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Not yet recruitingNCT06424548Updated May 22, 2024

Comparison of the Improvement and Safety of the Ankle Brachial Arterial Pressure Index of Sarpogrelate and Clopidogrel in Stroke Patients With Decreased Ankle Brachial Arterial Pressure Index and Intermittent Claudication of Lower Limb Vascular Atherosclerosis.

An interventional study of Administration of Sarpogrelate and Traditional administration of Clopidogrel in Stroke and Atherosclerosis, sponsored by Ewha Womans University Seoul Hospital. Not yet recruiting. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-05-22.

Sponsored by Ewha Womans University Seoul Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The clinical trial aims to confirm the improvement effect of the ankle brachial index and the safety of sarpogrelate administration compared to clopidogrel in stroke patients with decreased ankle brachial arterial pressure index and intermittent claudication of lower limb vascular atherosclerosis. Subjects are assigned to one of the two combinations through random allocation.

Intervention group: Aspirin 100mg + sarpogrelate 300mg dosing group, Control group: Aspirin 100mg + clopidogrel 75mg dosing group. This clinical trial is a prospective open study and will be conducted in compliance with the usual diagnosis and treatment process, and in particular, all trial subjects will be tested and treated appropriately in accordance with the standard treatment guidelines for ischemic stroke during the clinical trial period.

Read the detailed description

A total of 100 subjects are recruited and divided into a intervention group and a control group through randomization.

In this clinical trial, the intervention group and the control group are assigned 1:1.

The researcher allocates 1:1 to the intervention group or control group through a two-way random number table on the assignment date in the order of the subjects who are satisfied with the Inclusion and exclusion criteria and agreed to the study.

This study is a prospective open randomized clinical trial that can confirm which group the subjects themselves were assigned to. After randomization, the drug is prescribed and the outcome variable is checked at 12 months.

During the course of the clinical trial, the examiner and researchers carefully observe the presence or absence of adverse events during the follow-up period after randomization, and closely observe outcome variables, including neurological changes.

Visit after 6 months and 12 months during the clinical trial period to confirm the effectiveness and safety. When an event corresponding to the outcome variable occurs, the researcher first plans to implement appropriate medical measures in this regard.

Both groups will be conducted in compliance with the usual diagnosis and treatment process, and in particular, all subjects will be tested and treated appropriately according to the standard treatment guidelines for ischemic stroke during the clinical trial period.

The purpose of this study is to determine whether there is a difference in the improvement and safety of the ankle-brachial arterial pressure index of aspirin+sarpogrelate and aspirin+clopidogrel in stroke patients with decreased ankle-brachial arterial pressure index and intermittent claudication.

02

Conditions studied

  • Stroke
  • Atherosclerosis
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's planned enrollment of 100 is above the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Ewha Womans University Seoul Hospital is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years and older
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

  1. Aged 19 or over.
  2. Neurologically stable patients after 7 days and within 6 months of diagnosis of ischemic stroke.
  3. Patients with ankle-brachial index (ABI) \<0.9 performed within 6 months of screening, with lower limb vascular stenosis and intermittent claudication.
  4. A person who voluntarily agrees to participate in this clinical trial in writing.

Exclusion criteria

Exclusion Criteria:

  1. Patients who are unable or to administer antithrombotic drugs.
  2. Patients with less than 80,000 , less than 8.0 , liver levels and total levels three times normal according to laboratory standards, according to blood tests conducted within one month.
  3. Patients identified as undergoing renal replacement therapy such as dialysis due to acute or terminal nephropathy during screening.
  4. Patients diagnosed with or treated for cancer within 6 months of screening, or identified as having recurrent or cancer.
  5. Patients confirmed to be on medication for liver diseases such as liver cirrhosis during screening.
  6. A pregnant and lactating women.
  7. Patients with a history of hemorrhagic tendency, conventional cerebral hemorrhage, and gastrointestinal hemorrhage.
  8. Patients who need oral anticoagulant therapy instead of antiplatelet drugs for screening.
  9. Patients who are at least 3 in the Rutherford category and need lower-limb vascular procedure/surgery within 6 months, as judged by the doctor.
  10. A patient with a loss of consciousness/cognition.
  11. Any person who determines that the tester is not suitable for participating in the clinical trial for other reasons.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Administration of Sarpogrelate

    The intervention group will receive aspirin 100mg plus sarpogrelate 100mg

    Drug: Administration of Sarpogrelate

  • Other
    Traditional administration of Clopidogrel

    The control group will receive aspirin 100mg plus clopidogrel 75mg

    Drug: Traditional administration of Clopidogrel

Interventions

  • DrugAdministration of Sarpogrelate

    Aspirin 100mg plus Sarpogrelate 100mg

  • DrugTraditional administration of Clopidogrel

    Aspirin 100mg plus Clopidogrel 75mg

06

What researchers measure

Primary outcomes

  1. Ankle brachial index

    The value of the ankle brachial index evaluated 12 months after the first dose of the clinical trial drug. Ankle brachial index : normal range \> 0.9, abnormal range \< 0.9

    Time frame: Baseline, 12months

Secondary outcomes

  1. Ankle brachial index

    The value of the ankle brachial index evaluated 6 months after the first dose of the clinical trial drug. Ankle brachial index : normal range \> 0.9, abnormal range \< 0.9

    Time frame: Baseline, 6months

  2. Brachial ankle pulse wave velocity

    The value of Brachial ankle pulse wave velocity evaluated 6 months and 12months after the first dose of the clinical trial drug. Brachial ankle pulse wave velocity : normal range 1000\~1500 cm/sec, abnormal range \> 1600 cm/sec

    Time frame: Baseline, 6months, 12months

  3. Major cardio-cerebrovascular events

    Major cardio-cerebrovascular events that occurred within 6 months and 12 months after the first medication related to the clinical trial. (Stroke, myocardial infarction, non-stable angina, lower limb vascular intervention, surgery, death)

    Time frame: Baseline, 6months, 12months

  4. Lower limb angioplasty or re-operation

    Whether or not to perform lower limb angioplasty or re-operation, evaluated 6 months and 12 months after the first dose of the clinical trial drug.

    Time frame: Baseline, 6months, 12months

  5. Change of Rutherford category ratio

    Change of Rutherford category ratio, a symptom scale related to vascular stenosis of the lower extremities, evaluated 6 months and 12 months after the first dose of the clinical trial drug. (Grade 0-Asymptomatic, Grade 1-Mild claudication, Grade 2-Moderate claudication, Grade 3-Severe claudication, Grade 4-Ischemic rest pain, Grade 5-Minor tissue loss-nonhealing ulcer, focal gangrene with diffuse pedal ischemia, Grade 6-Major tissue loss-extending above transmetatarsal level, functional foot no longer salvageable)

    Time frame: Baseline, 6months, 12months

  6. Modified Rankin scale

    Modified Rankin scale evaluated 6 months and 12 months after the first dose of the clinical trial drug. (0-No symptoms at all, 1-No significant disability despite symptoms; able to carry out all usual duties and activities, 2-Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance, 3-Moderate disability; requiring some help, but able to walk without assistance, 4-Moderate to severe disability; unable to walk without assistance, and unable to attend to own bodily needs without assistance, 5-Severe disability; bedridden, incontinent and requiring constant nursing care and attention, 6-Death)

    Time frame: Baseline, 6months, 12months

  7. National Institutes of Health Stroke Scale

    Changes in NIHSS evaluated at 6 months and 12 months after the first dose of the clinical trial drug. National Institutes of Health Stroke Scale score of 0 (lowest point) means normal, and a score of 42 (high point) means severe dysfunction caused by stroke, so the higher the score, the more severe the stroke.

    Time frame: Baseline, 6months, 12months

  8. Coronary angioplasty

    Confirmation that coronary angioplasty was performed at 6 months and 12 months after the first dose of the drug in the clinical trial.

    Time frame: Baseline, 6months, 12months

  9. Cerebrovascular angioplasty

    Confirmation that cerebrovascular angioplasty was performed at 6 months and 12 months after the first dose of the drug in the clinical trial.

    Time frame: Baseline, 6months, 12months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06424548
Lead sponsor
Ewha Womans University Seoul Hospital
Responsible party
Tae-Jin Song, MD, PhD (Principal Investigator, Ewha Womans University Seoul Hospital) — Principal investigator
First posted
May 22, 2024
Start date
May 16, 2024 (estimated)
Primary completion
Jun 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
May 22, 2024

Study contacts

Sujin Han
Contact
sujinhan1004@gmail.com
820269862635

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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