Optimal antiPlatelet Therapy for High Bleeding and Ischemic RISK Patients Trial
NCT03431142 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 7758
Last updated 2025-08-21
Summary
Current guidelines recommend that patients with ACS undergoing stent implantation might be offered extended DAPT treatment for up to 30 months if necessary.
Therefore, we designed a prospective, multicenter, randomized, placebo-controlled trial among ACS patients with high-risk on ischemic and bleeding who received a new generation of DES and received 9 to 12 months of DAPT, and evaluated whether clopidogrel monotherapy reduce the risk of bleeding compared with clopidogrel plus ASA in the following 9 months and achieved non-inferior outcomes in preventing ischemic risk.
Conditions
- Prolonged DAPT in ACS Patients With Hisk of Both Ischemic and Hemorrhage
Interventions
- DRUG
-
Clopidogrel
Additional 9 months of clopidogrel monotherapy after 9-12 months of DAPT (aspirin+clopidogrel)
- DRUG
-
Clopidogrel+aspirin
Additional 9 months of clopidogrel plus aspirin after 9-12 months of DAPT (aspirin+clopidogrel)
Sponsors & Collaborators
-
Shenyang Northern Hospital
lead OTHER
Principal Investigators
-
Yaling Han, MD · The General Hospital of Northern Theater Command
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-12
- Primary Completion
- 2020-12-30
- Completion
- 2020-12-30
Countries
- China
Study Locations
More Related Trials
-
Association of Clopidogrel Therapy and Stent Thrombosis
NCT00484926 ·Status: COMPLETED ·Phase: PHASE4
-
Clopidogrel Optimal Loading Dose Usage to Reduce Recurrent EveNTs/Optimal Antiplatelet Strategy for InterventionS
NCT00335452 ·Status: COMPLETED ·Phase: PHASE3
-
Clopidogrel Response Evaluation and AnTi-Platelet InterVEntion in High Thrombotic Risk PCI Patients
NCT01779401 ·Status: COMPLETED ·Phase: NA
-
Short-Term Dual Antiplatelet and Maintenance CloPidogrel Therapy After Drug-Eluting Stent Implantation
NCT02494284 ·Status: TERMINATED ·Phase: PHASE4
-
Patients Undergoing Percutaneous Coronary Intervention (PCI) Through Optimal Platelet Inhibition
NCT01582217 ·Status: COMPLETED
-
A Comparison of Ticagrelor (AZD6140) and Clopidogrel in Patients With Acute Coronary Syndrome
NCT00391872 ·Status: COMPLETED ·Phase: PHASE3
-
Clopidogrel Versus Aspirin MOnotherapy After 1- to 3-month of Dual-antiplatelet thErapy Following Zotarolimus-eluting Onyx Stents Implantation; C-MODE Trial
NCT05320926 ·Status: RECRUITING ·Phase: NA
-
Comparison of 1 Month vs. 12 Months DAPT in Patients Undergoing PCI With Genoss® DES
NCT05770674 ·Status: RECRUITING ·Phase: NA
-
Trial to Assess the Efficacy of Combination Formula of Aspirin Plus Clopidogrel in Patients With Coronary Stent
NCT02410083 ·Status: COMPLETED ·Phase: PHASE4
-
Duration of Clopidogrel Therapy After Drug-Eluting Stent (DES-LATE)
NCT01186146 ·Status: COMPLETED ·Phase: PHASE4
-
Studying the Efficacy of Aspirin & Clopidogrel in Healthy Subjects With Stable Coronary Artery Disease.
NCT01011257 ·Status: WITHDRAWN ·Phase: PHASE4
-
Antiplatelet Strategy for Peripheral Arterial Interventions for Revascularization of Lower Extremities
NCT02217501 ·Status: COMPLETED ·Phase: PHASE3
-
Harmonizing Optimal Strategy for Treatment of Coronary Artery Stenosis- EXtended Antiplatelet Monotherapy (HOST-EXAM)
NCT02044250 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy of Six Months Dual Antiplatelet Therapy After Drug-Eluting Stenting
NCT00661206 ·Status: UNKNOWN ·Phase: PHASE4
-
Clopidogrel as Adjunctive Reperfusion Therapy - Thrombolysis in Myocardial Infarction
NCT00714961 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Atorvastatin Versus Pravastatin on Platelet Inhibition by Clopidogrel
NCT00405717 ·Status: COMPLETED ·Phase: PHASE4
-
Highest Efficacy of Dual Antiplatelet Therapy After Carotid Artery Stenting in High Bleeding Risk Patients
NCT06276374 ·Status: RECRUITING ·Phase: NA
-
Clopidogrel and Aspirin Interaction Study-2
NCT01341964 ·Status: COMPLETED ·Phase: PHASE4
-
Safety Study of APD-791 With Aspirin and/or Clopidogrel
NCT02034292 ·Status: TERMINATED ·Phase: PHASE1
-
Atorvastatin and Clopidogrel HIgh DOse in Stable Patients With Residual High Platelet Activity
NCT01335048 ·Status: COMPLETED ·Phase: PHASE4
-
Therapy With High Clopidogrel Dose or Prasugrel Standard Dose Reduces the Platelet Reactivity in Patients With Genotype Variation RESET GENE Trial
NCT01465828 ·Status: COMPLETED ·Phase: PHASE3
-
Platelet Function Assessment for Atherothrombotic Patients
NCT00513149 ·Status: UNKNOWN ·Phase: PHASE4
-
Monitoring Antiplatelet Drugs in Cardiac Arrest Patients
NCT05730114 ·Status: UNKNOWN
-
Pharmacokinetics & Safety Study of Clopidogrel 75mg and Aspirin 100mg Coadministration
NCT01526122 ·Status: COMPLETED ·Phase: PHASE1
-
Platelet-dependent Thrombosis: a Placebo-controlled Trial of Antiplatelet Therapy (Clopidogrel)
NCT00728156 ·Status: COMPLETED ·Phase: PHASE4