT on high-dose clopidogrel loading.
In the second year, we will (1) analyze the predictability of various platelet parameters, at different point of time (baseline, after clopidogrel loading, at study end), on the occurrence of MACE and (2) establish a risk-prediction schema for patients undergoing coronary angioplasty. A pre-defined threshold value for the collagen-epinephrine closure time is set at 190 s, since this value has been recommended by other investigators to differentiate the presence or absence of aspirin resistance. A pre-defined threshold value for the collagen-ADP closure time is set at 90 s, since we found in our pilot study that this value was associated with the best discriminating ability for identifying patients developing MACE. In the third year, genetic background determining the PFA-100 closure time and levels of plasma markers of platelet activation will be explored by analyzing the relationships between various SNP/haplotype patterns and values of different platelet function assessments.
Clinical Significance-The present study will be the first to explore the clinical role of platelet function assessment both at baseline, after high-dose clopidogrel loading, and at study end. It may give us great insights regarding how to treat high-risk patients adequately with antiplatelet agents.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||150 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Validation of the Clinical Applicability of Various Platelet Function Assessments in High-Risk Atherothrombotic Patients Undergoing Percutaneous Coronary Angioplasty: Phase 4 Study|
|Study Start Date :||July 2006|
|Estimated Primary Completion Date :||June 2011|
|Estimated Study Completion Date :||July 2011|
Active Comparator: c6
Clopidogrel 600 mg loading
Clopidogrel 600 mg loading
- the occurrence of major cardiovascular events (MACE)(death, myocardial infarction, stroke, and clinically driven target lesion revascularization) [ Time Frame: 1 year ]
- the correlations between various platelet parameters and coronary angiographic findings [ Time Frame: 1 year ]
- the correlations among different platelet function measurements [ Time Frame: 1 year ]
- the responsiveness of CADP-CT on high-dose clopidogrel loading [ Time Frame: 1 year ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00513149
|Contact: Tzung-Dau Wang, M.D.,Ph.D.||886-2-23123456 ext email@example.com|
|Division of Cardiology, Department of Internal Medicine and Department of Medical Imaging, National Taiwan University Hospital||Recruiting|
|Taipei, Taiwan, 100|
|Contact: Tzung-Dau Wang, MD, PhD 886-2-2312-3456 ext 5632 firstname.lastname@example.org|
|Principal Investigator: Tzung-Dau Wang, MD, PhD|
|Study Chair:||Tzung-Dau Wang, M.D.,Ph.D.||National Taiwan University Hospital|