Coronary Artery Disease Clinical Trial
Official title:
Genotyping Infarct Patients to Adjust and Normalize Thienopyridine Treatment
The objective of GIANT Study is to evaluate the clinical impact of genetic resistance to thienopyridine profile determination (CYP2C19 gene) and the clinical impact of compliance to an adjusted thienopyridine treatment on STEMI patients treated by primary PCI within the 24 hours following the first chest pain.
All the STEMI patients treated by primary PCI (with stent implantation) within the 24 hours
following the first chest pain can be included in the GIANT study. After the PCI, they'll
receive DAT (Aspirin + Clopidogrel/Prasugrel).
Patients will then be genotyped to determine if they carry one of the CYP2C19 gene variants
making them resistant or hyper responder to clopidogrel. The genetic profile of the patients
will be communicated to the physician who took care of them so that he can (or not) adjust
the thienopyridine treatment (increase of the clopidogrel dosage, switch to prasugrel or
switch to clopidogrel). A treatment will be prescribed for 12 months as according to the
European guidelines.
One year after the PCI, the patients will have to be available for a follow up visit.
They'll be submitted to a VERIFY NOW P2Y12 protocol to determine whether they were compliant
to their thienopyridine treatment. A clinical follow up will be also performed to evaluate
the cardiovascular events.
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Observational Model: Case Control, Time Perspective: Prospective
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