Coronary Artery Disease Clinical Trial
Official title:
Offset of Ticagrelor's Effect on Endothelial Function as Assessed With Peripheral Arterial Tonometry (EndoPAT Assay)
Ticagrelor administration, whose molecule resembles to adenosine, led to reduction in
overall mortality and thrombotic cardiovascular (CV) events when directly compared to
clopidogrel in the PLATO trial, implicating possible pleiotropic actions for the drug. It
has been shown that ticagrelor increases adenosine concentration, by interfering with its
red blood cells' uptake and by inducing the release of ATP which is then converted to
adenosine. Recent studies in healthy volunteers and patients with coronary artery disease
(CAD) have shown that ticagrelor increases the coronary blood flow in response to
intravenous adenosine administration. Ticagrelor administration, in comparison with other
P2Y12 inhibitors, may influence the endothelial function, as assessed by the Peripheral
Arterial Tonometry method (EndoPAT 2000 system (Itamar Medical, Caesarea, Israel), which is
a method for evaluating endothelial dysfunction and has been found to positively correlate
with flow mediated dilatation (FMD).
This is a prospective, observational study, which will be conducted in patients with
coronary artery disease subjected to percutaneous coronary intervention (PCI) under
ticagrelor maintenance dose (MD) 90mg x 2, who are about to stop treatment, due to
completion of 1 year antiplatelet therapy. Eligible patients will be subjected to peripheral
arterial tonometry at Day 0 (immediately after receiving the last pill of ticagrelor) and at
day 2 and day 5 post study drug discontinuation. Peripheral blood sample will be taken from
the patients at Day 0 for genotype analysis.
n/a
Observational Model: Case-Only, Time Perspective: Prospective
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