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RuSsian RegisTry of Acute CoronaRy SyndromE TreAtMent and Approach in Dual Antiplatelet Therapy

RuSsian RegisTry of Acute CoronaRy SyndromE TreAtMent and Approach in Dual Antiplatelet Therapy (STREAM)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02288260
Acronym
STREAM
Enrollment
5470
Registered
2014-11-11
Start date
2015-04-13
Completion date
2018-07-29
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Coronary Syndrome

Keywords

Acute Coronary Syndrome, Russian ACS Registry, ticagrelor

Brief summary

This NIS is a multi-centre, observational, descriptive, cross-sectional study including all consecutive patients with Acute Coronary Syndrome (ACS) and a single-arm, prospective, longitudinal cohort study which will include patients hospitalized for ACS and who are with ticagrelor on discharge from hospital.

Interventions

None listed

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Part A,B: Subjects whose data have been entered in the Russian ACS Registry * PART A,B: Discharged from hospital after MI with ST-segment elevation (STEMI), MI NST segment elevation (NSTEMI) or Unstable angina. Hospitalized during 24 hours of ACS symptoms onset * Part B: Patients on ticagrelor at the time of discharge from hospital

Exclusion criteria

* The existence of serious / severe concomitant diseases which can in the short term (i.e. within 6 months) limit the duration of life * Current participation in a clinical trial with a non-licensed investigational medicinal product

Design outcomes

Primary

MeasureTime frameDescription
Proportion of patients receiving different types of short-term antithrombotic treatment according to different type of acute coronary syndrome (STEMI - ST-elevation myocardial infarction, NSTE(Non-ST-elevation)-ACS and Unstable Angina). (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015
Proportion of patients taking ticagrelor with cardiovascular (CV) events after discharge from hospital depending on DAT (Dual Antiplatelet Therapy) duration. (Part B)Up to 2 yearsDuring follow up

Secondary

MeasureTime frameDescription
Proportion of patients receiving different types of ACS treatment depending on ACS symptoms duration prior hospitalization. (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015
Patients demographic and baseline characteristics (age, gender, weight, height). (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015
Proportion of patients with different type of coronary intervention strategies. (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015
Proportion of patients who is on ticagrelor treatment during 0-3 months, >3-6 months, >6-9 months, >9-12 months. (Part B)Up to 2 yearsDuring follow up
Proportion of patients with ticagrelor treatment interruptions according to different clinical and non-clinical events (bleeds, planned and non-planned medical interventions, etc.) during follow-up. (Part B)Up to 2 yearsDuring follow-up period
Proportion of patients with thrombo-embolic events during follow-up depending on DAT therapy duration. (Part B)Up to 2 yearsDuring follow-up period
Proportion of patients who discontinued ticagrelor and reason to discontinue ticagrelor treatment. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients who undergo invasive or non-invasive short-term clinical management according to different type of acute coronary syndrome (STEMI, NSTE-ACS and Unstable Angina). (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015
Start and stop dates of dual antipatelet therapy and ticagrelor (as part of DAT) and duration of exposure to DAT and ticagrelor in real-life setting. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients who discontinued DAT and the reason of discontinuation of DAT in real-life setting. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients who change DAT components and reason to change of DAT. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients with CV-events (recurrent Myocardial Infarction-MI, stroke, ischemia-driven revascularization, death, etc.) in long-term perspective (second year) after index event in real-life setting. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients using different type of antithrombotic therapy in long-term perspective (second year) after index event. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients who managed by cardiologist, therapist and other physician after discharge from the hospital. (Part B)Up to 2 yearsduring follow-up period
Proportion of patients with significant violations of treatment regimen with ticagrelor. (Part B)Up to 2 yearsduring follow-up period
Time from first symptoms onset to the time of hospitalization (Part A)1st Jan of 2012-1st March of 2015Patients included in Federal ACS Registry from 1st Jan of 2012 till 1st March of 2015

Countries

Russia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026