NCT01186146

Brief Summary

This is randomized-controlled trial to evaluate the difference of composite of cardiac death, myocardial infarction, or Stroke between the dual antiplatelet therapy group and the aspirin monotherapy group after 1-year of drug-eluting stents implantation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
5,000

participants targeted

Target at P75+ for phase_4 coronary-artery-disease

Timeline
Completed

Started Aug 2010

Typical duration for phase_4 coronary-artery-disease

Geographic Reach
1 country

19 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

Study Start

First participant enrolled

August 1, 2010

Completed
16 days until next milestone

First Submitted

Initial submission to the registry

August 17, 2010

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 23, 2010

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2012

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2013

Completed
Last Updated

March 20, 2014

Status Verified

March 1, 2014

Enrollment Period

2.3 years

First QC Date

August 17, 2010

Last Update Submit

March 19, 2014

Conditions

Keywords

coronary diseasestentsantiplatelet drugsdrug-eluting stents

Outcome Measures

Primary Outcomes (1)

  • The composite of cardiac death, myocardial infarction, or stroke

    at 2 year after randomization

Secondary Outcomes (7)

  • death

    at 2 year after randomization

  • myocardial infarction

    at 2 year after randomization

  • stroke

    at 2 year after randomization

  • stent thrombosis

    at 2 year after randomization

  • Thrombolysis In Myocardial Infarction (TIMI) major/minor bleeding

    at 2 year after randomization

  • +2 more secondary outcomes

Study Arms (2)

Aspirin

ACTIVE COMPARATOR

Aspirin monotherapy (stopping clopidogrel at 1 year after DES)

Drug: Aspirin monotherapy

Aspirin,Clopidogrel

EXPERIMENTAL

Aspirin,Clopidogrel Dual antiplatelet therapy (continue aspirin and clopidogrel 1year after DES)

Drug: Aspirin,Clopidogrel

Interventions

stopping clopidogrel at 1 year after DES

Aspirin

continue aspirin and clopidogrel 1year after DES

Also known as: Aspirin,Clopidogrel Dual antiplatelet therapy
Aspirin,Clopidogrel

Eligibility Criteria

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

You may qualify if:

  • \. Patients had undergone DES implantation at least 12 months before enrollment, had not had a MACE (death, MI, stroke, or repeat revascularization) or major bleeding, and were dual-therapy at the time of enrollment.
  • \. Time for index PCI to randomization: 12-18 months

You may not qualify if:

  • Contraindications to the use of antiplatelet drugs (e.g., a concurrent bleeding diathesis or a history of major bleeding)
  • Concomitant vascular disease requiring long-term use of clopidogrel
  • Other established indications for clopidogrel therapy (e.g., a recent ACS).
  • Noncardiac coexisting conditions with a life expectancy \< 1 year.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Soonchunhyang University Bucheon Hospital

Bucheon-si, South Korea

Location

Busan Saint Mary's Hospital

Busan, South Korea

Location

Cheongju Saint Mary's Hospital

Cheongju-si, South Korea

Location

Chungju ST.Mary's Hospital

Cheongju-si, South Korea

Location

Kangwon National University Hospital

Chooncheon, South Korea

Location

Daegu Catholic University Medical Center

Daegu, South Korea

Location

Kyungpook National University Hospital

Daegu, South Korea

Location

Chungnam National University Hospital

Daejeon, South Korea

Location

Asan Medical Center

Gangneung, South Korea

Location

Chonnam National University Hospital

Gwangju, South Korea

Location

DongGuk University Gyongju Hospital

Gyongju, South Korea

Location

NHIC Ilsan Hospital

Ilsan, South Korea

Location

Chonbuk National University Hospital

Jeonju, South Korea

Location

Asan Medical Center

Seoul, South Korea

Location

Catholic University, Kangnam St. Mary's Hospital

Seoul, South Korea

Location

Hangang Sacred Heart Hospital

Seoul, South Korea

Location

Korea University Guro Hospital

Seoul, South Korea

Location

Korea Veterans Hospital

Seoul, South Korea

Location

St.Mary's Catholic Medical Center

Seoul, South Korea

Location

Related Publications (1)

  • Lee CW, Ahn JM, Park DW, Kang SJ, Lee SW, Kim YH, Park SW, Han S, Lee SG, Seong IW, Rha SW, Jeong MH, Lim DS, Yoon JH, Hur SH, Choi YS, Yang JY, Lee NH, Kim HS, Lee BK, Kim KS, Lee SU, Chae JK, Cheong SS, Suh IW, Park HS, Nah DY, Jeon DS, Seung KB, Lee K, Jang JS, Park SJ. Optimal duration of dual antiplatelet therapy after drug-eluting stent implantation: a randomized, controlled trial. Circulation. 2014 Jan 21;129(3):304-12. doi: 10.1161/CIRCULATIONAHA.113.003303. Epub 2013 Oct 4.

MeSH Terms

Conditions

Coronary Artery DiseaseCoronary Disease

Interventions

AspirinClopidogrel

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

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

Study Officials

  • Seung-Jung Park, MD, PhD

    Asan Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MD,PhD, Chairman,Heart Institute, Asan Medical Center,University of Ulsan,College of Medicine

Study Record Dates

First Submitted

August 17, 2010

First Posted

August 23, 2010

Study Start

August 1, 2010

Primary Completion

December 1, 2012

Study Completion

October 1, 2013

Last Updated

March 20, 2014

Record last verified: 2014-03

Locations