VerifyNow to Optimise Platelet Inhibition in Coronary Acute Syndrome (VERONICA)

2024-512436-29-00 Protocol EPIC17 Phase III and Phase IV (Integrated) Authorised, recruiting

Start 27 Mar 2026 · Status Authorised, recruiting · 1 EU/EEA countries · 21 sites · Protocol EPIC17

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruiting
Participants planned 634
Countries 1
Sites 21

CARDIOVASCULAR DISEASES

To find out if the de-escalation from the more powerful antiplatelet agents prasugrel and ticagrelor to clopidogrel, guided by the VerifyNow® platelet aggregation measurement device, has a beneficial effect in the treatment of ACS.

Key facts

Sponsor
Fundacion Epic
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14], Not possible to specify
Trial duration
27 Mar 2026 → ongoing
Decision date (initial)
2024-04-03
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
FUNDACION EPIC

External identifiers

EU CT number
2024-512436-29-00
EudraCT number
2020-005645-16

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy, Safety

To find out if the de-escalation from the more powerful antiplatelet agents prasugrel and ticagrelor to clopidogrel, guided by the VerifyNow® platelet aggregation measurement device, has a beneficial effect in the treatment of ACS.

Secondary objectives 1

  1. Occurrence of events of ischemic origin: Cardiovascular death. Death from any cause. Non-fatal AMI. ACV. Definitive stent thrombosis. Need for unscheduled revascularization at one year.

Conditions and MedDRA coding

CARDIOVASCULAR DISEASES

VersionLevelCodeTermSystem organ class
20.0 PT 10051592 Acute coronary syndrome 100000004849

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients with age 18 years or above; Patient is able to understand the nature of study and has provided written informed consent; Patients with Acute Coronary Syndrome and who underwent PCI during the admission with absorbable polymer stent who have been discharged on double antiplatelet therapy with Acetylsalicylic Acid and Ticagrelor or Prasugrel

Exclusion criteria 1

  1. Patients with history of intracranial bleeding; Patients with contraindication for the use of Acetylsalicylic Acid or Clopidogrel or Ticagrelor or Prasugrel; Patients with major ischemic or hemorrhagic events during the first month; Patients with Thrombocytopenia <50,000 /μL; Patients with permanent oral anticoagulation; Patient is pregnant or breast feeding;Patients with impossibility to complete 1 year of follow-up; Patient´s life-expectancy is less than 24 months

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence of Net Adverse Cardiac Events (NACE). Net Adverse Cardiac Events, defined as a composite of: death from vascular causes (death from cardiovascular causes or cerebrovascular causes and any death without another known cause), non fatal MI, or non fatal stroke, Bleeding BARC type ≥ 2. At 12 months

Secondary endpoints 1

  1. Incidence of Death (Cardiovascular) at 12 months; Incidence of Death at 12 months; Incidence of Non fatal Myocardial Infarction (MI) at 12 months; Incidence of Stroke at 12 months; Incidence of Thrombosis in target lesion, at 12 months; Incidence of revascularization on target lesion at 12 months; Incidence of (BARC criteria ≥ 2) at 12 months

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Plavix 75 mg film-coated tablets

PRD2912264 · Product

Active substance
Clopidogrel
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
75 mg milligram(s)
Max total dose
75 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
B01AC04 — CLOPIDOGREL
Marketing authorisation
EU/1/98/069/001
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 2

Efient 10 mg film-coated tablets.

PRD9985310 · Product

Active substance
Prasugrel
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
10 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
B01AC22 — -
Marketing authorisation
EU/1/08/503/014
MA holder
SUBSTIPHARM
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Brilique 90 mg film-coated tablets

PRD3534050 · Product

Active substance
Ticagrelor
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
180 mg milligram(s)
Max total dose
180 mg/g milligram(s)/gram
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
B01AC24 — -
Marketing authorisation
EU/1/10/655/002
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Epic

3 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
Fundacion Epic
Address
Avenida Condesa Sagasta 10 1c
City
Leon
Postcode
24001
Country
Spain

Scientific contact point

Organisation
Fundacion Epic
Contact name
ARMANDO PEREZ DE PRADO

Public contact point

Organisation
Fundacion Epic
Contact name
ARMANDO PEREZ DE PRADO

Locations

1 EU/EEA country · 21 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruiting 634 21
Rest of world 0

Investigational sites

Spain

21 sites · Authorised, recruiting
Hospital Unviersitario Miguel Servet
CARDIOLOGY, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Hospital De Galdakao Usansolo
CARDIOLOGY, Leku Barrio Labeaga 46 A, 48960, Galdakao
Hospital Del Mar
CARDIOLOGY, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital Universitario De Cabuenes
CARDIOLOGY, Calle Prados 395, Cabuenes, Gijon
Hospital Universitario Regional De Malaga
CARDIOLOGY, Avenida De Carlos De Haya Sn, 29010, Malaga
Hospital Universitari Vall D Hebron
IRURUETA, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Universitario Lucus Augusti
CARDIOLOGY, Rua Dr. Ulises Romero 1, 27003, Lugo
Hospital Clinico Universitario De Valladolid
CARDIOLOGY, Avenida Ramon Y Cajal 3, 47003, Valladolid
Hospital Universitario Juan Ramon Jimenez
CARDIOLOGY, Ronda Exterior Norte S/n, 21005, Huelva
Area De Salud De Leon Y El Bierzo
CARDIOLOGY, Calle Altos De Nava S/N, 24008, Leon
Hospital Universitario La Paz
CARDIOLOGY, Paseo De La Castellana 261, 28046, Madrid
Hospital Universitario De Salamanca
CARDIOLOGY, Paseo De San Vicente 58-182, 37007, Salamanca
University Clinical Hospital Virgen De La Arrixaca
CARDIOLOGY, Carretera De Cartagena Sn, El Palmar, Murcia
Hospital General Universitario De Ciudad Real
CARDIOLOGY, Calle Del Obispo Rafael Torija S/n, 13005, Ciudad Real
Hospital Universitario Marques De Valdecilla
CARDIOLOGY, Avenida Valdecilla Sn, 39008, Santander
Hospital San Pedro De Alcantara
CARDIOLOGY, Avenida De Pablo Naranjo Porras S/n, 10002, Caceres
Bellvitge University Hospital
CARDIOLOGY, Carrer De La Feixa Llarga S/n, 08907, L'hospitalet De Llobregat
Complexo Hospitalario Universitario De Santiago
CARDIOLOGY, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Clinico Universitario Lozano Blesa
CARDIOLOGY, Avenida De San Juan Bosco 15, 50009, Zaragoza
Hospital General Universitario De Albacete
CARDIOLOGY, Calle Hermanos Falco 37, 02006, Albacete
Hospital Universitario Virgen De Las Nieves
CARDIOLOGY, Avenida De Las Fuerzas Armadas 2, 18014, Granada

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2026-03-27

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-03-17 Spain Acceptable
2024-04-03
2024-04-03