Evaluating Clopidogrel Resistance in Patients Undergoing Carotid Stenting
Official title: MULTIcentric Study About RESistance to CLOpidogrel in Dual Antiplatelet Therapy for Carotid Stenting
Run by IRCCS Policlinico S. Donato · NCT05566301 · Data updated 2026-11-12
This study is testing whether switching to a different medication called Ticagrelor can help patients who don't respond well to Clopidogrel during carotid stenting procedures.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1140 (estimated) |
| Sponsor | IRCCS Policlinico S. Donato Academic / other |
| Locations | 1 site (San Donato Milanese, Milan) |
| Status | Recruiting |
| Started | September 2, 2021 |
| Main results expected | September 30, 2030 |
| Study ends | December 31, 2030 |
| Registry record updated | July 2, 2026 |
| Trial ID | NCT05566301 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 years old who are undergoing carotid stenting and have consented to participate in the study.
✕Probably not a fit
Patients who are underage, pregnant, or have carotid stenosis not suitable for stenting will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational multicentric study aims to assess the differences in outcomes between patients who respond to Clopidogrel and those who do not, specifically focusing on the use of Ticagrelor in non-responders undergoing carotid stenting. The study will collect clinical data, including patient demographics, cardiovascular risk factors, and laboratory results, to identify factors associated with Clopidogrel resistance. Patients will be followed up at multiple intervals post-procedure to monitor for major adverse cardiovascular events and bleeding complications. The goal is to improve understanding of antiplatelet therapy effectiveness in this patient population.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment strategies for patients with carotid stenosis, potentially reducing adverse cardiovascular events.
How similar studies have gone: While studies on antiplatelet therapy exist, this specific approach to evaluating Clopidogrel resistance in carotid stenting is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * adult patients (age\> 18 years) * patients who have given their consent to participate in the study, belonging to the U.O. of Vascular Surgery of the IRCCS Policlinico San Donato and the U.O. of Vascular Surgery of the participating centers and subjected to the treatment of carotid stenosis by stenting technique. Exclusion Criteria: * underage patients * patients who have not given their consent to participate in the study, * patients who have carotid stenosis not susceptible to intervention by stenting * pregnant or lactating women (such as situations in which carotid stenting is contraindicated regardless of the execution of the study).
Where it's running
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IRCCS Policlinico San Donato
San Donato Milanese, Milan, Italy Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.