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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
| Condition: |
Acute Coronary Syndrome |
| Interventions: |
Drug: Ticagrelor Drug: Clopidogrel |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| The first participant was enrolled on 11 October 2006 and the last participant completed the study on 27 February 2009. Study participants were randomized from 855 centers in 43 countries. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| Participants will already be hospitalized due to their acute condition, and must be enrolled and randomized within 24 hours of the onset of their most recent cardiac ischemic symptoms. Randomization should take place as soon as possible after presentation. |
| Description | |
|---|---|
| TICAGRELOR | Ticagrelor 90 mg twice daily dose (BD) |
| CLOPIDOGREL | Clopidogrel 75 mg once daily dose (ODD) |
| TICAGRELOR | CLOPIDOGREL | |
|---|---|---|
| STARTED | 9333 | 9291 |
| COMPLETED | 9026 | 9036 |
| NOT COMPLETED | 307 | 255 |
| Protocol Violation | 7 | 2 |
| Withdrawal by Subject | 296 | 249 |
| Reason unknown | 2 | 4 |
| Lost to Follow-up | 2 | 0 |
Baseline Characteristics
| Description | |
|---|---|
| TICAGRELOR | Ticagrelor 90 mg twice daily dose (BD) |
| CLOPIDOGREL | Clopidogrel 75 mg once daily dose (ODD) |
| TICAGRELOR | CLOPIDOGREL | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
9333 | 9291 | 18624 |
|
Age
[units: years] Mean ± Standard Deviation |
62.1 ± 11.21 | 62.3 ± 11.21 | 62.2 ± 22.42 |
|
Gender
[units: Participants] |
|||
| Female | 2655 | 2633 | 5288 |
| Male | 6678 | 6658 | 13336 |
Outcome Measures
| 1. Primary: | Participants With Any Event From the Composite of Death From Vascular Causes, Myocardial Infarction (MI), and Stroke [ Time Frame: Randomization up to 12 months ] |
| 2. Primary: | Participants With Any Major Bleeding Event [ Time Frame: First dosing up to 12 months ] |
| 3. Secondary: | Participants With Any Event From the Composite of Death From Vascular Causes, MI, and Stroke for the Subgroup of Patients With Intent for Invasive Management at Randomization [ Time Frame: Randomization up to 12 months ] |
| 4. Secondary: | Participants With Any Event From the Composite of All-cause Mortality, MI, and Stroke [ Time Frame: Randomization up to 12 months ] |
| 5. Secondary: | Participants With Any Event From the Composite of Death From Vascular Causes, MI (Including Silent), Stroke, Recurrent Ischemia, Transient Ischemic Attack (TIA) and Other Arterial Thrombotic Events. [ Time Frame: Randomization up to 12 months ] |
| 6. Secondary: | Participants With MI Event [ Time Frame: Randomization up to 12 months ] |
| 7. Secondary: | Participants With Death From Vascular Causes [ Time Frame: Randomization up to 12 months ] |
| 8. Secondary: | Participants With Stroke [ Time Frame: Randomization up to 12 months ] |
| 9. Secondary: | Participants With Death From Any Cause [ Time Frame: Randomization up to 12 months ] |
| 10. Secondary: | Participants With Non-CABG (Coronary Artery Bypass Graft) Related Major Bleeding [ Time Frame: First dosing up to 12 months ] |
| 11. Secondary: | Participants With Major or Minor Bleeding [ Time Frame: First dosing up to 12 months ] |
| 12. Secondary: | Participants With Non-procedural Major Bleeding [ Time Frame: First dosing up to 12 months ] |
| 13. Secondary: | Participants With Coronary Artery Bypass Graft (CABG) Major Bleeding [ Time Frame: First dosing up to 12 months ] |
| 14. Secondary: | Participants With Coronary Artery Bypass Graft (CABG) Major Fatal/Life-threatening Bleeding [ Time Frame: First dosing up to 12 months ] |
| 15. Secondary: | Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24-hour ECG Recorders for 1 Week Following Randomization [ Time Frame: 1-week period following randomization ] |
| 16. Secondary: | Participants With Ventricular Pauses of Greater Than or Equal to 3 Seconds in Patients Monitored by Holter 24 Hour ECG Recorders for 1 Week at 1 Month Following Randomization [ Time Frame: 1-week period following randomization ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| No text entered. |
| Responsible Party: | AstraZeneca |
| ClinicalTrials.gov Identifier: | NCT00391872 History of Changes |
| Other Study ID Numbers: | D5130C05262, PLATO |
| Study First Received: | October 23, 2006 |
| Results First Received: | January 31, 2011 |
| Last Updated: | February 10, 2012 |
| Health Authority: | United States: Food and Drug Administration |