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Sponsored by: |
Cogentus Pharmaceuticals |
---|---|
Information provided by: | Cogentus Pharmaceuticals |
ClinicalTrials.gov Identifier: | NCT00557921 |
The purpose of the COGENT-1 clinical trial is to determine whether CGT-2168 (clopidogrel and omeprazole) compared to clopidogrel is safe and effective in reducing the incidence of gastrointestinal bleeding and symptomatic ulcer disease, in the setting of concomitant aspirin therapy.
Antiplatelet therapy is an essential element of care for patients with atherothrombotic disease. Bleeding is a fundamental adverse effect of all antiplatelet drugs including aspirin, clopidogrel and dual antiplatelet regimens.
The gastrointestinal tract is the most common site of bleeding related to antiplatelet therapy, typically in connection with peptic ulcer disease. Recently published studies suggest the use of clopidogrel carries a gastrointestinal bleeding risk similar to that of aspirin or non-aspirin non-steroidal anti-inflammatory drugs. Patients taking any two of these drugs (clopidogrel, aspirin and/or non-aspirin NSAIDs) are exposed to an even higher risk of bleeding and ulcer disease.
Cogentus Pharmaceuticals is launching phase 3 trials of a novel combination product, CGT-2168, which has the potential to significantly reduce this problem and increase patient safety. CGT-2168 combines a standard dosage of clopidogrel and a gastroprotectant (omeprazole) in a once-daily pill that may reduce the likelihood of adverse gastrointestinal events.
Condition | Intervention | Phase |
---|---|---|
Acute Coronary Syndrome Myocardial Infarction Coronary Artery Disease Percutaneous Coronary Intervention |
Drug: CGT-2168 (clopidogrel 75 mg/omeprazole 20 mg) and aspirin Drug: Plavix (clopidogrel 75 mg) and aspirin |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study |
Official Title: | A Randomized, Double-Blind, Double-Dummy, Parallel Group, Phase 3 Efficacy and Safety Study of CGT-2168 Compared With Clopidogrel to Reduce Upper Gastrointestinal Events Including Bleeding and Symptomatic Ulcer Disease |
Estimated Enrollment: | 5000 |
Study Start Date: | December 2007 |
Estimated Study Completion Date: | November 2009 |
Estimated Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
1: Experimental |
Drug: CGT-2168 (clopidogrel 75 mg/omeprazole 20 mg) and aspirin
(CGT-2168 active and Comparator placebo, one capsule each daily; and enteric coated aspirin at daily dose level assigned by study physician)
|
2: Active Comparator |
Drug: Plavix (clopidogrel 75 mg) and aspirin
(CGT-2168 placebo and Comparator active, one capsule each daily; and enteric coated aspirin at daily dose level assigned by study physician)
|
Ages Eligible for Study: | 21 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Pablo Lapuerta, MD | 650-543-4730 | clinicaltrials@cogentus.net |
Study Director: | Pablo Lapuerta, MD | Cogentus Pharmaceuticals |
Responsible Party: | Cogentus Pharmaceuticals ( Pablo Lapuerta, MD ) |
Study ID Numbers: | CG104, EudraCT 2007-005891-15 |
Study First Received: | November 12, 2007 |
Last Updated: | December 12, 2008 |
ClinicalTrials.gov Identifier: | NCT00557921 |
Health Authority: | United States: Food and Drug Administration; Canada: Health Canada; Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica; Australia: Department of Health and Ageing Therapeutic Goods Administration; Bulgaria: Bulgarian Drug Agency; Chile: Instituto de Salud Publica de Chile; Czech Republic: State Institute for Drug Control; France: Afssaps - French Health Products Safety Agency; Germany: Federal Institute for Drugs and Medical Devices; Hungary: National Institute of Pharmacy; Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products; Romania: National Medicines Agency; Slovakia: State Institute for Drug Control; Ukraine: State Pharmacological Center - Ministry of Health; Italy: Ethics Committee; Mexico: Federal Commission for Sanitary Risks Protection |
ACS CAD MI PCI PTCA NSTEMI STEMI acute coronary syndrome cerebrovascular disorders coronary artery stent placement coronary thrombosis myocardial infarction myocardial ischemia |
percutaneous coronary intervention percutaneous transluminal coronary angioplasty peripheral vascular diseases duodenal obstruction duodenal ulcer dyspepsia esophagitis, peptic gastric outlet obstruction gastroduodenal ulcer gastroesophageal reflux disease gastrointestinal hemorrhage peptic ulcer peptic ulcer perforation |
Myocardial Ischemia Omeprazole Peptic Ulcer Perforation Arteriosclerosis Hemorrhage Cerebrovascular Disorders Gastroesophageal Reflux Gastric Outlet Obstruction Esophagitis Necrosis Esophagitis, Peptic Aspirin Myocardial Infarction Peptic Ulcer Arterial Occlusive Diseases |
Ticlopidine Peripheral Vascular Diseases Heart Diseases Ulcer Vascular Diseases Gastrointestinal Hemorrhage Coronary Thrombosis Ischemia Dyspepsia Thrombosis Duodenal Ulcer Coronary Disease Clopidogrel Duodenal Obstruction Acute Coronary Syndrome |
Anti-Inflammatory Agents Disease Molecular Mechanisms of Pharmacological Action Cyclooxygenase Inhibitors Hematologic Agents Physiological Effects of Drugs Enzyme Inhibitors Fibrinolytic Agents Cardiovascular Agents Pharmacologic Actions Fibrin Modulating Agents Pathologic Processes |
Analgesics, Non-Narcotic Sensory System Agents Syndrome Therapeutic Uses Platelet Aggregation Inhibitors Cardiovascular Diseases Anti-Inflammatory Agents, Non-Steroidal Analgesics Peripheral Nervous System Agents Antirheumatic Agents Central Nervous System Agents |