ClinicalTrials.gg
Active, not recruitingNCT06807788PLATEUpdated Feb 4, 2025

Evaluation of Platelet Aggregability in Patients with Takayasu's Arteritis

An observational study in Takayasu Arteritis (TAK) and Vasculitis, Systemic, sponsored by Jose Carlos Nicolau. Active, not recruiting at 1 site in Brazil. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-04.

Sponsored by Jose Carlos Nicolau · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

Inflammatory syndromes in general, and primary vasculitis specifically, present a high risk of cardiovascular involvement. Takayasu arteritis (TAK), for example, presents cardiovascular complications in up to 60% of cases. It is a systemic inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. From a pathophysiological point of view, there are several causes that can lead to an exacerbated increase in cardiovascular risk in this population, including accelerated atherosclerosis, pro-inflammatory action of platelets and significant endothelial dysfunction.

In this context, the present case-control study intends to include 100 individuals (50 with TAK - case group, and 50 healthy volunteers - control group), matched by age and sex in a 1:1 ratio. The main objective of the study is to compare platelet aggregability in patients with TAK against healthy volunteers using the AggRAM® test. Among its secondary objectives is the analysis of platelet aggregability by other methods (Plateletworks, Chronolog, and PPAnalysis).

The study aims to significantly contribute to a better understanding of the potential influence of TAK on platelet aggregation and the response to antiplatelet agents, thereby contributing to a better understanding of the disease, with evident prognostic and therapeutic implications.

02

Conditions studied

  • Takayasu Arteritis (TAK)
  • Vasculitis, Systemic

Keywords

  • Platelets
  • Platelet aggregation
  • Optical aggregometry
03

In context

Takayasu Arteritis

78 studies on the registry are indexed under Takayasu Arteritis; 32 are open to participants now.

This study's planned enrollment of 100 is below the median of 224 across 41 observational studies indexed under Takayasu Arteritis.

Browse Takayasu Arteritis studies →

Lead sponsor

This is the only study on the registry with Jose Carlos Nicolau as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

50 patients with Takayasu arteritis

50 Healthy volunteers

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 with TAK, according to the ACR/EULAR 2022 classification criteria (score ≥ 5 out of a total of 20 points) [17]
  • Age > 18 years
  • Using acetylsalicylic acid
  • Agreement to sign the Free and Form (TCLE).

Exclusion criteria

Exclusion Criteria:

  • Previous hemorrhagic stroke

    • Use of another antiplatelet agent other than acetylsalicylic acid
    • Active infection or current use of systemic antimicrobial therapy
    • Known dysfunction or platelets \<150,000/µL or >450,000/µL
    • Severe illness with ≤12 months
    • Known liver disease or coagulation disorder
    • Abuse of illicit drugs or alcohol
    • Dementia, psychiatric condition or any condition that, in the researcher's opinion, prevents participation and follow-up in the protocol
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Takayasu Arteritis Case Group

    50 patients with Takayasu arteritis

    Drug: Clopidogrel

  • Healthy Volunteers Control Group

    50 healthy volunteers

    Drug: Clopidogrel

Interventions

  • Clopidogrel 75 mg once a day for 14 days.

06

What researchers measure

Primary outcomes

  1. Platelet Aggregation analyzed by optical aggregometry-ADP (AggRAM™- Helena Laboratories)

    Compare platelet aggregation analyzed by optical aggregometry-ADP (AggRAM™- Helena Laboratórios) between both groups

    Time frame: 14 days

Secondary outcomes

  1. Platelet aggregability by AggRAM™ arachidonic acid at baseline;

    Avaliation of Platelet aggregability by AggRAM™ arachidonic acid at baseline

    Time frame: Baseline

  2. Platelet aggregability by AggRAM™ ADP after 14 days of use of Clopidogrel 75 mg/day;

    Evaluation of Platelet aggregability by AggRAM™ ADP after 14 days of use of Clopidogrel 75 mg/day;

    Time frame: 14 days

  3. Platelet aggregability by Plateletworks-ADP at baseline and after 14 days of use of Clopidogrel 75 mg/day

    Evaluation of Platelet aggregability by Plateletworks-ADP at baseline and after 14 days of use of Clopidogrel 75 mg/day;

    Time frame: 14 days

  4. Serum levels of ultrasensitive C-reactive protein (hs-CRP);

    Avaliation of Serum levels of ultrasensitive C-reactive protein (hs-CRP)

    Time frame: Baseline

  5. Serum levels of immature platelets;

    Evaluation of Serum levels of immature platelets

    Time frame: Baseline

  6. Platelet count

    Evaluation of Platelet count;

    Time frame: Baseline

  7. Serum levels of P-Selectin

    Evaluation of Serum levels of P-Selectin

    Time frame: Baseline

  8. Serum levels of interleukin 6

    Evaluation of Serum levels of interleukin 6;

    Time frame: Baseline

  9. Serum levels of Interleukin 1

    Evaluation of interleukin 1

    Time frame: Baseline

  10. Serum levels of cholesterol ester transfer proteins;

    Evaluation of Serum levels of cholesterol ester transfer proteins;

    Time frame: Baseline

  11. Serum levels of Lipoprotein(a) (LPa)

    Evaluation of Serum levels of Lipoprotein(a) (LPa)

    Time frame: Baseline

Other outcomes

  1. Subgroup Analysis- Sex

    Sex (male/female)

    Time frame: Baseline and 14 days

  2. Subgroup Analysis- Age

    Age (≥65 years or \< 65 years)

    Time frame: Baseline and 14 days

  3. Subgroup Analysis- BDI

    Body Mass Index (\<30 or ≥ 30 kg/m2);

    Time frame: Baseline and 14 days

  4. Subgroup Analysis- Diabetes mellitus

    Diabetes mellitus (presence or not);

    Time frame: Baseline and 14 days

  5. Subgroup Analysis- Use of Statins

    Use of Statins (yes or no)

    Time frame: Baseline and 14 days

  6. Subgroup Analysis- Smoking

    Current smoking (yes or no);

    Time frame: Baseline and 14 days

  7. Subgroup Analysis- Use of Nonsteroidal Anti-inflammatory drugs

    Use of Nonesteroidal ANti-inflammatory drugs ( yes or no)

    Time frame: Baseline and 14 days

  8. Subgroup Analysis of Glomerular filtration rate (CKD-EPI) (< 60 mL/min/m2 or ≥ 60mL/min/m2)

    CKD-EPI (\< 60 mL/min/m2 or ≥ 60mL/min/m2)

    Time frame: Baseline and 14 days

  9. Subgroup Analysis- Use of immunosuppressive agents

    Use of immunosuppressive agents ( yes or no)

    Time frame: Baseline and 14 days

  10. Subgroup Analysis- Use of Biological agents

    Use of Biological agents ( yes or no)

    Time frame: Baseline and 14 days

07

Study locations

1 site
  • Heart Institute (InCor) / University of São Paulo, São Paulo
    São paulo, Brazil
08

References and documents

Publications

  • Grayson PC, Ponte C, Suppiah R, Robson JC, Gribbons KB, Judge A, Craven A, Khalid S, Hutchings A, Danda D, Luqmani RA, Watts RA, Merkel PA; DCVAS Study Group. 2022 American College of Rheumatology/EULAR Classification Criteria for Takayasu Arteritis. Arthritis Rheumatol. 2022 Dec;74(12):1872-1880. doi: 10.1002/art.42324. Epub 2022 Nov 8. PubMed 36349501 ↗
  • Alibaz-Oner F, Yurdakul S, Aytekin S, Direskeneli H. Impaired endothelial function in patients with Takayasu's arteritis. Acta Cardiol. 2014 Feb;69(1):45-9. doi: 10.1080/ac.69.1.3011344. PubMed 24640521 ↗
  • Emmi G, Silvestri E, Squatrito D, Amedei A, Niccolai E, D'Elios MM, Della Bella C, Grassi A, Becatti M, Fiorillo C, Emmi L, Vaglio A, Prisco D. Thrombosis in vasculitis: from pathogenesis to treatment. Thromb J. 2015 Apr 16;13:15. doi: 10.1186/s12959-015-0047-z. eCollection 2015. PubMed 25883536 ↗
  • Bhandari S, Butt SRR, Ishfaq A, Attaallah MH, Ekhator C, Halappa Nagaraj R, Mulmi A, Kamran M, Karski A, Vargas KI, Lazarevic S, Zaman MU, Lakshmipriya Vetrivendan G, Shahzed SMI, Das A, Yadav V, Bellegarde SB, Ullah A. Pathophysiology, Diagnosis, and Management of Takayasu Arteritis: A Review of Current Advances. Cureus. 2023 Jul 29;15(7):e42667. doi: 10.7759/cureus.42667. eCollection 2023 Jul. PubMed 37525862 ↗
  • Davi G, Patrono C. Platelet activation and atherothrombosis. N Engl J Med. 2007 Dec 13;357(24):2482-94. doi: 10.1056/NEJMra071014. No abstract available. PubMed 18077812 ↗
  • Chen Y, Zhong H, Zhao Y, Luo X, Gao W. Role of platelet biomarkers in inflammatory response. Biomark Res. 2020 Aug 2;8:28. doi: 10.1186/s40364-020-00207-2. eCollection 2020. PubMed 32774856 ↗
  • Sonmez O, Sonmez M. Role of platelets in immune system and inflammation. Porto Biomed J. 2017 Nov-Dec;2(6):311-314. doi: 10.1016/j.pbj.2017.05.005. Epub 2017 Oct 12. PubMed 32258788 ↗
  • Ucar AK, Ozdede A, Kayadibi Y, Adaletli I, Melikoglu M, Fresko I, Seyahi E. Increased arterial stiffness and accelerated atherosclerosis in Takayasu arteritis. Semin Arthritis Rheum. 2023 Jun;60:152199. doi: 10.1016/j.semarthrit.2023.152199. Epub 2023 Mar 29. PubMed 37011578 ↗
  • Argyropoulou OD, Protogerou AD, Sfikakis PP. Accelerated atheromatosis and arteriosclerosis in primary systemic vasculitides: current evidence and future perspectives. Curr Opin Rheumatol. 2018 Jan;30(1):36-43. doi: 10.1097/BOR.0000000000000453. PubMed 29040156 ↗
  • Seyahi E, Ugurlu S, Cumali R, Balci H, Seyahi N, Yurdakul S, Yazici H. Atherosclerosis in Takayasu arteritis. Ann Rheum Dis. 2006 Sep;65(9):1202-7. doi: 10.1136/ard.2005.047498. Epub 2006 Jan 26. PubMed 16439439 ↗
  • Dos Santos AM, Misse RG, Borges IBP, Gualano B, de Souza AWS, Takayama L, Pereira RMR, Shinjo SK. Increased modifiable cardiovascular risk factors in patients with Takayasu arteritis: a multicenter cross-sectional study. Adv Rheumatol. 2021 Jan 8;61(1):1. doi: 10.1186/s42358-020-00157-1. PubMed 33419482 ↗
  • Cicco S, Desantis V, Vacca A, Cazzato G, Solimando AG, Cirulli A, Noviello S, Susca C, Prete M, Brosolo G, Catena C, Lamanuzzi A, Saltarella I, Frassanito MA, Cimmino A, Ingravallo G, Resta L, Ria R, Montagnani M. Cardiovascular Risk in Patients With Takayasu Arteritis Directly Correlates With Diastolic Dysfunction and Inflammatory Cell Infiltration in the Vessel Wall: A Clinical, ex vivo and in vitro Analysis. Front Med (Lausanne). 2022 May 16;9:863150. doi: 10.3389/fmed.2022.863150. eCollection 2022. PubMed 35652080 ↗
  • Dua AB, Kalot MA, Husainat NM, Byram K, Springer JM, James KE, Chang Lin Y, Turgunbaev M, Villa-Forte A, Abril A, Langford C, Maz M, Chung SA, Mustafa RA. Takayasu Arteritis: a Systematic Review and Meta-Analysis of Test Accuracy and Benefits and Harms of Common Treatments. ACR Open Rheumatol. 2021 Feb;3(2):80-90. doi: 10.1002/acr2.11186. Epub 2021 Jan 29. PubMed 33512784 ↗
  • Keser G, Direskeneli H, Aksu K. Management of Takayasu arteritis: a systematic review. Rheumatology (Oxford). 2014 May;53(5):793-801. doi: 10.1093/rheumatology/ket320. Epub 2013 Oct 4. PubMed 24097290 ↗
  • Misra DP, Sharma A, Karpouzas GA, Kitas GD. Cardiovascular risk in vasculitis. Best Pract Res Clin Rheumatol. 2023 Mar;37(1):101831. doi: 10.1016/j.berh.2023.101831. Epub 2023 Jun 9. PubMed 37302927 ↗
  • Mwipatayi BP, Jeffery PC, Beningfield SJ, Matley PJ, Naidoo NG, Kalla AA, Kahn D. Takayasu arteritis: clinical features and management: report of 272 cases. ANZ J Surg. 2005 Mar;75(3):110-7. doi: 10.1111/j.1445-2197.2005.03312.x. PubMed 15777385 ↗
  • Miloslavsky E, Unizony S. The heart in vasculitis. Rheum Dis Clin North Am. 2014 Feb;40(1):11-26. doi: 10.1016/j.rdc.2013.10.006. PubMed 24268007 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2024 (actual). Primary completion is estimated for Oct 2026, 24 months after the start.

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

Registered
Jan 29, 2025
First posted
Feb 4, 2025
StartActual
Oct 14, 2024
Primary completionEst.
Oct 14, 2026
CompletionEst.
Oct 14, 2027
Last update
Feb 4, 2025
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 Feb 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06807788
Lead sponsor
Jose Carlos Nicolau
Responsible party
Jose Carlos Nicolau (Director of the Acute coronary Unit, University of Sao Paulo) — Sponsor-investigator
First posted
Feb 4, 2025
Start date
Oct 14, 2024
Primary completion
Oct 14, 2026 (estimated)
Completion
Oct 14, 2027 (estimated)
Last update
Feb 4, 2025

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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