Warfarin and Antiplatelet Therapy in Chronic Heart Failure
NCT00007683 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1587
Last updated 2011-06-16
Summary
Whether patients with chronic heart failure (CHF) should be anticoagulated is one of the oldest unresolved questions in cardiovascular therapeutics. Some authorities do not recommend anticoagulation for CHF patients in sinus rhythm, others recommend anticoagulation in patients with primary cardiomyopathy, and still others consider it more appropriate in patients with coronary artery disease (CAD). This absence of consensus reflects the lack of evidence in this area and different outlooks on the objectives of such therapy (e.g., prevention of arterial emboli or reduction in vascular events).
Conditions
Interventions
- DRUG
-
Warfarin titrated to an INR of 2.5-3.0
anticoagulation (administered without blinding) titrated to a target INR of 2.5 to 3.0, monitored by measurements at 6 week intervals after initial titration and stabilization.
- DRUG
-
an antiplatelet agent whose mechanism is inhibition of thromboxane, a platelet activator) administered in a double blind manner.
- DRUG
-
Clopidogrel 75
(an antiplatelet agent whose mechanism is ADP inhibition) administered in a double blind manner)
Sponsors & Collaborators
-
Sanofi-Synthelabo
collaborator INDUSTRY - collaborator INDUSTRY
-
US Department of Veterans Affairs
lead FED
Principal Investigators
-
Barry M. Massie, MD · VA Medical Center, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 1998-10-31
- Primary Completion
- 2003-07-31
- Completion
- 2004-12-31
Countries
- United States
- Canada
- United Kingdom
Study Locations
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