Acute Coronary Syndrome Patients With Diabetes After PCI
Conditions
Brief summary
In this study, the investigates try to confirm the hypothesis that low dose ticagrelor(60mg) had similar anti-platelets function compared with the standard dose ticagrelor in acute coronary syndrome patients with diabetes. Totally 40 ACS patients with diabetes will be divided into 2 groups randomly after PCI for one month. Group 1 will be treated with ticagrelor 90mg and aspirin 100mg after PCI for 12 months as the standard group; Group2 will be treated with ticagrelor 60mg plus aspirin 100 mg for 11 months after one month standard DAPT treatment. The platelets function will be tested in VASP and TEG methods at 1 and 2 months after PCI as the primary endpoints.The clinical events will be observed 12 months after PCI.
Interventions
DRUGTicagrelor
60mg ticagrelor based DAPT vs 90mg ticagrelor based DAPT vs 90mg ticagrelor monotherapy
DRUGAspirin
Aspirin
Sponsors
Shanghai Tong Ren Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
1. Subject must be at least 18 years of age and less than 90 years old 2. Patients should have undergone successful percutaneous coronary intervention with drug-eluting stent for acute coronary syndrome with diabetes mellitus. 3. Subject understand the study requirements and the treatment procedures and 4. provided informed consent before the procedure
Exclusion criteria
1. Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study 2. Active bleeding 3. Known hypersensitivity or contraindication to study medications 4. Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study 5. Non-cardiac co-morbid conditions are present with life expectancy \<2 year or that may result in protocol non-compliance (per site investigator's medical judgment). 6. Subjects with Cerebral hemorrhage history 7. Subjects with stroke history in half a year 8. subjects with active malignant tumor 9. subjects with whom oral anticoagulants are needed 10. Other conditions which the investigators think not applicable to the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes of PRI detected by VASP | changes of PRI from baseline (1 months after index PCI) to 2 months after index PCI | platelet reactivity index (PRI) detected by VASP (Vasodilator Stimulated Phosphoprotein) Phosphoprotein) |
| changes of Maximum Amplitude (MA) detected by TEG | changes of MA from baseline (1 months after index PCI) to 2 months after index PCI | Maximum Amplitude (MA) detected by TEG(Thromboelastography) |
Countries
China
Contacts
Primary ContactLei Hou, Doctor
Outcome results
None listed