Trial Radar IA | ||
|---|---|---|
Lo studio clinico NCT05997693 (ODIN) per Chronic Coronary Disease è in arruolamento. Consulti la vista a schede del Radar degli Studi Clinici e gli strumenti di scoperta IA per tutti i dettagli. Oppure, ponga pure una domanda qui. | ||
One-Month DAPT in CABG Patients (ODIN) Fase III 700
One Month Dual Antiplatelet Therapy With Ticagrelor in Coronary Artery Bypass Graft Patients
- ODIN
- 23-06026202
- 2023-506613-22 (Numero EudraCT)
- 488058 (Altro numero di finanziamento) (Canadian Institutes of Health Research (CIHR))
| Gruppo/Braccio di partecipanti | Intervento/Trattamento |
|---|---|
SperimentaleTicagrelor 90 mg + Low-Dose Aspirin | Ticagrelor 90 MG Ticagrelor 90 mg twice daily taken orally for one month Low-dose aspirin 75-150 mg once daily taken orally |
Comparatore attivoLow-Dose Aspirin Alone | Low-dose aspirin 75-150 mg once daily taken orally |
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Hierarchical composite of time to death, stroke, myocardial infarction, repeat revascularization and any graft failure. | This is a composite endpoint to be compared between groups in a hierarchical order using the win ratio method. The following hierarchy is pre-specified:
1. Time to all-cause mortality
2. Time to stroke
3. Time to myocardial infarction
4. Time to coronary revascularization
5. Presence of graft failure at 12-month imaging follow-up or on unscheduled imaging prior to 12 month | 1 year |
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Hierarchical composite of time to death, stroke, myocardial infarction, Bleeding Academic Research Consortium (BARC) type 3 bleeding, repeat revascularization and any graft failure. | This is a composite endpoint to be compared between groups in a hierarchical order using the win ratio method. The following hierarchy is pre-specified:
1. Time to all-cause mortality
2. Time to stroke
3. Time to myocardial infarction
4. Time to BARC 3 bleeding
5. Time to coronary revascularization
6. Presence of graft failure at 12-month imaging follow-up | 1 year |
Hierarchical composite of time to death, stroke, myocardial infarction, repeat revascularization and 5-year time-averaged disease-specific (Seattle Angina Questionnaire [SAQ]-7) quality of life (QoL) score | This is a composite endpoint to be compared between groups in a hierarchical order using the win ratio method. The following hierarchy is pre-specified:
1. Time to all-cause mortality
2. Time to stroke
3. Time to myocardial infarction
4. Time to coronary revascularization
5. 5-year time-averaged disease-specific QOL (SAQ-7) score | 5 years |
Hierarchical composite of time to death, stroke, myocardial infarction, BARC type 3 bleeding, repeat revascularization and 5-year time-averaged SAQ-7 QoL score. | This is a composite endpoint to be compared between groups in a hierarchical order using the win ratio method. The following hierarchy is pre-specified:
1. Time to all-cause mortality
2. Time to stroke
3. Time to myocardial infarction
4. Time to BARC 3 bleeding
5. Time to coronary revascularization
6. 5-year time-averaged disease-specific QOL (SAQ-7) score | 5 years |
- Age ≥18 years
- Elective first-time CABG with use of ≥1 saphenous vein graft;
- Ability to sign informed consent and comply with all study procedures, including follow-up for at least 5 years.
Any indication for dual antiplatelet therapy, including
- Acute/recent (within 1 year) ACS (NSTE-ACS or STEMI)
- Recent PCI requiring continuation of dual antiplatelet therapy after CABG
Current or anticipated use of oral anticoagulation;
Paroxysmal, persistent or permanent atrial fibrillation;
Any concomitant cardiac or non-cardiac procedure;
Planned cardiac or non-cardiac surgery within one year;
Preoperative end-organ dysfunction (dialysis, moderate to severe liver failure, respiratory failure), cancer or other non-cardiac comorbidity with a life expectancy <5 years;
Inability to use the saphenous vein;
Contraindications to the use of aspirin;
Contraindications to the use of ticagrelor, including
- Known hypersensitivity to ticagrelor
- Active pathological bleeding (including, but not limited to gastrointestinal or intracranial bleeding)
- History of intracranial hemorrhage
- Concomitant therapy with strong CYP3A4 inhibitors (eg ketoconazole, clarithromycin, nefazodone, ritonavir, atazanavir)
Inability to undergo coronary computed tomographic angiography (CCTA);
Participating in another investigational device or drug study;
Women of childbearing potential
Any major perioperative complication including, but not limited to, stroke, TIA, MI, CABG-related bleeding (BARC type 4), sepsis.
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