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Stable Coronary Heart DiseaseNCT04308551

Effect of Indobufen and Aspirin on Platelet Aggregation and Long Term Prognosis in Patients With Coronary Heart Disease

A study testing Indobufen and Aspirin in people with Stable Coronary Heart Disease, run by Henan Institute of Cardiovascular Epidemiology.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study evaluates the effect of Indobufen and Aspirin on platelet aggregation and long term prognosis in patients with stable coronary heart disease. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Stable Coronary Heart Disease
What is being tested?
Indobufen and Aspirin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
30 Dec 2024to 30 Dec 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years < age ≤ 85 years;
  • Patients with confirmed stable coronary heart disease (must meet at least one of the following conditions);
  • 2.1 a stenosis confirmed by Coronary angiography or dual-source CT, but the stenosis of the Left Main Artery (LMA) diameter is less than 50%, the stenosis of the left anterior descending branch(LAD)is less than 70%, and the stenosis of the two or three coronary arteries diameter is less than 70%, patient has no corresponding evidence of ischemia;
  • 2.2 Patients after percutaneous coronary intervention (PCI): Dual antiplatelet therapy (DAPT) time is greater than 9 months, without cardiovascular events and ischemic symptoms; and currently receiving aspirin 100 mg/d with clopidogrel 75 mg/d or ticagrelor 90mg (bid) dual antiplatelet therapy.
  • 2.3 Patients after coronary artery bypass graft (CABG): Dual antiplatelet therapy (DAPT) time is greater than 9 months, without cardiovascular events and ischemic symptoms; and currently receiving aspirin 100 mg/d with clopidogrel 75 mg/d or ticagrelor 90mg (bid) dual antiplatelet therapy.
  • Willing to sign the informed consent.

Who cannot join

  • Acute coronary syndrome (ACS) occurred within 3 months before screening;
  • Percutaneous coronary intervention or CABG surgery within 9 months before screening;
  • Any other conditions (such as atrial fibrillation, pulmonary embolism, lower extremity venous thrombosis, artificial heart valve, etc.) who need oral or intravenous anticoagulation treatment;
  • In the past 3 months, the Arachidonic acid-induced platelet aggregation rate≥ 50%; inhibition rate ≤ 20% in the aspirin combined with clopidogrel treated patients;
  • Congestive heart failure or left ventricular ejection fraction <35%;
  • A positive history of Chronic Obstructive Pulmonary Disease (COPD);
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  • bleeding tendency or severe lung disease;
  • Active pathological bleeding;
  • History of intracranial hemorrhage (less than 3 months);
  • Allergic to indobufen / aspirin (or any of its ingredients);
  • Severe liver injury (transaminases exceeding the upper limit of 2 times and above);
  • Pregnancy, lactation and those who have a birth plan;
  • Hematological diseases, platelet count <100000 / mm3 or hemoglobin <10g / dL;
  • Have a history of drug or alcohol abuse in the past 2 years;
  • Use of non-steroidal anti-inflammatory drugs (within 3 months);
  • Creatinine clearance <30ml/min;

About this study

Official title: Effect of Indobufen and Aspirin on Platelet Aggregation and Long Term Prognosis in Patients With Stable Coronary Heart Disease. A Prospective, Randomized and Controlled,Single Blind, Single-center, Opening Study

This study evaluates the effect of Indobufen and Aspirin on platelet aggregation and long term prognosis in patients with stable coronary heart disease.

Being tested
Indobufen, Aspirin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IndobufenDrug

    Indobufen Tablets

  • AspirinDrug

    Aspirin Tablets

Study groups in NCT04308551
Study groupRoleWhat they receive
IndobufenExperimental200 mg Indobufen, bid po, 90 days
Receives: Drug: Indobufen
AspirinActive comparator100 mg Aspirin, qd po, 90 days
Receives: Drug: Aspirin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates 7 days after taking the Indobufen or Aspirin

    Patients with stable coronary heart disease were treated with Indobufen or Aspirin for 90 days. Subsequently, the investigators used the Light transmission aggregation(LTA) and Thrombelastography (TEG) methods to detect the Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates on the 7 days.

    Measured: 7 days

  2. Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates 30 days after taking the Indobufen or Aspirin

    Patients with stable coronary heart disease were treated with Indobufen or Aspirin for 90 days. Subsequently, the investigators used the Light transmission aggregation(LTA) and Thrombelastography (TEG) methods to detect the Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates on the 30 days.

    Measured: 30 days

  3. Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates 90 days after taking the Indobufen or Aspirin

    Patients with stable coronary heart disease were treated with Indobufen or Aspirin for 90 days. Subsequently, the investigators used the Light transmission aggregation(LTA) and Thrombelastography (TEG) methods to detect the Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates on the 90 days.

    Measured: 90 days

  4. Concentration of Thromboxane B2 (TXB2) at baseline

    The fasting blood was collected after the subjects signed informed consent;And the concentration of TXB2 was detected by enzyme-linked immuno sorbent assay (ELISA)

    Measured: baseline

  5. Concentration of Thromboxane B2 (TXB2) 7 days after taking the Indobufen or Aspirin

    The fasting blood was collected 7 days after taking the Indobufen or Aspirin;And the concentration of TXB2 was detected by enzyme-linked immuno sorbent assay (ELISA)

    Measured: 7 days

  6. Concentration of Thromboxane B2 (TXB2) 30 days after taking the Indobufen or Aspirin

    The fasting blood was collected 30 days after taking the Indobufen or Aspirin;And the concentration of TXB2 was detected by enzyme-linked immuno sorbent assay (ELISA)

    Measured: 30 days

  7. Concentration of Thromboxane B2 (TXB2) 90 days after taking the Indobufen or Aspirin

    The fasting blood was collected 90 days after taking the Indobufen or Aspirin;And the concentration of TXB2 was detected by enzyme-linked immuno sorbent assay (ELISA)

    Measured: 90 days

Secondary outcomes (5)
  1. Incidence of Bleeding

    During the study period, we used dual occult blood and questionnaire format to assess whether the subject experienced bleeding (the extent and location of the bleeding) and the degree of bleeding related to indobufen or aspirin (Certainly, likely, possible, suspicious, impossible)

    Measured: baseline, 7, 30 and 90 days

  2. Incidence of Adverse Gastrointestinal reaction

    During the study period, we used dual occult blood and questionnaire format to assess whether the subject experienced adverse gastrointestinal reaction, such as nausea, vomiting, upper abdominal discomfort or pain, gastric mucosal damage, gastric ulcers and bleeding, etc

    Measured: 7, 30 and 90 days

  3. Blood concentration

    The fasting blood was collected on the day of 7 days, 30 days, and 90 days;And the blood concentration of aspirin or indobufen or clopidogrel or ticagrelor was detected.

    Measured: 7, 30 and 90 days

  4. Cyclooxygenase-1 gene phenotype

    The fasting blood was collected and saved on the day of enrollment, and then the gene phenotype of cyclooxygenase-1 would be detected, and their relationship with platelet aggregation also would be analyzed.

    Measured: baseline

  5. Major adverse cardiovascular events

    Number of angina pectoris symptoms, non ST-segment elevation myocardial infarction (NSTEMI), ST-segment elevation myocardial infarction (STEMI), stroke, cardiovascular death, cerebrovascular death, all-cause death

    Measured: 7, 30 and 90 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2020
  2. Study start30 Dec 2024 (estimated)
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Why it stopped: shortage of funds

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04308551
Sponsor's protocol ID
HenanICE202001
Status last verified
Nov 2024
First submitted
6 Mar 2020
Last updated
20 Nov 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Indobufen and Aspirin in people with Stable Coronary Heart Disease, run by Henan Institute of Cardiovascular Epidemiology.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Arachidonic acid and Adenosine diphosphate-induced platelet aggregation rates 7 days after taking the Indobufen or Aspirin (time frame: 7 days). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2024.

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