Status:

COMPLETED

Prasugrel Versus Clopidogrel to TREAT High Platelet Reactivity

Lead Sponsor:

University of Pecs

Conditions:

Acute Coronary Syndrome

Eligibility:

All Genders

18-74 years

Phase:

PHASE4

Brief Summary

MAIN AIM: To compare the pharmacological potency of administering adjusted 600 mg clopidogrel loading doses and 60 mg prasugrel in patients with high on-clopidogrel platelet reactivity (HPR) after PCI...

Detailed Description

Study rationale: After coronary stent implantation, aspirin plus thienopyridine therapy has been proven to be superior to aspirin alone or aspirin plus warfarin in reducing adverse thrombotic events....

Eligibility Criteria

Inclusion

  • Age between 18-74 years
  • PCI with stent implantation due to stable angina or acute coronary syndrome
  • Platelet function assessment available 6-24 hours after PCI
  • Multiplate-derived ADP-reactivity \> 47 U

Exclusion

  • Age ≥75 years
  • Prior TIA or stroke
  • Body weight less than 60 kg
  • Contraindication for aspirin / thienopyridines
  • Severe liver failure (Child Pugh C)
  • Need for oral anticoagulation in the following one month
  • Planned discontinuation of antiplatelet treatment in one month
  • Current bleeding disorder, active bleeding event (Weber positivity)
  • Haemoglobin level at presentation \< 90 g/l
  • Refused informed consent

Key Trial Info

Start Date :

September 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2013

Estimated Enrollment :

147 Patients enrolled

Trial Details

Trial ID

NCT01493999

Start Date

September 1 2011

End Date

April 1 2013

Last Update

October 8 2014

Active Locations (1)

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University of Pécs, Heart Institute

Pécs, Hungary, 7624