Study design and rationale of 'Influence of Cilostazol-based triple anti-platelet therapy on ischemic complication after drug-eluting stent implantation (CILON-T)' study: A multicenter randomized trial evaluating the efficacy of Cilostazol on ischemic vascular complications after drug-eluting stent implantation for coronary heart disease.
Abstract | BACKGROUND: METHODS/DESIGN: CILON-T trial was a prospective, randomized, open-label, multi-center, near-all-comer trial to demonstrate the superiority of triple anti-platelet therapy to dual anti-platelet therapy in reducing 6 months' major adverse cardiovascular/cerebrovascular events, composite of cardiac death, nonfatal myocardial infarction, target lesion revascularization and ischemic stroke. It also tested whether triple anti-platelet therapy is superior to dual anti-platelet therapy in inhibiting platelet reactivity in patients receiving percutaneous coronary intervention with drug-eluting stent. Total 960 patients were randomized to receive either dual anti-platelet therapy or triple anti-platelet therapy for 6 months and also, randomly stratified to either lipophilic statin ( atorvastatin) or non-lipophilic statin ( rosuvastatin) indefinitely. Secondary endpoints included all components of major adverse cardiovascular/cerebrovascular events, platelet reactivity as assessed by VerifyNow P2Y12 assay, effect of statin on major adverse cardiovascular/cerebrovascular events, bleeding complications, and albumin-to- creatinine ratio to test the nephroprotective effect of cilostazol. Major adverse cardiovascular/cerebrovascular events will also be checked at 1, 2, and 3 years to test the 'legacy' effect of triple anti-platelet therapy that was prescribed for only 6 months after percutaneous coronary intervention. DISCUSSION: TRIAL REGISTRATION: National Institutes of Health Clinical Trials Registry (ClinicalTrials.gov identifier# NCT00776828).
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Authors | Seung-Pyo Lee, Jung-Won Suh, Kyung Woo Park, Hae-Young Lee, Hyun-Jae Kang, Bon-Kwon Koo, In-Ho Chae, Dong-Ju Choi, Seung-Woon Rha, Jang-Whan Bae, Myeong-Chan Cho, Taek-Geun Kwon, Jang-Ho Bae, Hyo-Soo Kim, CILON-T investigators |
Journal | Trials
(Trials)
Vol. 11
Pg. 87
(Aug 24 2010)
ISSN: 1745-6215 [Electronic] England |
PMID | 20735821
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Platelet Aggregation Inhibitors
- Tetrazoles
- Clopidogrel
- Cilostazol
- Ticlopidine
- Aspirin
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Topics |
- Angioplasty, Balloon, Coronary
(adverse effects, instrumentation, mortality)
- Aspirin
(therapeutic use)
- Brain Ischemia
(etiology, mortality, prevention & control)
- Cilostazol
- Clinical Protocols
- Clopidogrel
- Drug Interactions
- Drug Therapy, Combination
- Drug-Eluting Stents
- Humans
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Myocardial Infarction
(etiology, prevention & control)
- Myocardial Ischemia
(etiology, mortality, prevention & control)
- Platelet Aggregation Inhibitors
(adverse effects, therapeutic use)
- Prospective Studies
- Prosthesis Design
- Republic of Korea
- Research Design
- Stroke
(etiology, prevention & control)
- Tetrazoles
(adverse effects, therapeutic use)
- Ticlopidine
(analogs & derivatives, therapeutic use)
- Time Factors
- Treatment Outcome
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