In Vitro Pharmacodynamic Effects of Cangrelor in Ticagrelor Treated Patients
NCT02081443 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2017-04-04
Summary
Cangrelor is a potent intravenous P2Y12 receptor inhibitor with rapid onset and offset of action associated with a greater reduction in ischemic events, including stent thrombosis, in patients undergoing stent procedures who have not been pretreated with clopidogrel. In vitro investigations have shown cangrelor to be associated with more rapid, potent, and consistent platelet inhibition in patients on maintenance prasugrel therapy exposed to a re-loading dose of prasugrel. However, if cangrelor exerts similar effects in ticagrelor treated patients remain unknown. The aim of the present study is to evaluate the effects on platelet function achieved after in vitro incubation with cangrelor in patients on ticagrelor maintenance dose who receive a loading dose of ticagrelor.
Conditions
Interventions
- DRUG
-
Ticagrelor 180mg
The proposed study will have a prospective, randomized, parallel design in which patients on chronic ticagrelor therapy will be assigned to receive a reloading dose of 90 or 180 mg ticagrelor. Platelet function assays will be done following in vitro incubation with and without 500 nM cangrelor.
- DRUG
-
Ticagrelor 90mg
The proposed study will have a prospective, randomized, parallel design in which patients on chronic ticagrelor therapy will be assigned to receive a reloading dose of 90 or 180 mg ticagrelor. Platelet function assays will be done following in vitro incubation with and without 500 nM cangrelor.
Sponsors & Collaborators
-
The Medicines Company
collaborator INDUSTRY -
University of Florida
lead OTHER
Principal Investigators
-
Dominick Angiolillo · University of Florida
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-04-30
- Primary Completion
- 2015-10-31
- Completion
- 2015-10-31
Countries
- United States
Study Locations
More Related Trials
-
A Clinical Trial Comparing Cangrelor to Clopidogrel Standard Therapy in Subjects Who Require Percutaneous Coronary Intervention (PCI) (CHAMPION PHOENIX)
NCT01156571 ·Status: COMPLETED ·Phase: PHASE3
-
Cangrelor Ticagrelor Transition Study
NCT01766466 ·Status: COMPLETED ·Phase: PHASE2
-
Effects of Low-dose Ticagrelor vs. Clopidogrel in Stable Patients Undergoing Elective Percutaneous Coronary Intervention
NCT06228456 ·Status: RECRUITING ·Phase: PHASE4
-
Tailoring P2Y12 Inhibiting Therapy in Patients Requiring Oral Anticoagulation After PCI
NCT04483583 ·Status: COMPLETED ·Phase: PHASE4
-
Switching From Ticagrelor to Clopidogrel in Patients With Coronary Artery Disease
NCT02287909 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Ticagrelor Anti Platelet and Pleiotropic Effects in Patients Undergoing Percutaneous Coronary Intervention for an Acute Coronary Syndrome
NCT01626534 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacokinetics and Pharmacodynamics of Ticagrelor in Patients With Stable Angina, NSTEMI and STEMI Undergoing PCI
NCT02012140 ·Status: UNKNOWN ·Phase: PHASE4
-
Cangrelor to Clopidogrel or Prasugrel Transition Study
NCT01979445 ·Status: COMPLETED ·Phase: PHASE2
-
Which Platelet Function Test Best Reflects the In Vivo Plasma Concentrations of Ticagrelor and Its Active Metabolite?
NCT02690454 ·Status: COMPLETED
-
Maintenance of Platelet Inhibition With Cangrelor
NCT00767507 ·Status: COMPLETED ·Phase: PHASE2
-
Crushed Ticagrelor Versus Eptifibatide Bolus + Clopidogrel
NCT02925923 ·Status: COMPLETED ·Phase: PHASE2
-
Pharmacodynamic Effects of Prasugrel Compared With Ticagrelor in Patients With Coronary Artery Disease
NCT01852175 ·Status: COMPLETED ·Phase: NA
-
Is Efficacy of PLAtelet Aggregation Inhibition by Ticagrelor Mediated P2Y12 Blockade Dependent Upon Endogenous Endothelial Nitric OXide?
NCT02169596 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Ticagrelor or Clopidogrel on Endothelial Function During Acute and Chronic Treatment
NCT02580149 ·Status: COMPLETED ·Phase: PHASE4
-
Role of Plavix in Hemorrhagic and Ischemic Complications of Catheterization.
NCT00421252 ·Status: TERMINATED ·Phase: PHASE4
-
Comparison of Ticagrelor And Clopidogrel on Inflammatory Biomarkers And Vascular Endothelial Function
NCT02123004 ·Status: UNKNOWN ·Phase: PHASE4
-
Ticagrelor in Human Endotoxemia Response to Human Endotoxemia
NCT02612480 ·Status: COMPLETED ·Phase: NA
-
Impact of Timing of PD Assessments on Measures of Platelet Reactivity in Patients Undergoing PCI Treated With Cangrelor
NCT04668495 ·Status: COMPLETED
-
Comparison of Clopidogrel and Ticagrelor on Microvascular Dysfunction in ST-Segment Elevation Myocardial Infarction
NCT02026219 ·Status: COMPLETED ·Phase: PHASE4
-
Ticagrelor vs Clopidogrel in Non-ST Elevation Acute Coronary Syndrome Patients Undergoing PCI With Bivalirudin.
NCT02052635 ·Status: TERMINATED ·Phase: PHASE4
-
Effects of Different Doses of Ticagrelor on Platelet Aggregation and Endothelial Function in Diabetic Patients With Stable Coronary Artery Disease
NCT02889549 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Evaluation of Antiplatelet Effects and Safety of Intraoperative Administration of Ticagrelor Versus Clopidogrel
NCT02513004 ·Status: UNKNOWN ·Phase: PHASE4
-
A Pharmacodynamic Study of a Personalized Strategy for P2Y12 Inhibition Versus Ticagrelor in Reducing Ischemic and Bleeding Risk
NCT02044146 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Sampling P2Y12 Receptor Inhibition With Prasugrel and Ticagrelor in Patients Submitted to Thrombolysis
NCT02215993 ·Status: COMPLETED ·Phase: PHASE4
-
Cangrelor Prasugrel Transition Study
NCT01852019 ·Status: COMPLETED ·Phase: PHASE2