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Clinical Trials/NCT01674686
NCT01674686
Unknown
Phase 4

A Prospective, Single-center, Randomized Study to Evaluate the Effect of Sarpogrelate, a Selective Serotonin Receptor Antagonist, and High Dose Statin on the Reduction of Coronary Spasm in the Patients With Variant Angina

Samsung Medical Center1 site in 1 country200 target enrollmentAugust 1, 2012

Overview

Phase
Phase 4
Intervention
Sarpogrelate
Conditions
Variant Angina
Sponsor
Samsung Medical Center
Enrollment
200
Locations
1
Primary Endpoint
Ergonovine provocation test 12months later
Last Updated
8 years ago

Overview

Brief Summary

The aim of the study was to to evaluate the effect of sarpogrelate, a selective serotonin receptor antagonist, and high dose statin on the reduction of coronary spasm in the patients with variant angina.

Registry
clinicaltrials.gov
Start Date
August 1, 2012
End Date
December 31, 2018
Last Updated
8 years ago
Study Type
Interventional
Study Design
Factorial
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Hyeon-Cheol Gwon

professor

Samsung Medical Center

Eligibility Criteria

Inclusion Criteria

  • Clinical history of chest pain compatible with variant angina; morning chest pain aggravated by cold exposure.
  • Angiographically proven coronary spasm; TIMI flow \< 3 by spontaneous coronary spasm or intracoronary ergonovine spasm provocation test.

Exclusion Criteria

  • Cardiac arrest by coronary spasm
  • Left main coronary spasm
  • Significant fixed coronary artery stenosis; Diameter stenosis \> 70% in the major epicardial artery by coronary angiography
  • Left ventricular ejection fraction \< 30%
  • Coagulation disorders or bleeding tendency (Platelet count \< 50k, PT INR \> 2.0)
  • Significant liver disease (AST or ALT \> 100 U/ml)
  • Renal failure (S-Cr \> 2.0 mg/dl)
  • hypersensitivity for statin
  • Pregnancy

Arms & Interventions

A

Sarpogrelate versus placebo

Intervention: Sarpogrelate

B

Atorvastatin 80mg versus no statin or simvastatin 20 mg if LDL \> 130 mg/dl

Intervention: Atorvastatin

Outcomes

Primary Outcomes

Ergonovine provocation test 12months later

Time Frame: 1 year later

Secondary Outcomes

  • C-reactive protein lever 12months later(1 year)

Study Sites (1)

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