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The Study on Profile and Genetic Factors of Aspirin Resistance (ProGEAR Study)
This study is currently recruiting participants.
Verified by Ministry of Health, Labour and Welfare, May 2008
Sponsors and Collaborators: Japanese Ministry of Health, Labor and Welfare
The Program for Promotion of Fundamental Studies in Health Sciences of the National Institute of Biomedical Innovation (NIBIO) of Japan
Information provided by: Ministry of Health, Labour and Welfare
ClinicalTrials.gov Identifier: NCT00250380
  Purpose

The purpose of this study is to determine the clinically meaningful definition and prevalence of aspirin resistance based on data linking aspirin-dependent laboratory tests to recurrent vascular events in cardiovascular patients taking aspirin.


Condition Phase
Coronary Disease
Cerebral Infarction
Ischemic Attack, Transient
Phase IV

MedlinePlus related topics: Coronary Artery Disease Transient Ischemic Attack
Drug Information available for: Acetylsalicylic acid
U.S. FDA Resources
Study Type: Observational
Study Design: Prospective

Further study details as provided by Ministry of Health, Labour and Welfare:

Estimated Enrollment: 600
Study Start Date: November 2005
Estimated Study Completion Date: September 2009
Detailed Description:

Primary Outcomes: The primary endpoint is the composite outcomes of cerebral infarction, transient ischemic attack, myocardial infarction, unstable angina, percutaneous coronary angiography, thromboembolism, and death caused by cardiovascular disease.

Secondary Outcomes: Platelet aggregation induced by collagen and arachidonic acid, serum thromboxane B2, urine 11-dehydrothromboxane B2, platelet thrombus formation under flow conditions (sub-study only at the National Cardiovascular Center)

The primary objective of this study is to determine the markers for aspirin resistance. To achieve this objective, platelet aggregation, serum thromboxane B2, and urine 11-dehydrothromboxane B2 are measured in patients receiving usual therapeutic doses of aspirin, who experienced acute coronary syndrome, cerebral infarction, or transient ischemic attack occurred in a period between the past 1 month and the past 2 years. This is a multi-center, prospective study.

  Eligibility

Ages Eligible for Study:   20 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Adult males or females who met the criteria listed below:

  • Patients who had acute coronary syndrome, cerebral infarction (except cardioembolic stroke), or transient ischemic attack between past 28 days and the past 2 years
  • patients who receive long-term aspirin therapy (at least 28 days)
  • Patients who are >=20 years of age
  • Patients willing and able to give written informed consent

Exclusion Criteria:

  • Malignancy or suspected malignancy
  • Patients who showed platelet counts less than 100,000/uL or more than 450,000/uL
  • Congenital bleeding tendency
  • Patients who receive other antiplatelet drugs or warfarin
  • Patients with atrial fibrillation
  • Patients who received surgical operation or catheter intervention within the past 2 weeks
  • Patients who received anticoagulation drug therapy including heparin ( low-molecular weight heparin) and danaparoid.
  • Patients with more than modified Rankin scale 4
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00250380

Contacts
Contact: Toshiyuki Miyata, PhD 81-6-6833-5012 ext 2512 miyata@ri.ncvc.go.jp
Contact: Shigeki Miyata, MD 81-6-6833-5012 ext 8084 smiyata@hsp.ncvc.go.jp

  Show 23 Study Locations
Sponsors and Collaborators
Japanese Ministry of Health, Labor and Welfare
The Program for Promotion of Fundamental Studies in Health Sciences of the National Institute of Biomedical Innovation (NIBIO) of Japan
Investigators
Principal Investigator: Toshiyuki Miyata, PhD National Cardiovascular Center, Research Institute,
Principal Investigator: Shigeki Miyata, MD National Cardiovascular Center
Principal Investigator: Kazuo Minematsu, MD National Cardiovascular Center
Principal Investigator: Masafumi Kitakaze, MD, PhD National Cardiovascular Center
Principal Investigator: Kazuyuki Nagatsuka, MD, PhD National Cardiovascular Center
Principal Investigator: Atsushi Kawamura, MD, PhD National Cardiovascular Center
Principal Investigator: Akiko Kada, MPH National Cardiovascular Center
Principal Investigator: Shinichiro Uchiyama, MD Tokyo Women's Medical University
Principal Investigator: Takehiko Nagao, MD, PhD Tokyo Metropolitan Ebara Hospital
Principal Investigator: Naohisa Hosomi, MD, PhD Kagawa University School of Medicine
Principal Investigator: Takemori Yamawaki, MD, PhD Nagoya City University Graduate School of Medical Science
Principal Investigator: Kazumi Kimura, MD, PhD Kawasaki Medical School
Principal Investigator: Kozue Saito, MD Nara Medical University
Principal Investigator: Hiroshi Nakane, MD National Fukuoka-Higashi Medical Center
Principal Investigator: Jyoji Nakagawara, MD Nakamura Memorial Hospital
Principal Investigator: Shinya Goto, MD Tokai University School of Medicine
Principal Investigator: Takaaki Isshiki, MD Teikyo University
Principal Investigator: Kazuo Kitagawa, MD Osaka University Graduate School of Medicine
Principal Investigator: Kazuomi Kario, MD Jichi Medical School
Principal Investigator: Hideo Wada, MD, PhD Mie University Graduate School of Medicine
Principal Investigator: Ken Nagata, MD Research Institute for Brain and Blood Vessels Akita
Principal Investigator: Koichi Kaikita, MD Kumamoto University Graduate School of Medicine
Principal Investigator: Keiji Tanaka, MD Nippon Medical School Hospital
Principal Investigator: Akira Hattori, MD Sado Hospital
Principal Investigator: Eisuke Furui, MD, PhD Kohnan Hospital
Principal Investigator: Yoshihiko Saito, MD, PhD Nara Medical University
Principal Investigator: Satoshi Ueno, MD Nara Medical University
Principal Investigator: Yasuo Katayama, MD Nippon Medical School Hospital
Principal Investigator: Takeo Abumiya, MD Hokkaido Neurosurgical Memorial Hospital
Principal Investigator: Masakatsu Nishikawa, MD Mie University Graduate School of Medicine
Principal Investigator: Shin Takiuchi, MD, PhD Higashi Takarazuka Satoh Hospital
Principal Investigator: Hideyuki Ohnishi, MD Ohnishi Neurological Center
  More Information

Study ID Numbers: H17-CV(Seishu)-002
Study First Received: November 7, 2005
Last Updated: May 12, 2008
ClinicalTrials.gov Identifier: NCT00250380  
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by Ministry of Health, Labour and Welfare:
Aspirin
Platelet Aggregation Inhibitors

Study placed in the following topic categories:
Arterial Occlusive Diseases
Ischemic Attack, Transient
Heart Diseases
Cerebral Infarction
Myocardial Ischemia
Stroke
Vascular Diseases
Central Nervous System Diseases
Arteriosclerosis
Ischemia
Brain Diseases
Cerebrovascular Disorders
Coronary Disease
Necrosis
Aspirin
Brain Ischemia
Brain Infarction
Infarction
Coronary Artery Disease

Additional relevant MeSH terms:
Pathologic Processes
Nervous System Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 16, 2009