- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01526824
Lovaza's Effect on Clopidogrel in a Neuro Population
The Effects of Polyunsaturated Omega-3 Fatty Acids (Lovaza) on Patients Taking Clopidogrel +/- Aspirin Who Have Suffered an Ischemic Stroke/TIA and/or Are Candidates for Neuroendovascular Stenting.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Early Phase 1
Contacts and Locations
Study Contact
- Name: Melissa Baxter, PharmD
- Phone Number: 716-887-4401
- Email: MBaxter@kaleidahealth.org
Study Locations
-
-
New York
-
Buffalo, New York, United States, 14209
- Recruiting
- Millmore Fillmore Gates Hospital
-
Contact:
- Melissa Baxter, PharmD
- Email: MBaxter@kaleidahealth.org
-
Sub-Investigator:
- Robert Sawyer, MD
-
Sub-Investigator:
- Adnan H Siddiqui, MD, PhD
-
Sub-Investigator:
- Elad I Levy, MD, FACS, FAHA
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Sub-Investigator:
- Ken Snyder, MD, PhD
-
Sub-Investigator:
- Travis Dumont, MD
-
Sub-Investigator:
- Shannon O'Brien, MD
-
Sub-Investigator:
- Naveen Sajja, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Gender: Male and female
- Age range: 25 - 80 years of age
- Study population: Patients who require antiplatelet therapy with clopidogrel +/- aspirin who are candidates for neuroendovascular stenting or have had an ischemic stroke/TIA.
- Eligible females will be: Non-pregnant nor lactating/breastfeeding; Be surgically sterile for at least 6 months, postmenopausal, or if heterosexually active and of childbearing potential, agree to continue to use an accepted method of birth control throughout the study.
Exclusion Criteria:
- Any clinically significant abnormal finding uncovered during the physical examination and/or clinically significant abnormal laboratory result at screening according to the clinical judgment of the Investigators
- Current alcohol abuse
- Smokers unable to refrain from smoking during the clinical trial
- Patients who are already taking anticoagulants or other antiplatelets (ticlopidine, prasugrel, dipyridamole, cilostazol), or patients already taking PUFAs
Patients taking medications known to interact with clopidogrel that cannot be held or changed due to increased risk of adverse health events.
- Cytochrome P450 3A4 and 2C19 (CYP3A4, CYP2C19) inhibitors or substrates known to cause competitive inhibition
- Proton pump inhibitors (PPIs)
- NSAIDs
- Pregnant women or lactating/breastfeeding women.
Active or recent major bleeding (within 14 days) using TIMI score (minor severity will be acceptable based on clinical examination/patient history)
- Major severity-
- Intracranial hemorrhage
- Cardiac tamponade
Overt bleeding with a decrease in hemoglobin ≥ 5 g/dl or a decrease in hematocrit ≥ 15% (with or without an identifiable site)
- Minor severity-
- Spontaneous gross hematuria
- Spontaneous hematemesis
- Spontaneous hemoptysis
- Observed bleeding with decrease in hemoglobin ≥ 3 g/dl but ≤ 5 g/dl (with an identifiable site)
- History of gastric or duodenal ulcer
- Platelet count < 100 x 109/L
- Serum creatinine > 2 mg/dL
- Liver injury (alanine transaminase level > 1.5 times upper limit of normal)
- Recent surgery (within 14 days of study screening)
Known bleeding diathesis including but not limited to
- Hemophilia
- Von Willebrand disease
- Leukemia
- Clotting factor deficiencies
Uncontrolled hypertension
- Sustained systolic blood pressure > 185 mmHg, despite treatment
- Sustained diastolic blood pressure > 110 mmHg, despite treatment
- Hypersensitivity or intolerance to clopidogrel, aspirin, PUFAs and/or documented fish allergy
- Patients who are currently enrolled in a different study or who have taken an investigational medication 30 days prior to starting this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control arm, clopidogrel without Lovaza
These patients will be receiving standard of care therapy with either standard dose (75mg daily) or high dose (150mg daily) clopidogrel +/- aspirin based on physician discretion.
|
|
Experimental: Clopidogrel plus Lovaza
This is the study arm of the trial, in which patients will be receiving either a standard dose (75mg daily) or high dose (150mg daily) clopidogrel with or without aspirin as well as therapy with daily Lovaza.
|
Lovaza, 1 gram orally daily
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
PRU and % inhibition of P2Y12 Assay
Time Frame: 20-30 days after initiation of the study
|
20-30 days after initiation of the study
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Neurologic events in each study
Time Frame: 20-30 days after initiation of study
|
20-30 days after initiation of study
|
HDL, triglycerides, LDL, or total cholesterol
Time Frame: 20-30 days after initiation of the study
|
20-30 days after initiation of the study
|
Bleeding
Time Frame: 20-30 days
|
20-30 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Melissa Baxter, PharmD, Millmore Fillmore Gates Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PHP1061010A
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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