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Efficacy and Safety of BiomatrixTM Stent and 5mg-Maintenance Dose of Prasugrel in Patients With Acute Coronary Syndrome

NCT02446730 — Phase 4, Unknown, 1400 participants, Chonnam National University Hospital

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A Prospective, Multicenter, Randomized, Open-label Trial to Evaluate Efficacy and Safety of 5mg Maintenance Dose of Prasugrel in Patients With Acute Coronary Syndrome Who Underwent Percutaneous Coronary Intervention With BiomatrixTM Stent

RegistryNCT02446730, acronym BEAUTY-II
StatusUnknown
PhasePhase 4
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment1400 (Estimated)
SponsorChonnam National University Hospital (Other)
ConditionsCardiac Death, Hemorrhage, Cerebrovascular Accident, Myocardial Infarction
InterventionsBES (biodegradable polymer biolimus-eluting stent), Prasugel, Clopidogrel (Device, drug)
Datesstart 2014-09-01, primary completion 2017-08-01 (estimated), completion 2017-08-01 (estimated), first posted 2015-05-18, last updated 2015-05-18
Locations1 site in South Korea

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-Summary

The purpose of this study is to evaluate the efficacy and safety of 5mg maintenance dose (MD) of prasugrel in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI) with BiomatrixTM stent.

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+Detailed description

About 1400 patients derived from Korean patients with acute coronary syndrome (ACS) receiving percutaneous coronary intervention (PCI) with BES(Biolimus-eluting stent, BiomatrixTM) in a routine manner will be enrolled in the investigators trial.

These patients will be randomized 1:1 to either prasugrel 5mg once daily MD or clopidogrel 75mg once daily MD after successful PCI with BES .

The investigators excluded the patients with age ≥75 years, body weight <60 kg, or history of TIA (transient ischemic attack) or stroke. Follow-up data will be collected until 1-year after index procedure.

Primary efficacy end-point defined as the composite of cardiac death, non-fatal MI, stent thrombosis and ischemic driven target vessel revascularization and safety end-points as BARC (the Bleeding Academic Research Consortium) type ≥ 2 bleeding.

+Arms and interventions

ArmTypeInterventionsDescription
BES with Prasugel 5mgActive comparatorDevice: BES (biodegradable polymer biolimus-eluting stent); Drug: PrasugelBiolimus-eluting stent with Prasugrel 5mg once daily MD
BES with Clopidogrel 75mgActive comparatorDevice: BES (biodegradable polymer biolimus-eluting stent); Drug: ClopidogrelBiolimus-eluting stent with Clopidogrel 75mg once daily MD
  • BES (biodegradable polymer biolimus-eluting stent) (Device), also known as BiomatirxTM, Biomatrix FlexTM: BES implantation
  • Prasugel (Drug)
  • Clopidogrel (Drug)

+Outcome measures

Primary outcomes

  • A compoiste of cardiac death, non-fatal myocardiac infarction and stroke [within the 1 year after BIOMATRIXTM Stent implantation]

Secondary outcomes

  • All-cause death [within the 1 year after BIOMATRIXTM Stent implantation]
  • Cardiac death [within the 1 year after BIOMATRIXTM Stent implantation]
  • non-fatal myocardial infarction [within the 1 year after BIOMATRIXTM Stent implantation]
  • Stroke [within the 1 year after BIOMATRIXTM Stent implantation]
  • Target lesion revascularization [within the 1 year after BIOMATRIXTM Stent implantation]
  • stent thrombosis [within the 1 year after BIOMATRIXTM Stent implantation]
  • BARC bleeding 2,3,and 5 [within the 1 year after BIOMATRIXTM Stent implantation]

+Eligibility

Sex: All, ages: 18 Years to 75 Years, accepts healthy volunteers

Inclusion Criteria:

* Patients who can undergo percutaneous coronary intervention with Biomatrix stent with no history of TIA or stroke,
* 75 years old or younger,
* body weight of 60 kg or more and diagnosed with acute coronary syndrome

Exclusion Criteria:

* Patients with history of TIA or stroke,
* 75 years old or older,
* body weight of 60 kg or under,
* hypersensitivity to or contraindicated for heparin, aspirin, clopidogrel, prasugrel or contrast media

+Locations (1)

FacilityCityCountryStatus
Jung-Me LeePusanSouth KoreaRecruiting

+Investigators

My Notes