๐ฌIn plain words
What the trial is, and whether it could suit you
The purpose of this study is to compare the pharmacodynamic effects of ABCD-GENE guided vs. unguided de-escalation strategies among patients on dual antiplatelet therapy (DAPT) following percutaneous coronary intervention (PCI).
Sign in to get the eligibility rules as simple questions to take to your doctor.
๐ Eligibility rules (as published)
Inclusion Criteria:
1. Patients who have undergone PCI and are on maintenance treatment with DAPT, composed of low-dose aspirin (81mg qd) with either prasugrel (10 mg qd) or ticagrelor (90 mg bid). In particular, patients who underwent PCI in the setting of an acute coronary syndrome will be eligible for randomization after โฅ90 days post-PCI, while patients who underwent PCI in the setting of a chronic coronary syndrome โฅ30 days post-PCI.
2. Age โฅ18 years
3. Provide written informed consent.
Exclusion Criteria:
1. Prior history of stent thrombosis
2. PCI within 30 days
3. On treatment with any oral anticoagulant (vitamin K antagonists, dabigatran, rivaroxaban, apixaban, edoxaban) or chronic low-molecular-weight heparin (at venous thrombosis treatment, not for prophylaxis)
4. Hemodynamic instability
5. Hypersensitivity to clopidogrel
6. Known platelet count less than 80x10\^6/mL
7. Known hemoglobin less than 9 g/dL
8. Pregnant and breastfeeding women \[women of childbearing age must use reliable birth control (i.e., oral contraceptives) while participating in the study\].
๐
What it tests
- Prasugrel/Ticagrelor monotherapy or aspirin plus clopidogrel
- Aspirin plus clopidogrel
University of Florida
Jacksonville, United States
๐ค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ always decide together with your own doctor.