MedPath

Prevalence of Clopidogrel (Plavix) Resistance in Hemodialysis Patients

Completed
Conditions
Cardiovascular Disease
Registration Number
NCT01865890
Lead Sponsor
Northwell Health
Brief Summary

The investigators are trying to find out if Clopidogrel (Plavix) is as effective in hemodialysis patients as in patients not hemodialysed.

Detailed Description

Cardiovascular disease is very frequent in hemodialysis patients. Lot of hemodialysis patients are on Clopidogrel (plavix). Their is some evidence that clopidogrel is not effective in hemodialysis as it is effective in patient without kidney problem.

VerifyNow plavix is a machine that measure the ability of the blood to clot after giving plavix.

We will collect blood from hemodialysis patients on plavix and check the ability of their blood to clot and thus indirectly measuring the efficacy of Plavix.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • All patients on hemodialysis taking Plavix
Exclusion Criteria
  • known to have bleeding disorder
  • Severely anemic with hemoglobin level (Hb) < 10g/dl
  • Low Platelets < 10000

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Prevalence Of Plavix resistance1 day ( one study visit)

Plavix resistance is reported using the PRU values given by the VerifyNow machine. PRU is P2Y12 Reaction Units which is correlated with platelet aggregation.

Secondary Outcome Measures
NameTimeMethod
assess the risk factors for plavix resistance in the hemodialysis population1 day (one study visit)

Coronary Artery Disease (CAD) is very common in dialysis patients. Treatment of CAD include medical therapy, stent placement and surgery. Since Plavix is a medication that is commonly used after stent placement, we would like to assess the efficacy of this medication in this patient population.

Trial Locations

Locations (1)

Staten Island University Hospital

🇺🇸

Staten Island, New York, United States

© Copyright 2025. All Rights Reserved by MedPath