Status:

COMPLETED

Ticagrelor Administered as Standard Tablet or Orodispersible Formulation

Lead Sponsor:

Azienda Ospedaliero Universitaria di Sassari

Collaborating Sponsors:

AstraZeneca

Conditions:

ST Elevation Myocardial Infarction

NSTEMI - Non-ST Segment Elevation MI

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Randomized clinical study evaluating superiority in platelet inhibition after administration of Ticagrelor 180 mg loading dose as an orodispersible formulation versus traditional coated tablets in pat...

Detailed Description

Primary percutaneous coronary intervention (PPCI) is the preferred reperfusion strategy for patients with acute ST-segment elevation myocardial infarction (STEMI). Additional antithrombotic therapy pr...

Eligibility Criteria

Inclusion

  • Patients presenting within 12 hours from the onset of symptoms with STEMI or very high-risk NSTEMI referred for immediate (\< 2 hours) angiography. Very high-risk NSTEMI patients include patients with haemodynamic instability or cardiogenic shock, heart failure, life-threatening arrhythmias or resuscitated cardiac arrest, intermittent ST-segment elevation, or ongoing chest pain.
  • Informed, written consent
  • Male or female patients, aged ≥ 18 years old

Exclusion

  • Age \< 18 years
  • Active bleeding; bleeding diathesis; coagulopathy
  • History of gastrointestinal or genitourinary bleeding \<2 months
  • Major surgery in the last 6 weeks
  • History of intracranial bleeding or structural abnormalities
  • Suspected aortic dissection
  • Administration in the week before the index event of clopidogrel, ticlopidine, prasugrel, ticagrelor, thrombolytics, bivalirudin, low-molecular weight heparin or fondaparinux.
  • Concomitant oral or IV therapy with strong CYP3A inhibitors or strong CYP3A inducers, CYP3A with narrow therapeutic window
  • Known relevant hematological deviations: Hb \<10 g/dl, Thromb. \<100x10\^9/l
  • Use of warfarin or new oral anticoagulant derivatives within the last 7 days
  • Known severe liver disease, severe renal failure
  • Allergy or hypersensitivity to ticagrelor or any of the excipients.
  • Pregnancy or lactation

Key Trial Info

Start Date :

June 27 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 31 2020

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT03822377

Start Date

June 27 2019

End Date

August 31 2020

Last Update

September 8 2021

Active Locations (1)

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Cardiologia Clinica e Interventistica - AOU Sassari

Sassari, Italy, 07100