Unique ID issued by UMIN | UMIN000011634 |
---|---|
Receipt number | R000013592 |
Scientific Title | Switch from aspirin to clopidogrel in chronic stroke patients |
Date of disclosure of the study information | 2013/10/01 |
Last modified on | 2013/09/02 21:58:07 |
Switch from aspirin to clopidogrel in chronic stroke patients
SWITCH IT
Switch from aspirin to clopidogrel in chronic stroke patients
SWITCH IT
Japan |
Non-cardiac stroke
Neurology |
Others
NO
To assess the safety and efficacy of Clopidogrel for chronic non-cardiac stroke patients taking Aspirin previously.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
Incidence of below
1) Any bleedings which should be managed clinically (need to withdraw, reduce the dose and be hospitalized)
2) Using rate of proton pomp inhibitor
3) Rate of continue
1) Inflammatory or atherosclerosis marker
-hs-CRP, ABI/PWV
2) Side effect
-Leukopenia, Neutropenia, Thrombocytopenia, hepatic dysfunction
-Gastrointestinal dysfunction
3) Moving of Hb
4) Incidence of ischemic events
-Ischemic stroke, TIA
-Myocardial infarction
-Angina(unstable, stable)
-Cardiovascular death
5) Incidence of MBs
6) Echo of carotid artery
-maxIMT
-echogensity
Interventional
Parallel
Non-randomized
Open -no one is blinded
Active
2
Treatment
Medicine |
Switch Aspirin to Clopidogrel for chronic non-cardiac stroke patients taking Aspirin.
Chronic non-cardiac stroke patients taking Aspirin.
20 | years-old | <= |
Not applicable |
Male and Female
1) Non-cardiac ischemic stroke patient including asymptomatic ischemic stroke
2) Satisfy the bellow
-Taking Aspirin over a month
-Definite stroke by CT or MRI
-20 years of age or older
Complications
1) Need to manage by oral anti coagulation, e.g., AF or valvular
2) Active gastric ulcer
3) Symptomatic intra cranial bleeding
Drugs
1) Anti platelet dugs
-Cilostazol, Aspirin, Ticlopidine, Dipyridamole, Salpoglerate, Ozagrel
2) Anti coagulation drugs
-Warfarin, Dabigatoran, Rivaroxaban, Apixaben, Heparin, Argatroban
3) NSAIDs
Except for using within 7 days
400
1st name | |
Middle name | |
Last name | Shinichiro Uchiyama |
Tokyo Womens Medical University Hospital
The Neurological Institute
8-1 Kawada,Shinjuku,Tokyo
03-3353-8111
suchiyam@nij.twmu.ac.jp
1st name | |
Middle name | |
Last name | Hiromi Uno |
Tokyo Womens Medical University Hospital
The Neurological Institute
8-1 Kawada,Shinjuku,Tokyo
03-3353-8111
terashi@jb3.so-net.ne.jp
Tokyo Womens Medical University Hospital
None
Self funding
Nippon Medical School Hospital
None
NO
東京女子医科大学病院(東京都)、日本医科大学付属病院(東京都) Tokyo Women’s Medical University Hospital(Tokyo)、Nippon Medical School Hospital(Tokyo)
2013 | Year | 10 | Month | 01 | Day |
Unpublished
Preinitiation
2013 | Year | 10 | Month | 01 | Day |
2013 | Year | 11 | Month | 01 | Day |
2013 | Year | 09 | Month | 02 | Day |
2013 | Year | 09 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013592