Acute Coronary Syndrome
Conditions
Keywords
Antiplatelet; clopidogrel; acute coronary syndrome
Brief summary
This study demonstrates the effect of generic clopidogrel bisulfate (Plavitor®) in comparison with the original clopidogrel bisulfate (Plavix®) in patients with acute coronary syndrome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with unstable angina or non-ST elevation myocardial infarction 2. Patients who are planned coronary angiography 3. Age \>18 years, \<75 years 4. Patients who agree to the study protocol
Exclusion criteria
1. Recent treatment with clopidogrel or pletaal or glycoprotein IIb/IIIa Rc antagonist 2. Active bleeding (peptic ulcer, trauma or intra-cranial hemorrhage) 3. Allergy to antiplatelet agent 4. Bleeding diasthesis (blood coagulation disorders, uncontrolled severe hypertension, history of severe bleeding) 5. History of drug abuse or alcohol abuse 6. ST elevation myocardial infarction 7. Pregnancy 8. Low platelet count (\< 100,000 /L) or abnormal results of PT or PTT 9. Liver disease ( bilirubin \> 2 mg/dL, AST or ALT \> 100 IU) 10. Renal failure ( Cr \> 2.0 mg/dL) 11. Malignancy 12. Proton pump inhibitor, NSAIDs statin (except atorvastatin)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PRU level at 2 hours after clopidogrel loading | 2 hours after clopidogrel loading |
Secondary
| Measure | Time frame |
|---|---|
| PRU level by VerifyNow P2Y12 at 4 -, 8- and 24 hours after clopidogrel loading | 4 -, 8- and 24 hours after clopidogrel loading |
| ARU level by VerifyNow before and 2 hours after loading | 2 hours after loading |
| Composite of death, myocardial infarction, target vessel revascularization | at 30 days |
| Stent thrombosis by Academic Research Consortium definition | at 30 days |
| Incidence of TIMI major bleedings | at 30 days |
Countries
South Korea