Coronary Atherosclerosis
Conditions
Keywords
Light Transmittance Aggregometry, Indobufen, Aspirin, Plasma Thromboxane, Urine 11-dehydro thromboxane
Brief summary
A total of 210 coronary atherosclerosis patients without indications for stent implantation are included. The baseline values of platelet aggregation rate, plasmaThromboxaneB2 and urinary 11-dh ThromboxaneB2 are measured by Light Transmittance Aggregometry method and ELISA after aspirin 100 mg /d ≥5d. Then the patients are randomly divided into 7 groups: Group1: aspirin 100 mg/d; Group2: aspirin 100 mg /2d; Groups3: aspirin 100 mg / 3d; Groups4: morning 50mg evening 50mg; Group5: aspirin 75mg / d; Group6: aspirin 50mg / d; Group7: indobufen100mg bid. One month later,arachidonic acid-induced platelet aggregation rate , plasma TXB2 and urine 11-dh TXB2 are analyzed again. All patients are followed-up for 1 year. The stomach Intestinal reactions, small bleeding events are recorded.
Detailed description
A total of 210 coronary atherosclerosis patients without indications for stent implantation are included. Exclusion criteria：Aspirin resistance, uncontrolled hypertension (\> 160 / 100mmHg),hemoglobin concentration \<100g /L, hemorrhagic disease or a history of bleeding tendency, taking other nonsteroidal drugs, severe liver disease history, malignant tumor, active gastric mucosa bleeding, percutaneous coronary intervention history, coronary artery bypass surgery, cardiac function grade Ⅳ.The baseline values of platelet aggregation rate, plasma TXB2 and urinary 11-dh TXB2 are measured by LTA method and ELISA after aspirin 100 mg /d ≥5d. Then the patients are randomly divided into 7 groups: Group1: aspirin 100 mg/d; Group2: aspirin 100 mg /2d; Groups3: aspirin 100 mg / 3d; Groups4: morning 50mg evening 50mg; Group5: aspirin 75mg / d; Group6: aspirin 50mg / d; Group7: indobufen100mg bid. One month later,arachidonic acid-induced platelet aggregation rate , plasma TXB2 and urine 11-dh TXB2 are analyzed again. All patients are followed-up for 1month,6months and1 year. The stomach Intestinal reactions, small bleeding events ,whether to take proton pump inhibitors are recorded.
Interventions
DRUGaspirin 100mg/d therapy
100mg aspirin for at least 5 days followed by aspirin 100mg/d
DRUGaspirin 100mg/2d therapy
100mg aspirin for at least 5 days followed by aspirin 100mg/2d
DRUGaspirin 100mg/3d therapy
100mg aspirin for at least 5 days followed by aspirin 100mg/3d
DRUGaspirin 50mg bid therapy
100mg aspirin for at least 5 days followed by aspirin 50mg bid
DRUGaspirin 75mg/d therapy
100mg aspirin for at least 5 days followed by aspirin 75mg/d
DRUGaspirin 50mg/d therapy
100mg aspirin for at least 5 days followed by aspirin 50mg/d
DRUGindobufen 100mg bid therapy
100mg aspirin for at least 5 days followed by indobufen 100mg bid
Sponsors
The First Affiliated Hospital with Nanjing Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Clinical diagnosis of coronary atherosclerosis without indications for stent implantation . Patient aged \>18 years and ≤75years. Must be able to swallow tablets
Exclusion criteria
Aspirin resistance; uncontrolled hypertension (\> 160 / 100mmHg); hemoglobin \<100g / L; hemorrhagic disease or bleeding tendency history; taking other non-steroidal drugs; severe liver disease history; malignant neoplasms; active gastric mucosa bleeding; PCI history; coronary artery bypass surgery; cardiac function grade Ⅳ.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| platelet aggregation | 2 hours | Regional differences between blood samples from each subjects of different groups by LTA.The results of LTA are reported in platelet aggregation rate(%).Platelet aggregation was induced by0.5mg/ml arachidonic acid (AA). |
| plasma thromboxaneB2 | 3montshs | The plasma thromboxane B2 concentration of each subjects are measured by enzyme-linked immunosorbent assay .(cayman chemical, thromboxaneB2 express EIA kit-Monoclonal) |
| urine 11-dehydro thromboxaneB2 | 3 months | The urine 11-dehydro thromboxane B2 concentration of each subjects are measured by ELISA.(cayman chemical,11-dehydro thromboxaneB2 ELISA kit-Monoclonal) |
Countries
China
Contacts
Primary ContactLi Chunjian, Ph.D
Backup ContactMei Lianlian
Outcome results
None listed