Clinical Trial Results:
CLOpidogrel response and CYP2C19 Genotype in Ischemic Stroke patients
Summary
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EudraCT number |
2015-003548-38 |
Trial protocol |
DK |
Global end of trial date |
17 Aug 2017
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Results information
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Results version number |
v1(current) |
This version publication date |
12 Dec 2020
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First version publication date |
12 Dec 2020
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
2015-1CR
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Zealand University Hospital
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Sponsor organisation address |
Sygehusvej 10, Roskilde, Denmark, 4000
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Public contact |
Neurologisk Afdeling, Roskilde Syge, Neurologisk Afdeling, Roskilde Sygehus, +45 47322800,
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Scientific contact |
Neurologisk Afdeling, Roskilde Syge, Neurologisk Afdeling, Roskilde Sygehus, +45 47322800,
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
17 Aug 2017
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
17 Aug 2017
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Global end of trial reached? |
Yes
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Global end of trial date |
17 Aug 2017
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
Is there a connection between single nucleotide polymorphisms of liver enzyme CYP2C19 and the high on treatment platelet reactivity (HOTPR) when treating with Clopidogrel (Clopidogrel-respons) in different doses.
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Protection of trial subjects |
No specific measures. Patients delivered a blood sample.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
24 May 2016
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Denmark: 103
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Worldwide total number of subjects |
103
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EEA total number of subjects |
103
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
37
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From 65 to 84 years |
62
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85 years and over |
4
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Recruitment
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Recruitment details |
All adults over the age of 18 with a diagnosis of ischemic stroke and treated with clopidogrel once daily were recruited after informed verbal and written signed consent. | ||||||
Pre-assignment
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Screening details |
All patient with a diagnosis of ischemic stroke were screened by a physician | ||||||
Period 1
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Period 1 title |
Overall trial
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Is this the baseline period? |
Yes | ||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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Study population | ||||||
Arm description |
All patients in the trail. All had clopidogrel as a standard of care and all had a blood sample. | ||||||
Arm type |
Experimental | ||||||
Investigational medicinal product name |
clopidogrel
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
75 mg orally once daily
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Period 2
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Period 2 title |
trial
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Is this the baseline period? |
No | ||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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genotype | ||||||
Arm description |
- | ||||||
Arm type |
No intervention | ||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Baseline characteristics reporting groups
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Reporting group title |
Overall trial
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Study population
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Reporting group description |
All patients in the trail. All had clopidogrel as a standard of care and all had a blood sample. | ||
Reporting group title |
genotype
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Reporting group description |
- |
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End point title |
responder and genotype | |||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
Instantly after bloodsampling using POC-device
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Notes [1] - 101 |
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Statistical analysis title |
responder and CYP2C19 carrier | |||||||||||||||||||||
Comparison groups |
Study population v genotype
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Number of subjects included in analysis |
206
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Analysis specification |
Pre-specified
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Analysis type |
other | |||||||||||||||||||||
P-value |
< 0.05 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
From inklusion to last blood sampling
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Adverse event reporting additional description |
The were np seroius og non-serious adverse events. This was because there were no non-responders to 75 mg clopidogrel once daily and therefore no subject were followed in the study. There was no intervention
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Assessment type |
Systematic | ||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
ICD | ||||||||||
Dictionary version |
10
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Reporting groups
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Reporting group title |
All subjects
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Reporting group description |
- | ||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||
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Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: Alle forsøgsdetalgere var respondere på clopidogrel 75 mg dagligt. Derfor blev alle forsøgsdeltagere afsluttet ved første besøg. Der var ingen intervention, ingen forsøgsdeltagere blev fulgt og derfor ingen adverse events. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |