Status:

UNKNOWN

Effect of Different Anti-platelet Strategies on the Long-term Outcome After Sirolimus Drug-eluting Stent Implantation

Lead Sponsor:

Sir Run Run Shaw Hospital

Conditions:

Coronary Artery Disease

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The study aims to assess the effectiveness of dual antiplatelet therapy, aspirin alone versus steeply discontinued clopidogrel plus aspirin in preventing clinical MACE events.Our subject is beyond a 1...

Detailed Description

It is not clear that dual antiplatelet therapy is better than aspirin beyond 12-months period patients receiving sirolimus drug-eluting stent implantation. If aspirin plus clopidogrel reduced MACE rat...

Eligibility Criteria

Inclusion

  • Age 18 years of older.
  • The latest PCI with DES implantation before 12 months (stents must be one or more sirolimus-eluting stents).
  • Angiographically confirmed major epicardial vessels (\>=2.5mm in diameter) without significant stenosis or restenosis (\>=50%).
  • Geographically accessible and willing to come in for required study visits.
  • Signed informed consent.

Exclusion

  • The patient has a known hypersensitivity or contraindication to aspirin and clopidogrel.
  • Severe congestive heart failure (class III or IV according to NYHA, or pulmonary edema) at the time of enrollment and within 12 months.
  • EF\<35% within 12 months.
  • Severe cardiac valves disease, or idiopathic cardiomyopathy such as dilated cardiomyopathy, hypotrophic cardiomyopathy. Other severe system diseases.
  • Previous ACS within 12 months.
  • Previous stroke or transient ischemia attack within 12 months.
  • Previous myocardial infarction and clinical-driven target vessel revascularization within 12 months.
  • Current enrollment in another clinical trial.
  • Suspected pregnancy.
  • Big bleeding events within 12 months.
  • Planned surgical procedure.
  • Previous other type DES implantation or BMS implantation history.
  • Extra-cardiac stent implantation history.
  • Current or planned dialysis.
  • The patient has a known hypersensitivity or contraindication to statins.
  • Current or planned high dose and long-term glucocorticoid treatment.
  • that is expected to limit survival to less than 1 years.

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2013

Estimated Enrollment :

5232 Patients enrolled

Trial Details

Trial ID

NCT01233167

Start Date

August 1 2011

End Date

May 1 2013

Last Update

July 20 2011

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