Acute Ischaemic Stroke Clinical Trial
— SOCRATESOfficial title:
A Randomised, Double-Blind, Multinational Study to Prevent Major Vascular Events With Ticagrelor Compared to Aspirin (ASA) in Patients With Acute Ischaemic Stroke or TIA.
The primary objective of the study is to compare the effect of 90-day treatment with ticagrelor (180 mg [two 90 mg tablets] loading dose on Day 1 followed by 90 mg twice daily maintenance dose for the remainder of the study) vs acetylsalicylic acid (ASA)-aspirin (300 mg [three 100 mg tablets] loading dose on Day 1 followed by 100 mg once daily maintenance dose for the remainder of the study) for the prevention of major vascular events (composite of stroke, myocardial infarction [MI], and death) in patients with acute ischaemic stroke or transient ischaemic attack (TIA).
Status | Completed |
Enrollment | 13307 |
Est. completion date | March 2016 |
Est. primary completion date | March 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 40 Years to 130 Years |
Eligibility |
Inclusion Criteria: - Men or women equal or elder 40 years of age - Either acute ischaemic stroke or high-risk TIA as defined here and randomisation occurring within 24 hours after onset of symptoms Key Exclusion Criteria: - Planned use of antithrombotic therapy in addition to study medication including antiplatelets (eg, open label ASA, GPIIb/IIIa inhibitors, clopidogrel, ticlopidine, prasugrel, dipyridamole, ozagrel, cilostazol) and anticoagulants (eg, warfarin, oral thrombin and factor Xa inhibitors, bivalirudin, hirudin, argatroban, unfractionated and low molecular weight heparins). - Any history of atrial fibrillation, ventricular aneurysm or suspicion of cardioembolic pathology for TIA or stroke. - Planned carotid, cerebrovascular, or coronary revascularisation that requires halting study medication within 7 days of randomisation. - Receipt of any intravenous or intra-arterial thrombolysis or mechanical thrombectomy within 24 hours prior to randomisation - History of previous symptomatic non-traumatic intracerebral bleed at any time (asymptomatic microbleeds do not qualify), gastrointestinal (GI) bleed within the past 6 months, or major surgery within 30 days. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
Country | Name | City | State |
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Argentina | Research Site | Buenos Aires | |
Argentina | Research Site | Capital Federal | |
Argentina | Research Site | Ciudad Autónoma de Bs. As. | |
Argentina | Research Site | Mar del Plata | |
Argentina | Research Site | Rosario | |
Argentina | Research Site | San Martin | |
Australia | Research Site | Adelaide | |
Australia | Research Site | Bedford Park | |
Australia | Research Site | Camperdown | |
Australia | Research Site | Clayton | |
Australia | Research Site | Darlinghurst | |
Australia | Research Site | Footscray | |
Australia | Research Site | Herston | |
Australia | Research Site | New Lambton Heights | |
Australia | Research Site | Parkville | |
Australia | Research Site | Southport | |
Australia | Research Site | Sydney | |
Australia | Research Site | Woodville | |
Belgium | Research Site | Aalst | |
Belgium | Research Site | Assebroek | |
Belgium | Research Site | Brugge | |
Belgium | Research Site | Brussels (Woluwé-St-Lambert) | |
Belgium | Research Site | Gent | |
Belgium | Research Site | Godinne | |
Belgium | Research Site | Leuven | |
Belgium | Research Site | Liège | |
Belgium | Research Site | Tielt | |
Belgium | Research Site | Wilrijk | |
Brazil | Research Site | Botucatu | |
Brazil | Research Site | Curitiba | |
Brazil | Research Site | Porto Alegre | |
Brazil | Research Site | Ribeirao Preto | |
Brazil | Research Site | Salvador | |
Brazil | Research Site | São José do Rio Preto | |
Brazil | Research Site | Sao Paulo | |
Bulgaria | Research Site | Botevgrad | |
Bulgaria | Research Site | Dupnitsa | |
Bulgaria | Research Site | Gotse Delchev | |
Bulgaria | Research Site | Kozloduy | |
Bulgaria | Research Site | Lukovit | |
Bulgaria | Research Site | Pazardzhik | |
Bulgaria | Research Site | Pernik | |
Bulgaria | Research Site | Pleven | |
Bulgaria | Research Site | Plovdiv | |
Bulgaria | Research Site | Ruse | |
Bulgaria | Research Site | Sandanski | |
Bulgaria | Research Site | Sliven | |
Bulgaria | Research Site | Sofia | |
Bulgaria | Research Site | Teteven | |
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Mexico | Research Site | Aguascalientes | |
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Poland | Research Site | Chelm | |
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Poland | Research Site | Lublin | |
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Poland | Research Site | Warszawa | |
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Romania | Research Site | Bucharest | |
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Vietnam | Research Site | Hanoi | |
Vietnam | Research Site | Ho Chi Minh City | |
Vietnam | Research Site | Hochiminh |
Lead Sponsor | Collaborator |
---|---|
AstraZeneca |
United States, Vietnam, Argentina, Australia, Belgium, Brazil, Bulgaria, Canada, Chile, China, Czech Republic, France, Germany, Hong Kong, Hungary, Israel, Italy, Japan, Korea, Republic of, Mexico, Peru, Philippines, Poland, Romania, Russian Federation, Slovakia, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, Ukraine,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Composite of stroke, MI and death. | From randomization up to 90 days | No | |
Secondary | Prevention of subsequent ischaemic stroke. | Comparison of the effects of treatment with ticagrelor vs ASA. | From randomization up to 90 days | No |
Secondary | Net clinical outcome. | stroke + MI + death + life threatening bleeding | From randomization up to 90 days | No |
Secondary | Time to discontinuation of study medication due to any bleeding event. | From randomization up to 90 days | Yes | |
Secondary | Composite of ischaemic stroke, MI and CV death. | From randomization up to 90 days | No |
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