Trial Outcomes & Findings for Platelet Inhibition in Patients With Systolic Heart Failure (NCT NCT01765400)

NCT ID: NCT01765400

Last Updated: 2023-10-10

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

30 participants

Primary outcome timeframe

Baseline, 2 weeks post clopidogrel, and 2 weeks post prasugrel, Change From Baseline at Week 2 Reported

Results posted on

2023-10-10

Participant Flow

Participant milestones

Participant milestones
Measure
Prasugrel
Prasugrel 10 mg once daily first for 14 days, then Clopidogrel 75 mg once daily for 14 days
Clopidogrel
Clopidogrel 75 mg once daily first for 14 days, then Prasugrel 10 mg once daily for 14 days
First Intervention (14 Days)
STARTED
15
15
First Intervention (14 Days)
COMPLETED
15
15
First Intervention (14 Days)
NOT COMPLETED
0
0
Second Intervention (14 Days)
STARTED
15
15
Second Intervention (14 Days)
COMPLETED
15
15
Second Intervention (14 Days)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Platelet Inhibition in Patients With Systolic Heart Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prasugrel
n=15 Participants
Prasugrel 10 mg once daily for 2 weeks Prasugrel 10 mg daily x 2 weeks
Clopidogrel
n=15 Participants
Clopidogrel 75 mg once daily for 2 weeks Clopidogrel 75 mg daily x 2 weeks
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=99 Participants
10 Participants
n=107 Participants
21 Participants
n=206 Participants
Age, Categorical
>=65 years
4 Participants
n=99 Participants
5 Participants
n=107 Participants
9 Participants
n=206 Participants
Age, Continuous
58.5 years
STANDARD_DEVIATION 8.9 • n=99 Participants
58.5 years
STANDARD_DEVIATION 8.9 • n=107 Participants
58.5 years
STANDARD_DEVIATION 8.9 • n=206 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Sex: Female, Male
Male
11 Participants
n=99 Participants
11 Participants
n=107 Participants
22 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
White
12 Participants
n=99 Participants
13 Participants
n=107 Participants
25 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
15 Participants
n=99 Participants
15 Participants
n=107 Participants
30 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline, 2 weeks post clopidogrel, and 2 weeks post prasugrel, Change From Baseline at Week 2 Reported

Outcome measures

Outcome measures
Measure
Prasugrel
n=30 Participants
Prasugrel 10 mg once daily for 2 weeks Prasugrel 10 mg daily x 2 weeks
Clopidogrel
n=30 Participants
Clopidogrel 75 mg once daily for 2 weeks Clopidogrel 75 mg daily x 2 weeks
The Change in Platelet Aggregation Measured by the Accumetrics (VerifyNow P2Y12) Assay Between Baseline and Each Antiplatelet Medication
66.4 PRU (P2Y12 reactivity units)
Standard Deviation 51.5
156.2 PRU (P2Y12 reactivity units)
Standard Deviation 51.5

SECONDARY outcome

Timeframe: Baseline, 2 weeks post clopidogrel, and 2 weeks post prasugrel

Outcome measures

Outcome measures
Measure
Prasugrel
n=26 Participants
Prasugrel 10 mg once daily for 2 weeks Prasugrel 10 mg daily x 2 weeks
Clopidogrel
n=26 Participants
Clopidogrel 75 mg once daily for 2 weeks Clopidogrel 75 mg daily x 2 weeks
The Change in Light Transmission Aggregometry (LTA)Between Baseline and Each Antiplatelet Medication
5 umol/L ADP
32 percentage of platelt inhibition
Standard Deviation 18
47 percentage of platelt inhibition
Standard Deviation 19
The Change in Light Transmission Aggregometry (LTA)Between Baseline and Each Antiplatelet Medication
20 umol/L ADP
38 percentage of platelt inhibition
Standard Deviation 19
54 percentage of platelt inhibition
Standard Deviation 18

SECONDARY outcome

Timeframe: Baseline, 2 weeks post clopidogrel, and 2 weeks post prasugrel

Outcome measures

Outcome measures
Measure
Prasugrel
n=26 Participants
Prasugrel 10 mg once daily for 2 weeks Prasugrel 10 mg daily x 2 weeks
Clopidogrel
n=26 Participants
Clopidogrel 75 mg once daily for 2 weeks Clopidogrel 75 mg daily x 2 weeks
The Change in Platelet Activation Assay (VASP)Between Baseline and Each Antiplatelet Medication
25 PRI (platelt reactivity index)
Standard Deviation 20
49 PRI (platelt reactivity index)
Standard Deviation 16

Adverse Events

Prasugrel

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Clopidogrel

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Prasugrel
n=30 participants at risk
Prasugrel 10 mg once daily for 2 weeks Prasugrel 10 mg daily x 2 weeks
Clopidogrel
n=30 participants at risk
Clopidogrel 75 mg once daily for 2 weeks Clopidogrel 75 mg daily x 2 weeks
Skin and subcutaneous tissue disorders
Brusing
3.3%
1/30 • Number of events 1
6.7%
2/30 • Number of events 2

Additional Information

Paul P Dobesh

University of Nebraska Medical Center

Phone: 402-559-3982

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place