The ACS Ethnicity Platelet Function Study
Study Details
Study Description
Brief Summary
This study is being done to assess the effects of the CTP inhibitor on the function of your platelets (cells within your blood that are involved in the formation of blood clots) and to assess whether you have responded to the ticagrelor well enough to prevent the formation of blood clots within the stent or site in which angioplasty was performed.
Recent studies have looked at how racial differences can affect platelet reactivity, the way blood clots. But these studies have not looked at the way different racial backgrounds can affect the way the blood forms clots. Minorities, such as African-Americans are underrepresented. Therefore, we are conducting this platelet reactivity study to better understand if there are differences in how this drug affects African-Americans from how they affect Caucasian patients undergoing percutaneous coronary intervention and receiving ticagrelor. These data will be compared to a historical control of Caucasian patients who underwent similar platelet function testing.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| AA Ticagrelor African Americans who present with acute coronary syndrome (ACS) to the cath lab, and receive ticagrelor during their hospital stay. |
Drug: Ticagrelor
|
Outcome Measures
Primary Outcome Measures
- Ticagrelor Inhibition [1-2 days]
The primary objective of the study is to assess ticagrelor's inhibition of platelet activity using 3 assays simultaneously: VerifyNow P2Y12 (PRU), vasodilator-stimulated phosphoprotein phosphorylation (VASP) and light transmission aggregometry (LTA) in African-American patients presenting with ACS.
Secondary Outcome Measures
- Follow-up Adverse Events [30 days]
To evaluate the safety of ticagrelor treatment in African-American patients by assessment of adverse-events up to 30-day follow-up time point.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Female (post menopausal or surgically sterile) and/or male aged 18 years or older
-
Presenting with ACS fulfilling the following:
-
Symptoms or new ECG changes (ST segment elevation or depression of at least 1 mm in 2 or more contiguous leads on EKG)
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Elevation of biomarkers (CK-MB ≥2 ULN or troponin ≥ ULN)
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Self-identified as African-American
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Treatment with 75-100mg ASA daily
Exclusion Criteria:
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Any indication (atrial fibrillation, mitral stenosis or prosthetic heart valve, PE, DVT) for antithrombotic treatment during study period.
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Fibrinolytic therapy within 48 hours before randomization
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Concomitant therapy with a drug having possible interaction with ticagrelor. (concomitant therapy with a strong cytochrome P-450 3A inhibitor or inducer)
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Increased bleeding risk including: recent (<30 days) GI bleeding, any history of intracranial, intraocular, retroperitoneal, or spinal bleeding, recent (<30 days of dosing) major trauma, sustained uncontrolled hypertension (systolic blood pressure [SBP]>180mmHg or diastolic blood pressure [DBP]>100mmHg), history of hemorrhagic disorders that can increase the risk of bleeding, platelet count less than 100,000 mm3 or hemoglobin <10 g/dL.
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Any history of hemorrhagic stroke.
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Contraindication or other reason that ASA or ticagrelor should not be administered (e.g., hypersensitivity, active bleeding, major surgery within 30 days of dosing).
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Severe renal failure (creatinine clearance <30mL/min or patient requires dialysis)
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History of moderate or severe hepatic impairment with aspartate amino transferace, alanine amino transferase or total bilirubin > 1.5 x upper limit of the reference range.
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Pregnant or lactating women.
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Patients receiving any glycoprotein IIb/IIIa inhibitors <8 hours before platelet reactivity testing.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Medstar Washington Hospital Center | Washington | District of Columbia | United States | 20010 |
Sponsors and Collaborators
- Medstar Health Research Institute
Investigators
- Principal Investigator: Ron Waksman, MD, Medstar Washington Hospital Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ACS Brilinta AZ