TISSARA Trial: Ticagrelor Intervention to Reduce Stent Thrombosis and Acute MI Risk
NCT06667349 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 1727
Last updated 2024-10-31
Summary
Stent thrombosis (ST) remains a critical complication following primary percutaneous coronary intervention (PPCI) in patients with ST-elevation myocardial infarction (STEMI). At the National Institute of Cardiovascular Diseases in Karachi-recognized as the world's busiest PPCI center-reported rates of ST range from 4% to 6%. In response to this pressing issue, the health system has implemented a new two-week post-PCI regimen featuring ticagrelor, aimed at enhancing patient outcomes and reducing the risk of stent-related complications.
The TISSARA Trial is designed to rigorously assess the effectiveness of this intervention on cardiovascular outcomes in STEMI patients.
Between August, 2023 and March 2024, a total of 1,773 patients were enrolled in the trial, with 970 patients discharged on Tissara (Ticagrelor) (Ferozsons laboratories Ltd, Lahore, Pakistan) (TG) and 803 patients receiving clopidogrel (CG) following their primary PCI procedures. Each group was carefully monitored for a duration of three months to evaluate the incidence of stent thrombosis and other relevant cardiovascular events. The primary endpoint of this trial is the occurrence of stent thrombosis within the follow-up period, providing critical insights into the safety and efficacy of the ticagrelor regimen in this high-risk population.
This comprehensive approach aims to contribute valuable data that may influence future treatment protocols and improve the standard of care for patients undergoing PCI in similar healthcare settings.
Conditions
- STEMI - ST Elevation Myocardial Infarction
- Stent Thrombosis
- Antiplatelet Agents
Interventions
- DRUG
-
Ticagrelor
Ticagrelor 90 mg PO BID given for atleast two weeks following primary PCI
Sponsors & Collaborators
-
National Institute of Cardiovascular Diseases, Pakistan
lead OTHER
Principal Investigators
-
Abdul Hakeem, MD · National Institute of Cardiovascular Diseases
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-08-24
- Primary Completion
- 2024-03-03
- Completion
- 2024-06-16
Countries
- Pakistan
Study Locations
More Related Trials
-
Zotarolimus-Versus Sirolimus-Versus PacliTaxel-Eluting Stent for Acute Myocardial Infarction Patients
NCT00422565 ·Status: TERMINATED ·Phase: PHASE4
-
Drug-eluting-stents for Unprotected Left Main Stem Disease (ISAR-LEFT-MAIN)
NCT00133237 ·Status: COMPLETED ·Phase: PHASE4
-
ISAR-DAPT (A Comparative Evaluation of Efficacy and Safety in the 3-Months DAPT Group vs. the 6-Months DAPT Group of Patients Treated With the Coroflex ISAR Stent; A Prospective, Multicenter, Randomized, Open-Label Clinical Trial)
NCT02609698 ·Status: UNKNOWN ·Phase: PHASE4
-
Efficiency of a New Therapy to Treat Stenosis of Coronary Vessels in Comparison With Two Already Admitted Therapies
NCT00396929 ·Status: UNKNOWN ·Phase: PHASE3
-
GENOSS Coronary Stent Clinical Trial
NCT05444452 ·Status: RECRUITING ·Phase: NA
-
Titanium Nitride Oxide Coated Stents and Paclitaxel Eluting Stents for Acute Myocardial Infarction
NCT00495664 ·Status: COMPLETED ·Phase: NA
-
Brazilian and Italian Evaluation of Safety Using Tacrolimus-eluting Stent With Short-term Dual Antiplatelet Regimen
NCT01122719 ·Status: TERMINATED ·Phase: NA
-
Drug-eluting Stents to Treat Unprotected Coronary Left Main Disease
NCT00598637 ·Status: COMPLETED ·Phase: PHASE4
-
1-month DAPT Plus 5-month Ticagrelor Monotherapy Versus 12-month DAPT in Patients With Drug-coated Balloon
NCT04971356 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Registry to Evaluate the Efficacy of Zotarolimus-Eluting Stent
NCT00960908 ·Status: UNKNOWN
-
Harmonizing Optimal Strategy for Treatment of Coronary Artery Stenosis - SAfety & EffectiveneSS of Drug-ElUting Stents & Anti-platelet REgimen
NCT01267734 ·Status: UNKNOWN ·Phase: PHASE4
-
Test of Long-Term Safety and Efficacy of Sirolimus-Permanent-Polymer Eluting Stent (Cypher)- and Sirolimus-Polymer-free Eluting Stents (PPS/PFS) Assessed by Optical Coherence Tomography
NCT01260558 ·Status: UNKNOWN ·Phase: PHASE4
-
Trial on Safety & Performance of TAXUS Element vs. XIENCE Prime Stent in Treatment of Coronary Lesion in Diabetics
NCT03125772 ·Status: COMPLETED ·Phase: NA
-
New Generation Drug Eluting Stent for In-stent Restenosis of Drug Eluting Stent( RESTENT-ISR Trial )
NCT01365572 ·Status: UNKNOWN ·Phase: PHASE4
-
Clinical Investigation of the MiStent Drug Eluting Stent (DES) in Coronary Artery Disease
NCT01294748 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of Everolimus-Eluting Versus Zotarolimus-Eluting Sten for Coronary Lesions in Acute Myocardial Infarction
NCT01347554 ·Status: COMPLETED ·Phase: PHASE4
-
Test Safety and Efficacy of Zotarolimus- and Everolimus-Eluting Stents (ZES/EES) Assessed by Optical Coherence Tomography
NCT01230723 ·Status: UNKNOWN ·Phase: PHASE4
-
The Efficacies of The New Paclitaxel-Eluting CoroflexTM Please Stent in Percutaneous Coronary Intervention
NCT00699543 ·Status: UNKNOWN ·Phase: PHASE3
-
Genoss DES in Patients With a High Risk of Ischemic Events (GENTLE Registry)
NCT05448625 ·Status: COMPLETED
-
Clinical Trial on the Efficacy and Safety of Sirolimus-Eluting Stent (MiStent® System)
NCT02448524 ·Status: UNKNOWN ·Phase: PHASE3
-
Safety and Efficacy of the ZoMaxx™ Drug-Eluting Stent System in Coronary Arteries
NCT00148356 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of Effectiveness and Safety of XIENCE Sierra in Routine Clinical Practice
NCT03967158 ·Status: ACTIVE_NOT_RECRUITING
-
Efficacy of Xience/Promus Versus Cypher in rEducing Late Loss After stENTing
NCT00698607 ·Status: COMPLETED ·Phase: PHASE4
-
Sirolimus-Eluting Versus Paclitaxel-Eluting Stents for Coronary Revascularization
NCT00297661 ·Status: COMPLETED ·Phase: PHASE4
-
Use of Export in Primary Percutaneous Coronary Intervention
NCT05510661 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA