NCT01031667CompletedPhase 4
Synergistic Effect of Combination Therapy With Cilostazol and Probucol on Plaque Stabilization and Lesion Regression: Serial Intravascular Ultrasound and Virtual Histology Study(SECURE Study)
Conditions
Drugs
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- Yonsei University
- Enrollment
- 118
- Locations
- 1
- Primary Endpoint
- Plaque volume change of the index lesion with intermediate stenosis(non-PCI target lesion)
Study Overview
Brief Summary
The purpose of this study is to evaluate the effect of combination therapy with cilostazol and probucol on plaque volume and composition change in comparison with cilostazol alone by serial intravascular ultrasound and virtual histology.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 20 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients treated with PCI with stent
- •Male or female over 20 years of age
- •Presence of at least one PCI target lesion(lesion length ≤26mm) with ≥50% diameter stenosis that can be covered with a single Endeavor Sprint stent(Medtronic)
- •Other PCI target lesions also should be treated with Endeavor Sprint stents
- •Presence of an intermediate non-PCI target lesion with luminal narrowing of ≥30% and ≤70% by visual estimation
- •Signed written informed consent to participate in the study
Exclusion Criteria
- •Intermediate (non-PCI target) lesions that might provide difficulty for IVUS evaluation because of following reasons: heavy calcification (>90° Arc), tortuous vessel with sever angulation, total occlusion, or bifurcation lesions
- •Previous PCI in the last 6 months
- •Previous CABG
- •Patients with AMI undergoing primary PCI or rescue PCI after thrombolysis
- •Cardiogenic shock
- •Inability to take adequate anti-platelet therapy
- •Thrombocytopenia (platelet count <70 x 109/l)
- •Known hypersensitivity or contraindication to any of the following medications: Heparin, aspirin, clopidogrel, cilostazol, probucol, statin, contrast media*
- •*Patients with documented sensitivity to contrast media which can be effectively pre-medicated with steroids and diphenhydramine [e.g. rash] may be enrolled. Those with true anaphylaxis to prior contrast media, however, should not be enrolled.
- •History of severe ventricular arrhythmia
- •Significant QTc prolongation (≥470 ms) on ECG
- •NYHA class III/IV heart failure or LV ejection fraction ≤35%
- •Familial hypercholesterolemia
- •Uncontrolled hypertriglyceridemia (>400 mg/dL)
- •Chronic renal failure with serum creatinine level ≥2mg/dL
- •Severe liver disease or transaminase level ≥3 times the upper limit of normal.
- •Pregnant or breastfeeding
Outcomes
Primary Outcomes
Plaque volume change of the index lesion with intermediate stenosis(non-PCI target lesion)
Time Frame: From February 01, 2009 to July 31, 2011
Secondary Outcomes
No secondary outcomes reported
Investigators
Study Sites (1)
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