Can a daily pill stop heart attacks in people with hidden artery disease?

NCT ID NCT05845489

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study is testing whether taking clopidogrel (a blood thinner) every day for at least 5 years can prevent heart attacks, strokes, and death in people who have early signs of coronary artery disease on scans but no symptoms. About 11,000 adults aged 40 and older will be assigned to either take clopidogrel or receive no blood-thinning medication. The goal is to see if early treatment can stop the disease from getting worse.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
clopidogrel
What this could lead to
If it works, this could provide a way to prevent major heart events in people with early, symptom-free coronary artery disease.
What could go wrong
This is a large Phase 4 trial, but clopidogrel is already known to increase bleeding risk. The benefit in this specific population is unproven, and the study requires long-term daily medication.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Andong Hospital

    RECRUITING

    Andong, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Catholic Kwandong University International St. Mary's Hospital

    RECRUITING

    Incheon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chonnam National University Hospital

    RECRUITING

    Gwangju, South Korea

  • Chonnam National University Hospital

    RECRUITING

    Gwangju, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chonnam National University Hwasun Hospital

    RECRUITING

    Hwasun, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chung-Ang University Gwangmyeong Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chung-Ang University Hospital

    RECRUITING

    Seoul, South Korea

  • Chung-Ang University Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chungbuk National University Hospital

    RECRUITING

    Cheongju-si, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chungnam National University Hospital

    RECRUITING

    Daejeon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Chungnam National University Sejong Hospital

    RECRUITING

    Sejong, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Dong-A University Hospital

    RECRUITING

    Busan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Eulji University Hospital, Daejeon

    RECRUITING

    Daejeon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Eulji University Hospital, Uijeongbu

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Ewha Womans University Seoul Hospital

    RECRUITING

    Seoul, South Korea

  • Ewha Womans University Seoul Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Gachon University Gil Medical Center

    RECRUITING

    Incheon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Gangneung Asan Hospital

    RECRUITING

    Gangneung, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Gyeongsang National University Changwon Hospital

    RECRUITING

    Changwon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Gyeongsang National University Hospital

    RECRUITING

    Jinju, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hallym University Chuncheon Sacred Heart Hospital

    RECRUITING

    Chuncheon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hallym University Dongtan Sacred Heart Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hallym University Kangdong Sacred Heart Hospital

    RECRUITING

    Seoul, South Korea

  • Hallym University Kangdong Sacred Heart Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hallym University Kangnam Sacred Heart Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hallym University Sacred Heart Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hanyang University Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Inje University Busan Paik Hospital

    RECRUITING

    Busan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Inje University Ilsan Paik Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Inje University Sanggye Paik Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Jeju National University Hospital

    RECRUITING

    Jeju City, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Jesus Hospital, Jeonju

    RECRUITING

    Jeonju, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kangbuk Samsung Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kangwon National University Hospital

    RECRUITING

    Chuncheon, South Korea

  • Kangwon National University Hospital

    RECRUITING

    Chuncheon, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Keimyung University Dongsan Hospital

    RECRUITING

    Daegu, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Korea University Anam Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Korea University Guro Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kosin University Gospel Hospital

    RECRUITING

    Busan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kwangju Christian Hospital

    RECRUITING

    Gwangju, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kyung Hee University Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Myongji Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • National Health Insurance Service Ilsan Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Pohang Stroke And Spine Hospital

    RECRUITING

    Pohang, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Pusan National University Hospital

    RECRUITING

    Busan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Samsung Medical Center

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Sejong General Hospital, Bucheon

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Seoul Medical Center

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Seoul Metropolitan Government - Seoul National University Boramae Medical Center

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Seoul National University Hospital

    RECRUITING

    Seoul, Other, 03080, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Soonchunhyang University Bucheon Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Soonchunhyang University Cheonan Hospital

    RECRUITING

    Cheonan, South Korea

  • Soonchunhyang University Cheonan Hospital

    RECRUITING

    Cheonan, South Korea

  • Soonchunhyang University Cheonan Hospital

    RECRUITING

    Cheonan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Soonchunhyang University Seoul Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Ulsan University Hospital

    RECRUITING

    Ulsan, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Veterans Health Service Medical Center

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Yeungnam University Medical Center

    RECRUITING

    Daegu, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Yonsei University Gangnam Severance Hospital

    RECRUITING

    Seoul, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Yonsei University Wonju Severance Christian Hospital

    RECRUITING

    Wŏnju, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Yonsei University Yongin Severance Hospital

    RECRUITING

    Gyeonggi-do, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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