NCT00977938

Brief Summary

The DAPT Study is a double blind randomized controlled trial intended to determine the appropriate duration for dual antiplatelet therapy (the combination of aspirin and a second anti-clotting medication) as well as the safety and effectiveness of dual antiplatelet therapy to protect patients from stent thrombosis and major adverse cardiovascular and cerebrovascular events (MACCE) following the implantation of drug-eluting coronary stents. Similar analysis will be conducted in a smaller cohort of bare metal coronary stent - treated subjects.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
25,682

participants targeted

Target at P75+ for phase_4 coronary-artery-disease

Timeline
Completed

Started Oct 2009

Longer than P75 for phase_4 coronary-artery-disease

Geographic Reach
10 countries

256 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 14, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 16, 2009

Completed
15 days until next milestone

Study Start

First participant enrolled

October 1, 2009

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

October 22, 2015

Completed
Last Updated

June 9, 2017

Status Verified

May 1, 2017

Enrollment Period

4.7 years

First QC Date

September 14, 2009

Results QC Date

September 18, 2015

Last Update Submit

May 10, 2017

Conditions

Keywords

Acute Coronary SyndromeAdverse eventAntiplatelet therapySirolimusEverolimusPaclitaxelZotarolimusBare Metal StentDrug Eluting StentClinical Events CommitteeDual antiplatelet therapyHarvard Clinical Research InstituteMajor Adverse Cardiac and Cerebral EventMajor BleedingMyocardial infarctionMyocardial ischemiaPercutaneous coronary interventionStent placementStent ThrombosisThienopyridineClopidogrelPrasugrel

Outcome Measures

Primary Outcomes (3)

  • MACCE (Death, Myocardial Infarction or Stroke) - Randomized DES ITT

    The coprimary efficacy endpoints were the cumulative incidence of MACCE and the cumulative incidence of ARC definite or probable stent thrombosis within randomized DES ITT patients between 12 and 30 months post procedure.

    18 months (12-30 months post-index procedure)

  • Definite or Probable Stent Thrombosis (ST) - Randomized DES ITT

    The coprimary efficacy endpoints were the cumulative incidence of MACCE and the cumulative incidence of definite or probable ST within randomized DES ITT patients between 12 and 30 months post procedure. ST was assessed according to the Academic Research Consortium (ARC) definitions.

    18 months (12-30 months post-index procedure)

  • GUSTO Severe or Moderate Bleeding - Randomized DES ITT

    The primary safety endpoint was moderate or severe bleeding within randomized DES ITT patients between 12 and 30 months post procedure. Bleeding was assessed according to the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Arteries (GUSTO) criteria.

    18 months (12-30 months post-index procedure)

Secondary Outcomes (11)

  • MACCE (Death, Myocardial Infarction or Stroke) - Propensity Matched DES vs. BMS

    33 months (0-33 months post-index procedure)

  • Definite or Probable Stent Thrombosis (ST) - Propensity Matched DES vs. BMS

    33 months (0-33 months post-index procedure)

  • MACCE (Death, Myocardial Infarction or Stroke) - Randomized DES ITT

    21 months (12-33 months post-index procedure)

  • Definite or Probable Stent Thrombosis (ST) - Randomized DES ITT

    21 months (12-33 months post-index procedure)

  • GUSTO Severe or Moderate Bleeding - Randomized DES ITT

    21 months (12-33 months post-index procedure)

  • +6 more secondary outcomes

Study Arms (2)

12m DAPT Study Arm

PLACEBO COMPARATOR

This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive 18 months of placebo treatment in addition to aspirin.

Drug: Placebo & Aspirin

30m DAPT Study Arm

ACTIVE COMPARATOR

This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive an additional 18 months of thienopyridine treatment in addition to aspirin.

Drug: Clopidogrel & Aspirin, Prasugrel & Aspirin

Interventions

12m DAPT Study Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is \> 18 years of age.
  • Subjects undergoing percutaneous intervention with stent deployment (or has w/in 24 hours).
  • Subjects without known contraindication to dual antiplatelet therapy for at least 30 months after enrollment and stent implantation.
  • The subject has consented to participate and has authorized the collection and release of his medical information by signing the "Patient Informed Consent Form". The informed consent will be valid for the duration of the trial or until the subject withdraws.
  • \. Subject, at 12 months, is free from death, MI, stroke, repeat coronary revascularization, major bleeding, and stent thrombosis and has been compliant with dual antiplatelet therapy following stent implantation.

You may not qualify if:

  • Index procedure stent placement with stent diameter \<2.25 mm or \>4.0 mm.
  • Pregnant women.
  • Planned surgery necessitating discontinuation of antiplatelet therapy within the 30 months following enrollment.
  • Current medical condition with a life expectancy of less than 3 years.
  • Concurrent enrollment in another device or drug study whose protocol specifically excludes concurrent enrollment or that involves blinded placement of a DES or BMS other than those included as DAPT Study devices. The subject may only be enrolled in the DAPT Study once.
  • Subjects on warfarin or similar anticoagulant therapy.
  • Subjects with hypersensitivity or allergies to one of the drugs or components indicated in the Instructions for Use for the device implanted.
  • Subjects unable to give informed consent.
  • Subject treated with both DES and BMS during the index procedure.
  • Pregnant women.
  • Subject switched thienopyridine type or dose within 6 months prior to randomization.
  • Percutaneous coronary intervention or cardiac surgery between 6 weeks post index procedure and randomization.
  • Planned surgery necessitating discontinuation of antiplatelet therapy within the 21 months following randomization.
  • Current medical condition with a life expectancy of less than 3 years.
  • Subjects on warfarin or similar anticoagulant therapy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (256)

Thomas Hospital

Fairhope, Alabama, 36532, United States

Location

Mercy Gilbert Medical Center

Gilbert, Arizona, 85297, United States

Location

Heart & Vascular Center of Arizona

Phoenix, Arizona, 85006, United States

Location

Scottsdale Health Care

Scottsdale, Arizona, 85258, United States

Location

NEA Baptist Clinic

Jonesboro, Arkansas, 72401, United States

Location

University of Arkansas (Central VA) for Medical Science

Little Rock, Arkansas, 72205, United States

Location

Arkansas Heart Hospital

Little Rock, Arkansas, 72211, United States

Location

California Cardiovascular Consultants/ Washington Hospital

Fremont, California, 94538, United States

Location

The Foundation for Cardiovascular Medicine

La Jolla, California, 92037, United States

Location

Mercy General Hospital

Sacramento, California, 95819, United States

Location

UC San Diego Medical Center

San Diego, California, 92103-8784, United States

Location

California Pacific Medical Center

San Francisco, California, 94115, United States

Location

St. Joseph's Medical Center- CA

Stockton, California, 95204-6088, United States

Location

Torrance Memorial Medical Center / Vasek Polak Research Program

Torrance, California, 90505, United States

Location

Harbor - UCLA Medical Center

Torrance, California, 90509, United States

Location

Medical Center of Aurora

Aurora, Colorado, 80012, United States

Location

Connecticut Clinical Research, LLC

Bridgeport, Connecticut, 06606, United States

Location

Bridgeport Hospital

Bridgeport, Connecticut, 06610, United States

Location

St. Vincent's Medical Center

Stamford, Connecticut, 06905, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Palm Beach Heart Research Institute

Atlantis, Florida, 33462, United States

Location

Bay Area Cardiology Associates/ Brandon Regional Hospital

Brandon, Florida, 33511, United States

Location

Jacksonville Heart Center

Jacksonville, Florida, 32207, United States

Location

Watson Clinic Center for Research

Lakeland, Florida, 33805, United States

Location

Diagnostic Cardiology Associates

Lauderdale Lakes, Florida, 33313, United States

Location

Melbourne Internal Medicine Assoc

Melbourne, Florida, 32901, United States

Location

Baptist Hospital of Miami

Miami, Florida, 33176, United States

Location

Munroe Regional Medical Center

Ocala, Florida, 34471, United States

Location

Ocala Regional Medical Center

Ocala, Florida, 34480, United States

Location

Florida Hospital

Orlando, Florida, 32803, United States

Location

Baptist Hospital

Pensacola, Florida, 32501, United States

Location

Sacred Heart Hospital

Pensacola, Florida, 32504, United States

Location

Tallahassee Memorial Hospital

Tallahassee, Florida, 32308, United States

Location

Pepin Heart Hospital

Tampa, Florida, 33613, United States

Location

Winter Haven Hospital

Winter Haven, Florida, 33881, United States

Location

Emory University Hospital Midtown

Atlanta, Georgia, 30308, United States

Location

Piedmont Hospital Research Institute

Atlanta, Georgia, 30309, United States

Location

Emory University Hospital

Atlanta, Georgia, 30322, United States

Location

Medical Center Central Georgia

Macon, Georgia, 31201, United States

Location

Redmond Regional Hospital

Rome, Georgia, 30165, United States

Location

Advocate Good Shephard Hospital

Barrington, Illinois, 60010, United States

Location

Jesse Brown VA Medical Center

Chicago, Illinois, 60612, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

University of Illinois at Chicago

Chicago, Illinois, 60612, United States

Location

Good Samaritan Hospital- IL

Downers Grove, Illinois, 60515, United States

Location

Elmhurst Memorial Hospital

Elmhurst, Illinois, 60126, United States

Location

Heartland Education and Research Foundation

Joliet, Illinois, 60435, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Heart Care Research Foundation

Mokena, Illinois, 60448, United States

Location

Edward Heart Hospital

Naperville, Illinois, 60540, United States

Location

Midwest Cardiovascular Research and Education Foundation

Elkhart, Indiana, 46541, United States

Location

St. Vincent Heart Center of Indiana, LLC

Indianapolis, Indiana, 46290, United States

Location

Northwest Indiana Cardiovascular Physicians, P.C.

Valparaiso, Indiana, 46383, United States

Location

McFarland Clinic PC

Ames, Iowa, 50010, United States

Location

St. Luke's Hospital - Cedar Rapids

Cedar Rapids, Iowa, 52403, United States

Location

Iowa Heart Center

West Des Moines, Iowa, 50266, United States

Location

Kings Daughters Medical Center

Ashland, Kentucky, 41101, United States

Location

Tulane University Medical School

New Orleans, Louisiana, 70112, United States

Location

Northeast Cardiology Associates

Bangor, Maine, 04401, United States

Location

Maine Medical Center

Portland, Maine, 04102, United States

Location

Sinai Hospital at Baltimore

Baltimore, Maryland, 21215, United States

Location

Union Memorial Hospital

Baltimore, Maryland, 21218, United States

Location

Shah Associates, LLC

Prince Frederick, Maryland, 20678, United States

Location

Peninsula Regional Medical Center

Salisbury, Maryland, 21804, United States

Location

Washington Adventist Hospital

Takoma Park, Maryland, 20912, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02120, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Lahey Clinic Medical Center

Burlington, Massachusetts, 01805, United States

Location

Cape Cod Hospital

Hyannis, Massachusetts, 02601, United States

Location

UMass Memorial Medical Center

Worcester, Massachusetts, 01655, United States

Location

Bay Regional Medical Center

Bay City, Michigan, 48708, United States

Location

Harper University Hospital

Detroit, Michigan, 48201-2018, United States

Location

Henry Ford Hospital Heart & Vascular Institute

Detroit, Michigan, 48202, United States

Location

Borgess Medical Center

Kalamazoo, Michigan, 49048, United States

Location

St. Joseph Mercy-PTCMI

Pontiac, Michigan, 48341, United States

Location

William Beaumont Hospital

Royal Oak, Michigan, 48073-6769, United States

Location

Covenant Medical Center

Saginaw, Michigan, 48602, United States

Location

Great Lakes Heart & Vascular Institute, PC

Saint Joseph, Michigan, 49085, United States

Location

Munson Medical Center

Traverse City, Michigan, 49684, United States

Location

Beaumont Hospital Troy

Troy, Michigan, 48085, United States

Location

Mayo Clinic - Saint Marys Hospital

Rochester, Minnesota, 55905, United States

Location

Central Minnesota Heart Center at St. Cloud Hospital

Saint Cloud, Minnesota, 56303, United States

Location

Hattiesburg Clinic

Hattiesburg, Mississippi, 39401, United States

Location

Cardiology Associates Research LLC

Tupelo, Mississippi, 38801, United States

Location

St. Luke's Hospital Mid America Heart Institute

Kansas City, Missouri, 64111, United States

Location

Kansas City Heart Foundation

Kansas City, Missouri, 64114, United States

Location

North Kansas City Hospital

North Kansas City, Missouri, 64116, United States

Location

St. John's Medical Institute

Springfield, Missouri, 65807, United States

Location

Washington University Hospital

St Louis, Missouri, 63110-1093, United States

Location

St. Louis University Hospital

St Louis, Missouri, 63110, United States

Location

St. John's Mercy Medical Center

St Louis, Missouri, 63141, United States

Location

Nebraska Heart Institute

Lincoln, Nebraska, 68526, United States

Location

Alegent Health / Bergan Mercy Hospital

Omaha, Nebraska, 68124, United States

Location

Creighton University

Omaha, Nebraska, 68131, United States

Location

Catholic Medical Center

Manchester, New Hampshire, 03102, United States

Location

Cooper University Hospital

Camden, New Jersey, 08103, United States

Location

Cardiovascular Associates of the Delaware Valley, PA

Haddon Heights, New Jersey, 08035, United States

Location

Hamilton Cardiology Associates

Hamilton, New Jersey, 08690, United States

Location

Valley Hospital

Hawthorne, New Jersey, 07506, United States

Location

UMDNJ - Robert Wood Johnson Medical School

New Brunswick, New Jersey, 08901, United States

Location

St. Michaels Hospital

Newark, New Jersey, 07102, United States

Location

Presbyterian Heart Group

Albuquerque, New Mexico, 87106, United States

Location

SJH Cardiology Associates

Liverpool, New York, 13088, United States

Location

Winthrop University Hospital

Mineola, New York, 11501, United States

Location

Hudson Valley Heart Center

Poughkeepsie, New York, 12601, United States

Location

Stony Brook University Medical Center

Stony Brook, New York, 11794-8167, United States

Location

St. Elizabeth's Medical Center- NY

Utica, New York, 13501, United States

Location

Westchester Medical Center

Valhalla, New York, 10595, United States

Location

Asheville Cardiology Associates

Asheville, North Carolina, 28802, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28203, United States

Location

Carolina Heart Specialists

Gastonia, North Carolina, 28054, United States

Location

Carolina Cardiology Associates

High Point, North Carolina, 27262, United States

Location

Wake Heart Association

Raleigh, North Carolina, 27610, United States

Location

Forsyth Medical Center

Winston-Salem, North Carolina, 27103, United States

Location

Wake Forest Health Sciences

Winston-Salem, North Carolina, 27157-1045, United States

Location

MeritCare Medical Center

Fargo, North Dakota, 58122, United States

Location

Altru Health System

Grand Forks, North Dakota, 58206, United States

Location

The Lindner Clinical Trial Center

Cincinnati, Ohio, 45219, United States

Location

Good Samaritan Hospital

Cincinnati, Ohio, 45220, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267-0542, United States

Location

Riverside Methodist

Columbus, Ohio, 43214, United States

Location

Elyria Memorial Hospital

Elyria, Ohio, 44035, United States

Location

Frederick C Smith Clinic dba Smith Clinic

Marion, Ohio, 43302, United States

Location

Northwest Ohio Cardiology

Toledo, Ohio, 43615, United States

Location

Midwest Regional Medical Center

Midwest City, Oklahoma, 73110, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

Oklahoma Foundation for CV Research

Oklahoma City, Oklahoma, 73120, United States

Location

St. Vincent Hospital/ Providence Heart Hospital

Portland, Oregon, 97225, United States

Location

Oregon Health & Sciences University Hospital

Portland, Oregon, 97239-3098, United States

Location

Abington Memorial Hospital

Abington, Pennsylvania, 19001, United States

Location

Chambersburg Hospital

Chambersburg, Pennsylvania, 17201, United States

Location

Geisinger Clinic

Danville, Pennsylvania, 17822, United States

Location

Doylestown Hospital

Doylestown, Pennsylvania, 18901, United States

Location

Pinnacle Health Hospital

Harrisburg, Pennsylvania, 17110, United States

Location

Conemaugh Memorial Medical Center

Johnstown, Pennsylvania, 15905, United States

Location

UPMC Presbyterian Hospital

Pittsburgh, Pennsylvania, 15213, United States

Location

Donald Guthrie Foundation for Education and Research

Sayre, Pennsylvania, 18840, United States

Location

Berks Cardiologists

Wyomissing, Pennsylvania, 19610, United States

Location

York Hospital (PA)

York, Pennsylvania, 17403, United States

Location

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

Location

Miriam Hospital

Providence, Rhode Island, 02904, United States

Location

AnMed Health

Anderson, South Carolina, 29621, United States

Location

Black Hills Research- Rapid City Regional

Rapid City, South Dakota, 57701, United States

Location

North Central Heart Institute

Sioux Falls, South Dakota, 57105, United States

Location

Sanford USD Medical Center

Sioux Falls, South Dakota, 57117, United States

Location

Chattanooga Heart - East Third Street

Chattanooga, Tennessee, 37404, United States

Location

Chattanooga Heart Institute

Chattanooga, Tennessee, 37404, United States

Location

Centennial Heart Medical Center

Nashville, Tennessee, 37203, United States

Location

Austin Heart

Austin, Texas, 78705, United States

Location

Capital Cardiovascular Research Institute

Austin, Texas, 78745, United States

Location

Texas Cardiovascular

Austin, Texas, 78758, United States

Location

Veteran's Affairs Medical Center- Dallas

Dallas, Texas, 75216, United States

Location

CRSTI Research

Dallas, Texas, 75230, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Methodist DeBakey Heart & Vascular Center

Houston, Texas, 77030, United States

Location

North Dallas Research Associates

McKinney, Texas, 75069, United States

Location

North Dallas Research Associate

McKinney, Texas, 75069, United States

Location

The Heart Hospital / Baylor Plano

Plano, Texas, 75093, United States

Location

Scott and White Healthcare - Round Rock

Round Rock, Texas, 78665, United States

Location

TexSan Heart Hospital

San Antonio, Texas, 78229, United States

Location

Mother Frances Hospital

Tyler, Texas, 75701, United States

Location

Providence Healthcare Network

Waco, Texas, 76712, United States

Location

Intermountain Medical Center

Murray, Utah, 84157-7000, United States

Location

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

Rockingham Memorial Hospital

Harrisonburg, Virginia, 22801, United States

Location

Lynchburg General Hospital

Lynchburg, Virginia, 24501, United States

Location

Sentara, Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

Carilion Clinic

Roanoke, Virginia, 24014, United States

Location

Cardiovascular Associates, Ltd.

Virginia Beach, Virginia, 23454, United States

Location

Winchester Medical Center

Winchester, Virginia, 22601, United States

Location

Providence St. Peter Hospital

Olympia, Washington, 98506, United States

Location

University of Washington

Seattle, Washington, 98195-8422, United States

Location

Inland Cardiology Associates

Spokane, Washington, 99204, United States

Location

Sacred Heart Medical Center

Spokane, Washington, 99204, United States

Location

Aurora St. Luke's Medical Center

Milwaukee, Wisconsin, 53215, United States

Location

CaRE Foundation, Inc.

Wausau, Wisconsin, 54401, United States

Location

St. Vincents Hospital Sydney

Darlinghurst, New South Wales, 2010, Australia

Location

Prince of Wales Eastern Heart

Randwick, New South Wales, 2031, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

The Alfred Hospital

Prahran, Victoria, 3004, Australia

Location

Fremantle Hospital

Fremantle, Western Australia, 6160, Australia

Location

The Mount Hospital

Nedlands, Western Australia, 6009, Australia

Location

Royal Perth Hospital

Perth, Western Australia, 6000, Australia

Location

Monash Heart

Clayton, 3168, Australia

Location

St Vincents Hospital Melbourne

Fitzroy, 3065, Australia

Location

Fakultni nemocnice Hradec Kralove

Hradec KrĂ¡lovĂ©, 500 05, Czechia

Location

Krajska karlovarska nemocnice a.s.

Karlovy Vary, 360 66, Czechia

Location

Centrum pro choroby srdce a cev

KromÄ›Å™Ă­Å¾, 767 01, Czechia

Location

Mestska nemocnice Ostrava

Ostrava, 701 00, Czechia

Location

Krajska nemocnice T. Bati a.s.

ZlĂ­n, 76275, Czechia

Location

Centre Hospitalier Saint Louis

La Rochelle, 17000, France

Location

Hospital Saint Philibert

Lomme, 59462, France

Location

Nouvelles Cliniques Nantaises

Nantes, 44277, France

Location

Clinique les Franciscaines

Nîmes, 30000, France

Location

Hopital Bichat

Paris, 75018, France

Location

Groupe Hospitalier Sud

Pessac, 33604, France

Location

CH Chatiliez Tourcoing

Tourcoing, 59208, France

Location

Universitaetsklinikum Schleswig-Holstein - PS

LĂ¼beck, Schleswig-Holstein, 23538, Germany

Location

Helios Klinikum Emil von Behring

Berlin, State of Berlin, 1, Germany

Location

Vivantes Klinikum im Friedrichshain

Berlin, 10249, Germany

Location

Vivantes-Klinikum Neukoelin

Berlin, 12351, Germany

Location

Vivantes-Klinikum Neukoelln

Berlin, 13437, Germany

Location

Vivantes-Humboldt Klinikum

Berlin, 13509, Germany

Location

Elbe-Kliniken Stade-Buxtehude GmbH

Buxtehude, 21614, Germany

Location

Universitaetsklinikum Dresden

Dresden, 01307, Germany

Location

Asklepios Klinik St. Georg

Hamburg, 20099, Germany

Location

Herzzentrum Leipzig GmbH

Leipzig, 4289, Germany

Location

Elbe-Kliniken Stade-Buxtehude GmbH

Stade, 21682, Germany

Location

Gottsegen Gyorgy Orszagos Kardiologiai Intezet

Budapest, 1096, Hungary

Location

Josa Andras Oktato Korhaz Nonprofit Kft

NyĂ­regyhĂ¡za, 4400, Hungary

Location

Pecsi Tudomanyegyetem Klinikai Kozpont

Pécs, Hungary

Location

Szegedi Tudomanyegyetem Szent-Gyorgyi Klinikai Kozpont

Szeged, 6720, Hungary

Location

Zala Megyei Korhaz

Zalaegerszeg, 8900, Hungary

Location

Mercy Angiography

Epsom, Auckland, 00000, New Zealand

Location

North Shore Hospital

Auckland, 0622, New Zealand

Location

Ascot Hospital

Auckland, New Zealand

Location

Middlemore Hospital

Auckland, New Zealand

Location

Christchurch Hospital

Christchurch, 8001, New Zealand

Location

Waikato Hospital

Hamilton, 3240, New Zealand

Location

Nelson Hospital

Nelson, New Zealand

Location

Wellington Hospital

Wellington, 6021, New Zealand

Location

Wakefield Hospital

Wellington, 6039, New Zealand

Location

Uniwersyteck Szpital Klin. w Bialymstoku

Bialystok, 15-276, Poland

Location

Wielospecj. Szpital Miejski im.dr.E.Warminskiego-SPZOZ

Bydgoszcz, 85-826, Poland

Location

NZOZ Centrum Medyczne Beluga-Med

Krakow, 30-069, Poland

Location

Szpital Uniwersytecki w Krakowie

Krakow, 31-501, Poland

Location

SPSK nr 2 Pomorskiej Akademii Medycznej w Szczecinie

Szczecin, 70-111, Poland

Location

Polsko-Amerykanskie Kliniki Serca.American Heart of Poland S

Ustroń, 43-450, Poland

Location

Instytut Kardiologii im. Kardynala St. Wyszynskiego

Warsaw, 04-637, Poland

Location

Centrul Clinic de Urgenta de Boli Cardiovasculare al Armatei

Bucharest, 10242, Romania

Location

Spitalul Clinic de Urgenta Bucuresti

Bucharest, 14461, Romania

Location

Inst. Urgenta Boli Cardiovasculare Prof. Dr. C.C. Iliescu

Bucharest, 22328, Romania

Location

Institutul de Urgenta pentru Boli Cardiovasculare Prof. Dr.

Bucharest, 22328, Romania

Location

Spitalul Clinic Universitar de Urgenta Bucuresti

Bucharest, 50098, Romania

Location

Institutul Inimii Niculae Stancioiu Cluj-Napoca

Cluj-Napoca, 400001, Romania

Location

Institutul de Boli Cardiovasculare si Transplant Targu Mures

TĂ¢rgu MureÅŸ, 540136, Romania

Location

Wycombe General Hospital

High Wycombe, Bucks, HP11 2TT, United Kingdom

Location

Papworth Hospital

Cambridge, Cambs, CB3 8RE, United Kingdom

Location

Torbay hospital

Torquay, Devon, TQ2 7AA, United Kingdom

Location

Royal Bournemouth General Hospital

Bournemouth, Dorset, BH7 7DW, United Kingdom

Location

Basildon University Hospital

Basildon, Essex, SS16 5NL, United Kingdom

Location

Barnet Hospital

Barnet, Herts, EN5 3DJ, United Kingdom

Location

James Cook Hospital

Middlesbrough, N York, TS4 3BW, United Kingdom

Location

Ninewells Hospital

Dundee, Scotland, DD1 9SY, United Kingdom

Location

Weston General Hospital

Weston-super-Mare, Somerset, BS23 4TQ, United Kingdom

Location

Golden Jubilee National Hospital

Glasgow, Strath, F81 4HX, United Kingdom

Location

St Peter's Hospital

Chertsey, KT16 OPZ, United Kingdom

Location

University Hospital of Coventry and Warwickshire

Coventry, CV2 2DX, United Kingdom

Location

Ninewells Hospital

Dundee, DD1 9SY, United Kingdom

Location

Royal Infirmary of Edinburgh

Edinburgh, EH16 4SA, United Kingdom

Location

University Hospital of Leicester Glenfield Hospital

Leicester, LE3 9QP, United Kingdom

Location

The London Chest Hospital

London, E2 9JX, United Kingdom

Location

Freeman Hospital

Newcastle, NE7 7AW, United Kingdom

Location

Derriford Hospital

Plymouth, PL6 8DH, United Kingdom

Location

Related Publications (20)

  • Faridi KF, Strom JB, Kundi H, Butala NM, Curtis JP, Gao Q, Song Y, Zheng L, Tamez H, Shen C, Secemsky EA, Yeh RW. Association Between Claims-Defined Frailty and Outcomes Following 30 Versus 12 Months of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention: Findings From the EXTEND-DAPT Study. J Am Heart Assoc. 2023 Jul 18;12(14):e029588. doi: 10.1161/JAHA.123.029588. Epub 2023 Jul 14.

  • Berg DD, Yeh RW, Mauri L, Morrow DA, Kereiakes DJ, Cutlip DE, Gao Q, Jarolim P, Michelson AD, Frelinger AL 3rd, Cange AL, Sabatine MS, O'Donoghue ML. Biomarkers of platelet activation and cardiovascular risk in the DAPT trial. J Thromb Thrombolysis. 2021 Apr;51(3):675-681. doi: 10.1007/s11239-020-02221-5.

  • Stefanescu Schmidt AC, Steg PG, Yeh RW, Kereiakes DJ, Tanguay JF, Hsieh WH, Massaro JM, Mauri L, Cutlip DE; DAPT Investigators. Interruption of Dual Antiplatelet Therapy Within Six Months After Coronary Stents (from the Dual Antiplatelet Therapy Study). Am J Cardiol. 2019 Dec 15;124(12):1813-1820. doi: 10.1016/j.amjcard.2019.09.006. Epub 2019 Sep 26.

  • Berry NC, Kereiakes DJ, Yeh RW, Steg PG, Cutlip DE, Jacobs AK, Abbott JD, Hsieh WH, Massaro JM, Mauri L; DAPT Study Investigators. Benefit and Risk of Prolonged DAPT After Coronary Stenting in Women. Circ Cardiovasc Interv. 2018 Aug;11(8):e005308. doi: 10.1161/CIRCINTERVENTIONS.117.005308.

  • Yeh RW, Kereiakes DJ, Steg PG, Cutlip DE, Croce KJ, Massaro JM, Mauri L; DAPT Study Investigators. Lesion Complexity and Outcomes of Extended Dual Antiplatelet Therapy After Percutaneous Coronary Intervention. J Am Coll Cardiol. 2017 Oct 31;70(18):2213-2223. doi: 10.1016/j.jacc.2017.09.011.

  • Secemsky EA, Yeh RW, Kereiakes DJ, Cutlip DE, Cohen DJ, Steg PG, Cannon CP, Apruzzese PK, D'Agostino RB Sr, Massaro JM, Mauri L; Dual Antiplatelet Therapy (DAPT) Study Investigators. Mortality Following Cardiovascular and Bleeding Events Occurring Beyond 1 Year After Coronary Stenting: A Secondary Analysis of the Dual Antiplatelet Therapy (DAPT) Study. JAMA Cardiol. 2017 May 1;2(5):478-487. doi: 10.1001/jamacardio.2017.0063.

  • Stefanescu Schmidt AC, Kereiakes DJ, Cutlip DE, Yeh RW, D'Agostino RB Sr, Massaro JM, Hsieh WH, Mauri L; DAPT Investigators. Myocardial Infarction Risk After Discontinuation of Thienopyridine Therapy in the Randomized DAPT Study (Dual Antiplatelet Therapy). Circulation. 2017 May 2;135(18):1720-1732. doi: 10.1161/CIRCULATIONAHA.116.024835. Epub 2017 Feb 22.

  • Resor CD, Nathan A, Kereiakes DJ, Yeh RW, Massaro JM, Cutlip DE, Gabriel Steg P, Hsieh WH, Mauri L; Dual Antiplatelet Therapy Study Investigators. Impact of Optimal Medical Therapy in the Dual Antiplatelet Therapy Study. Circulation. 2016 Oct 4;134(14):989-998. doi: 10.1161/CIRCULATIONAHA.116.024531. Epub 2016 Aug 30.

  • Kereiakes DJ, Yeh RW, Massaro JM, Cutlip DE, Steg PG, Wiviott SD, Mauri L; DAPT Study Investigators. DAPT Score Utility for Risk Prediction in Patients With or Without Previous Myocardial Infarction. J Am Coll Cardiol. 2016 May 31;67(21):2492-502. doi: 10.1016/j.jacc.2016.03.485. Epub 2016 Apr 1.

  • Yeh RW, Secemsky EA, Kereiakes DJ, Normand SL, Gershlick AH, Cohen DJ, Spertus JA, Steg PG, Cutlip DE, Rinaldi MJ, Camenzind E, Wijns W, Apruzzese PK, Song Y, Massaro JM, Mauri L; DAPT Study Investigators. Development and Validation of a Prediction Rule for Benefit and Harm of Dual Antiplatelet Therapy Beyond 1 Year After Percutaneous Coronary Intervention. JAMA. 2016 Apr 26;315(16):1735-49. doi: 10.1001/jama.2016.3775.

  • Meredith IT, Tanguay JF, Kereiakes DJ, Cutlip DE, Yeh RW, Garratt KN, Lee DP, Steg PG, Weaver WD, Holmes DR Jr, Brindis RG, Trebacz J, Massaro JM, Hsieh WH, Mauri L; DAPT Study Investigators. Diabetes Mellitus and Prevention of Late Myocardial Infarction After Coronary Stenting in the Randomized Dual Antiplatelet Therapy Study. Circulation. 2016 May 3;133(18):1772-82. doi: 10.1161/CIRCULATIONAHA.115.016783. Epub 2016 Mar 18.

  • Hermiller JB, Krucoff MW, Kereiakes DJ, Windecker S, Steg PG, Yeh RW, Cohen DJ, Cutlip DE, Massaro JM, Hsieh WH, Mauri L; DAPT Study Investigators. Benefits and Risks of Extended Dual Antiplatelet Therapy After Everolimus-Eluting Stents. JACC Cardiovasc Interv. 2016 Jan 25;9(2):138-47. doi: 10.1016/j.jcin.2015.10.001.

  • Mauri L, Elmariah S, Yeh RW, Cutlip DE, Steg PG, Windecker S, Wiviott SD, Cohen DJ, Massaro JM, D'Agostino RB Sr, Braunwald E, Kereiakes DJ; DAPT Study Investigators. Causes of late mortality with dual antiplatelet therapy after coronary stents. Eur Heart J. 2016 Jan 21;37(4):378-85. doi: 10.1093/eurheartj/ehv614. Epub 2015 Nov 18.

  • Kereiakes DJ, Yeh RW, Massaro JM, Driscoll-Shempp P, Cutlip DE, Steg PG, Gershlick AH, Darius H, Meredith IT, Ormiston J, Tanguay JF, Windecker S, Garratt KN, Kandzari DE, Lee DP, Simon DI, Iancu AC, Trebacz J, Mauri L; DAPT Study Investigators. Stent Thrombosis in Drug-Eluting or Bare-Metal Stents in Patients Receiving Dual Antiplatelet Therapy. JACC Cardiovasc Interv. 2015 Oct;8(12):1552-62. doi: 10.1016/j.jcin.2015.05.026.

  • Yeh RW, Kereiakes DJ, Steg PG, Windecker S, Rinaldi MJ, Gershlick AH, Cutlip DE, Cohen DJ, Tanguay JF, Jacobs A, Wiviott SD, Massaro JM, Iancu AC, Mauri L; DAPT Study Investigators. Benefits and Risks of Extended Duration Dual Antiplatelet Therapy After PCI in Patients With and Without Acute Myocardial Infarction. J Am Coll Cardiol. 2015 May 26;65(20):2211-21. doi: 10.1016/j.jacc.2015.03.003. Epub 2015 Mar 15.

  • Kereiakes DJ, Yeh RW, Massaro JM, Driscoll-Shempp P, Cutlip DE, Steg PG, Gershlick AH, Darius H, Meredith IT, Ormiston J, Tanguay JF, Windecker S, Garratt KN, Kandzari DE, Lee DP, Simon DI, Iancu AC, Trebacz J, Mauri L; Dual Antiplatelet Therapy (DAPT) Study Investigators. Antiplatelet therapy duration following bare metal or drug-eluting coronary stents: the dual antiplatelet therapy randomized clinical trial. JAMA. 2015 Mar 17;313(11):1113-21. doi: 10.1001/jama.2015.1671.

  • Yeh RW, Czarny MJ, Normand SL, Kereiakes DJ, Holmes DR Jr, Brindis RG, Weaver WD, Rumsfeld JS, Roe MT, Kim S, Driscoll-Shempp P, Mauri L. Evaluating the generalizability of a large streamlined cardiovascular trial: comparing hospitals and patients in the dual antiplatelet therapy study versus the National Cardiovascular Data Registry. Circ Cardiovasc Qual Outcomes. 2015 Jan;8(1):96-102. doi: 10.1161/CIRCOUTCOMES.114.001239. Epub 2014 Nov 16.

  • Mauri L, Kereiakes DJ, Yeh RW, Driscoll-Shempp P, Cutlip DE, Steg PG, Normand SL, Braunwald E, Wiviott SD, Cohen DJ, Holmes DR Jr, Krucoff MW, Hermiller J, Dauerman HL, Simon DI, Kandzari DE, Garratt KN, Lee DP, Pow TK, Ver Lee P, Rinaldi MJ, Massaro JM; DAPT Study Investigators. Twelve or 30 months of dual antiplatelet therapy after drug-eluting stents. N Engl J Med. 2014 Dec 4;371(23):2155-66. doi: 10.1056/NEJMoa1409312. Epub 2014 Nov 16.

  • Matteau A, Yeh RW, Kereiakes D, Orav EJ, Massaro J, Steg PG, Normand SL, Cutlip DE, Mauri L. Frequency of the use of low- versus high-dose aspirin in dual antiplatelet therapy after percutaneous coronary intervention (from the Dual Antiplatelet Therapy study). Am J Cardiol. 2014 Apr 1;113(7):1146-52. doi: 10.1016/j.amjcard.2013.10.015. Epub 2013 Nov 8.

  • Mauri L, Kereiakes DJ, Normand SL, Wiviott SD, Cohen DJ, Holmes DR, Bangalore S, Cutlip DE, Pencina M, Massaro JM. Rationale and design of the dual antiplatelet therapy study, a prospective, multicenter, randomized, double-blind trial to assess the effectiveness and safety of 12 versus 30 months of dual antiplatelet therapy in subjects undergoing percutaneous coronary intervention with either drug-eluting stent or bare metal stent placement for the treatment of coronary artery lesions. Am Heart J. 2010 Dec;160(6):1035-41, 1041.e1. doi: 10.1016/j.ahj.2010.07.038.

MeSH Terms

Conditions

Coronary Artery DiseaseAcute Coronary SyndromeMyocardial InfarctionMyocardial Ischemia

Interventions

AspirinClopidogrelPrasugrel Hydrochloride

Condition Hierarchy (Ancestors)

Coronary DiseaseHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

SalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsTiclopidineThienopyridinesThiophenesSulfur CompoundsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPiperazines

Results Point of Contact

Title
Priscilla Driscoll Shempp, Sr. Director Trial Design, Development and Strategy
Organization
Harvard Clinical Research Institute

Study Officials

  • Laura Mauri, MD, MSc

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR
  • Dean Kereiakes, MD, FACC

    Christ Hospital Heart and Vascular Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 14, 2009

First Posted

September 16, 2009

Study Start

October 1, 2009

Primary Completion

June 1, 2014

Study Completion

June 1, 2014

Last Updated

June 9, 2017

Results First Posted

October 22, 2015

Record last verified: 2017-05

Locations