Actively Recruiting

Age: 18Years +
All Genders
NCT05332262

A Precision Medicine Approach to Identify Patients Undergoing Elective PCI at Risk of Peri-PCI Myocardial Infarction

Led by University of Florida · Updated on 2026-01-20

500

Participants Needed

1

Research Sites

270 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Despite the relative safety of PCI with new generation stents, peri-PCI thrombotic complications, including myocardial infarction and myocardial injury, are common in elective PCI, occurring in up to 30% of patients. Importantly, these events are associated with poor prognosis. The risk of peri-PCI myocardial infarction/myocardial injury has been in part attributed to HPR. The aim of this study is to prospectively validate the accuracy of the ABCD-GENE score in identifying stable CAD patients undergoing elective PCI treated with standard of care clopidogrel who are at risk of peri-PCI myocardial infarction/myocardial injury. This investigation will be a prospective cohort study conducted in a population of patients (n=500) with stable CAD undergoing elective PCI treated with standard of care clopidogrel. By integrating genetic data with clinical variables, patients will be stratified into 2 cohorts based on their ABCD-GENE score (using a cut-off of 10). Assessments to define HPR status and myocardial infarction/myocardial injury will be performed post-PCI.

CONDITIONS

Official Title

A Precision Medicine Approach to Identify Patients Undergoing Elective PCI at Risk of Peri-PCI Myocardial Infarction

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Stable coronary artery disease undergoing elective PCI
  • Male or female, age 18 years or older
  • Troponin negative before PCI (unless unknown and no signs of acute coronary syndrome)
  • On aspirin therapy
Not Eligible

You will not qualify if you...

  • Current presentation with myocardial infarction
  • Treatment with prasugrel or ticagrelor
  • Documented hypersensitivity to clopidogrel
  • Use of intravenous antiplatelet therapy during PCI (e.g., cangrelor or GPI)
  • Unable to provide written informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of Florida Jacksonville

Jacksonville, Florida, United States, 32209

Actively Recruiting

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Research Team

F

Francesco Franchi, MD

CONTACT

A

Andrea Burton

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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