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Antiplatelet treatment in patients with diabetes mellitus: is there a difference between aspirin, clopidogrel and prasugrel - Antiplatelet Treatment in Diabetes

Phase 1
Conditions
Type 2 diabetes mellitus
Registration Number
EUCTR2009-011907-22-GB
Lead Sponsor
niversity of Leeds
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
56
Inclusion Criteria

Age 18 - <75
Type 2 diabetes mellitus
currently taking aspirin 75mg per day
Weight 60kg or over
Must be able to give informed consent and comply with the protocol
Using reliable contraception ie. oral contraceptive pill, intra-uterine device, diaphragm + condom

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

prior treatment with clopidogrel or prasugrel
previous or current treatment with warfarin or non-steroidal inflammatory drugs
a history of acute coronary syndrome within 3 months of recruitment
any history of coagulation or bleeding disorder, neoplastic disease, deep vein thrombosis, pulmonary embolism. Any previous or current upper gastrointestinal pathology
any history of cerabral vascular accident or transient ischaemic attack
hypersensitiviy to the active substance (ie clopidogrel or prasugrel) or any of the excipients
active pathological bleeding
any individual found to have abnormal liver function (measured by ALT>3times upper limit of normal) or abnormal thyroid function will be excluded at this time and offered further investigation
Weight less than 60kg
inadequate contraception (as described in inclusion criteria)
pregnant and lactating women will be excluded. In the unlikely event of pregnancy during the study, the individual will be immediately withdrawn

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To compare the biochemical efficacy of Aspirin, Clopidegrel and Prasugrel in subjects with type 2 diabetes using a dual approach that investigates both platelet function and clot structure/fibrinolysis;Secondary Objective: To study the mechanisms of antiplatelet treatment failure in individuals with type 2 diabetes;Primary end point(s): Platelet activation and different parameters of clot structure/function
Secondary Outcome Measures
NameTimeMethod
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