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A Study Comparing Cardiovascular Effects of Ticagrelor Versus Placebo in Patients With Type 2 Diabetes Mellitus

Phase 3
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT01991795
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to compare the effect of ticagrelor versus placebo in patients with Type 2 Diabetes Mellitus.

Detailed Description

A multinational, randomised, double-blind, placebo-controlled phase IIIb trial to evaluate the effect of ticagrelor twice daily on the incidence of cardiovascular death, myocardial infarction or stroke in patients with type 2 diabetes mellitus

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
19271
Inclusion Criteria

Men or women ≥50 years of age with type 2 diabetes mellitus on treatment with a glucose lowering medication since at least 6 months, and either documented coronary artery occlusive disease or previous revascularization of a coronary artery.

Key

Exclusion Criteria

History of myocardial infarction or any stroke; planned treatment with agents inhibiting blood clotting; planned use of ASA/Aspirin at doses above 150 mg daily; planned coronary, cerebrovascular, or peripheral arterial revascularization; patients with known bleeding disorders and patients who need chronic oral anticoagulant therapy or chronic low-molecular-weight heparin; history of intracranial bleeding at any time, or a history of bleeding from the gastrointestinal tract within the last 6 months or a major surgery within the last 30 days; patients with known severe liver disease or with kidney failure requiring dialysis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ticagrelor placeboTicagrelor placeboInitially ticagrelor 90 mg or corresponding placebo was the selected dose, but reduced to ticagrelor 60 mg or corresponding placebo in Clinical Study Protocol Amendment No 1.
Ticagrelor 60 mgTicagrelor 60 mgInitially ticagrelor 90 mg or corresponding placebo was the selected dose, but reduced to ticagrelor 60 mg or corresponding placebo in Clinical Study Protocol Amendment No 1.
Primary Outcome Measures
NameTimeMethod
Composite of Cardiovascular (CV) Death, MI or StrokeFrom randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

Participants with Cardiovascular (CV) death, myocardial infarction (MI) or stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date.

Secondary Outcome Measures
NameTimeMethod
All-cause DeathFrom randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

Participants with all-cause death. If no event, censoring occurs at the earliest of PACD and last endpoint assessment date. Includes deaths based on publically available vital status data in patients who have withdrawn consent.

CV DeathFrom randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

Participants with Cardiovascular (CV) death. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date.

Ischaemic StrokeFrom randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

Participants with ischaemic stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and death date.

MIFrom randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months.

Participants with myocardial infarction. If no event, censoring occurs at the earliest of primary analysis censoring date (PACD), last endpoint assessment date and death date

Trial Locations

Locations (1)

Research Site

🇻🇳

Hochiminh, Vietnam

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