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Clinical Trials List

Protocol NumberD513BC00001
NCT Number(ClinicalTrials.gov Identfier)NCT01991795

2014-02-01 - 2019-01-25

Phase III

Recruiting1

Terminated24

ICD-10E11.9

Type 2 diabetes mellitus without complications

ICD-10E13.9

Other specified diabetes mellitus without complications

ICD-9250.00

Diabetes mellitus without mention of complication, Type II [non-insulin dependent type][NIDDM type] [ adult-onset type] or unspecified type, not stated as uncontrolled

A Multinational, Randomised, Double-Blind, Placebo-Controlled Trial to Evaluate the Effect of Ticagrelor Twice Daily on the Incidence of Cardiovascular Death, Myocardial Infarction or Stroke in Patients With Type 2 Diabetes Mellitus (THEMIS - Effect of Ticagrelor on Health Outcomes in Diabetes Mellitus Patients Intervention Study).

  • Trial Applicant

  • Sponsor

    AstraZeneca AB

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator I-Chang Hsieh Division of Cardiovascular Diseases

Co-Principal Investigator

  • 謝明哲 Division of Cardiovascular Diseases
  • 陳東藝 Division of Cardiovascular Diseases
  • 陳俊吉 Division of Cardiovascular Diseases
  • 楊嘉浤 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 方志元 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 方修御 Division of Cardiovascular Diseases
  • 劉文浩 Division of Cardiovascular Diseases
  • 陳建仁 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chern-En Chiang 心藥臨床試驗中心

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 許惠恒 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 翁國昌 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 夏建勳 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 黃宏凱 Division of Cardiovascular Diseases
  • 楊淵博 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Zhih-Cherng Chen Division of Cardiovascular Diseases

Co-Principal Investigator

  • 吳文憲 Division of Cardiovascular Diseases
  • 張瑋婷 Division of Cardiovascular Diseases
  • 黃崔源 Division of Cardiovascular Diseases
  • 周銘霆 Division of Cardiovascular Diseases
  • 施志遠 Division of Cardiovascular Diseases
  • 蔣俊彥 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator WEN-TER Lai Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 曾維功 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 許寬立 Division of Cardiovascular Diseases
  • 梁懷文 Division of Cardiovascular Diseases
  • 李統立 Division of Cardiovascular Diseases
  • 施振祥 Division of Cardiovascular Diseases
  • 宣錦峰 Division of Cardiovascular Diseases
  • 蔡幸珊 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Yen-Wen Wu Division of Cardiovascular Diseases

Co-Principal Investigator

  • 邱昱偉 Division of Cardiovascular Diseases
  • 杜宗明 Division of Cardiovascular Diseases
  • 黃姍惠 Division of Cardiovascular Diseases
  • 許榮城 Division of Cardiovascular Diseases
  • 陳運淇 Division of Cardiovascular Diseases
  • 張藝耀 Division of Cardiovascular Diseases
  • 劉芫宏 Division of Cardiovascular Diseases
  • 莊文博 Division of Cardiovascular Diseases
  • 林恆旭 Division of Cardiovascular Diseases
  • 廖本智 Division of Cardiovascular Diseases
  • 林俊忠 Division of Cardiovascular Diseases
  • 柯欣榮 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 王志鴻 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 張懷仁 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 徐國基 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Kuan-Cheng Chang Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 吳志成 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 林麟 Division of Cardiovascular Diseases
  • 謝慕揚 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 馬光遠 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 黃鴻儒 Division of Cardiovascular Diseases
  • 鄭錦昌 Division of Cardiovascular Diseases
  • 賴奇正 Division of Cardiovascular Diseases
  • 王玟樺 Division of Cardiovascular Diseases
  • 蕭相江 Division of Cardiovascular Diseases
  • 郭風裕 Division of Cardiovascular Diseases
  • 黃偉春 Division of Cardiovascular Diseases
  • 江承鴻 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Hung-I Yeh Division of Cardiovascular Diseases

Co-Principal Investigator

  • 洪大川 Division of Cardiovascular Diseases
  • 劉俊傑 Division of Cardiovascular Diseases
  • 簡禎彥 Division of Cardiovascular Diseases
  • 蘇正煌 Division of Cardiovascular Diseases
  • 李應湘 Division of Cardiovascular Diseases
  • 吳懿哲 Division of Cardiovascular Diseases
  • 李俊偉 Division of Cardiovascular Diseases
  • 郭任遠 Division of Cardiovascular Diseases
  • 陳俊延 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Yi-Chih Wang Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Shih-Hung Chan Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 侯嘉殷 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 藍偉仁 Division of Cardiovascular Diseases
  • 顏志軒 Division of Cardiovascular Diseases
  • 吳懿哲 Division of Cardiovascular Diseases
  • 蔡政廷 Division of Cardiovascular Diseases
  • 劉俊傑 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 李木壤 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 葉東峰 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator

Co-Principal Investigator

  • 張容容 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 劉銘恩 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 原博榮 Division of Cardiovascular Diseases
  • 楊翔惟 Division of Cardiovascular Diseases
  • 劉俞旻 Division of Cardiovascular Diseases
  • 林柏霖 Division of Cardiovascular Diseases
  • 吳敘平 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 范思善 Division of Cardiovascular Surgery

Co-Principal Investigator

  • 郝繼隆 Division of Cardiovascular Diseases
  • 張雲德 Division of Cardiovascular Diseases
  • 吳榮州 Division of Cardiovascular Diseases
  • 吳忠鴻 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 李聰明 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Type 2 Diabetes Mellitus

Objectives

The purpose of this study is to compare the effect of ticagrelor versus placebo in patients with Type 2 Diabetes Mellitus.

Test Drug

BRILINTA

Active Ingredient

Ticagrelor

Dosage Form

film-coated tablet

Dosage

90

Endpoints

Primary Outcome Measures :
Composite of Cardiovascular (CV) Death, MI or Stroke [ Time Frame: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months. ]
Participants with Cardiovascular (CV) death, myocardial infarction (MI) or stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date.

Secondary Outcome Measures :
CV Death [ Time Frame: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months. ]
Participants with Cardiovascular (CV) death. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and non-CV death date.

MI [ Time Frame: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months. ]
Participants with myocardial infarction. If no event, censoring occurs at the earliest of primary analysis censoring date (PACD), last endpoint assessment date and death date

Ischaemic Stroke [ Time Frame: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months. ]
Participants with ischaemic stroke. If no event, censoring occurs at the earliest of PACD, last endpoint assessment date and death date.

All-cause Death [ Time Frame: From randomisation to primary analysis censoring date (PACD). Median time in study until PACD was 40 months. ]
Participants with all-cause death. If no event, censoring occurs at the earliest of PACD and last endpoint assessment date. Includes deaths based on publically available vital status data in patients who have withdrawn consent.

Other Outcome Measures:
TIMI Major Bleeding Event (Primary Safety Objective) [ Time Frame: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months. ]
Participants with TIMI major bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication

TIMI Major or Minor Bleeding Event [ Time Frame: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months. ]
Participants with TIMI major or minor bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication

PLATO Major Bleeding Event [ Time Frame: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months. ]
Participants with PLATO major bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and 7 days following the date of last dose of study medication

Permanent Discontinuation of Study Medication Due to Any Bleeding Event [ Time Frame: From randomisation to 7 days following the date of last dose of study medication. Maximum duration of exposure was 59 months. ]
Participants with permanent discontinuation of study medication due to any bleeding event. If no event, censoring occurs at the earliest of last endpoint assessment date, death date and the date of last dose of study medication

Inclution Criteria

Inclusion Criteria:

Men or women ≥50 years of age with type 2 diabetes mellitus on treatment with a glucose lowering medication since at least 6 months, and either documented coronary artery occlusive disease or previous revascularization of a coronary artery.

Exclusion Criteria

Key Exclusion Criteria:

History of myocardial infarction or any stroke; planned treatment with agents inhibiting blood clotting; planned use of ASA/Aspirin at doses above 150 mg daily; planned coronary, cerebrovascular, or peripheral arterial revascularization; patients with known bleeding disorders and patients who need chronic oral anticoagulant therapy or chronic low-molecular-weight heparin; history of intracranial bleeding at any time, or a history of bleeding from the gastrointestinal tract within the last 6 months or a major surgery within the last 30 days; patients with known severe liver disease or with kidney failure requiring dialysis

The Estimated Number of Participants

  • Taiwan

    806 participants

  • Global

    19000 participants