Influence of the Proton Pump Inhibitor Omeprazole on the Anti-Platelet of P2Y12 Antagonists in Subjects With Coronary and Peripheral Artery Disease

December 2, 2014 updated by: University of Oklahoma
To determine if prasugrel is superior to clopidogrel in providing adequate antiplatelet effect in a high risk population that requires concomitant use of a Proton Pump Inhibitor (PPI).

Study Overview

Status

Completed

Conditions

Detailed Description

To evaluate if simultaneous treatment with the PPI omeprazole and a P2Y12 receptor antagonist will influence the effect of either clopidogrel and/or prasugrel on platelet reactivity in patients with Coronary Artery Disease (CAD) or Peripheral Arterial Disease (PAD).

Study Type

Observational

Enrollment (Actual)

30

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Oklahoma
      • Oklahoma City, Oklahoma, United States, 73190
        • University of Oklahoma Health Sciences Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Patients with Coronary or Peripheral Artery Disease

Description

Inclusion Criteria:

  • Adults between 18 and 75 years of age
  • Known or documented history of CAD or PAD prior to enrollment (a diagnosis of CAD may be based upon a positive stress test, prior documented acute coronary event, or angiographic demonstration of CAD; a diagnosis of PAD may be based upon an ankle-brachial index less than 0.9, or angiographic demonstration of PAD)
  • Have not had thienopyridine therapy for at least 15 days before the study
  • Have not had treatment with a PPI for at least 15 days before the study
  • Are taking aspirin (75 to 325 mg/day) for at least one week prior to randomization

Exclusion Criteria:

  • Have New York Heart association (NYHA) Class III and IV congestive heart failure
  • Have any form of coronary revascularization (PCI or coronary artery bypass grafting [CABG]) planned to occur during the study
  • Have undergone PCI or CABG within 30 days of entry to the study
  • Have received a drug eluting endovascular stents in the past year
  • Have any of the following:

    1. Prior history of hemorrhagic stroke or transient ischemic attack (TIA)
    2. Intracranial neoplasm, arteriovenous malformation, or aneurysm
    3. A body weight less than 60 kg
  • Have prior history of GI ulcer disease or bleeding
  • Have symptoms of dyspepsia or gastroesophageal reflux disease
  • Have active internal bleeding or history of bleeding diathesis
  • Have clinical findings, in the judgment of the investigator, associated with an increased risk of bleeding
  • Have an International Normalized Ratio (INR) known to be >1.5 at the time of evaluation
  • Have a platelet count of <100,000/mm3 at the time of screening, if known
  • Have anemia (hemoglobin [Hgb] <10 gm/dL) at the time of screening, if known
  • Are receiving or will receive oral anticoagulation or other antiplatelet therapy (other than aspirin) that cannot be safely discontinued for the duration of the study
  • Are receiving daily treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) that cannot be discontinued or require daily treatment with NSAIDs during the study.
  • Are receiving corticosteroid therapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Plavix
Prasugrel

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Jorge Saucedo, MD, Dept of Cardiology

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2010

Primary Completion (Actual)

June 1, 2011

Study Completion (Actual)

June 1, 2011

Study Registration Dates

First Submitted

November 23, 2009

First Submitted That Met QC Criteria

November 23, 2009

First Posted (Estimate)

November 25, 2009

Study Record Updates

Last Update Posted (Estimate)

December 4, 2014

Last Update Submitted That Met QC Criteria

December 2, 2014

Last Verified

December 1, 2014

More Information

Terms related to this study

Other Study ID Numbers

  • 14882

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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