Study to Assess Safety and Efficacy of Ticagrelor (AZD6140) Versus Clopidogrel in Asian/Japanese Patients With Non-ST or ST Elevation Acute Coronary Syndromes (ACS)

June 18, 2014 updated by: AstraZeneca

A Randomised, Double-blind, Double-dummy, Parallel Group, International (Asian), Multicenter, Phase 3 Study to Assess Safety and Efficacy of AZD6140 on Top of Low Dose Acetyl Salicylic Acid (ASA) Versus Clopidogrel on Top of Low Dose ASA in Asian/Japanese Patients With Non-ST or ST Elevation Acute Coronary Syndromes(ACS) for Whom PCI is Planned

The purpose of the study is to assess the efficacy (prevention of vascular events) and safety (especially bleedings) of Ticagrelor (AZD6140) compared with Clopidogrel, both given on top of low dose aspirin, in Asian/Japanese patients with acute coronary syndrome and a planned percutaneous coronary intervention (PCI).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

801

Phase

  • Phase 3

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

  • Japan
      • Fukuoka, Japan
        • Research Site
      • Gifu, Japan
        • Research Site
      • Kumamoto, Japan
        • Research Site
      • Oita, Japan
        • Research Site
      • Saga, Japan
        • Research Site
      • Wakayama, Japan
        • Research Site
    • Aichi
      • Ichinomiya-shi, Aichi, Japan
        • Research Site
      • Nagoya-shi, Aichi, Japan
        • Research Site
      • Okazaki-shi, Aichi, Japan
        • Research Site
      • Toyohashi-shi, Aichi, Japan
        • Research Site
      • Toyota-shi, Aichi, Japan
        • Research Site
    • Akita
      • Akita-shi, Akita, Japan
        • Research Site
    • Chiba
      • Ichihara-shi, Chiba, Japan
        • Research Site
      • Kamogawa-shi, Chiba, Japan
        • Research Site
      • Kisarazu-shi, Chiba, Japan
        • Research Site
    • Ehime
      • Matsuyama, Ehime, Japan
        • Research Site
    • Fukui
      • Fukui-shi, Fukui, Japan
        • Research Site
    • Fukuoka
      • Fukuoka-shi, Fukuoka, Japan
        • Research Site
      • Kasuya-gun, Fukuoka, Japan
        • Research Site
      • Kurume, Fukuoka, Japan
        • Research Site
    • Gifu
      • Gifu-shi, Gifu, Japan
        • Research Site
    • Gunma
      • Isesaki, Gunma, Japan
        • Research Site
      • Maebashi, Gunma, Japan
        • Research Site
      • Takasaki-shi, Gunma, Japan
        • Research Site
    • Hiroshima
      • Kure, Hiroshima, Japan
        • Research Site
    • Hokkaido
      • Sapporo, Hokkaido, Japan
        • Research Site
      • Sapporo-shi, Hokkaido, Japan
        • Research Site
    • Hyogo
      • Akashi-shi, Hyogo, Japan
        • Research Site
      • Amagasaki-shi, Hyogo, Japan
        • Research Site
      • Kawanishi-shi, Hyogo, Japan
        • Research Site
      • Kobe, Hyogo, Japan
        • Research Site
      • Kobe-shi, Hyogo, Japan
        • Research Site
      • Nishinomiya, Hyogo, Japan
        • Research Site
      • Takarazuka-shi, Hyogo, Japan
        • Research Site
    • Ibaragi
      • Higashiibaragi-gun, Ibaragi, Japan
        • Research Site
      • Sashima-gun, Ibaragi, Japan
        • Research Site
    • Ishikawa
      • Hakusan-shi, Ishikawa, Japan
        • Research Site
      • Kanazawa, Ishikawa, Japan
        • Research Site
      • Kanazawa-shi, Ishikawa, Japan
        • Research Site
    • Kagawa
      • Sakaide-shi, Kagawa, Japan
        • Research Site
    • Kanagawa
      • Atsugi-shi, Kanagawa, Japan
        • Research Site
      • Isehara, Kanagawa, Japan
        • Research Site
      • Kamakura-shi, Kanagawa, Japan
        • Research Site
      • Kawasaki-shi, Kanagawa, Japan
        • Research Site
      • Sagamihara-shi, Kanagawa, Japan
        • Research Site
      • Yamato-shi, Kanagawa, Japan
        • Research Site
      • Yokohama-shi, Kanagawa, Japan
        • Research Site
    • Kochi
      • Nankoku-shi, Kochi, Japan
        • Research Site
    • Kumamoto
      • Kumamoto-shi, Kumamoto, Japan
        • Research Site
      • Yatsushiro-city, Kumamoto, Japan
        • Research Site
    • Kyoto
      • Kyoto-shi, Kyoto, Japan
        • Research Site
    • Miyagi
      • Sendai-shi, Miyagi, Japan
        • Research Site
    • Nagano
      • Azumino-shi, Nagano, Japan
        • Research Site
      • Ueda-shi, Nagano, Japan
        • Research Site
    • Nagasaki
      • Nagasaki-shi, Nagasaki, Japan
        • Research Site
    • Okayama
      • Kurashiki, Okayama, Japan
        • Research Site
      • Okayama-shi, Okayama, Japan
        • Research Site
    • Osaka
      • Hirakata, Osaka, Japan
        • Research Site
      • Kawachinagano-shi, Osaka, Japan
        • Research Site
      • Osaka-shi, Osaka, Japan
        • Research Site
      • Sakai-shi, Osaka, Japan
        • Research Site
    • Saga
      • Saga-shi, Saga, Japan
        • Research Site
    • Saitama
      • Ageo-shi, Saitama, Japan
        • Research Site
      • Hidaka, Saitama, Japan
        • Research Site
      • Sayama-shi, Saitama, Japan
        • Research Site
    • Shiga
      • Kusatsu-shi, Shiga, Japan
        • Research Site
      • Moriyama, Shiga, Japan
        • Research Site
    • Shimane
      • Matsue, Shimane, Japan
        • Research Site
    • Shizuoka
      • Hamamatsu-shi, Shizuoka, Japan
        • Research Site
      • Izunokuni, Shizuoka, Japan
        • Research Site
      • Shimada-shi, Shizuoka, Japan
        • Research Site
      • Sunto-gun, Shizuoka, Japan
        • Research Site
    • Tokushima
      • Komatsushima-shi, Tokushima, Japan
        • Research Site
      • Tokushima-shi, Tokushima, Japan
        • Research Site
    • Tokyo
      • Adachi-ku, Tokyo, Japan
        • Research Site
      • Bunkyo, Tokyo, Japan
        • Research Site
      • Bunkyo-ku, Tokyo, Japan
        • Research Site
      • Chiyoda-ku, Tokyo, Japan
        • Research Site
      • Itabashi-ku, Tokyo, Japan
        • Research Site
      • Meguro, Tokyo, Japan
        • Research Site
      • Ome-shi, Tokyo, Japan
        • Research Site
      • Shinagawa-ku, Tokyo, Japan
        • Research Site
      • Shinjuku, Tokyo, Japan
        • Research Site
      • Suginami-ku, Tokyo, Japan
        • Research Site
    • Wakayama
      • Tanabe-shi, Wakayama, Japan
        • Research Site
    • Yamanashi
      • Chuo-shi, Yamanashi, Japan
        • Research Site
  • Korea, Republic of
      • Daejeon, Korea, Republic of
        • Research Site
      • Incheon, Korea, Republic of
        • Research Site
      • Seoul, Korea, Republic of
        • Research Site
    • Chungcheongnam-do
      • Cheonan, Chungcheongnam-do, Korea, Republic of
        • Research Site
  • Taiwan
      • Taichung, Taiwan
        • Research Site
      • Taipei, Taiwan
        • Research Site
    • Kaohsiung
      • Niao-song-shiang, Kaohsiung, Taiwan
        • Research Site
    • Taoyuan Hsien
      • Kweishan Shiang, Taoyuan Hsien, Taiwan
        • Research Site

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

20 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Provision of signed informed consent
  • Index event of non-ST or ST segment elevation ACS

Exclusion Criteria:

  • Index event is an acute complication of percutaneous coronary intervention
  • Patient has undergone Percutaneous Coronary Intervention (PCI) after the index event before the first dose of study treatment
  • Oral anticoagulation therapy that cannot be stopped
  • The conditions associated with increased risk of bradycardiac events

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

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: QUADRUPLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: 1
Ticagrelor (AZD6140)
Drug: Ticagrelor
90 mg, oral dose twice daily
Other Names:
  • AZD6140
Drug: Acetylsalicylic acid ASA
Low Dose ASA
ACTIVE_COMPARATOR: 2
Clopidogrel
Drug: Acetylsalicylic acid ASA
Low Dose ASA
Drug: Clopidogrel
75 mg, oral dose once daily
Other Names:
  • Plavix

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Major Bleeding
Time Frame: Ongoing up to12 months
Time to first occurrence of any major bleeding event (adjudicated by an independent Clinical Endpoint Committee (ICEC)). 1-year event rate (%) estimated via Kaplan-Meier method.
Ongoing up to12 months
Major Adverse Cardiac Events (MACE)
Time Frame: Ongoing up to 12 months
Time to first occurrence of any event from the composite of death from vascular causes, Myocardial Infarction (MI) and stroke (adjudicated by an ICEC). 1-year event rate (%) estimated via Kaplan-Meier method.
Ongoing up to 12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Major and Minor Bleeding
Time Frame: Ongoing up to12 months
Time to first occurrence of any major or minor bleeding event (adjudicated by an independent Clinical Endpoint Committee (ICEC)). 1-year event rate (%) estimated via Kaplan-Meier method.
Ongoing up to12 months
Composite of All-cause Mortality, MI or Stroke
Time Frame: Ongoing up to 12 months
Time to first occurrence of any event from the composite of death from any causes, Myocardial Infarction (MI) and stroke (adjudicated by an ICEC). 1-year event rate (%) estimated via Kaplan-Meier method.
Ongoing up to 12 months

Collaborators and Investigators

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

Sponsor

AstraZeneca

Investigators

  • Study Director: Judith Hsia, MD, AstraZeneca

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

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

February 1, 2011

Primary Completion (ACTUAL)

July 1, 2012

Study Completion (ACTUAL)

July 1, 2012

Study Registration Dates

First Submitted

February 10, 2011

First Submitted That Met QC Criteria

February 10, 2011

First Posted (ESTIMATE)

February 11, 2011

Study Record Updates

Last Update Posted (ESTIMATE)

June 27, 2014

Last Update Submitted That Met QC Criteria

June 18, 2014

Last Verified

May 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • D5130C00027

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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