Unique ID issued by UMIN | UMIN000008151 |
---|---|
Receipt number | R000009423 |
Scientific Title | Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction |
Date of disclosure of the study information | 2012/06/12 |
Last modified on | 2017/03/27 16:58:44 |
Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction
CALDERA-GENE STUDY
Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction
CALDERA-GENE STUDY
Japan |
Acute myocardial infarction
Cardiology |
Others
YES
The aim of this study is to establish a optimal anti-platelet therapy by choosing the dose of anti-platelet agents based on the result of Spartan RX CYP2C19 DNA testing system after emergent percutaneous coronary intervention(PCI) in acute myocardial infarction(AMI). Further more, we examine the effect of clopidogrel resistance on the platelet function test and the biomarkers for blood coagulation in these patients.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
1.The frequency of CYP2C19 *2, *3, and *17 polymorphism in acute myocardial infarction.
2.Difference of several change in the residual platelet aggregation and the biomarkers for blood coagulation and cardiac biomarkers.
Composite cardiovascular events(cardiac death, fatal and non fatal stroke, non-fatal myocardial infarction,
hospitalization for cardiovascular event, percutaneous coronary intervention or coronary artery bypass graft, hospitalization for heart failure, deep vein thrombosis, pulmonary thromboembolism, hospitalization for peripheral arterial disease, hemorrhagic complication)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
3
Treatment
Medicine |
Non-carriers of CYP2C19 reduced function allele with standard dual anti-platelet therapy(asprin 100mg + clopidogrel 75mg)
Carriers of CYP2C19 reduced function allele with standard dual anti-platelet therapy (asprin 100mg + clopidogrel 75mg)
Carriers of CYP2C19 reduced function allele with triplet antiplatelet therapy (asprin 100mg + clopidogrel 75mg + cilostazol 200mg)
20 | years-old | < |
Not applicable |
Male and Female
Patients with ST elevation myocardial infarction and non ST elevation myocrdial ingarction who underwent emergent percutaneous coronary intervention.
We exclude patients with deep
vein thrombosis, cerebral infarction, atrial fibrillation, collagen disease ,disseminated intravascular coagulation, sepsis, severe infection and malignant diseases.
We exclude patients who were treated with warfarin, steroids, thrombolytic
agents, ticlopidine, sarpogrelate or cilostazol.
We exclude patients with severe liver or renal dysfunction.
We exclude patients who need mechanical cardio-plumonary supports such as intraaortic balloon pumping(IABP) or percutaneous cardiopulmonary support(PCPS).
100
1st name | |
Middle name | |
Last name | Hisao Ogawa |
Graduate School of Medical Sciences, Kumamoto University
Cardiovascular medicine
Honjo 1-1-1, Chuo-ku, Kumamoto, Japan
096-373-5175
ogawah@kumamoto-u.ac.jp
1st name | |
Middle name | |
Last name | Koichi Kaikita |
Graduate School of Medical Sciences, Kumamoto University
Cardiovascular medicine
Honjo 1-1-1, Chuo-ku, Kumamoto, Japan
096-373-5175
kaikitak@kumamoto-u.ac.jp
Graduate School of Medical Sciences, Kumamoto University
Japan Society for the Promotion of Science
Other
Japanese Red Cross Kumamoto Hospital
Fukuoka Tokusyukai Medical Center
NO
熊本大学医学部附属病院(熊本県)
熊本赤十字病院(熊本県)
福岡徳洲会病院(福岡県)
2012 | Year | 06 | Month | 12 | Day |
Unpublished
Completed
2012 | Year | 05 | Month | 22 | Day |
2012 | Year | 06 | Month | 01 | Day |
2017 | Year | 03 | Month | 27 | Day |
2017 | Year | 03 | Month | 27 | Day |
2017 | Year | 03 | Month | 27 | Day |
2012 | Year | 06 | Month | 12 | Day |
2017 | Year | 03 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009423