Safety and Efficacy of Very Short DAPT in Older Patients Undergoing PCI
NCT07164859 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1700
Last updated 2025-10-01
Summary
The goal of this clinical trial is to learn if reducing the duration of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (short treatment regimen, stopping aspirin at day 7) is as safe and efficient as the standard DAPT duration (standard treatment regimen) in elderly patients ≥ 65 years.
The main questions it aims to answer are:
Does the reduction of the duration of DAPT reduces rates of bleeding without increasing the risk of cardiovascular events? Researchers will compare a short treatment by DAPT (7 days, followed by single antiplatelet therapy) to a standard treatment duration by DAPT (3 to 12 months) after successful percutaneous coronary intervention with ≥ 1 drug-eluting stent.
Participants will:
* Take aspirin for 7 days in one group or 3 to 12 months in another group
* Be contacted by phone at 7 days, 14 days, 21 days, 30 days, 3 months, 6 months and 12 months after hospital discharge
* Keep a diary of any bleeding or cardiovascular events occurring during the study period
Conditions
- Coronary Artery Disease (CAD)
- Percutaneous Coronary Intervention (PCI)
- Antiplatelet Therapy
- Elderly (People Aged 65 or More)
Interventions
- DRUG
-
short dual antiplatelet therapy (DAPT) duration
patients will receive DAPT for 7 days (after randomization) followed by P2Y12 inhibitor alone
- DRUG
-
Standard DAPT duration
patients will receive DAPT for at least 3 months after randomization or longer and followed by single antiplatelet therapy
Sponsors & Collaborators
-
Vincent ROULE
lead OTHER
Principal Investigators
-
Vincent ROULE, MD, PhD · University Hospital, Caen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-31
- Primary Completion
- 2029-10-31
- Completion
- 2029-10-31
Countries
- France
Study Locations
More Related Trials
-
Platelet Reactivity After TAVI: A Multicenter Pilot Study
NCT02224066 ·Status: COMPLETED ·Phase: PHASE4
-
Management of High Bleeding Risk Patients Post Bioresorbable Polymer Coated Stent Implantation With an Abbreviated Versus Prolonged DAPT Regimen
NCT03023020 ·Status: COMPLETED ·Phase: NA
-
Algorithm-based Tailoring of Dual Antiplatelet Therapy to Improve Outcomes Following Percutaneous Coronary Interventions
NCT05732701 ·Status: RECRUITING ·Phase: NA
-
What is the Optimal Antithrombotic Strategy in Patients With Atrial Fibrillation Undergoing PCI?
NCT04436978 ·Status: RECRUITING ·Phase: PHASE4
-
Platelet-Inhibitor Drug Trial in Coronary Angioplasty
NCT00000510 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Short Versus 12 Months Prasugrel Plus Aspirin in Patients with Acute Coronary Syndromes Treated with Percutaneous Coronary Intervention and Everolimus-eluting Stents
NCT06718179 ·Status: RECRUITING ·Phase: PHASE4
-
Aspirin Versus Aspirin + ClopidogRel Following Transcatheter Aortic Valve Implantation: the ARTE Trial
NCT01559298 ·Status: COMPLETED ·Phase: PHASE4
-
Optimal Duration of Dual Antiplatelet Therapy After Drug-eluting Stent Implantation
NCT00822536 ·Status: COMPLETED ·Phase: PHASE4
-
Assessment of Quitting Versus Using Aspirin Therapy In Patients Treated With Oral Anticoagulation for Atrial Fibrillation or Other Indication With Stabilized Coronary Artery Disease
NCT04217447 ·Status: TERMINATED ·Phase: PHASE3
-
The Dual Antiplatelet Therapy Study (DAPT Study)
NCT00977938 ·Status: COMPLETED ·Phase: PHASE4
-
Short Versus Long Antiplatelet Therapy After TAVI
NCT06518317 ·Status: RECRUITING ·Phase: PHASE3
-
Non-antithrombotic Therapy After Transcatheter Aortic Valve Implantation Trial
NCT06007222 ·Status: RECRUITING ·Phase: PHASE4
-
Less Bleeding by Omitting Aspirin in Non-ST-segment Elevation Acute Coronary Syndrome Patients
NCT05125276 ·Status: UNKNOWN ·Phase: PHASE4
-
Platelet Drug Trial in Coronary Disease Progression
NCT00000496 ·Status: COMPLETED ·Phase: PHASE3
-
Aspirin vs Clopidogrel After TAVR
NCT05493657 ·Status: RECRUITING ·Phase: NA
-
A Novel Strategy For Personalized Long-Term Dual Antiplatelet Therapy (RAPID EXTEND PILOT STUDY)
NCT03224923 ·Status: TERMINATED ·Phase: PHASE4
-
Platelet Sub-study of the TWILIGHT Trial
NCT04001374 ·Status: COMPLETED
-
Platelet Inhibition With Ticagrelor 60 mg Versus Ticagrelor 90 mg in Elderly Patients With ACS
NCT04739384 ·Status: COMPLETED ·Phase: PHASE3
-
Personalization of Long-Term Antiplatelet Therapy - RAPID EXTEND
NCT03729401 ·Status: TERMINATED ·Phase: PHASE4
-
Registry of the Combination of Antiplatelet Agents and Anticoagulant in Atrial Fibrillation Patients With a CHA2DS2VASc Score >1 Undergoing Percutaneous Coronary Interventions
NCT03012906 ·Status: UNKNOWN
-
Aspirin and a PoTent P2Y12 Inhibitor Versus Aspirin and Clopidogrel in Patients Undergoing PCI for Complex Lesion
NCT04014803 ·Status: RECRUITING ·Phase: PHASE4
-
Anticoagulation Alone Versus Anticoagulation and Aspirin Following Transcatheter Aortic Valve Interventions (1:1)
NCT02735902 ·Status: COMPLETED ·Phase: PHASE4
-
Study on Safety and Effectiveness of Three Doses of Argatroban as Anticoagulant in Percutaneous Coronary Intervention (PCI)
NCT00508924 ·Status: COMPLETED ·Phase: PHASE2
-
Assessment of Dual Antiplatelet Therapy Versus Rivaroxaban In Atrial Fibrillation Patients Treated With Left Atrial Appendage Closure
NCT03273322 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Dual Anti-Platelet Therapy in Patients With Coronary Multi-Vessel Disease (DAPT-MVD)
NCT04624854 ·Status: COMPLETED ·Phase: PHASE4