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Affordability and Real-world Antiplatelet Treatment Effectiveness After Myocardial Infarction Study (ARTEMIS)

30 settembre 2019 aggiornato da: AstraZeneca
Current patterns of P2Y12 receptor inhibitor use provide an excellent opportunity to test the impact of copayment reduction on clinician choice of medication, patient adherence, and clinical outcomes. The ARTEMIS trial is a practical multicenter, cluster- randomized clinical trial that will assess the impact of copayment reduction by equalizing the copayment of clopidogrel and ticagrelor. ARTEMIS will assess prescribing patterns, patient medication adherence, and clinical outcomes up to one year. We hypothesize that reducing out--of--pocket cost for P2Y12 receptor inhibitor will lead to improved adherence. Additionally, copayment reduction of both generic and brand antiplatelet agents may lead to a reduction in MACE risk. This is in part due to greater adherence to an evidence--based secondary prevention medication. Additionally the reduction in MACE may reflect greater selection of a more potent antiplatelet agent that has been shown to reduce MACE in randomized clinical trials, as provider choice of antiplatelet therapy will be primarily driven by risk- benefit assessment rather than the cost burden to the patient.

Panoramica dello studio

Stato

Completato

Intervento / Trattamento

Descrizione dettagliata

ARTEMIS is a prospective, cluster-randomized clinical trial that will evaluate whether patient copayment elimination significantly influences antiplatelet therapy selection and long-term adherence, as well as patient outcomes and overall cost of care after acute myocardial infarction. Approximately 11,000 patients with ST-elevation myocardial infarction (STEMI) or non-STEMI (NSTEMI) will be enrolled at the approximately 300 hospitals in this study. Study sites selected for ARTEMIS will be geographically diverse, and will represent a diversity of hospital types and capabilities (e.g., teaching hospital, community hospital, etc). After institutional review board (IRB) approval of the study, each hospital will be randomized into either the intervention arm or the control arm. Hospitals randomized to the intervention arm will have the opportunity to offer enrolled patients either clopidogrel (generic P2Y12 receptor inhibitor option) or ticagrelor (brand P2Y12 receptor inhibitor option) without patient contribution to copayment in the next 12 months after the index MI discharge. Hospitals in the control arm will provide care per usual clinical routine. Notably, for both intervention and control arms, all patient management decisions (including the choice of antiplatelet therapy) are completely at the discretion of the care providers. Duration of antiplatelet therapy will also be at the discretion of care providers. All enrolled patients will be followed up to 15 months after index MI discharge to collect data on longitudinal treatment patterns and outcomes. Primary and secondary endpoints will be assessed at 12 months. An additional three months of follow up will assess for antiplatelet persistence and clinical events after discontinuation of the copayment intervention. Centralized follow-up will be conducted every 3 months via telephone or web-based contact.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

11001

Fase

  • Fase 4

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

      • Caguas, Porto Rico, 00725
        • Research Site
    • Alabama
      • Birmingham, Alabama, Stati Uniti, 35294
        • Research Site
      • Huntsville, Alabama, Stati Uniti, 35613
        • Research Site
      • Mobile, Alabama, Stati Uniti, 36608
        • Research Site
      • Mobile, Alabama, Stati Uniti, 36617
        • Research Site
    • Alaska
      • Anchorage, Alaska, Stati Uniti, 99508
        • Research Site
    • Arizona
      • Cottonwood, Arizona, Stati Uniti, 86326
        • Research Site
      • Flagstaff, Arizona, Stati Uniti, 86001
        • Research Site
      • Phoenix, Arizona, Stati Uniti, 85008
        • Research Site
    • Arkansas
      • Fayetteville, Arkansas, Stati Uniti, 72703
        • Research Site
      • Fort Smith, Arkansas, Stati Uniti, 72901
        • Research Site
      • Jonesboro, Arkansas, Stati Uniti, 72401
        • Research Site
      • Little Rock, Arkansas, Stati Uniti, 72211
        • Research Site
    • California
      • Escondido, California, Stati Uniti, 92025
        • Research Site
      • Huntington Beach, California, Stati Uniti, 92648
        • Research Site
      • Loma Linda, California, Stati Uniti, 92354
        • Research Site
      • Los Angeles, California, Stati Uniti, 90048
        • Research Site
      • Los Angeles, California, Stati Uniti, 90095
        • Research Site
      • Northridge, California, Stati Uniti, 91328
        • Research Site
      • Pasadena, California, Stati Uniti, 91105
        • Research Site
      • Riverside, California, Stati Uniti, 92501
        • Research Site
      • Salinas, California, Stati Uniti, 93901
        • Research Site
      • Stockton, California, Stati Uniti, 95210
        • Research Site
      • Thousand Oaks, California, Stati Uniti, 91360
        • Research Site
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        • Research Site
      • Vista, California, Stati Uniti, 92083
        • Research Site
    • Colorado
      • Aurora, Colorado, Stati Uniti, 80045
        • Research Site
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      • Colorado Springs, Colorado, Stati Uniti, 80907
        • Research Site
      • Denver, Colorado, Stati Uniti, 80204
        • Research Site
    • Connecticut
      • Bridgeport, Connecticut, Stati Uniti, 06610
        • Research Site
      • Danbury, Connecticut, Stati Uniti, 6810
        • Research Site
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        • Research Site
    • Florida
      • Boynton Beach, Florida, Stati Uniti, 33435
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      • Bradenton, Florida, Stati Uniti, 34205
        • Research Site
      • Bradenton, Florida, Stati Uniti, 34209
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      • Daytona Beach, Florida, Stati Uniti, 32114
        • Research Site
      • Gainesville, Florida, Stati Uniti, 32607
        • Research Site
      • Hollywood, Florida, Stati Uniti, 33021
        • Research Site
      • Hudson, Florida, Stati Uniti, 34667
        • Research Site
      • Jacksonville, Florida, Stati Uniti, 32207
        • Research Site
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        • Research Site
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        • Research Site
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      • Bloomington, Indiana, Stati Uniti, 47403
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      • Davenport, Iowa, Stati Uniti, 52803
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      • Overland Park, Kansas, Stati Uniti, 66209
        • Research Site
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      • Lexington, Kentucky, Stati Uniti, 40503
        • Research Site
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      • Louisville, Kentucky, Stati Uniti, 40205
        • Research Site
      • Louisville, Kentucky, Stati Uniti, 40292
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    • Louisiana
      • Alexandria, Louisiana, Stati Uniti, 71301
        • Research Site
      • Bossier City, Louisiana, Stati Uniti, 71111
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        • Research Site
    • Maine
      • Rockport, Maine, Stati Uniti, 04856
        • Research Site
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      • Annapolis, Maryland, Stati Uniti, 21401
        • Research Site
      • Baltimore, Maryland, Stati Uniti, 21229
        • Research Site
      • Baltimore, Maryland, Stati Uniti, 21215
        • Research Site
      • Bethesda, Maryland, Stati Uniti, 20814
        • Research Site
      • Clinton, Maryland, Stati Uniti, 20735
        • Research Site
      • Columbia, Maryland, Stati Uniti, 21044
        • Research Site
      • Rockville, Maryland, Stati Uniti, 20850
        • Research Site
      • Salisbury, Maryland, Stati Uniti, 21804
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Stati Uniti, 2215
        • Research Site
      • Boston, Massachusetts, Stati Uniti, 02118
        • Research Site
      • Brighton, Massachusetts, Stati Uniti, 2135
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      • Hyannis, Massachusetts, Stati Uniti, 02601
        • Research Site
      • Worcester, Massachusetts, Stati Uniti, 1655
        • Research Site
    • Michigan
      • Alpena, Michigan, Stati Uniti, 49707
        • Research Site
      • Ann Arbor, Michigan, Stati Uniti, 48109
        • Research Site
      • Bay City, Michigan, Stati Uniti, 48708
        • Research Site
      • Detroit, Michigan, Stati Uniti, 48202
        • Research Site
      • Detroit, Michigan, Stati Uniti, 48236
        • Research Site
      • Flint, Michigan, Stati Uniti, 48532
        • Research Site
      • Grand Blanc, Michigan, Stati Uniti, 48439
        • Research Site
      • Grand Rapids, Michigan, Stati Uniti, 49503
        • Research Site
      • Jackson, Michigan, Stati Uniti, 39216
        • Research Site
      • Marquette, Michigan, Stati Uniti, 49855
        • Research Site
      • Mount Clemens, Michigan, Stati Uniti, 48043
        • Research Site
      • Petoskey, Michigan, Stati Uniti, 49770
        • Research Site
      • Pontiac, Michigan, Stati Uniti, 48341
        • Research Site
      • Saginaw, Michigan, Stati Uniti, 48602
        • Research Site
      • Saint Joseph, Michigan, Stati Uniti, 49085
        • Research Site
      • Southfield, Michigan, Stati Uniti, 48075
        • Research Site
      • Warren, Michigan, Stati Uniti, 48093
        • Research Site
    • Minnesota
      • Duluth, Minnesota, Stati Uniti, 55805
        • Research Site
      • Minneapolis, Minnesota, Stati Uniti, 55407
        • Research Site
      • Saint Cloud, Minnesota, Stati Uniti, 56303
        • Research Site
      • Saint Paul, Minnesota, Stati Uniti, 55101
        • Research Site
      • Saint Paul, Minnesota, Stati Uniti, 55102
        • Research Site
    • Mississippi
      • Hattiesburg, Mississippi, Stati Uniti, 39401
        • Research Site
    • Missouri
      • Bridgeton, Missouri, Stati Uniti, 63044
        • Research Site
      • Fenton, Missouri, Stati Uniti, 63026
        • Research Site
      • Joplin, Missouri, Stati Uniti, 64804
        • Research Site
      • Kansas City, Missouri, Stati Uniti, 64114
        • Research Site
      • Kansas City, Missouri, Stati Uniti, 64111
        • Research Site
      • North Kansas City, Missouri, Stati Uniti, 64116
        • Research Site
      • Saint Charles, Missouri, Stati Uniti, 63301
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63110
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63136
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63117
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63128
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63131-2374
        • Research Site
      • Saint Louis, Missouri, Stati Uniti, 63367
        • Research Site
    • Montana
      • Billings, Montana, Stati Uniti, 59101
        • Research Site
    • Nebraska
      • Lincoln, Nebraska, Stati Uniti, 68506
        • Research Site
      • Lincoln, Nebraska, Stati Uniti, 68526
        • Research Site
      • Omaha, Nebraska, Stati Uniti, 68131
        • Research Site
      • Omaha, Nebraska, Stati Uniti, 68105
        • Research Site
      • Omaha, Nebraska, Stati Uniti, 68154
        • Research Site
    • Nevada
      • Las Vegas, Nevada, Stati Uniti, 89128
        • Research Site
      • Reno, Nevada, Stati Uniti, 89502
        • Research Site
      • Reno, Nevada, Stati Uniti, 89503
        • Research Site
    • New Jersey
      • Bridgewater, New Jersey, Stati Uniti, 08807
        • Research Site
      • Flemington, New Jersey, Stati Uniti, 08822
        • Research Site
      • Haddon Heights, New Jersey, Stati Uniti, 08035
        • Research Site
      • Haddon Heights, New Jersey, Stati Uniti, 8035
        • Research Site
      • Moorestown, New Jersey, Stati Uniti, 08057
        • Research Site
      • Newark, New Jersey, Stati Uniti, 07102
        • Research Site
      • Paterson, New Jersey, Stati Uniti, 07503
        • Research Site
      • Pomona, New Jersey, Stati Uniti, 08240
        • Research Site
      • Ridgewood, New Jersey, Stati Uniti, 07450
        • Research Site
      • Teaneck, New Jersey, Stati Uniti, 07666
        • Research Site
      • Voorhees, New Jersey, Stati Uniti, 08043
        • Research Site
    • New York
      • Albany, New York, Stati Uniti, 12205
        • Research Site
      • Cooperstown, New York, Stati Uniti, 13326
        • Research Site
      • Johnson City, New York, Stati Uniti, 13790
        • Research Site
      • New York, New York, Stati Uniti, 10029
        • Research Site
      • Poughkeepsie, New York, Stati Uniti, 12601
        • Research Site
      • Rochester, New York, Stati Uniti, 14621-3001
        • Research Site
      • Schenectady, New York, Stati Uniti, 12308
        • Research Site
      • Staten Island, New York, Stati Uniti, 10310
        • Research Site
      • Stony Brook, New York, Stati Uniti, 11794
        • Research Site
      • Utica, New York, Stati Uniti, 13501
        • Research Site
      • Valhalla, New York, Stati Uniti, 10595
        • Research Site
    • North Carolina
      • Asheville, North Carolina, Stati Uniti, 28803
        • Research Site
      • Durham, North Carolina, Stati Uniti, 27710
        • Research Site
      • Gastonia, North Carolina, Stati Uniti, 28054
        • Research Site
      • High Point, North Carolina, Stati Uniti, 27262
        • Research Site
      • Lumberton, North Carolina, Stati Uniti, 28358
        • Research Site
      • Morehead City, North Carolina, Stati Uniti, 28557
        • Research Site
      • Pinehurst, North Carolina, Stati Uniti, 28374
        • Research Site
      • Raleigh, North Carolina, Stati Uniti, 27607
        • Research Site
      • Raleigh, North Carolina, Stati Uniti, 27610
        • Research Site
      • Wilmington, North Carolina, Stati Uniti, 28403
        • Research Site
      • Winston-Salem, North Carolina, Stati Uniti, 27104
        • Research Site
    • North Dakota
      • Grand Forks, North Dakota, Stati Uniti, 58201
        • Research Site
    • Ohio
      • Canton, Ohio, Stati Uniti, 447018
        • Research Site
      • Cincinnati, Ohio, Stati Uniti, 45267
        • Research Site
      • Cleveland, Ohio, Stati Uniti, 44106
        • Research Site
      • Dayton, Ohio, Stati Uniti, 45406
        • Research Site
      • Kettering, Ohio, Stati Uniti, 45429
        • Research Site
      • Middleburg Heights, Ohio, Stati Uniti, 44130
        • Research Site
      • Toledo, Ohio, Stati Uniti, 43615
        • Research Site
    • Oklahoma
      • Oklahoma City, Oklahoma, Stati Uniti, 73112
        • Research Site
      • Oklahoma City, Oklahoma, Stati Uniti, 73120
        • Research Site
    • Oregon
      • Bend, Oregon, Stati Uniti, 97701
        • Research Site
      • Portland, Oregon, Stati Uniti, 97062
        • Research Site
      • Tualatin, Oregon, Stati Uniti, 97062
        • Research Site
    • Pennsylvania
      • Abington, Pennsylvania, Stati Uniti, 19001
        • Research Site
      • Allentown, Pennsylvania, Stati Uniti, 18103
        • Research Site
      • Camp Hill, Pennsylvania, Stati Uniti, 17011
        • Research Site
      • Chambersburg, Pennsylvania, Stati Uniti, 17201
        • Research Site
      • Danville, Pennsylvania, Stati Uniti, 17822
        • Research Site
      • Doylestown, Pennsylvania, Stati Uniti, 18901
        • Research Site
      • Lancaster, Pennsylvania, Stati Uniti, 17603
        • Research Site
      • Philadelphia, Pennsylvania, Stati Uniti, 19102
        • Research Site
      • Pittsburgh, Pennsylvania, Stati Uniti, 15212
        • Research Site
      • Pittsburgh, Pennsylvania, Stati Uniti, 15232
        • Research Site
      • Sayre, Pennsylvania, Stati Uniti, 18840
        • Research Site
      • Scranton, Pennsylvania, Stati Uniti, 18508
        • Research Site
      • Sellersville, Pennsylvania, Stati Uniti, 18960
        • Research Site
      • West Reading, Pennsylvania, Stati Uniti, 19611
        • Research Site
      • Wilkes-Barre, Pennsylvania, Stati Uniti, 18711
        • Research Site
      • York, Pennsylvania, Stati Uniti, 17403
        • Research Site
      • York, Pennsylvania, Stati Uniti, 17405
        • Research Site
    • Rhode Island
      • Warwick, Rhode Island, Stati Uniti, 02886
        • Research Site
    • South Carolina
      • Anderson, South Carolina, Stati Uniti, 29621
        • Research Site
      • Charleston, South Carolina, Stati Uniti, 29425
        • Research Site
      • Charleston, South Carolina, Stati Uniti, 29401
        • Research Site
      • Columbia, South Carolina, Stati Uniti, 29204
        • Research Site
      • Columbia, South Carolina, Stati Uniti, 29203
        • Research Site
      • Greenwood, South Carolina, Stati Uniti, 29646
        • Research Site
      • West Columbia, South Carolina, Stati Uniti, 29169
        • Research Site
    • South Dakota
      • Rapid City, South Dakota, Stati Uniti, 57701
        • Research Site
    • Tennessee
      • Jackson, Tennessee, Stati Uniti, 38301
        • Research Site
      • Knoxville, Tennessee, Stati Uniti, 37934
        • Research Site
      • Memphis, Tennessee, Stati Uniti, 38120
        • Research Site
      • Memphis, Tennessee, Stati Uniti, 38104
        • Research Site
      • Oak Ridge, Tennessee, Stati Uniti, 37830
        • Research Site
    • Texas
      • Dallas, Texas, Stati Uniti, 75231
        • Research Site
      • Houston, Texas, Stati Uniti, 77030
        • Research Site
      • Houston, Texas, Stati Uniti, 77074
        • Research Site
      • New Braunfels, Texas, Stati Uniti, 78130
        • Research Site
      • Palestine, Texas, Stati Uniti, 75801
        • Research Site
      • Plano, Texas, Stati Uniti, 75093
        • Research Site
      • Round Rock, Texas, Stati Uniti, 78665
        • Research Site
      • San Antonio, Texas, Stati Uniti, 78201
        • Research Site
      • Temple, Texas, Stati Uniti, 76508
        • Research Site
      • Waco, Texas, Stati Uniti, 76712
        • Research Site
      • Webster, Texas, Stati Uniti, 77598
        • Research Site
    • Vermont
      • Burlington, Vermont, Stati Uniti, 05401
        • Research Site
    • Virginia
      • Charlottesville, Virginia, Stati Uniti, 22908
        • Research Site
      • Lynchburg, Virginia, Stati Uniti, 24501
        • Research Site
      • Norfolk, Virginia, Stati Uniti, 23507
        • Research Site
      • Richmond, Virginia, Stati Uniti, 23229
        • Research Site
      • Roanoke, Virginia, Stati Uniti, 24014
        • Research Site
      • Winchester, Virginia, Stati Uniti, 22601
        • Research Site
    • Washington
      • Puyallup, Washington, Stati Uniti, 98372
        • Research Site
      • Renton, Washington, Stati Uniti, 98055
        • Research Site
      • Spokane, Washington, Stati Uniti, 99204
        • Research Site
    • West Virginia
      • Morgantown, West Virginia, Stati Uniti, 26505
        • Research Site
    • Wisconsin
      • Green Bay, Wisconsin, Stati Uniti, 54301
        • Research Site
      • La Crosse, Wisconsin, Stati Uniti, 54601
        • Research Site
      • Milwaukee, Wisconsin, Stati Uniti, 53226
        • Research Site
      • Milwaukee, Wisconsin, Stati Uniti, 53215
        • Research Site
      • Milwaukee, Wisconsin, Stati Uniti, 53211
        • Research Site
      • Racine, Wisconsin, Stati Uniti, 53405
        • Research Site
      • Waukesha, Wisconsin, Stati Uniti, 53188
        • Research Site

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 130 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

Patients are eligible to be included in the study if they meet all of the following criteria:

  • are ≥ 18 years of age
  • have been diagnosed with STEMI or NSTEMI during the index hospitalization
  • be treated with a P2Y12 receptor inhibitor at the time of enrollment
  • have U.S. based health insurance coverage with prescription drug benefit
  • have been fully informed and are able to provide written consent for longitudinal follow-up

Exclusion Criteria:

Patients are excluded if they meet any of the following criteria:

  • have a history of prior intracranial hemorrhage
  • have any contraindications to P2Y12 receptor inhibitor therapy at discharge
  • involvement in another research study that specifies the type and duration of P2Y12 receptor inhibitor use within the next 12 months.
  • have a life expectancy of less than one year
  • have plans to move outside the US in the next year

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Ricerca sui servizi sanitari
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Copayment Intervention Arm
Sites in the intervention arm will provide patients with a study voucher card to offset any patient copayments or medication card for the filling of any prescriptions of clopidogrel or ticagrelor.
Study voucher card to offset any patient copayments or medication costs for the filling of any prescriptions of clopidogrel or ticagrelor
Nessun intervento: Usual Care Arm
For hospitals randomized to the control arm, all patients receive usual care and no study intervention is performed.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Kaplan-Meier Cumulative Incidence Rate of Major Adverse Cardiovascular Events
Lasso di tempo: 12 months
To determine if patient copayment reduction leads to lower risk of MACE (composite of death, MI, and stroke) at 1 year after discharge.
12 months
Percentage of Patients With Long Term Non-persistence to P2Y12 Receptor Inhibitor
Lasso di tempo: 12 months
To determine if patient copayment reduction leads to higher long-term persistence of any P2Y12 receptor inhibitor at 1 year after discharge.
12 months

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
P2Y12 Receptor Inhibitor Selection
Lasso di tempo: 12 months
To evaluate whether reducing patient copayments for both generic and brand P2Y12 receptor inhibitor options affects medication selection at discharge.
12 months

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Investigatore principale: Tracy Wang, MD, MHS, MSc, Duke University
  • Cattedra di studio: Eric Peterson, MD, MPH, FAHA, FACC, Duke University

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

5 giugno 2015

Completamento primario (Effettivo)

23 ottobre 2017

Completamento dello studio (Effettivo)

23 ottobre 2017

Date di iscrizione allo studio

Primo inviato

30 marzo 2015

Primo inviato che soddisfa i criteri di controllo qualità

1 aprile 2015

Primo Inserito (Stima)

2 aprile 2015

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

1 ottobre 2019

Ultimo aggiornamento inviato che soddisfa i criteri QC

30 settembre 2019

Ultimo verificato

1 settembre 2019

Maggiori informazioni

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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