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Bacteremia Due to Staphylococcus AureusPhase 2CLOPI-SNAPNCT07384702

Adjuvant Clopidogrel in Staphylococcus Aureus Bacteremia

A Phase 2 study testing Clopidogrel and No antiplatelet treatment in people with Bacteremia Due to Staphylococcus Aureus, run by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla at 20 sites in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The CLOPI-SNAP study is a randomized, multicenter, open-label clinical trial embedded within the SNAP (NCT 05137119) research platform. It constitutes a sub-study added to the core protocol for patients suffering Staphylococcus aureus bacteremia (SAB). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Bacteremia Due to Staphylococcus Aureus
What is being tested?
Clopidogrel and No antiplatelet treatment
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
230 participants
Where
20 sitesSpain
Study dates
Jun 2026to Jun 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • To be eligible, patients must meet the same criteria as those of the general SNAP platform, as well as the domain-specific criteria:
  • Microbiological isolation: Presence of Staphylococcus aureus complex in at least one blood culture.
  • Hospitalization status: The patient must be admitted to a participating hospital at the time of eligibility assessment.
  • Time window: Eligibility assessment must be completed within 72 hours after collection of the initial blood culture.

Who cannot join

  • General Medical and Safety Factors:
  • Allergies: Known hypersensitivity to thienopyridines (clopidogrel, prasugrel, ticlopidine).
  • Clinical status: Inability to tolerate or take oral medications, and severe hepatic impairment (Child-Pugh Class C).
  • Pregnancy: Pregnant or breastfeeding women.
  • High Risk of Bleeding or Hematologic Disorders:
  • Active or recent bleeding: Significant bleeding or invasive procedures within the previous 7 days.
Show all 12Show fewer
  • Planned surgeries: Requirement for major surgical intervention within 10 days following study enrollment.
  • Coagulation parameters: Platelet count <50,000/mm³ or known coagulation disorders.
  • Concomitant medications: Patients already receiving regular aspirin therapy, other P2Y12 inhibitors, or therapeutic-dose anticoagulants (prophylactic-dose heparin is permitted).
  • Specific Diagnoses and Clinical Criteria:
  • Endocarditis: Confirmed diagnosis or clinical suspicion of bacterial endocarditis. Sources indicate that exclusion of endocarditis is justified because the potential benefit of clopidogrel is expected during early phases of high bacterial burden, whereas bleeding risk increases with prolonged treatment or established deep-seated infections.
  • Medical judgment: If the treating clinical team determines that participation in this domain is not in the patient's best interest.

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Clara Rosso-Fernández, PhD contact

+34955012144

claram.rosso.sspa@juntadeandalucia.es

Silvia Jiménez-Jorge, PhD contact

+34955013114

silviajimenezjorge@gmail.com

20 sites in 1 country

Spain20 sites
  • Hospital General Universitario de Alicante

    Alicante

    Esperanza Merino de Lucas, D, +34966389146, merinoluc@gmail.com

  • H.U. Clinic

    Barcelona

    Alex Soriano Viladomiu, D, +34 932275708, asoriano@clinic.cat

  • H.U. Mutua Terrassa

    Barcelona

    Lucía Boix Palop, D, +34 936784872, lboix@mutuaterrassa.cat ; luciaboix@hotmail.com

  • Hospital del Mar

    Barcelona

    Maria M Montero, D, +34 932483251 ext. 3251, mmontero@psmar.cat

  • Hospital Universitario Bellvitge

    Barcelona

    Francesc Escrihuela-Vidal, D, +34932606948, fescrihuela@bellvitgehospital.cat

  • Hospital Universitario de la Santa Creu i Sant Pau

    Barcelona

    Sara Grillo, D, sarris.grillo@gmail.com

  • Hospital Universitario Vall d'Hebron

    Barcelona

    Nuria Fernández Hidalgo, D, +34 932746000 ext. 6090, nufernan@gmail.com

  • H.U. Reina Sofía

    Córdoba

    Isabel M Machuca Sánchez, D, +34 957 011 636, isabelm.machuca.sspa@juntadeandalucia.es

  • Hospital Universitario San Cecilio

    Granada

    Francisco Anguita Santos, D, +34 958992536, miparedro@gmail.com

  • H.U. Jerez de la Frontera

    Jerez de la Frontera

    Rubén Lobato Cano, D, +34 665 816 722, ruben.lobato27@gmail.com

  • Hospital Universitario La paz

    Madrid

    Beatriz Díaz Pollán, D, bdiazp@salud.madrid.org

  • Hospital Universitario La Princesa

    Madrid

    Carmen Sáez Béjar, D, +34 619515031, carmenmaria.saez@salud.madrid.org

  • Hospital Universitario Ramon y Cajal

    Madrid

    María D Corbacho, D, mariadolores.corbacho@salud.madrid.org

  • Hospital Universitario Son Espases

    Palma de Mallorca

    Luisa Martin Pena, D, marial.martin@ssib.es

  • Hospital Virgen Macarena

    Seville, 41008

    Esther Recacha Villamor, D, +34635927009, erecachavillamor@gmail.com

    Alicia Rodríguez Fernández, D, alicia.rodriguez.fernandez.sspa@juntadeandalucia.es

  • H.U. Virgen del Rocío

    Seville

    José Molina Gil-Bermejo, D, +34 671590280, josemolinagb@gmail.com

  • Hospital Universitario Virgen de Valme

    Seville

    Nicolás Merchante Gutiérrez, D, +34 95501734, nicolasmerchante@gmail.com

  • Hospital Universitario Marqués de Valdecilla

    Valdecilla

    Francisco Arnaiz de las Revillas Almajano, D, +34 942202520 ext. 73263, francisco.arnaizlasrevillas@scsalud.es

  • Hospital Universitario Álvaro Cunqueiro

    Vigo

    Nuria Val Domíguez, D, nuria.val.dominguez@gmail.com

  • Hospital Universitario Lozano Blesa

    Zaragoza

    Jose Ramón Paño Pardo, D, +34 630585111, joserrapa@gmail.com

Other trials in Spain

About this study

Official title: Phase 2 Platform Randomized, Multicentre and Open Trial on the Efficacy and Safety of Clopidogrel as Adjuvant Drug in Staphylococcus Aureus Bacteraemia (CLOPI-SNAP)

The CLOPI-SNAP study is a randomized, multicenter, open-label clinical trial embedded within the SNAP (NCT 05137119) research platform. It constitutes a sub-study added to the core protocol for patients suffering Staphylococcus aureus bacteremia (SAB).

Read the detailed description

The CLOPI-SNAP study evaluates whether the administration of clopidogrel as adjunctive therapy improves clinical outcomes while maintaining an acceptable safety profile in hospitalized patients with Staphylococcus aureus bacteremia (SAB).

To be eligible for the SNAP platform (NCT 05137119), patients must meet at least two criteria: isolation of the Staphylococcus aureus complex from ≥1 blood culture and admission to a participating hospital at the time of eligibility assessment. SNAP is designed to concurrently evaluate multiple therapeutic strategies. Patients are randomly assigned to different concurrent treatment options that are currently considered acceptable in routine clinical practice; thus, standard-of-care therapy consists of approved antibiotics for the treatment of Staphylococcus aureus infection.

Specifically, patients participating in CLOPI-SNAP-adult patients with SAB enrolled in the SNAP platform-are randomized in a 1:1 ratio to receive either oral clopidogrel for 5 days, administered as a 300-mg loading dose on Day 1 followed by 75 mg once daily on subsequent days, or no antiplatelet therapy. The primary endpoint is the Desirability of Outcome Ranking (DOOR) assessed at Day 90, a hierarchical composite outcome integrating survival, clinical failure, infectious complications, and the occurrence of serious adverse events. The limited 5-day duration of clopidogrel administration is intended to focus its potential therapeutic benefit on the early phase of infection, characterized by high bacterial burden and systemic inflammation, while minimizing the risk of bleeding associated with prolonged antiplatelet exposure.

Being tested
Clopidogrel, No antiplatelet treatment
Keywords
bacteriemia, Staphylococcus aureus, adjunctive treatment, Platform trial, Clopidogrel, Desirability of Outcome Ranking
Medical subject headings
Staphylococcal Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ClopidogrelDrug

    Also called antiplatelet arm

    Oral clopidogrel 75 mg pills; 300 mg from domain reveal (day 1 of treatment), followed by 75 mg daily until day 5 of treatment inclusive (4 additional calendar days)

  • No antiplatelet treatmentDrug

    Different concurrent antibiotic options currently approved for SAB

Study groups in NCT07384702
Study groupRoleWhat they receive
Oral clopidogrelExperimentalOral clopidogrel 75 mg pills; 300 mg from domain reveal (day 1 of treatment), followed by 75 mg daily until day 5 of treatment inclusive (4 additional calendar days) added to different concurrent antibiotic options currently approved for SAB
Receives: Drug: Clopidogrel
No antiplatelet treatmentOtherPatients receive different concurrent antibiotic options currently approved for SAB
Receives: Drug: No antiplatelet treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Desirability of Outcome Ranking (DOOR)

    Desirability of Outcome Ranking is an ordinal scale that classifies each patient's overall clinical outcome from 1 to 5, integrating survival, clinical response, and serious adverse events. DOOR 1 represents the most favorable outcome (alive with clinical cure or improvement and no serious adverse events); DOOR 2, clinical cure or improvement with serious adverse events; DOOR 3, alive with clinical failure and no serious adverse events; DOOR 4, clinical failure with serious adverse events; and DOOR 5, death, representing the least desirable outcome. Lower numerical values indicate more favorable overall clinical outcomes.

    Measured: At day 90 from day 0.

Secondary outcomes (4)
  1. Mortality

    Dead of any cause

    Measured: At day 14 and day 28 from day of assignment of study drug (day 0)

  2. Length of stay of inpatient hospitalisation

    Length of hospital stay in days from patient enrollment into the study to the time of hospital discharge or death

    Measured: At day 90 from day 0.

  3. Microbiological treatment failure

    Defined as a positive S. aureus culture from a sterile site (deep tissue or abscess).

    Measured: At day 14 and day 90 from day of assignment of study drug (day 0)

  4. New foci of infection

    Diagnosis of new infection foci, based on clinical, radiological, microbiological, or pathological findings.

    Measured: At day 14 and day 90 from day of assignment of study drug (day 0)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Feb 2026
  2. Study startJun 2026 (estimated)
  3. Primary completionJun 2030 (estimated)
  4. Study completionJun 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel Assignment Randomized 1:1 to receive either oral clopidogrel for 5 days-administered as a 300 mg loading dose on Day 1 followed by 75 mg once daily on subsequent days-or no antiplatelet therapy (antibiotic treatment according to SNAP assignment).
Masking
None (open label)
Enrolment
230 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07384702
Sponsor's protocol ID
CLOPI-SNAP
Other IDs
2023-503582-35-00, 2023
Acronym
CLOPI-SNAP
Status last verified
Feb 2026
First submitted
27 Jan 2026
Last updated
5 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The information will be made available upon completion of the study. During the study period and data preparation phase, the information will be under the custody and responsibility of the research team.

Publications

  • Campbell AJ, Anpalagan K, Best EJ, Britton PN, Gwee A, Hatcher J, Manley BJ, Marsh J, Webb RH, Davis JS, Mahar RK, McGlothlin A, McMullan B, Meyer M, Mora J, Murthy S, Nourse C, Papenburg J, Schwartz KL, Scheuerman O, Snelling T, Strunk T, Stark M, Voss L, Tong SYC, Bowen AC; Staphylococcus aureus Network Adaptive Platform Paediatric and Youth (SNAP-PY) working groupSNAP Global Trial Steering Committee. Whole-of-Life Inclusion in Bayesian Adaptive Platform Clinical Trials. JAMA Pediatr. 2024 Oct 1;178(10):1066-1071. doi: 10.1001/jamapediatrics.2024.2697.

    PubMed 39158898
  • Mahar RK, McGlothlin A, Dymock M, Barina L, Bonten M, Bowen A, Cheng MP, Daneman N, Goodman AL, Lee TC, Lewis RJ, Lumley T, McLean ARD, McQuilten Z, Mora J, Paterson DL, Price DJ, Roberts J, Snelling T, Tverring J, Webb SA, Yahav D, Davis JS, Tong SYC, Marsh JA; SNAP Global Trial Steering Committee. Statistical documentation for multi-disease, multi-domain platform trials: our experience with the Staphylococcus aureus Network Adaptive Platform trial. Trials. 2025 Feb 11;26(1):49. doi: 10.1186/s13063-024-08684-8.

    PubMed 39934879
  • Boyles T, Bowen AC, Chomba R, Nel J, Davis JS, Tong SYC. Inclusion of a low- and middle-income country site in the Staphylococcus aureus Network Adaptive Platform trial: experiences from Johannesburg. Clin Microbiol Infect. 2025 Dec;31(12):1948-1950. doi: 10.1016/j.cmi.2025.06.032. Epub 2025 Jul 4. No abstract available.

    PubMed 40618922
  • Walls G, McGrath L, Herdman MT, Campbell AJ, Cheng MP, Marks M, Ten Oever J, Sahng E, Yahav D, Tong SYC, Goodman AL, Lim AG, Bloomfield M; Staphylococcus aureus Network Adaptive Platform Early Oral Switch Domain Specific Working Group. Patient-reported Perceptions, Experiences, and Preferences Around Intravenous and Oral Antibiotics for the Treatment of Staphylococcus aureus Bacteremia: A Descriptive Qualitative Study. Clin Infect Dis. 2026 Apr 30;82(4):e635-e642. doi: 10.1093/cid/ciaf522.

    PubMed 40988120
  • de Kretser D, Mora J, Bloomfield M, Campbell A, Cheng MP, Guy S, Hensgens M, Kalimuddin S, Lee TC, Legg A, Mahar RK, Marks M, Marsh J, McGlothin A, Morpeth SC, Sud A, Ten Oever J, Yahav D, Bonten M, Bowen AC, Daneman N, van Hal SJ, Heriot GS, Lewis RJ, Lye DC, McQuilten Z, Paterson DL, Owen Robinson J, Roberts JA, Scarborough M, Webb SA, Whiteway L, Tong SYC, Davis JS, Walls G, Goodman AL; SNAP Early Oral Switch Domain-Specific Working Group and SNAP Global Trial Steering Committee; SNAP Trial Group. Early Oral Antibiotic Switch in Staphylococcus aureus Bacteraemia: The Staphylococcus aureus Network Adaptive Platform (SNAP) Trial Early Oral Switch Protocol. Clin Infect Dis. 2024 Oct 15;79(4):871-887. doi: 10.1093/cid/ciad666.

    PubMed 37921609

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Clopidogrel and No antiplatelet treatment in people with Bacteremia Due to Staphylococcus Aureus, run by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla at 20 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 5 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Clara Rosso-Fernández, PhD (+34955012144, claram.rosso.sspa@juntadeandalucia.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Desirability of Outcome Ranking (DOOR) (time frame: At day 90 from day 0.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07384702, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2026.

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