Arteriosclerosis Clinical Trial
Official title:
A Phase III, Multicenter, Multinational, Randomized, Parallel Group, Double-blind Trial of Clopidogrel Versus Placebo in High-risk Patients Aged 45 Years and Older, at Risk of Atherothrombotic Events, and Who Are Receiving Background Therapy Including Low-dose ASA.
Verified date | April 2012 |
Source | Sanofi |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Food and Drug Administration |
Study type | Interventional |
RATIONALE:
- Atherothrombosis is a progressive and generalized vascular disease resulting in events
leading to myocardial infarction (heart attack), stroke, and vascular death.
- In patients at risk for this disease, it is characterized by an unpredictable, sudden
disruption of atherosclerotic plaques, which may lead to total occlusion of artery due
to formation of a clot. The use of aspirin (blood thinner agent) for reducing those
major ischemic events is either indicated, or recommended by international guidelines.
However, aspirin fails to prevent a high percentage of such life-threatening events.
Therefore, more effective blood thinning therapy may provide additional clinical
benefit to such patients.
- The results of the CURE trial in patients with unstable angina demonstrate the
additional benefit of long-term treatment (up to one year) with clopidogrel, (a blood
thinner agent), when administered in combination with standard therapy including
aspirin. The purpose of CHARISMA is to investigate whether a similar clinical benefit
of clopidogrel may apply to a broad population of high-risk patients receiving low-dose
aspirin therapy. Such population includes patients with previous cardiovascular,
neurovascular or peripheral arterial manifestations of atherothrombosis and patients
with combinations of recognized risk factors for atherosclerosis.
OBJECTIVES:
- To assess the efficacy of clopidogrel 75 mg once-daily by comparison with a placebo, in
preventing cardiovascular morbidity/mortality. The study will compare the efficacy of
the two regimens in preventing the occurrence of major cardiovascular complications
(stroke, heart attack, cardiovascular death) in high-risk patients who are otherwise
receiving low-dose aspirin therapy (75-162 mg daily).
- To evaluate the safety of clopidogrel in this population, and more specifically the
incidence of fatal or severe bleeding (as per GUSTO definition), in order to estimate
the global benefit of clopidogrel in this patient population.
Status | Completed |
Enrollment | 15603 |
Est. completion date | August 2005 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 45 Years and older |
Eligibility |
INCLUSION: Be at least 45 years old and comply with at least one of the four categories of inclusion criteria: - Combination of atherothrombotic risk factors (2 major or 3 minor or 1 major + 2 minor risk factors among those listed below) Major atherothrombotic risk factors - Type I or II diabetes (under drug therapy) - Diabetic nephropathy - Ankle brachial index (ABI) < 0.9 - Asymptomatic carotid stenosis >= 70% - At least one carotid plaque as evidenced by intima-media thickness (IMT) Minor atherothrombotic risk factors - Systolic blood pressure (SBP) >= 150 mmHg, despite appropriate therapy for at least 3 months - Primary hypercholesterolemia - Current smoking > 15 cigarettes per day - Male >= 65 years - Female >= 70 years and/or - Documented cerebrovascular disease (TIA or IS within 5 years) and/or - Documented coronary artery disease (stable angina with documented multivessel coronary disease, previous documented MI, multivessel PCI or CABG within 1 year, multivessel CABG older than 1 year associated with current angina) and/or - Documented symptomatic PAD EXCLUSION: - Absolute indication for the use of clopidogrel, high-dose aspirin (>162 mg), NSAIDs, or oral anti-thrombotic drugs - Absolute contraindication to the use of clopidogrel or aspirin - Clinical conditions likely to interfere with follow-up leading to inability to complete the trial |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Argentina | Sanofi-aventis Administrative Office | Buenos Aires | |
Australia | Sanofi-aventis Administrative Office | Macquarie Park | |
Austria | Sanofi-aventis Administrative Office | Wien | |
Belgium | Sanofi-aventis Administrative Office | Diegem | |
Brazil | Sanofi-aventis Administrative Office | Sao Paulo | |
Canada | Sanofi-aventis Administrative Office | Laval | |
Chile | Sanofi-aventis Administrative Office | Santiago | |
Czech Republic | Sanofi-aventis Administrative Office | Praha | |
Denmark | Sanofi-aventis Administrative Office | Horsholm | |
Finland | Sanofi-aventis Administrative Office | Helsinki | |
France | Sanofi-aventis Administrative Office | Paris | |
Germany | Sanofi-aventis Administrative Office | Berlin | |
Greece | Sanofi-aventis Administrative Office | Athens | |
Hong Kong | Sanofi-aventis Administrative Office | Causeway Bay | |
Hungary | Sanofi-aventis Administrative Office | Budapest | |
Italy | Sanofi-aventis Administrative Office | Milano | |
Malaysia | Sanofi-aventis Administrative Office | Kuala Lumpur | |
Mexico | Sanofi-aventis Administrative Office | Mexico | |
Netherlands | Sanofi-aventis Administrative Office | Gouda | |
Norway | Sanofi-aventis Administrative Office | Lysaker | |
Poland | Sanofi-aventis Administrative Office | Warszawa | |
Portugal | Sanofi-aventis Administrative Office | Porto Salvo | |
Russian Federation | Sanofi-aventis Administrative Office | Moscow | |
Singapore | Sanofi-aventis Administrative Office | Singapore | |
South Africa | Sanofi-aventis Administrative Office | Midrand | |
Spain | Sanofi-aventis Administrative Office | Barcelona | |
Sweden | Sanofi-aventis Administrative Office | Bromma | |
Switzerland | Sanofi-aventis Administrative Office | Geneva | |
Taiwan | Sanofi-aventis Administrative Office | Taipei | |
Turkey | Sanofi-aventis Administrative Office | Istanbul | |
United Kingdom | Sanofi-aventis Administrative Office | Guildford Surrey | |
United States | The Cleveland Clinic Foundation | Cleveland | Ohio |
Lead Sponsor | Collaborator |
---|---|
Sanofi |
United States, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Czech Republic, Denmark, Finland, France, Germany, Greece, Hong Kong, Hungary, Italy, Malaysia, Mexico, Netherlands, Norway, Poland, Portugal, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Turkey, United Kingdom,
Bhatt DL, Fox KA, Hacke W, Berger PB, Black HR, Boden WE, Cacoub P, Cohen EA, Creager MA, Easton JD, Flather MD, Haffner SM, Hamm CW, Hankey GJ, Johnston SC, Mak KH, Mas JL, Montalescot G, Pearson TA, Steg PG, Steinhubl SR, Weber MA, Brennan DM, Fabry-Rib — View Citation
Bhatt DL, Paré G, Eikelboom JW, Simonsen KL, Emison ES, Fox KA, Steg PG, Montalescot G, Bhakta N, Hacke W, Flather MD, Mak KH, Cacoub P, Creager MA, Berger PB, Steinhubl SR, Murugesan G, Mehta SR, Kottke-Marchant K, Lincoff AM, Topol EJ; CHARISMA Investig — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Occurrence of myocardial infarction,stroke or cardiovascular death. | |||
Secondary | severe bleeding |
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