Clinical trial

A Randomized, Open-label, Pharmacodynamic and Pharmacokinetic Trial Assessing the Effect of Lowering Ticagrelor Maintenance Dose Early After Myocardial Infarction on Platelet Inhibition (ELECTRA Pilot Study).

Name
CMUMK202H
Description
The ELECTRA pilot study is a randomized, open-label, pharmacokinetic and pharmacodynamic trial designed to evaluate the effect of ticagrelor maintenance dose reduction on platelet inhibition in stable patients who recently underwent acute myocardial infarction and were treated with percutaneous coronary intervention.
Trial arms
Trial start
2017-08-11
Estimated PCD
2018-02-23
Trial end
2018-02-23
Status
Completed
Phase
Early phase I
Treatment
Ticagrelor 90 mg
Ticagrelor 90 mg twice daily
Arms:
Reduced ticagrelor maintenance dose, Standard ticagrelor maintenance dose
Other names:
Brilique 90 mg
Ticagrelor 60 mg
Ticagrelor 60 mg daily
Arms:
Reduced ticagrelor maintenance dose
Other names:
Brilique 60 mg
Size
52
Primary endpoint
Platelet Reactivity Assessed with the VASP assay
45 days
Eligibility criteria
Inclusion Criteria: * provision of informed consent prior to any study specific procedures * diagnosis of acute ST-segment elevation myocardial infarction or acute non-ST-segment elevation myocardial infarction according to the Third Universal Definition of Myocardial Infarction * index event treatment with percutaneous coronary intervention * male or non-pregnant female, aged 18-80 years old Exclusion Criteria: * contraindications for ticagrelor * further coronary revascularization planned during the first 45 days after myocardial infarction * indications for chronic treatment with oral anticoagulant or low-molecular-weight heparin * active bleeding * history of intracranial hemorrhage * recent gastrointestinal bleeding (within 30 days) * history of coagulation disorders * history of moderate or severe hepatic impairment * history of major surgery or severe trauma (within 3 months) * active neoplastic disease * patient requiring dialysis * chronic inflammatory disease * current therapy with strong CYP3A inhibitors or strong CYP3A inducers
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 52, 'type': 'ACTUAL'}}
Updated at
2023-04-21

1 organization

1 product

1 indication

Product
Ticagrelor
Indication
Heart Attack