PACT (Platelet Activity After Clopidogrel Termination)

Clopidogrel Clinical Trial

— PACT  

Official title:

PACT (Platelet Activity After Clopidogrel Termination)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00619073
• Other study ID #: CPFS 2008-1
• Status: Completed
• Phase: N/A
• Start date: April 2008
• Est. completion date: May 2009

Study information

• Verified date: April 2018
• Source: University of Massachusetts, Worcester
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Clopidogrel is a medication that is used to decrease the ability of platelets to form blood clots.

The theory has been proposed that, in patients with coronary artery disease or stroke, increased platelet function after discontinuation of clopidogrel therapy is associated with an increased clotting risk. However, this theory has never been rigorously tested.

The goal of this research is to determine whether discontinuation of clopidogrel results in increased platelet function.

Description:

In this study, we will address the question: does discontinuation of clopidogrel result in platelet hyperreactivity? We will perform a double-blind, placebo-controlled, crossover study in normal subjects, in whom platelet reactivity will be measured before clopidogrel or placebo, during clopidogrel or placebo, and at various time points after discontinuation of clopidogrel or placebo. The dose of clopidogrel will be the standard, FDA-approved dose: 75 mg daily. All subjects will be treated with aspirin 81 mg daily throughout the 57 days of study assessment in both the clopidogrel arm and the placebo arm, because the clinically relevant question is: in patients who remain on aspirin, does discontinuation of clopidogrel result in platelet hyperreactivity?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: May 2009
• Est. primary completion date: May 2009
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 70 Years

Eligibility

Inclusion Criteria:

• Must be a normal healthy subject

• Must be between 21-70 years old

• Must be able to take aspirin and clopidogrel.

• Must be able to have blood drawn 16 times over approximately 3 months.

Exclusion Criteria:

• Subject who is currently taking aspirin or another anti-platelet drug such as clopidogrel. Subject must be free of these medications for 10 days before enrolling in this study.

• Subject who is currently taking a non-steroidal anti-inflammatory drug such as ibuprofen or naproxen. Subject must be free of these medications for 3 days before enrolling in this study.

• Subject who is currently taking medications for depression or medications that lower blood pressure or lower blood sugar.

• Subject who are pregnant or may become pregnant during the study or who is breast feeding.

• Subject with a known allergy to aspirin or clopidogrel.

• Cigarette smoking or use of other nicotine product.

• Subject with a history of any of the following: coronary artery disease; stroke; bleeding disorder; ongoing bleeding; previous life-threatening hemorrhage; stomach ulcers; gastrointestinal bleeding within the past 1 month; major surgery within the past 1 month; minor surgery within the past 2 weeks; or platelet transfusion within the past 7 days.

• Subject with a blood count, measured on the pre-study drug blood sample, that is not in the normal range.

• Subject who is enrolled in another clinical trial of an investigational drug.

Related Conditions & MeSH terms

• Blood Platelets
• Clopidogrel

Intervention

Drug:
• clopidogrel + aspirin
Clopidogrel 75mg plus aspirin 81mg, tablet by mouth daily for 14 days.
• placebo
Placebo plus aspirin 81 mg, tablet by mouth daily for 14 days.
• Aspirin
Aspirin 81mg tablet by mouth continued daily alone for 43 days after day 14.

Locations

Country	Name	City	State
United States	University of Massachusetts Medical School	Worcester	Massachusetts

Sponsors (3)

Lead Sponsor	Collaborator
University of Massachusetts, Worcester	Bristol-Myers Squibb, Sanofi

Country where clinical trial is conducted

United States, 

References & Publications (1)

Frelinger AL 3rd, Barnard MR, Fox ML, Michelson AD. The Platelet Activity After Clopidogrel Termination (PACT) study. Circ Cardiovasc Interv. 2010 Oct;3(5):442-9. doi: 10.1161/CIRCINTERVENTIONS.110.937961. Epub 2010 Aug 24. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change From Baseline in Platelet Surface Activated GPIIb-IIIa Complex at 45 Days After Intervention.	Value at 45 days after intervention minus value at baseline in platelet surface activated GPIIb-IIIa complex using flow cytometry.The types and concentrations of agonists used in the flow cytometry assays reported here were: ADP 0.5, 1, and 20 µmol/L; thrombin receptor activating peptide (TRAP) 1 and 20 µmol/L; and a combination of collagen 5 µg/mL and epinephrine 5 µmol/L. Mean Florescence Intensity (MFI) is used as unit of measure. MFI indicates relative degree of shift in fluorescence intensity of a population of platelets in arbitrary units.	Baseline and 45 days after intervention

External Links

•   Home page of the study principal investigator