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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 16 December 2017
Main ID:  NCT03016611
Date of registration: 09/01/2017
Prospective Registration: Yes
Primary sponsor: Sheba Medical Center
Public title: Chewing Ticagrelor Versus Prasugrel in ST-elevation Myocardial Infarction - A Platelet Reactivity Study
Scientific title:
Date of first enrolment: February 2017
Target sample size: 100
Recruitment status: Not yet recruiting
URL:  https://clinicaltrials.gov/show/NCT03016611
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 4
Countries of recruitment
Israel
Contacts
Name:     Elad Asher, MD; MHA
Address: 
Telephone: +972-52-6667131
Email: el.asher@gmail.com
Affiliation: 
Key inclusion & exclusion criteria

Inclusion Criteria:

1. Patients presenting with STEMI

2. Informed, written consent

Exclusion Criteria:

1. Age < 18 years or Age > 75 years

2. Active bleeding; bleeding diathesis; coagulopathy

3. Increased risk of bradycardic events

4. History of gastrointestinal or genitourinary bleeding <2 months

5. Major surgery in the last 6 weeks

6. History of intracranial bleeding or structural abnormalities

7. Suspected aortic dissection

8. Any other condition that may put the patient at risk or influence study results or
investigator's opinion (severe hemodynamic instability, unconsciousness, known
malignancies or other comorbid conditions with life expectancy <1 year)

9. Administration in the week before the index event of clopidogrel, ticlopidine,
prasugrel, ticagrelor, thrombolytics, bivalirudin, low-molecular weight heparin or
fondaparinux.

10. Concomitant oral or IV therapy with strong CYP3A inhibitors or strong CYP3A inducers,
CYP3A with narrow therapeutic windows

11. Known relevant hematological deviations: Hb <10 g/dl, PLT<100x10^9/l

12. Use of coumadin derivatives within the last 7 days

13. Chronic therapy with ticagrelor, prasugrel, clopidogrel or ticlopidine

14. Known severe liver disease, severe renal failure

15. Known allergy to the study medications

16. Pregnancy

17. Human immunodeficiency virus treatment

18. The use of IIBIIIA receptor antagonists in the 48 hours before enrollment (if
abciximab use then in the last 14 days).

19. If the patients cannot sign percutaneous coronary intervention (PCI) informed consent
for any reason.



Age minimum: 18 Years
Age maximum: 75 Years
Gender: All
Health Condition(s) or Problem(s) studied
STEMI
Acute Coronary Syndrome
Intervention(s)
Drug: Chewing Prasugrel LD
Drug: Chewing Ticagrelor LD
Primary Outcome(s)
Residual platelet reactivity by Platelet Reactivity Units (PRU) VerifyNow 1 hour after Ticagrelor/Prasugrel LD [Time Frame: 1 hour]
Secondary Outcome(s)
Occurrence of dyspnea and/or symptomatic bradycardia [Time Frame: 30 days]
Major, minor, minimal bleeding [ Thrombolysis in Myocardial Infarction (TIMI) criteria] events [Time Frame: 30 days]
The percent of patients with a high residual platelet reactivity (PRU > 208) 1 hour, 4-6 hours after Ticagrelor/Prasugrel LD [Time Frame: 4-6 hours]
Secondary ID(s)
SHEBA-16-3634
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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