Status:

COMPLETED

Nitrate - Clopidogrel - Acute Coronary Syndrome

Lead Sponsor:

Bursa Postgraduate Hospital

Conditions:

Acute Coronary Syndromes

Eligibility:

All Genders

18-75 years

Brief Summary

This study aims to investigate whether intravenous nitrate given during non-ST-elevation myocardial infarction (non-STEMI) affects the platelet inhibition of clopidogrel.

Eligibility Criteria

Inclusion

  • diagnosed with non-STEMI
  • Patients aged 18 to 75 years
  • positive troponin levels,
  • blood pressure above 120/70 mmHg

Exclusion

  • Hemodynamically unstable and requiring urgent intervention,
  • ST elevation on electrocardiography, atrial fibrillation,
  • recurrent angina,
  • use of narcotic analgesics (e.g., morphine), nitrates and glycoprotein IIb/IIIa inhibitors during hospitalization,
  • history of coronary artery bypass graft (CABG) surgery,
  • active infection,
  • uncontrolled hypertension,
  • diabetes, cerebrovascular accident, Use P2Y12 inhibitor, proton pump inhibitor, oral anticoagulant, statin, CYP enzyme-inducing or inhibiting drugs at the time of admission,
  • active systemic disease (e.g., malignancy, thyroid disorders chronic inflammatory diseases, liver dysfunction),
  • left ventricular systolic dysfunction (ejection fraction \<50%),
  • glomerular filtration rate \<60 mL/min/1.73m2,
  • allergy to ASA or clopidogrel, coagulopathy,
  • platelet counts below 100,000/μl and hematocrit levels below 29%, or exceeding 52%.

Key Trial Info

Start Date :

February 1 2023

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 1 2024

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT06878638

Start Date

February 1 2023

End Date

April 1 2024

Last Update

March 17 2025

Active Locations (1)

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Bursa Yüksek İhtisas Hastanesi

Bursa, Turkey (Türkiye), 16340