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CompletedNCT01147133DOSER-GENERICUpdated Jan 29, 2013

Comparison of Generic and Original Formulation of Clopidogrel

A Phase 4 interventional study of Plavix and Kardogrel in Coronary Heart Disease and Percutaneous Coronary Intervention, sponsored by University of Pecs. Completed. Per ClinicalTrials.gov, last updated 2013-01-29.

Sponsored by University of Pecs · Phase 4, Interventional, and Diagnostic

Phase
Phase 4
Study type
Interventional
Enrollment
75
Allocation
Non-randomized
Sex
All
01

Study summary

Clopidogrel is essential for the prevention of vascular events in patients after percutaneous coronary interventions (PCI). Most of our current knowledge with clopidogrel originates from the clinical investigations that had used Plavix®/Iscover® from Sanofi-Aventis as the original formulation of clopidogrel-bisulphate. However, as the patency of Plavix® has expired in November 2009 in Hungary, several generic clopidogrel have been introduced to the market. Some of the generics are using the original bisulphate formulation, while others are with besylate salt of clopidogrel. Despite the differences in the clopidogrel-salts, the different carriers might also modulate the pharmacokinetic/pharmacodynamic profile of each drug. As the consequences of the impaired antiplatelet potency might be devastating, including stent thrombosis, the investigators sought to compare generic clopidogrel to the original blister by different assays of platelet aggregation.

Read the detailed description

Clopidogrel is essential for the prevention of vascular events in patients after percutaneous coronary interventions (PCI). Most of our current knowledge with clopidogrel originates from the clinical investigations that had used Plavix®/Iscover® from Sanofi-Aventis as the original formulation of clopidogrel-bisulphate. However, as the patency of Plavix® has expired in November 2009 in Hungary, several generic clopidogrel have been introduced to the market. Some of the generics are using the original bisulphate formulation, while others are with besylate salt of clopidogrel. Despite the differences in the clopidogrel-salts, the different carriers might also modulate the pharmacokinetic/pharmacodynamic profile of each drug. As the consequences of the impaired antiplatelet potency might be devastating, including stent thrombosis, the investigators sought to compare generic clopidogrel to the original blister by different assays of platelet aggregation.

In a prospective, cross-over, open-label, unblinded study the investigators aim to compare platelet activation and aggregation between Plavix® and generic clopidogrel.

02

Conditions studied

  • Coronary Heart Disease
  • Percutaneous Coronary Intervention

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Keywords

  • Platelet aggregation
  • Generic
  • Clopidogrel
  • Comparison
  • VASP-PRI
03

In context

Coronary Disease

2,867 studies on the registry are indexed under Coronary Disease; 309 are open to participants now.

This study's enrollment of 75 is below the median of 124 across 1,601 interventional studies indexed under Coronary Disease.

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Lead sponsor

University of Pecs is the lead sponsor of 105 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients in the maintenance phase of PCI receiving 1x75 mg clopidogrel and 1x100 mg aspirin
  • No planned interruption of the antiplatelet therapy in the next 1 month
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Oral anticoagulant therapy
  • Contraindication for aspirin or clopidogrel
  • Planned interruption of antiplatelet therapy in the next month
05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Original

    Treatment phase with the original formulation of clopidogrel

    Drug: Plavix

  • Active comparator
    Generic

    Treatment phase with the generic clopidogrel

    Drug: Kardogrel

Interventions

  • DrugPlavix

    1x75 mg

    Also known as: clopidogrel = PLAVIX

  • DrugKardogrel

    1x75 mg

    Also known as: generic clopidogrel = Kardogrel

06

What researchers measure

Primary outcomes

  1. ADP 5 microM-induced maximal aggregation in light transmission aggregometry between the two time point.

    Time frame: 14 days

Secondary outcomes

  1. VASP-PRI (%) 6-minute late aggregation with LTA (%) Proportion of patients with high platelet reactivity (HPR)

    Time frame: 14 days

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2009, a primary completion of Apr 2010 and a completion of May 2010. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 16, 2010
First posted
Jun 22, 2010
Start
Nov 2009
Primary completionActual
Apr 2010
CompletionActual
May 2010
Last update
Jan 29, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 29, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01147133
Lead sponsor
University of Pecs
Collaborators
Hungarian Academy of Sciences, KRKA
Responsible party
Daniel Aradi MD (Assisstant Professor, University of Pecs) — Principal investigator
First posted
Jun 22, 2010
Start date
Nov 2009
Primary completion
Apr 2010
Completion
May 2010
Last update
Jan 29, 2013

Study contacts

Daniel Aradi, MD PhD
principal investigator · University of Pécs, HUNGARY
András Komócsi, MD PhD
study director · University of Pécs, HUNGARY

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Clopidogrel

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