UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008151
Receipt number R000009423
Scientific Title Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction
Date of disclosure of the study information 2012/06/12
Last modified on 2017/03/27 16:58:44

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Basic information

Public title

Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction

Acronym

CALDERA-GENE STUDY

Scientific Title

Controlled Anti-platelet medical therapy based on rapid CYP2C19 gene evaluation in Acute myocardial infarction

Scientific Title:Acronym

CALDERA-GENE STUDY

Region

Japan


Condition

Condition

Acute myocardial infarction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

The aim of this study is to establish a optimal anti-platelet therapy by choosing the dose of anti-platelet agents based on the result of Spartan RX CYP2C19 DNA testing system after emergent percutaneous coronary intervention(PCI) in acute myocardial infarction(AMI). Further more, we examine the effect of clopidogrel resistance on the platelet function test and the biomarkers for blood coagulation in these patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1.The frequency of CYP2C19 *2, *3, and *17 polymorphism in acute myocardial infarction.
2.Difference of several change in the residual platelet aggregation and the biomarkers for blood coagulation and cardiac biomarkers.

Key secondary outcomes

Composite cardiovascular events(cardiac death, fatal and non fatal stroke, non-fatal myocardial infarction,
hospitalization for cardiovascular event, percutaneous coronary intervention or coronary artery bypass graft, hospitalization for heart failure, deep vein thrombosis, pulmonary thromboembolism, hospitalization for peripheral arterial disease, hemorrhagic complication)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Non-carriers of CYP2C19 reduced function allele with standard dual anti-platelet therapy(asprin 100mg + clopidogrel 75mg)

Interventions/Control_2

Carriers of CYP2C19 reduced function allele with standard dual anti-platelet therapy (asprin 100mg + clopidogrel 75mg)

Interventions/Control_3

Carriers of CYP2C19 reduced function allele with triplet antiplatelet therapy (asprin 100mg + clopidogrel 75mg + cilostazol 200mg)

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with ST elevation myocardial infarction and non ST elevation myocrdial ingarction who underwent emergent percutaneous coronary intervention.

Key exclusion criteria

We exclude patients with deep
vein thrombosis, cerebral infarction, atrial fibrillation, collagen disease ,disseminated intravascular coagulation, sepsis, severe infection and malignant diseases.
We exclude patients who were treated with warfarin, steroids, thrombolytic
agents, ticlopidine, sarpogrelate or cilostazol.
We exclude patients with severe liver or renal dysfunction.
We exclude patients who need mechanical cardio-plumonary supports such as intraaortic balloon pumping(IABP) or percutaneous cardiopulmonary support(PCPS).

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hisao Ogawa

Organization

Graduate School of Medical Sciences, Kumamoto University

Division name

Cardiovascular medicine

Zip code


Address

Honjo 1-1-1, Chuo-ku, Kumamoto, Japan

TEL

096-373-5175

Email

ogawah@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Koichi Kaikita

Organization

Graduate School of Medical Sciences, Kumamoto University

Division name

Cardiovascular medicine

Zip code


Address

Honjo 1-1-1, Chuo-ku, Kumamoto, Japan

TEL

096-373-5175

Homepage URL


Email

kaikitak@kumamoto-u.ac.jp


Sponsor or person

Institute

Graduate School of Medical Sciences, Kumamoto University

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Japanese Red Cross Kumamoto Hospital
Fukuoka Tokusyukai Medical Center

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

熊本大学医学部附属病院(熊本県)
熊本赤十字病院(熊本県)
福岡徳洲会病院(福岡県)


Other administrative information

Date of disclosure of the study information

2012 Year 06 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 05 Month 22 Day

Date of IRB


Anticipated trial start date

2012 Year 06 Month 01 Day

Last follow-up date

2017 Year 03 Month 27 Day

Date of closure to data entry

2017 Year 03 Month 27 Day

Date trial data considered complete

2017 Year 03 Month 27 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 06 Month 12 Day

Last modified on

2017 Year 03 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009423


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name