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acetylsalicyclic acid

Phase 3

Acute Coronary Disease | Small molecule | Cardiovascular |Sanofi|Last Updated: Nov 18, 2010

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment25,086
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00335452Clopidogrel Optimal Loading Dose Usage to Reduce Recurrent EveNTs/Optimal Antiplatelet Strategy for InterventionSPHASE3 COMPLETED 25,086Jun 1, 2006Sep 1, 2009Nov 18, 201038 United States, Argentina +36
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Study Endpoints
Primary Endpoints
First Occurrence of CV Death / MI / Stroke - Clopidogrel Treatment Regimen Comparison
30 days

The primary endpoint is the first occurrence of any of the following events: * Cardiovascular death (any death with a clear cardiovascular or unknown cause), * Myocardial Infarction (diagnosis of new Myocardial Infarction (MI) - nonfatal or fatal) * Stroke (presence of a new focal neurologic deficit thought to be vascular in origin, with signs or symptoms lasting more than 24 hours - nonfatal or fatal) reported between the randomization and Day 30 (inclusive), and validated by the blinded Event Adjudication Committee (EAC).

First Occurrence of CV Death / MI / Stroke - ASA Dose Comparison
30 days
First Occurrence of CV Death / MI / Stroke - Interaction Clopidogrel Treatment Regimen and ASA Dose Level
30 days
First Occurrence of CV Death / MI / Stroke - Clopidogrel Treatment Regimen Comparison in PCI Subgroup
30 days
Secondary Endpoints
Occurrence of Major Bleeding - Clopidogrel Dose Regimen Comparison
30 days
Occurrence of Major Bleeding - ASA Dose Level Comparison
30 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelFACTORIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Clopidogrel high dose treatment regimen + ASA high doseEXPERIMENTAL -
Clopidogrel high dose treatment regimen + ASA low doseEXPERIMENTAL -
Clopidogrel standard treatment regimen + ASA high doseACTIVE_COMPARATOR -
Clopidogrel standard treatment regimen + ASA low doseACTIVE_COMPARATOR -
Interventions
NameTypeDescription
ClopidogrelDRUGoral administration
acetylsalicyclic acid (ASA)DRUGoral administration
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Diagnosed with acute coronary disease with clinical symptoms and at least electrocardiogram changes or cardiac enzymes elevated Exclusion Criteria: * Use of anticoagulants within 10 days with an international normalized ratio (INR) \> 1.5 or planned use during the hospitalis...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaCroatiaCzechiaEstoniaFinlandFranceGermanyGreeceIndiaIrelandIsraelItalyLatviaLithuaniaMalaysiaMexicoNetherlandsPolandRomaniaRussiaSingaporeSlovakiaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTurkey (Türkiye)United Kingdom
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