Unique ID issued by UMIN | UMIN000002940 |
---|---|
Receipt number | R000003562 |
Scientific Title | An association between post-treatment platelet reactivity and ischemic and bleeding events after stent implantation in patients with acute coronary syndromes: A multicenter, prospective, cohort study. |
Date of disclosure of the study information | 2010/01/04 |
Last modified on | 2019/01/10 11:14:10 |
An association between post-treatment platelet reactivity and ischemic and bleeding events after stent implantation in patients with acute coronary syndromes: A multicenter, prospective, cohort study.
Platelet function monitoring in patients with acute coronary syndromes
An association between post-treatment platelet reactivity and ischemic and bleeding events after stent implantation in patients with acute coronary syndromes: A multicenter, prospective, cohort study.
Platelet function monitoring in patients with acute coronary syndromes
Japan |
Acute Coronary Syndromes
Cardiology |
Others
YES
To evaluate the association between post-treatment platelet reactivity and ischemic and bleeding events after stent implantation in patients with acute coronary syndromes
PK,PD
Exploratory
Pragmatic
Not applicable
1) Frequency of 1-year composite endpoints (including cardiovascular death, myocardial infarction, stent thrombosis, target vessel revascularization, non-target vessel revascularization, and ischemic stroke and major bleeding) in the first quartile group, the fourth, and the other 2 quartiles according to post-treatment platelet reactivity assessed by VerifyNow P2Y12 assay before PCI.
Myocardial infarction is defined as universal definition in 2007, stent thrombosis is defined as ARC definition(definite, probable, possible), and major bleeding is defined as REPLACE-2 criteria.
1) Frequency of 1-year adverse cardiac and cerebrovascular events (including cardiovascular death, myocardial infarction, stent thrombosis, target vessel revascularization, non-target vessel revascularization, and ischemic stroke) and major bleeding in patients with high post-treatment platelet reactivity before PCI.
High post-treatment platelet reactivity is defined as P2Y12 reaction unit (PRU) >= 235 assessed by VerifyNow P2Y12 assay before PCI.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Patients with acute coronary syndromes who are scheduled to undergo coronary stent implantation treated with aspirin and clopidogrel are enrolled.
1) use of warfarin, ticlopidine, cilostazole, glycoprotein IIb/IIIa inhibitor, or fibrinolytics within 7 days before enrollment or duing study period.
2) serum hemoglobin level <10 g/dl or >18 g/dl
3) platelet count <100,000 /mm3 or >500,000 /mm3
4) hematologic or malignant disordor
5) major bleeding events within 7 days before enrollment
6) severe chronic renal failure (serum creatinine > 2mg/dl)
7) severe liver dysfunction (hepatic cirrhosis or portal hypertension)
8) acute coronary syndromes caused by stent thrombosis or in-stent restenosis
9) drug allergy of aspirin or clopidogrel
10) participating in the other trial (phase 1-3)
11) women of pregnant, childbearing potential or lactation
12) patients who are not allowed to participate in the trial by judgement of the treating physician
360
1st name | |
Middle name | |
Last name | Kengo Tsukahara |
Yokohama City University Medical Center
Division of Cardiology
4-57 Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan
045-261-5656
k-tsuka@urahp.yokohama-cu.ac.jp
1st name | |
Middle name | |
Last name | Kengo Tsukahara |
Yokohama City University Medical Center
Division of Cardiology
4-57 Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan
045-261-5656
k-tsuka@urahp.yokohama-cu.ac.jp
Division of Cardiology, Yokohama City University Medical Center
Daiichi Sankyo Co.,LTD.
Profit organization
NO
横浜市立大学附属市民総合医療センター(神奈川県)
神奈川県立循環器呼吸器病センター(神奈川県)
済生会横浜市南部病院(神奈川県)
藤沢市民病院(神奈川県)
2010 | Year | 01 | Month | 04 | Day |
Published
https://www.ncbi.nlm.nih.gov/pubmed/30599063
Completed
2009 | Year | 12 | Month | 08 | Day |
2010 | Year | 01 | Month | 01 | Day |
2014 | Year | 03 | Month | 31 | Day |
2015 | Year | 07 | Month | 31 | Day |
2015 | Year | 07 | Month | 31 | Day |
Prospective cohort study
2009 | Year | 12 | Month | 25 | Day |
2019 | Year | 01 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003562