The use of ticagrelor in ACS is related to a reduction in the number of CECs and/or an increase in the number of EPCs from the baseline values as compared with clopidogrel.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Provision of informed consent prior to any study specific procedures 2.Patients older than 18 years. 3.Males; postmenopausal women or under contraceptive treatment. 4.Clinical diagnosis of ACS + Elevation of myocardial damage diagnostic biomarkers, using the 3rd universal definition of myocardial infarction31 5.Planned early invasive strategy, coronary angiography =65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: 1.Allergy or contraindication to aspirin, clopidogrel or ticagrelor. 2.Bleeding diathesis or very high risk of bleeding. 3.Participation in another study that has not reached the programmed follow-up. 4.Current treatment with oral anticoagulants, thienopyridines or ticagrelor. 5.Limited life expectancy. 6.Planned elective surgery. 7.Failure for completing the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the impact of treatment with ticagrelor or clopidogrel in the number of CECs and EPCs in ACS patients, from baseline values to subacute (?48 hours) or chronic (1 month) levels.;Secondary Objective: To analyze platelet reactivity at 3 time points (before establishing dual antiplatelet treatment (DAPT), 48 hours after the last episode of angina and after 1 month on DAPT) and its correlation with the number of CECs and EPCs. This parameter is also a control of the primary antiplatelet effect;Primary end point(s): The clinical variables of each patient included in the study will be recorded in the Case Report Form (CRF) by the investigators or co-investigators from personal interviews or from the medical records. All these variables will be registered in single, local, specific databases;Timepoint(s) of evaluation of this end point: 12 MONTHS | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): NA;Timepoint(s) of evaluation of this end point: NA | — |
Countries
Spain
Contacts
Fundación Investigación Sanitaria en León