COMbination of Clopidogrel and Aspirin for Prevention of Early REcurrence in Acute Atherothrombotic Stroke (COMPRESS)
COMbination of Clopidogrel and Aspirin for Prevention of REcurrence in Acute Atherothrombotic Stroke Study: Prospective, Randomized, Double-blind, Placebo-controlled, Multicenter Trial
Primary objective:
- Comparison of efficacy of the combination therapy (clopidogrel plus aspirin) and the aspirin alone (main comparison) to prevent any recurrent ischemic lesion .
Secondary objectives:
- Comparison of Modified Rankin scale (mRS) scores;
- Comparison of the Incidence of all kinds of stroke and vascular death;
- Comparison of the Incidence of bleeding episodes (major and minor) and symptomatic intracerebral hemorrhages during the follow-up period.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
-
-
-
Seoul, Korea, Republikken
- Sanofi-Aventis Administrative Office
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Ischemic stroke diagnosed within 48 hours from symptom onset;
- Cerebral ischemic lesion observed on diffusion-weighted magnetic resonance imaging (DWI MRI);
- Relevant atherothrombotic lesions on magnetic resonance angiography (MRA) or computed tomography angiography (CTA);
- Study drug administration within 48 hours from symptom onset;
- mRS score is 0-2 before the stroke.
Exclusion Criteria:
- Evidences of other relevant brain lesions such as Intracerebral hemorrhage (ICH) or brain tumor;
- Suspicious of stroke due to small-vessel occlusion;
- Stroke due to cardioembolism;
- Clinical necessity of conventional angiography or intervention before the end of study;
- Past history of ICH;
- Bleeding diathesis or coagulopathy;
- Chronic anemia (Hb<8.0) or thrombocytopenia (PLT<100K);
- Chronic liver disease (AST> 100 or ALT>100);
- Any other clinically relevant serious disease, including renal failure ( creatinine clearance<30mL/min);
- Allergy to Aspirin or clopidogrel;
- Subjected to intervention or surgical treatments within 3 months;
- Thrombolysis performed with rt-PA or UK after the stroke;
- Participation in another clinical study within the previous 30 days;
- Suspicious of poor drug compliance and requirements of the protocol;
- Females who are pregnant, breast-feeding, or childbearing potential and not using medically acceptable and effective contraception.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Combination therapy
Administration of Aspirin + Clopidogrel for 30 days
|
75mg tablet, oral administration once daily
Andre navne:
100mg tablet, oral administration once daily
|
|
Aktiv komparator: Monotherapy
Administration of Aspirin + Clopidogrel placebo for 30 days
|
100mg tablet, oral administration once daily
Matching tablet, oral administration once daily
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Number of participants with new ischemic lesions after the onset of acute atherothrombotic stroke
Tidsramme: Within 30 days following the onset of acute atherothrombotic stroke
|
Within 30 days following the onset of acute atherothrombotic stroke
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Distribution of Modified Rankin Scale (mRS) scores
Tidsramme: Day 30 after the onset of acute atherothrombotic stroke
|
Day 30 after the onset of acute atherothrombotic stroke
|
|
Number of participants with non-fatal stroke, myocardial infarction (MI) or cardiovascular death (composite endpoint, first-ever)
Tidsramme: Within 30 days following the onset of acute atherothrombotic stroke
|
Within 30 days following the onset of acute atherothrombotic stroke
|
|
Number of participants with stroke (all kinds)
Tidsramme: Within 30 days following the onset of acute atherothrombotic stroke
|
Within 30 days following the onset of acute atherothrombotic stroke
|
|
Number of participants with bleeding episode (major or minor)
Tidsramme: Within 30 days following the onset of acute atherothrombotic stroke
|
Within 30 days following the onset of acute atherothrombotic stroke
|
|
Number of participants with symptomatic intracerebral hemorrhage (ICH)
Tidsramme: Within 30 days following the onset of acute atherothrombotic stroke
|
Within 30 days following the onset of acute atherothrombotic stroke
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Studieleder: Hyang Rim Kim, Sanofi
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Patologiske processer
- Hjerte-kar-sygdomme
- Karsygdomme
- Cerebrovaskulære lidelser
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Sygdomsegenskaber
- Slag
- Tilbagevenden
- Lægemidlers fysiologiske virkninger
- Neurotransmittermidler
- Molekylære mekanismer for farmakologisk virkning
- Agenter fra det perifere nervesystem
- Enzymhæmmere
- Analgetika
- Sensoriske systemagenter
- Anti-inflammatoriske midler, ikke-steroide
- Analgetika, ikke-narkotisk
- Anti-inflammatoriske midler
- Antirheumatiske midler
- Fibrinolytiske midler
- Fibrinmodulerende midler
- Blodpladeaggregationshæmmere
- Cyclooxygenase-hæmmere
- Antipyretika
- Purinerge P2Y-receptorantagonister
- Purinerge P2-receptorantagonister
- Purinerge antagonister
- Purinerge midler
- Aspirin
- Clopidogrel
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CLOPI_L_02452
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