- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01994720
[SOCRATES -Acute Stroke Or Transient IsChaemic Attack TReated With Aspirin or Ticagrelor and Patient OutcomES] (SOCRATES)
A Randomised, Double-Blind, Multinational Study to Prevent Major Vascular Events With Ticagrelor Compared to Aspirin (ASA) in Patients With Acute Ischaemic Stroke or TIA.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina
- Research Site
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Capital Federal, Argentina
- Research Site
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Ciudad Autónoma de Bs. As., Argentina
- Research Site
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Mar del Plata, Argentina
- Research Site
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Rosario, Argentina
- Research Site
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San Martin, Argentina
- Research Site
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Adelaide, Australia
- Research Site
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Bedford Park, Australia
- Research Site
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Camperdown, Australia
- Research Site
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Clayton, Australia
- Research Site
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Darlinghurst, Australia
- Research Site
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Footscray, Australia
- Research Site
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Herston, Australia
- Research Site
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New Lambton Heights, Australia
- Research Site
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Parkville, Australia
- Research Site
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Southport, Australia
- Research Site
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Sydney, Australia
- Research Site
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Woodville, Australia
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Aalst, Belgium
- Research Site
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Assebroek, Belgium
- Research Site
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Brugge, Belgium
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Brussels (Woluwé-St-Lambert), Belgium
- Research Site
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Gent, Belgium
- Research Site
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Godinne, Belgium
- Research Site
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Leuven, Belgium
- Research Site
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Liège, Belgium
- Research Site
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Tielt, Belgium
- Research Site
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Wilrijk, Belgium
- Research Site
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Botucatu, Brazil
- Research Site
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Curitiba, Brazil
- Research Site
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Porto Alegre, Brazil
- Research Site
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Ribeirao Preto, Brazil
- Research Site
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Rio de Janeiro, Brazil
- Research Site
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Salvador, Brazil
- Research Site
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Sao Paulo, Brazil
- Research Site
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São José do Rio Preto, Brazil
- Research Site
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Botevgrad, Bulgaria
- Research Site
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Dupnitsa, Bulgaria
- Research Site
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Gotse Delchev, Bulgaria
- Research Site
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Kozloduy, Bulgaria
- Research Site
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Lukovit, Bulgaria
- Research Site
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Pazardzhik, Bulgaria
- Research Site
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Pernik, Bulgaria
- Research Site
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Pleven, Bulgaria
- Research Site
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Plovdiv, Bulgaria
- Research Site
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Ruse, Bulgaria
- Research Site
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Sandanski, Bulgaria
- Research Site
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Sliven, Bulgaria
- Research Site
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Sofia, Bulgaria
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Teteven, Bulgaria
- Research Site
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Yambol, Bulgaria
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Quebec, Canada
- Research Site
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Alberta
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Calgary, Alberta, Canada
- Research Site
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Edmonton, Alberta, Canada
- Research Site
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British Columbia
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Vancouver, British Columbia, Canada
- Research Site
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada
- Research Site
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Ontario
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London, Ontario, Canada
- Research Site
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Ottawa, Ontario, Canada
- Research Site
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Thunder Bay, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Chicoutimi, Quebec, Canada
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Greenfield Park, Quebec, Canada
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Montreal, Quebec, Canada
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Concepcion, Chile
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Los Angeles, Chile
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Santiago, Chile
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Talcahuano, Chile
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Temuco, Chile
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Valdivia, Chile
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Viña del Mar, Chile
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Baotou, China
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Beijing, China
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Changchun, China
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Changsha, China
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Chongqin, China
- Research Site
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Guang Zhou, China
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Guangzhou, China
- Research Site
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Guilin, China
- Research Site
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Haikou, China
- Research Site
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Hangzhou, China
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Harbin, China
- Research Site
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Huai'an, China
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Jinan, China
- Research Site
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Lanzhou, China
- Research Site
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Linhai, China
- Research Site
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Nanjing, China
- Research Site
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Ningbo, China
- Research Site
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Shanghai, China
- Research Site
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Shenyang, China
- Research Site
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Taiyuan, China
- Research Site
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Tianjin, China
- Research Site
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Wenzhou, China
- Research Site
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Wu Han, China
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Xi'an, China
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Xiamen, China
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Yangzhou, China
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Zhanjiang, China
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Brno, Czechia
- Research Site
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Chomutov, Czechia
- Research Site
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Hradec Kralove, Czechia
- Research Site
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Jihlava, Czechia
- Research Site
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Liberec, Czechia
- Research Site
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Olomouc, Czechia
- Research Site
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Ostrava, Czechia
- Research Site
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Pardubice, Czechia
- Research Site
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Praha 2, Czechia
- Research Site
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Trutnov, Czechia
- Research Site
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Antony, France
- Research Site
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Bayonne, France
- Research Site
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Bordeaux Cedex, France
- Research Site
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Bourg en Bresse, France
- Research Site
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Brest Cedex 2, France
- Research Site
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Bron, France
- Research Site
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Caen, France
- Research Site
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Corbeil Essonnes Cedex, France
- Research Site
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Creteil, France
- Research Site
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Dijon, France
- Research Site
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La Roche sur Yon, France
- Research Site
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Le Chesnay Cedex, France
- Research Site
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Le Coudray Cedex, France
- Research Site
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Lille, France
- Research Site
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NICE Cedex 01, France
- Research Site
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PARIS Cedex 12, France
- Research Site
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Paris, France
- Research Site
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Paris Cedex 13, France
- Research Site
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Paris Cedex 18, France
- Research Site
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Pringy Cedex, France
- Research Site
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Rennes, France
- Research Site
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Rouen Cedex, France
- Research Site
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Saint Herblain, France
- Research Site
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Saint-priest En Jarez, France
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Strasbourg Cedex, France
- Research Site
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Toulouse, France
- Research Site
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Tours, France
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Altenburg, Germany
- Research Site
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Bad Neustadt, Germany
- Research Site
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Berlin, Germany
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Erlangen, Germany
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Essen, Germany
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Frankfurt, Germany
- Research Site
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Hamburg, Germany
- Research Site
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Karlsruhe, Germany
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Kassel, Germany
- Research Site
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Minden, Germany
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Münster, Germany
- Research Site
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Osnabrück, Germany
- Research Site
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Wiesbaden, Germany
- Research Site
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Hong Kong, Hong Kong
- Research Site
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Hongkong, Hong Kong
- Research Site
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Kowloon, Hong Kong
- Research Site
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Shatin, Hong Kong
- Research Site
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Balassagyarmat, Hungary
- Research Site
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Budapest, Hungary
- Research Site
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Debrecen, Hungary
- Research Site
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Győr, Hungary
- Research Site
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Kistarcsa, Hungary
- Research Site
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Miskolc, Hungary
- Research Site
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Nagykanizsa, Hungary
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Nyíregyháza, Hungary
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Pécs, Hungary
- Research Site
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Sopron-Balf, Hungary
- Research Site
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Szekszárd, Hungary
- Research Site
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Székesfehérvár, Hungary
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Haifa, Israel
- Research Site
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Holon, Israel
- Research Site
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Jerusalem, Israel
- Research Site
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Petach Tikva, Israel
- Research Site
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Ramat Gan, Israel
- Research Site
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Tel Aviv, Israel
- Research Site
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Carrara, Italy
- Research Site
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Citta' di Castello, Italy
- Research Site
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Foligno, Italy
- Research Site
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Genova, Italy
- Research Site
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Gubbio, Italy
- Research Site
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Lecco, Italy
- Research Site
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Milano, Italy
- Research Site
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Modena, Italy
- Research Site
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Pavia, Italy
- Research Site
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Perugia, Italy
- Research Site
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Piacenza, Italy
- Research Site
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Pisa, Italy
- Research Site
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Reggio Emilia, Italy
- Research Site
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Roma, Italy
- Research Site
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Rozzano, Italy
- Research Site
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Siena, Italy
- Research Site
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Varese, Italy
- Research Site
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Verona, Italy
- Research Site
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Vibo Valentia, Italy
- Research Site
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Aki-gun, Japan
- Research Site
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Asahikawa-shi, Japan
- Research Site
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Chiba-shi, Japan
- Research Site
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Chikushi-gun, Japan
- Research Site
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Chikushino-shi, Japan
- Research Site
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Chitose-shi, Japan
- Research Site
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Daito-shi, Japan
- Research Site
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Date-gun, Japan
- Research Site
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Eniwa-shi, Japan
- Research Site
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Fujinomiya-shi, Japan
- Research Site
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Fukui-shi, Japan
- Research Site
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Fukuoka-shi, Japan
- Research Site
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Fukushima-shi, Japan
- Research Site
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Fukuyama-shi, Japan
- Research Site
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Gifu-shi, Japan
- Research Site
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Hachioji-shi, Japan
- Research Site
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Hakodate-shi, Japan
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Hamada-shi, Japan
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Hanamaki-shi, Japan
- Research Site
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Hatsukaichi-shi, Japan
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Hidaka-shi, Japan
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Higashiibaraki-gun, Japan
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Higashiosaka-shi, Japan
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Hitachi-shi, Japan
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Ina-shi, Japan
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Itami-shi, Japan
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Izumisano-shi, Japan
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Izumo-shi, Japan
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Kaga-shi, Japan
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Kagoshima-shi, Japan
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Kakegawa-shi, Japan
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Kamakura-shi, Japan
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Kashiwazaki-shi, Japan
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Kasuga-shi, Japan
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Kawasaki-shi, Japan
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Kobe-shi, Japan
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Kochi-shi, Japan
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Koga-shi, Japan
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Komatsu-shi, Japan
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Komoro-shi, Japan
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Koshigaya-shi, Japan
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Kumamoto-shi, Japan
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Kure-shi, Japan
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Kurume-shi, Japan
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Kyoto-shi, Japan
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Maizuru-shi, Japan
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Marugame-shi, Japan
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Matsudo-shi, Japan
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Matsuyama-shi, Japan
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Nagano-shi, Japan
- Research Site
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Nagasaki-shi, Japan
- Research Site
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Nagoya-shi, Japan
- Research Site
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Nakano-ku, Japan
- Research Site
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Nakano-shi, Japan
- Research Site
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Narita-shi, Japan
- Research Site
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Nihonmatsu-shi, Japan
- Research Site
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Okayama-shi, Japan
- Research Site
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Okinawa-shi, Japan
- Research Site
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Onga-gun, Japan
- Research Site
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Ookawa-shi, Japan
- Research Site
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Osaka-shi, Japan
- Research Site
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Saga-shi, Japan
- Research Site
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Sagamihara-shi, Japan
- Research Site
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Saijo-shi, Japan
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Sakai-shi, Japan
- Research Site
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Sanuki-shi, Japan
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Sapporo-shi, Japan
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Sayama-shi, Japan
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Sendai-shi, Japan
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Shiroishi-shi, Japan
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Shizuoka-shi, Japan
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Suita-shi, Japan
- Research Site
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Suwa-shi, Japan
- Research Site
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Tachikawa-shi, Japan
- Research Site
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Takasaki-shi, Japan
- Research Site
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Takayama-shi, Japan
- Research Site
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Tokushima-shi, Japan
- Research Site
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Toyama-shi, Japan
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Toyohashi-shi, Japan
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Toyota-shi, Japan
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Tsu-shi, Japan
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Ube-shi, Japan
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Ueda-shi, Japan
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Uji-shi, Japan
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Ureshino-shi, Japan
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Utsunomiya-shi, Japan
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Yokohama-shi, Japan
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Zentsuji-shi, Japan
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Busan, Korea, Republic of
- Research Site
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Daegu, Korea, Republic of
- Research Site
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Gwangju, Korea, Republic of
- Research Site
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Incheon, Korea, Republic of
- Research Site
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Seongnam-si, Korea, Republic of
- Research Site
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Seoul, Korea, Republic of
- Research Site
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Wonju-si, Korea, Republic of
- Research Site
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Aguascalientes, Mexico
- Research Site
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Culiacan, Mexico
- Research Site
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D.F, Mexico
- Research Site
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Del. Cuauhtemoc, Mexico
- Research Site
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Distrito Federal, Mexico
- Research Site
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Monterrey, Mexico
- Research Site
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Bellavista, Peru
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Callao, Peru
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Cusco, Peru
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Lima, Peru
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Baguio City, Philippines
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Cagayan de Oro City, Philippines
- Research Site
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Cebu, Philippines
- Research Site
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Iloilo City, Philippines
- Research Site
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Manila, Philippines
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Pasay City, Philippines
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Pasig City, Philippines
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Quezon City, Philippines
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Białystok, Poland
- Research Site
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Chełm, Poland
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Działdowo, Poland
- Research Site
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Gdańsk, Poland
- Research Site
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Gryfice, Poland
- Research Site
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Katowice, Poland
- Research Site
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Kielce, Poland
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Końskie, Poland
- Research Site
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Kraków, Poland
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Lublin, Poland
- Research Site
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Olsztyn, Poland
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Ostrołęka, Poland
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Sandomierz, Poland
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Warszawa, Poland
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Włocławek, Poland
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Łódź, Poland
- Research Site
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Bucharest, Romania
- Research Site
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Iasi, Romania
- Research Site
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Oradea, Romania
- Research Site
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Sibiu, Romania
- Research Site
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Timisoara, Romania
- Research Site
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Tirgu-Mures, Romania
- Research Site
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Belgorod, Russian Federation
- Research Site
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Chelyabinsk, Russian Federation
- Research Site
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Ekaterinburg, Russian Federation
- Research Site
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Irkutsk, Russian Federation
- Research Site
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Izhevsk, Russian Federation
- Research Site
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Kazan, Russian Federation
- Research Site
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Moscow, Russian Federation
- Research Site
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Nizhnii Novgorod, Russian Federation
- Research Site
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Nizhny Novgorod, Russian Federation
- Research Site
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Novosibirsk, Russian Federation
- Research Site
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Omsk, Russian Federation
- Research Site
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Perm, Russian Federation
- Research Site
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Saint Petersburg, Russian Federation
- Research Site
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Saint-Petersburg, Russian Federation
- Research Site
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Saratov, Russian Federation
- Research Site
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Ufa, Russian Federation
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Voronezh, Russian Federation
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Yaroslavl, Russian Federation
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Levoca, Slovakia
- Research Site
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Martin, Slovakia
- Research Site
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Nitra, Slovakia
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Spisska Nova Ves, Slovakia
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Trnava, Slovakia
- Research Site
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Zilina, Slovakia
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Albacete, Spain
- Research Site
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Badalona(Barcelona), Spain
- Research Site
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Barcelona, Spain
- Research Site
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Gerona, Spain
- Research Site
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Lleida, Spain
- Research Site
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Madrid, Spain
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Pamplona, Spain
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Santiago(A Coruña), Spain
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Sevilla, Spain
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Valencia, Spain
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Valladolid, Spain
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Falun, Sweden
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Göteborg, Sweden
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Halmstad, Sweden
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Karlstad, Sweden
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Lidköping, Sweden
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Linköping, Sweden
- Research Site
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Malmö, Sweden
- Research Site
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Mora, Sweden
- Research Site
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Norrköping, Sweden
- Research Site
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Stockholm, Sweden
- Research Site
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Uppsala, Sweden
- Research Site
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Västerås, Sweden
- Research Site
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Östersund, Sweden
- Research Site
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Aarau, Switzerland
- Research Site
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Basel, Switzerland
- Research Site
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Bern, Switzerland
- Research Site
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Chur, Switzerland
- Research Site
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Genève 14, Switzerland
- Research Site
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Lausanne, Switzerland
- Research Site
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Lugano, Switzerland
- Research Site
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St. Gallen, Switzerland
- Research Site
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Villars-sur-Glâne, Switzerland
- Research Site
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Zürich, Switzerland
- Research Site
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Changhua City, Taiwan
- Research Site
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Chiayi, Taiwan
- Research Site
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Kaohsiung, Taiwan
- Research Site
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New Taipei, Taiwan
- Research Site
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Taichung, Taiwan
- Research Site
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Tainan, Taiwan
- Research Site
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Taipei, Taiwan
- Research Site
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Taoyuan Hsien, Taiwan
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Bangkok, Thailand
- Research Site
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Chonburi, Thailand
- Research Site
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Khon Kaen, Thailand
- Research Site
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Muang, Thailand
- Research Site
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Patumthani, Thailand
- Research Site
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Rajthevi, Thailand
- Research Site
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Ratchathewi, Thailand
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Ankara, Turkey
- Research Site
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Antalya, Turkey
- Research Site
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Eskisehir, Turkey
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Istanbul, Turkey
- Research Site
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Izmir, Turkey
- Research Site
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Konya, Turkey
- Research Site
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Ivano-Frankivsk, Ukraine
- Research Site
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Kharkiv, Ukraine
- Research Site
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Kyiv, Ukraine
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Lutsk, Ukraine
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Lviv, Ukraine
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Uzhgorod, Ukraine
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Vinnytsia, Ukraine
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Zaporizhzhya, Ukraine
- Research Site
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Alabama
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Montgomery, Alabama, United States
- Research Site
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Arizona
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Phoenix, Arizona, United States
- Research Site
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Arkansas
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Fayetteville, Arkansas, United States
- Research Site
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Fort Smith, Arkansas, United States
- Research Site
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California
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Fullerton, California, United States
- Research Site
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Glendale, California, United States
- Research Site
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Los Angeles, California, United States
- Research Site
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Newport, California, United States
- Research Site
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Oakland, California, United States
- Research Site
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San Diego, California, United States
- Research Site
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Stanford, California, United States
- Research Site
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Torrance, California, United States
- Research Site
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Colorado
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Englewood, Colorado, United States
- Research Site
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Florida
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Altamonte Springs, Florida, United States
- Research Site
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Aventura, Florida, United States
- Research Site
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Boynton Beach, Florida, United States
- Research Site
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Bradenton, Florida, United States
- Research Site
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Gainesville, Florida, United States
- Research Site
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Hialeah, Florida, United States
- Research Site
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Jacksonville, Florida, United States
- Research Site
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Lakeland, Florida, United States
- Research Site
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Melbourne, Florida, United States
- Research Site
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Pompano Beach, Florida, United States
- Research Site
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Port Charlotte, Florida, United States
- Research Site
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Sarasota, Florida, United States
- Research Site
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Tampa, Florida, United States
- Research Site
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West Palm Beach, Florida, United States
- Research Site
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Weston, Florida, United States
- Research Site
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Georgia
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Columbus, Georgia, United States
- Research Site
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Illinois
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Chicago, Illinois, United States
- Research Site
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Evanston, Illinois, United States
- Research Site
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Glenview, Illinois, United States
- Research Site
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Harvey, Illinois, United States
- Research Site
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Joliet, Illinois, United States
- Research Site
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Park Ridge, Illinois, United States
- Research Site
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Springfield, Illinois, United States
- Research Site
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Urbana, Illinois, United States
- Research Site
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Indiana
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Anderson, Indiana, United States
- Research Site
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Fort Wayne, Indiana, United States
- Research Site
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Muncie, Indiana, United States
- Research Site
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Iowa
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Des Moines, Iowa, United States
- Research Site
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Iowa City, Iowa, United States
- Research Site
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Louisiana
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Alexandria, Louisiana, United States
- Research Site
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New Orleans, Louisiana, United States
- Research Site
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Maryland
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Annapolis, Maryland, United States
- Research Site
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Frederick, Maryland, United States
- Research Site
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Massachusetts
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Boston, Massachusetts, United States
- Research Site
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Michigan
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Detroit, Michigan, United States
- Research Site
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Pontiac, Michigan, United States
- Research Site
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Royal Oak, Michigan, United States
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Southfield, Michigan, United States
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West Bloomfield Township, Michigan, United States
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Minnesota
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Minneapolis, Minnesota, United States
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Robbinsdale, Minnesota, United States
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Saint Paul, Minnesota, United States
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Missouri
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Bridgeton, Missouri, United States
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Columbia, Missouri, United States
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Kansas City, Missouri, United States
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Saint Louis, Missouri, United States
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Montana
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Great Falls, Montana, United States
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Helena, Montana, United States
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Nebraska
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Omaha, Nebraska, United States
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New Hampshire
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Lebanon, New Hampshire, United States
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New Jersey
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Bayonne, New Jersey, United States
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Edison, New Jersey, United States
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Englewood, New Jersey, United States
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Flemington, New Jersey, United States
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New Brunswick, New Jersey, United States
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Ridgewood, New Jersey, United States
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West Orange, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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New York
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Brooklyn, New York, United States
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Buffalo, New York, United States
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New York, New York, United States
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Stony Brook, New York, United States
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Syracuse, New York, United States
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The Bronx, New York, United States
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North Carolina
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Chapel Hill, North Carolina, United States
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Charlotte, North Carolina, United States
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Durham, North Carolina, United States
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Greensboro, North Carolina, United States
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Winston-Salem, North Carolina, United States
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Ohio
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Akron, Ohio, United States
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Cleveland, Ohio, United States
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Columbus, Ohio, United States
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Maumee, Ohio, United States
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Toledo, Ohio, United States
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Oregon
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Clackamas, Oregon, United States
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Portland, Oregon, United States
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Pennsylvania
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Abington, Pennsylvania, United States
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Allentown, Pennsylvania, United States
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Doylestown, Pennsylvania, United States
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Erie, Pennsylvania, United States
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Hershey, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Rhode Island
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Providence, Rhode Island, United States
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South Carolina
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Charleston, South Carolina, United States
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Columbia, South Carolina, United States
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South Dakota
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Sioux Falls, South Dakota, United States
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Tennessee
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Chattanooga, Tennessee, United States
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Knoxville, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Baytown, Texas, United States
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Dallas, Texas, United States
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El Paso, Texas, United States
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Harlingen, Texas, United States
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Houston, Texas, United States
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Kingwood, Texas, United States
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Southlake, Texas, United States
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Virginia
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Richmond, Virginia, United States
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Roanoke, Virginia, United States
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Washington
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Seattle, Washington, United States
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Huntington, West Virginia, United States
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men or women equal or elder 40 years of age
- Either acute ischaemic stroke or high-risk TIA as defined here and randomisation occurring within 24 hours after onset of symptoms
Key Exclusion Criteria:
- Planned use of antithrombotic therapy in addition to study medication including antiplatelets (eg, open label ASA, GPIIb/IIIa inhibitors, clopidogrel, ticlopidine, prasugrel, dipyridamole, ozagrel, cilostazol) and anticoagulants (eg, warfarin, oral thrombin and factor Xa inhibitors, bivalirudin, hirudin, argatroban, unfractionated and low molecular weight heparins). - Any history of atrial fibrillation, ventricular aneurysm or suspicion of cardioembolic pathology for TIA or stroke. - Planned carotid, cerebrovascular, or coronary revascularisation that requires halting study medication within 7 days of randomisation. - Receipt of any intravenous or intra-arterial thrombolysis or mechanical thrombectomy within 24 hours prior to randomisation - History of previous symptomatic non-traumatic intracerebral bleed at any time (asymptomatic microbleeds do not qualify), gastrointestinal (GI) bleed within the past 6 months, or major surgery within 30 days.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: ticagrelor
|
ticagrelor, 180 mg (two tablets of 90 mg) loading dose on Day 1 followed by 90 mg twice daily.
|
|
Active Comparator: Acetylsalicylic acid (ASA)
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ASA, 300 mg (three tablets of 100 mg) on Day 1, followed by 100 mg once daily.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Composite of Stroke/MI/Death
Time Frame: From randomization up to 97 days
|
Participants with stroke, MI or death.
If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97).
|
From randomization up to 97 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Ischaemic Stroke
Time Frame: From randomization up to 97 days
|
Participants with ischaemic stroke.
If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Net Clinical Outcome
Time Frame: From randomization up to 97 days
|
Participants with stroke, MI, death or life-threatening bleeding.
If no event, censoring occures at the minimum of (last date of event assessment, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Number of Participants With Composite of Ischaemic Stroke, MI and CV Death
Time Frame: From randomization up to 97 days
|
Participants with ischaemic stroke, MI or CV death.
If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Number of Participants With All-Cause Death
Time Frame: From randomization up to 97 days
|
Participants with all-cause death.
If no event, censoring at the minimum of (last date of event assessment, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Number of Participants With CV Death
Time Frame: From randomization up to 97 days
|
Participants with CV death.
If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Number of Participants With MI
Time Frame: From randomization up to 97 days
|
Participants with MI.
If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97)
|
From randomization up to 97 days
|
|
Number of Participants by Severity of Stroke and Overall Disability
Time Frame: From randomization up to 97 days
|
Analysis of severity of stroke and overall disability of patients, using the modified Rankin Score, mRS. Modified Rankin Score: 0 - No symptoms.
Disability defined as mRS > 1. Odds ratio and p-value are calculated for ticagrelor versus ASA from a logistic regression model with treatment group, history of stroke and NIHSS (National Institutes of Health Stroke Scale) at baseline as explanatory variables. |
From randomization up to 97 days
|
|
Number of Participants With Stroke
Time Frame: From randomization up to 97 days
|
Participants with stroke.
If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97)
|
From randomization up to 97 days
|
|
Number of Participants With Fatal Stroke
Time Frame: From randomization up to 97 days
|
Participants with fatal stroke.
If no event, censoring at the minimum of (last date of event assessment, date of death from non-CV causes, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Number of Participants With Disabling Stroke
Time Frame: From randomization up to 97 days
|
Participants with disabling stroke.
If no event, censoring at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
|
From randomization up to 97 days
|
|
Change in NIHSS
Time Frame: From randomization up to 97 days
|
Change from baseline to end of treatment visit in NIHSS (National Institutes of Health Stroke Scale): 0 No stroke symptoms 1-4 Minor stroke 5-15 Moderate stroke 16-20 Moderate to severe stroke 21-42 Severe stroke. |
From randomization up to 97 days
|
|
EQ-5D at Visit 1 (Enrolment)
Time Frame: Visit 1 (Enrolment)
|
EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
Visit 1 (Enrolment)
|
|
EQ-5D at Visit 2 (Day 7+-2d)
Time Frame: Visit 2 (Day 7+-2d)
|
EQ-5D (EuroQol five dimensions questionnaire) index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
Visit 2 (Day 7+-2d)
|
|
EQ-5D (EuroQol Five Dimensions Questionnaire) at End of Treatment Visit
Time Frame: End of treatment visit (Day 90+-7d)
|
EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
End of treatment visit (Day 90+-7d)
|
|
EQ-5D (EuroQol Five Dimensions Questionnaire) at Premature Treatment Discontinuation Visit
Time Frame: Premature treatment discontinuation visit(<15 days after last dose)
|
EQ-5D index score using the UK tariff. EQ-5D is a self assessment of 5 dimensions: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. For each dimension responders are asked to state their status on a three level ordinal scale; whether they experience no problems (Level 1), some problems (Level 2) or severe problems (Level 3). Health states defined by the 5 dimensions can be converted into a weighted health state index (health state utility) by applying scores from the EQ-5D value sets elicited from general population samples. The higher the index score the better the health state. In this study index scores ran from -0.59 to 1. |
Premature treatment discontinuation visit(<15 days after last dose)
|
|
Number of Participants With PLATO Major Bleeding Event
Time Frame: From randomization up to 97 days
|
Participants with PLATO Major bleeding. If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97). PLATO Major bleeding is defined as a bleed that is any one of:
|
From randomization up to 97 days
|
|
Number of Participants With Premature Discontinuation of Study Drug Due to Any Bleeding Adverse Event
Time Frame: Time from first dose and up to and including 7 days following the date of last dose of the study
|
Participants discontinuation of study drug due to any bleeding adverse event.
If no event, censoring occures at the minimum of (last date of event assessment, date of death, end of treatment date, day 97).
|
Time from first dose and up to and including 7 days following the date of last dose of the study
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Diener HC, Easton JD, Hart RG, Kasner S, Kamel H, Ntaios G. Review and update of the concept of embolic stroke of undetermined source. Nat Rev Neurol. 2022 Aug;18(8):455-465. doi: 10.1038/s41582-022-00663-4. Epub 2022 May 10.
- Evans SR, Knutsson M, Amarenco P, Albers GW, Bath PM, Denison H, Ladenvall P, Jonasson J, Easton JD, Minematsu K, Molina CA, Wang Y, Wong KL, Johnston SC. Methodologies for pragmatic and efficient assessment of benefits and harms: Application to the SOCRATES trial. Clin Trials. 2020 Dec;17(6):617-626. doi: 10.1177/1740774520941441. Epub 2020 Jul 15.
- Cucchiara B, George DK, Kasner SE, Knutsson M, Denison H, Ladenvall P, Amarenco P, Johnston SC. Disability after minor stroke and TIA: A secondary analysis of the SOCRATES trial. Neurology. 2019 Aug 13;93(7):e708-e716. doi: 10.1212/WNL.0000000000007936. Epub 2019 Jul 11.
- Easton JD, Denison H, Evans SR, Knutsson M, Amarenco P, Albers GW, Ladenvall P, Minematsu K, Molina CA, Wang Y, Wong KL, Johnston SC; SOCRATES Steering Committee and Investigators. Estimated treatment effect of ticagrelor versus aspirin by investigator-assessed events compared with judgement by an independent event adjudication committee in the SOCRATES trial. Int J Stroke. 2019 Dec;14(9):908-914. doi: 10.1177/1747493019851282. Epub 2019 May 15.
- Molina CA, Johnston SC, Ladenvall P, Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Knutsson M, Minematsu K, Rother J, Wang Y, Wong KSL; SOCRATES Steering Committee and Investigators. Time to Loading Dose and Risk of Recurrent Events in the SOCRATES Trial. Stroke. 2019 Mar;50(3):675-682. doi: 10.1161/STROKEAHA.118.022675. Erratum In: Stroke. 2019 Apr;50(4):e118.
- Wong KSL, Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Himmelmann A, Kasner SE, Knutsson M, Ladenvall P, Minematsu K, Molina CA, Wang Y, Johnston SC; SOCRATES Steering Committee and Investigators. Efficacy and Safety of Ticagrelor in Relation to Aspirin Use Within the Week Before Randomization in the SOCRATES Trial. Stroke. 2018 Jul;49(7):1678-1685. doi: 10.1161/STROKEAHA.118.020553. Epub 2018 Jun 18.
- Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Hill MD, Jonasson J, Kasner SE, Ladenvall P, Minematsu K, Molina CA, Wang Y, Wong KSL, Johnston SC; SOCRATES Steering Committee and Investigators. Ticagrelor Versus Aspirin in Acute Embolic Stroke of Undetermined Source. Stroke. 2017 Sep;48(9):2480-2487. doi: 10.1161/STROKEAHA.117.017217. Epub 2017 Jul 18.
- Easton JD, Aunes M, Albers GW, Amarenco P, Bokelund-Singh S, Denison H, Evans SR, Held P, Jahreskog M, Jonasson J, Minematsu K, Molina CA, Wang Y, Wong KSL, Johnston SC; SOCRATES Steering Committee and Investigators. Risk for Major Bleeding in Patients Receiving Ticagrelor Compared With Aspirin After Transient Ischemic Attack or Acute Ischemic Stroke in the SOCRATES Study (Acute Stroke or Transient Ischemic Attack Treated With Aspirin or Ticagrelor and Patient Outcomes). Circulation. 2017 Sep 5;136(10):907-916. doi: 10.1161/CIRCULATIONAHA.117.028566. Epub 2017 Jun 27.
- Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Hill MD, Jonasson J, Kasner SE, Ladenvall P, Minematsu K, Molina CA, Wang Y, Wong KSL, Johnston SC; SOCRATES Steering Committee and Investigators. Efficacy and safety of ticagrelor versus aspirin in acute stroke or transient ischaemic attack of atherosclerotic origin: a subgroup analysis of SOCRATES, a randomised, double-blind, controlled trial. Lancet Neurol. 2017 Apr;16(4):301-310. doi: 10.1016/S1474-4422(17)30038-8. Epub 2017 Feb 23.
- Wang Y, Minematsu K, Wong KS, Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Jonasson J, Molina CA, Johnston SC; SOCRATES Steering Committee and Investigators. Ticagrelor in Acute Stroke or Transient Ischemic Attack in Asian Patients: From the SOCRATES Trial (Acute Stroke or Transient Ischemic Attack Treated With Aspirin or Ticagrelor and Patient Outcomes). Stroke. 2017 Jan;48(1):167-173. doi: 10.1161/STROKEAHA.116.014891. Epub 2016 Nov 29.
- Held P, Himmelmann A, Ditmarsch M. Ticagrelor for the treatment of atherosclerotic disease: insights from the PARTHENON clinical development program. Future Cardiol. 2016 Jul;12(4):405-18. doi: 10.2217/fca-2016-0028. Epub 2016 May 10.
- Johnston SC, Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Jonasson J, Minematsu K, Molina CA, Wang Y, Wong KS; SOCRATES Steering Committee and Investigators. Ticagrelor versus Aspirin in Acute Stroke or Transient Ischemic Attack. N Engl J Med. 2016 Jul 7;375(1):35-43. doi: 10.1056/NEJMoa1603060. Epub 2016 May 10.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Brain Ischemia
- Stroke
- Ischemic Stroke
- Ischemia
- Ischemic Attack, Transient
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Fibrinolytic Agents
- Fibrin Modulating Agents
- Platelet Aggregation Inhibitors
- Cyclooxygenase Inhibitors
- Antipyretics
- Purinergic P2Y Receptor Antagonists
- Purinergic P2 Receptor Antagonists
- Purinergic Antagonists
- Purinergic Agents
- Aspirin
- Ticagrelor
Other Study ID Numbers
- D5134C00001
- 2012-003895-38 (EudraCT Number)
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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