Antiplatelet Strategy for CCS Patients Undergoing CABG
CABG_DAPT_SAPT
Clopidogrel Monotherapy in Patients with Chronic Coronary Syndrome Following Coronary Artery Bypass Grafting : a Target Trial Emulation
1 other identifier
observational
29,898
0 countries
N/A
Brief Summary
To evaluate the long-term outcomes of different antiplatelet strategies, including DAPT, aspirin monotherapy, and clopidogrel monotherapy, in CCS patients undergoing CABG. A retrospective, population-based cohort study was conducted using data from the Korean National Health Insurance Service (K-NHIS) database.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2010
Longer than P75 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedFirst Submitted
Initial submission to the registry
March 10, 2025
CompletedFirst Posted
Study publicly available on registry
March 18, 2025
CompletedMarch 18, 2025
March 1, 2025
13 years
March 10, 2025
March 11, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Major adverse cardiac and cerebrovascular events (MACCE)
Composite of all cause death, spontaneous MI, and stroke
10 year after CABG
Major GI bleeding
Major GI bleeding requiring transfusion
10 year after CABG
Secondary Outcomes (5)
All cause death
10 year after CABG
Spontaneous myocardial infarction
10 year after CABG
Stroke
10 year after CABG
Repeat revascularization
10 year after CABG
Bleeding evet
10 year after CABG
Study Arms (3)
Dual antiplatelet therapy
Patients who were prescribed dual antiplatelet therapy (aspirin + clopidogrel) at the date of discharge from te index hospitalization for CABG
Aspirin monotherapy
Patients who were prescribed single antiplatelet therapy (aspirin) at the date of discharge from te index hospitalization for CABG
Clopidogrel monotherapy
Patients who were prescribed single antiplatelet therapy (clopidogrel) at the date of discharge from te index hospitalization for CABG
Eligibility Criteria
Patients who were prescribed antiplatete therapy after undergoing CABG
You may qualify if:
- Patients with underwent Coronary artery bypass surgery (CABG) between January 2010 and December 2020
You may not qualify if:
- In-hospital death
- Not prescribed SAPT or DAPT
- Received CABG due to myocardial infarction or had myocardial infarction
- Received CABG due to unstable angina or had unstable angina
- History of PCI
- Pre-existing Intracranial hemorrhage or gastrointestinal bleeding
- Oral anticoagulant prescription at discharge
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 10, 2025
First Posted
March 18, 2025
Study Start
January 1, 2010
Primary Completion
December 31, 2022
Study Completion
December 31, 2022
Last Updated
March 18, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share