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Sponsors and Collaborators: |
French Cardiology Society Abbott Vascular |
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Information provided by: | French Cardiology Society |
ClinicalTrials.gov Identifier: | NCT00780156 |
Background
Drug-eluting stents (DES) have been extremely successful in reducing restenosis and the need for repeat revascularization procedures in patients who undergo PCI. The potential increased incidence of late stent thrombosis prompted cardiologists to prolong the use of dual anti-platelet therapy after the one year duration recommended by the recent ESC guidelines. However, while the premise that the cardiologists should put all their patients on dual clopidogrel-aspirin regimen for life sounds the easy way, it is an unrealistic goal because of the potential increase of bleeding complications and of the healthcare cost increase. The recent possibility to monitor aspirin with bedside assays offers a real opportunity to compare in good aspirin responder patients the two strategies: aspirin-clopidogrel regimen versus mono-aspirin regimen and to respond to the key question: can we switch from dual to single antiplatelet therapy after six months in good aspirin responder patients ? Study National, multicenter, randomised prospective open group comparison of dual clopidogrel-ASA versus single ASA regimen after six months, in good ASA responder patients treated with DES (name: XIENCE) implantation.
End point Primary: At 12 months: death, myocardial infarction, repeat urgent revascularization, stroke requiring a new hospitalisation and major bleedings.
Secondary: Incidence at 24 and 36 months after drug eluting stent(name: XIENCE) implantation, of the same composite endpoint and incidence at 12, 24 and 36 months of minor bleeding complications Participating centres: 60 french centers
Date of study beginning: November 2008 Duration of inclusion: 9 months Duration of study: 45 months
Condition |
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Follow-up of the Drug Eluting Stent Restenosis |
Study Type: | Observational |
Study Design: | Prospective |
Official Title: | The ITALIC Study Is There A LIfe for DES After Discontinuation of Clopidogrel : The ITALIC Study |
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Sampling Method: | Probability Sample |
Patients after drug eluting stent implantation
Inclusion Criteria:
Exclusion Criteria:
Responsible Party: | GACI ( French Cardiology Society ) |
Study ID Numbers: | 2008-004131-38, 2008-02 |
Study First Received: | October 24, 2008 |
Last Updated: | October 27, 2008 |
ClinicalTrials.gov Identifier: | NCT00780156 |
Health Authority: | France: Afssaps - French Health Products Safety Agency |
Drug eluting stent Dual antiplatelet therapy bleeding stent thrombosis |
Clopidogrel Hemorrhage Thrombosis |
Therapeutic Uses Hematologic Agents Platelet Aggregation Inhibitors Pharmacologic Actions |