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Effect of the Repeated Loading Dose of Clopidogrel and High Dose of Clopidogrel Continuous Therapy on the Platelet Aggregation Inhibition in Patients With Myocardial Infarction Undergoing Interventional Treatment. (REL-0609)

F

Fundacja Ośrodek Badań Medycznych

Status and phase

Withdrawn
Phase 4

Conditions

Acute Myocardial Infarction

Treatments

Drug: Clopidogrel

Study type

Interventional

Funder types

Other

Identifiers

NCT01636180
1.0, 2009-06-06

Details and patient eligibility

About

REL-0609 trial's hypothesis is that repeated loading doses of clopidogrel (600 mg) administration in addition to high dose of clopidogrel continuous therapy (150 mg/day) results in higher inhibition of the platelets' aggregation in patients with myocardial infarction undergoing interventional treatment comparing to the standard therapy. Such treatment strategy will not cause increased risk of bleeding complications. In many trials treatment with to repeated loading doses of clopidogrel together with high dose of clopidogrel continuous therapy resulted in: MACE reduction, improvement of the long term therapy results, lower risk of ischemic complications. Currently, data regarding to the results of the above treatment are still limited.

Full description

The objectives of the study is:

  • to evaluate the effect of the repeated loading dose of clopidogrel (600 mg) in addition to high dose of clopidogrel continuous therapy (150 mg/day) on the platelet aggregation inhibition in patients with myocardial infarction undergoing interventional treatment
  • to evaluate the safety of the repeated loading dose of clopidogrel (600 mg) in addition to high dose of clopidogrel continuous therapy (150 mg/day) in patients with myocardial infarction undergoing interventional treatment

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

•≥18 years of age,

  • Myocardial Infarction with or without ST segment elevation,
  • clopidogrel treatment (confirmed administration of loading dose of 600 mg or chronic therapy of 75 mg/day),
  • signed written informed consent.

Exclusion criteria

  • prior administration of fibrinolytic therapy and/or GP IIb/IIIa inhibitors within the last 14 days,
  • prior administration of prasugrel within the last 14 days,
  • subject with known hypersensitivity to the active ingredient or other components of the product
  • increased risk of bleeding complications:bleeding diathesis, thrombocytopenia (platelet count < 100 000/mm3), oral anticoagulant therapy (INR >1.6), uncontrolled hypertension (systolic blood pressure >200 mmHg), major bleeding, trauma or surgery within the last 30 days,
  • acute renal failure,
  • acute liver failure,
  • pregnancy.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

0 participants in 2 patient groups

Clopidogrel - Repeated Loading Dose
Experimental group
Description:
repeated loading dose of clopidogrel (600 mg) in addition to high dose of clopidogrel continuous therapy for 30 days (150 mg/day)
Treatment:
Drug: Clopidogrel
Drug: Clopidogrel
Clopidogrel - standard of care
Active Comparator group
Description:
no repeated loading dose of clopidogrel with clopidogrel continuous therapy for 30 days (75 mg/day)
Treatment:
Drug: Clopidogrel
Drug: Clopidogrel

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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