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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04481997
Other study ID # CET.NIS2020.01
Secondary ID ESR-19-20188
Status Active, not recruiting
Phase
First received
Last updated
Start date January 11, 2021
Est. completion date December 2023

Study information

Verified date October 2021
Source Associacao para Investigacao e Desenvolvimento da Faculdade de Medicina - CETERA
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

Diabetes mellitus (DM) is one of the main risk factors for ischemic events in patients with coronary artery disease (CAD) and diabetes is a factor in several post-PCI (Percutaneous Coronary Intervention) risk scores. However, until recently, there were almost no studies performed specifically in the diabetic population of patients undergoing PCI. This study aims to describe the anti-thrombotic regimens, clinical outcomes and current diabetes medical treatment in an unselected consecutive population of patients with DM undergoing PCI.


Description:

Diabetes is one of the main risk factors for ischemic events in patients with coronary artery disease and diabetes is a factor in several post-PCI risk scores (including the commonly used DAPT score). However, until recently, there were almost no studies performed specifically in the diabetic population of patients undergoing PCI. At large, results from randomized trials assessing the duration of DAPT have produced conflicting results and there is uncertainty about the best anti-thrombotic strategy in patients with diabetes. Further assessment of the patterns of use and their clinical effects, including those related to prolonged DAPT is needed, in diabetic patients, especially in less selected "real world" populations.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 1000
Est. completion date December 2023
Est. primary completion date September 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - PCI with stent implantation, performed in at least one major coronary artery in the context of stable coronary artery disease or acute coronary syndrome - Type 2 Diabetes mellitus (previously diagnosed or diagnosed at the index admission) - Informed consent signed - Patient not simultaneously participating in any interventional study Exclusion Criteria: - Patients with Type 1 Diabetes mellitus - Patients whose survival is expected to be lower than 1 year at hospital discharge - Patients not whiling to participate

Study Design


Intervention

Other:
Exposure to Anti-thrombotic treatment agents and glucose lowering therapy
Exposure to Anti-thrombotic treatment agents and glucose lowering therapy

Locations

Country Name City State
Portugal Hospital Garcia de Orta Almada Setúbal
Portugal Hospital Prof. Doutor Fernando Fonseca Amadora Lisbon
Portugal Hospital de Braga, EPE Braga
Portugal Centro Hospitalar Lisboa Ocidental - Hospital de Santa Cruz Carnaxide Lisbon
Portugal Centro Hospitalar e Universitário de Coimbra - Hospital Geral & Hospital Universitário de Coimbra Coimbra
Portugal Hospital do Espírito Santo de Évora, EPE Évora
Portugal Centro Hospitalar Universitário do Algarve - Hospital de Faro Faro
Portugal Centro Hospitalar Lisboa Central - Hospital de Santa Marta Lisboa Lisbon
Portugal Centro Hospitalar Universitário Lisboa Norte - Hospital de Santa Maria Lisboa Lisbon
Portugal Centro Hospitalar Universitário do Porto, EPE - Hospital de Santo António Porto
Portugal Centro Hospitalar de Setúbal Setúbal
Portugal Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE Vila Nova De Gaia Porto

Sponsors (3)

Lead Sponsor Collaborator
Associacao para Investigacao e Desenvolvimento da Faculdade de Medicina - CETERA AstraZeneca, Cardiovascular Centre of the University of Lisbon (CCUL)

Country where clinical trial is conducted

Portugal, 

Outcome

Type Measure Description Time frame Safety issue
Primary Enumeration of the anti-thrombotic agents prescribed to patients Baseline to 24 months follow-up
Primary Planned duration of dual anti-platelet treatment (DAPT) after the PCI. From index admission to 24 months follow-up
Primary Adherence to anti-thrombotic regimen Classified qualitatively according to the assessment of the attending physician. 6 to 24 months follow-up
Primary Actual duration of DAPT (if different from the planned duration) 6 to 24 months follow-up
Primary Reasons for interrupting DAPT at a time different from the planned duration 6 to 24 months follow-up
Primary Reasons for prolonging DAPT over 1 year 12 to 24 months follow-up
Secondary Major Adverse Coronary Events (MACE) Major Adverse Coronary Events (MACE) (death from any cause, new spontaneous acute myocardial infarction, stroke). 6 to 24 months follow-up
Secondary Death rate from any cause 6 to 24 months follow-up
Secondary Rate of cardiovascular death 6 to 24 months follow-up
Secondary Rate of new spontaneous acute myocardial infarction 6 to 24 months follow-up
Secondary Rate of hospital admissions for acute coronary infarction 6 to 24 months follow-up
Secondary Rate of unplanned coronary revascularization 6 to 24 months follow-up
Secondary Rate of stroke/transient ischemic attack 6 to 24 months follow-up
Secondary Death rate from heart failure 6 to 24 months follow-up
Secondary Rate of hospital admission due to heart failure 6 to 24 months follow-up
Secondary Rate of bleeding events of type 3-5 of BARC (Bleeding Academic Research Consortium) scale The BARC (Bleeding Academic Research Consortium) scale will be used. The minimum and maximum scores of the scale are, respectively, type 0 (no bleeding) and type 5 (fatal). There will only be collected the events corresponding to type 3-5 of BARC scale. 6 to 24 months follow-up
Secondary Rate of bleeding events of type 1-5 of BARC (Bleeding Academic Research Consortium) scale The BARC (Bleeding Academic Research Consortium) scale will be used. The minimum and maximum scores of the scale are, respectively, type 0 (no bleeding) and type 5 (fatal). There will be collected the events corresponding to type 1-5 of BARC scale. 6 to 24 months follow-up
Secondary Percentage of patients treated with different glucose-lowering drugs. Before index admission to 24 months follow-up.
Secondary Diabetes control (HbA1c values) At baseline to 24 months follow-up
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