Effect of Abrupt Plavix® Discontinuation on Platelet Function
NCT00670943 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 52
Last updated 2009-03-25
Summary
The well established importance of regular administration of antiplatelet drugs stands on firm grounds, as large meta-analyses have shown these therapies to significantly reduce the risk of death. Plavix® (clopidogrel) is widely used following coronary angioplasty, to reduce the risk of periprocedural thrombotic complications, for up to one year. As the current recommendations suggest clopidogrel use for no longer than one year, the drug is normally discontinued within that period. In the limited state of knowledge on antiplatelet drug withdrawal, an early sound of alarm has risen from early thromboembolic complications reported after the interruption of antiplatelet treatment used in prevention of ischemic vascular disease. Although little information is available, discontinuation of thienopyridines has been associated with increased thromboembolic complications, mainly acute stent thrombosis. These complications may signal a platelet sensitization effect to aggregating stimuli by antiplatelet drugs taken chronically.
The current study aims to evaluate the impact of clopidogrel discontinuation on platelet function, in order to shed light on underlying mechanisms leading to increased risk of acute thrombo-occlusive events.
Conditions
Interventions
- OTHER
-
Platelet function testing
Sponsors & Collaborators
-
Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
collaborator OTHER -
Université de Montréal
lead OTHER
Principal Investigators
-
Jean G Diodati, MD · Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-01-31
- Primary Completion
- 2009-03-31
- Completion
- 2009-03-31
Countries
- Canada
Study Locations
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