The Accuracy Of A Novel Platelet Activity Assay In Humans On Antiplatelet Agents: Pharmacodynamics And Comparison With Light Transmission Aggregometry

Study Overview
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Brief Summary
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The purpose of this study is to test a novel diagnostic immunoassay of platelet function and compare it to the current gold standard platelet function assay by testing the response to aspirin and clopidogrel in a group of healthy volunteers and severely obese individuals and comparing the accuracy of the two tests. The secondary goals will be to evaluate the pharmacodynamic parameters of the antiplatelet agents across the two testing modalities and refine the cutoffs used for the novel assay.

Official Title
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The Accuracy Of A Novel Platelet Activity Assay In Humans On Antiplatelet Agents: Pharmacodynamics And Comparison With Light Transmission Aggregometry

Conditions
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Platelet Activation Testing Before/After Anti-platelet Therapy, Healthy

Intervention / Treatment
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* Drug: Aspirin
* Drug: Clopidogrel


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject is ≥18 years of age Subject is willing to participate and provide informed consent Subject is considered reliable and capable of adhering to the protocol per the judgment of the Investigator Groups A, B and C: BMI < 30 kg/m2; Groups D and E: BMI ≥ 35 kg/m2 Subjects must be age ≥ 18 years old Serum Creatinine < 1.5 mg/dL Platelet count ≥ 150 K/uL Hematocrit ≥ 38% Exclusion Criteria: Pregnant. If female of child-bearing age, negative urinary pregnancy test required at time of enrollment. Women of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant she should inform her treating physician immediately. Established diagnosis of cirrhosis or active cancer History of allergy to aspirin or clopidogrel Any history of taking aspirin, antiplatelet drugs, NSAIDS, cyclooxygenase (COX)-2 inhibitors, warfarin, low-molecular weight heparin, thrombolytic agents, or other anticoagulants (such as direct thrombin inhibitors or factor X inhibitors) within 2 weeks prior to enrollment. (Refer to appendix) Use of certain antibiotics, cardiovascular drugs, lipid-lowering agents, antidepressants, antihistamines, non-prescription drugs, and supplements within the past 2 weeks. (Refer to appendix) Any major illness requiring hospitalization or surgery in the previous six months. Personal history of gastrointestinal bleed in the last 24 months or diagnosis of peptic ulcer disease in the last 12 months Lifetime personal history of hemorrhagic stroke. Personal or family history of bleeding diatheses, including hemophilias, von Willebrand's disease, Bernard-Soulier syndrome, or Glanzmann thrombasthenia (unless otherwise confirmed not present in study subject)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A: Healthy<br>Low Dose Aspirin - 81mg daily for 7 days | Drug: Aspirin<br>* Low dose aspirin in Arms A and D and High Dose Aspirin in Arm B<br>|
| Experimental: Group B: Healthy<br>High Dose Aspirin - 325mg daily for 7 days | Drug: Aspirin<br>* Low dose aspirin in Arms A and D and High Dose Aspirin in Arm B<br>|
| Experimental: Group C: Healthy<br>Clopidogrel 300mg on Day 1 and 75mg daily for 6 subsequent days | Drug: Clopidogrel<br>* Arms C and E<br>|
| Experimental: Group D: Obese<br>Low Dose Aspirin - 81mg daily for 7 days | Drug: Aspirin<br>* Low dose aspirin in Arms A and D and High Dose Aspirin in Arm B<br>|
| Experimental: Group E: Obese<br>Clopidogrel 300mg on Day 1 and 75mg daily for 6 subsequent days | Drug: Clopidogrel<br>* Arms C and E<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison at day 5 of pDrp1 Assay relative to Light Transmission Aggregometry | Sensitivity of pDrp1 assay for platelet inhibition at day 5 | 5 days |