- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04251039
in Patients With SCAD Undergoing Complex PCI, the RESPONSE Study"
"Efficacy and Safety of Oral/iv Therapy (Cangrelor) in Patients With SCAD Undergoing Complex PCI, the RESPONSE Study"
Evaluation of Efficacy/Safety in Cangrelor use in patients with SCAD undergoing complex PCI.
Prospective, observational, multicenter registry.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Alfredo Marchese, MD, PhD
- Phone Number: +390805040376
- Email: alfma@libero.it
Study Locations
-
-
Puglia
-
Bari, Puglia, Italy, 70124
- Ospedale Santa Maria
-
Contact:
- Alfredo Marchese, MD, PhD
-
Principal Investigator:
- Alfredo Marchese, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient must be at least 65 years of age at the time of signing the Informed Consent Form
Patient presenting with SCAD undergoing complex PCI and:
- Type 2 Diabetes Mellitus;
- CKD (Grade specified in CRF);
- Complex SCAD: LMD, 3VD, bifurcation lesions, Rotablator, CTO, multiple Stents, total length of the stents must be greater than 60 mm.
- Patient is to be treated for de novo lesions located in previously untreated vessels.
- Patient must agree to undergo all required follow-up visits and data collection.
Exclusion Criteria:
- History of CABG;
- In stent restenosis;
- Patient with intolerance or contra-indications to treatment with aspirin, clopidogrel, prasugrel, ticagrelor, cangrelor, heparin, contrast media;
- Patient on chronic treatment with oral anticoagulants;
- Patient with neoplastic or rheumatic diseases;
- Use of dipyridamole, cilostazol, or anticoagulant therapy during the study period;
- Bleeding disorder
- History of an ischemic stroke or intracranial bleeding
- Intracranial vascular abnormality;
- Gastrointestinal bleeding within the previous 6 months or major surgery within the previous 30 days.
- Women who are pregnant/breastfeeding or who have the potential to become pregnant during the study;
- Patient with bleeding diathesis in whom antiplatelet drug is contraindicated;
- Concomitant indication to open heart surgery
- Inability to provide written informed consent
- Enrolment in another study within 1 month
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
---|
PCI with pre-treatment with P2Y12 inhibitors
SCAD patients undergoing complex PCI with pre-treatment with P2Y12 inhibitors will undergo:
|
PCI with treatment with P2Y12 inhibitors only after procedure.
SCAD patients undergoing complex PCI with treatment with P2Y12 inhibitors only after procedure will undergo:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety endpoint: Major bleedings according with Thrombolysis in Myocardial Infarction (TIMI) classification.
Time Frame: hour 48
|
Number of patients with intracranial hemorrhage or a ≥5 g/dl decrease in hemoglobin concentration or a ≥15 % absolute decrease in hematocrit.
|
hour 48
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy endpoint: Long-term major adverse cardiac and cerebrovascular events MACCE (eg Death from any cause, Any Myocardial infarction, Revascularization, Stroke)
Time Frame: hour 48 and day 30
|
Number of patients with Long-term major adverse cardiac and cerebrovascular events (MACCE) (e.g.
Death from any cause, Any Myocardial infarction, Revascularization, Stroke)
|
hour 48 and day 30
|
Assessment of platelet reactivity
Time Frame: Day 0
|
Assessment of platelet reactivity measured by the VerifyNow® P2Y12 assay.
Pharmacodynamic measurements will occur according to manufacturer instructions before, during, and after study drug infusion.
|
Day 0
|
Number of Participants with stent thrombosis
Time Frame: hour 48
|
Number of Participants with stent thrombosis demonstrated by coronary angiography
|
hour 48
|
Rehospitalisation due to unstable or progressive angina according to the Braunwald Unstable Angina Classification and the Canadian Cardiovascular Society Angina Classification.
Time Frame: Day 30
|
Rehospitalisation due to unstable or progressive angina according to the Braunwald Unstable Angina Classification and the Canadian Cardiovascular Society Angina Classification.
|
Day 30
|
Time to Coronary Artery Bypass Graft (CABG)
Time Frame: Day 30
|
Time between the intervention and the Coronary Artery Bypass Graft (CABG)
|
Day 30
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Alfredo Marchese, MD, PhD, Ospedale Santa Maria (BA)
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
- RESPONSE V 0.4 31/10/2019
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Coronary Disease
-
Peking Union Medical College HospitalNot yet recruitingCoronary Artery Disease | Inflammation | Coronary Artery Disease Progression | Coronary Artery Stenosis | Coronary Artery Restenosis | Inflammatory Disease | Inflammation VascularChina
-
Peking Union Medical College HospitalRecruitingCoronary Artery Disease | Inflammation | Coronary Artery Disease Progression | Coronary Artery Stenosis | Coronary Artery Restenosis | Inflammatory Disease | Inflammation VascularChina
-
Fundación EPICActive, not recruitingCoronary Artery Disease | Left Main Coronary Artery Disease | Left Main Coronary Artery Stenosis | Restenosis, CoronarySpain
-
Peking University Third HospitalCompletedCoronary Microvascular Dysfunction | Obstructive Coronary Heart DiseaseChina
-
Seung-Jung ParkCardioVascular Research Foundation, KoreaRecruitingCoronary Stenosis | Coronary Artery Bypass Grafting | Coronary Artery Disease Progression | Percutaneous Coronary RevascularizationKorea, Republic of
-
Centro de estudios en Cardiologia IntervencionistaCompletedCoronary Heart Disease | Coronary RestenosisArgentina
-
Istanbul UniversityCompletedIschemic Heart Disease | Coronary Microvascular Disease | Microvascular Angina | Coronary Microvascular Dysfunction | Non-Obstructive Coronary Atherosclerosis | Microvascular Coronary Artery DiseaseTurkey
-
Deutsches Herzzentrum MuenchenCompletedCoronary Heart DiseaseGermany
-
National Institutes of Health Clinical Center (CC)National Heart, Lung, and Blood Institute (NHLBI)CompletedCoronary Arteriosclerosis | Coronary Artery Disease (CAD) | Obstructive Coronary Artery DiseaseUnited States
-
National Heart Centre SingaporeUnknownCoronary Heart DiseaseSingapore