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Clopidogrel Resistance in Stroke Patients From Different Ethnicities

Conditions
Ischemic Stroke
Clopidogrel, Poor Metabolism of
Interventions
Diagnostic Test: Quantification of platelet aggregation
Registration Number
NCT03806894
Lead Sponsor
Ziv Hospital
Brief Summary

Clopidogrel is an anti-platelet agent used to inhibit blood clots. Variation in response to clopidogrel has been reported among different population and may lead to reoccurring ischemic events. The aim of the present study is to evaluate the incidence of clopidogrel resistance in ischemic stroke patients from different ethnicities in Northern Israel and to find different strategies to overcome high platelet reactivity including clopidogrel dose adjustment or the choice of alternative agents. Quantification of platelet aggregation will be determined by vasodilator stimulated phosphoprotein (VASP) assay.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
300
Inclusion Criteria
  1. Ability to provide written informed consent and to be compliant with protocol assessments.
  2. Ages 18 and above inclusive
  3. Both genders eligible for the study
  4. Diagnosis of ischemic cerebrovascular event
Exclusion Criteria
  1. Pregnant patients will be excluded
  2. Ages below 18
  3. Patients not able to provide informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Arab populationsQuantification of platelet aggregationMuslim, Christian, Druze
Jewish communitiesQuantification of platelet aggregationAshkenazi, Sephardi, Ethiopian
Primary Outcome Measures
NameTimeMethod
Rates of clopidogrel resistance assessed among the different ethnicities6 months
Identifying of high-risk subgroups of adverse clinical outcomes6 to 12 months
Secondary Outcome Measures
NameTimeMethod
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