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The influence of CYP2C19 loss-of-function alleles on atherothrombotic events in patients on clopidogrel after endovascular aneurysm repair (EVAR)

Conditions
Abdominal Aortic Aneurysm
Registration Number
NL-OMON29281
Lead Sponsor
ot applicable
Brief Summary

ot applicable

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
300
Inclusion Criteria

Adult patients (age 18 years)
- Obtained written informed consent
- Patients with the ability to perform a buccal swab at home
- Patients who underwent EVAR for an infrarenal AAA between January 2016 and April 2020, including those that were additionally treated with an iliac branched device and/or coiling of the internal iliac artery
- Patients who are on continues treatment with clopidogrel as single antiplatelet therapy since EVAR

Exclusion Criteria

- Patients with a known CYP2C19 genotype or metabolizer state
- Patients who are treated with other anticoagulants such as aspirin, ticagrelor, prasugrel, coumarins or Non vitamin K Oral Anti-Coagulants (NOACs)
- Patient treated for a juxtarenal AAA with Fenestrated EVAR, Chimney EVAR or open surgical repair
- Patients that have used clopidogrel only temporary after EVAR

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome will be the occurrence of adverse clinical events related to arterial thrombosis such as incidence of Major Adverse Cardiovascular Events (MACE) and Major Adverse Limb events (MALE).
Secondary Outcome Measures
NameTimeMethod
The incidence of in-stent thrombosis, mural thrombosis and bleeding complications
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