Shorter blood thinner course after stents may cut bleeding risk
NCT ID NCT07374718
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether heart attack patients with high bleeding risk can safely take blood thinners for only one month after a special drug-coated stent, instead of the usual 12 months. About 468 participants will be randomly assigned to the shorter or standard therapy. The goal is to see if the shorter plan reduces bleeding complications without increasing heart attacks or strokes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dual antiplatelet therapy (aspirin + P2Y12 inhibitor) followed by P2Y12 inhibitor monotherapy
- What this could lead to
- If successful, this could lead to a safer, shorter antiplatelet regimen that lowers bleeding risk without increasing heart attacks or strokes in high-risk patients.
- What could go wrong
- This is an early-stage trial with 468 participants, so results may not apply to all patients. The shorter therapy might not protect against ischemic events as well as standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 468 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged ≥ 18 years old * ACS patients with high bleeding risk (meeting the ARC-HBR criteria) * Moderate-to-high ischemic risk (OPT-CAD score ≥ 90) * Predicted by the investigator to be able to tolerate 12 months of DAPT * Voluntarily participate and sign the informed consent form, and be willing to receive the designated follow-up of this trial at specific time points * Coronary artery lesions are primary and in-situ coronary artery lesions * Target lesion diameter stenosis ≥ 70% or ≥ 50% (visual estimation) accompanied by evidence of myocardial ischemia Exclusion Criteria: * Patients with known allergy or contraindication to P2Y12 inhibitors, aspirin, or contrast agents * Patients planning to undergo surgical intervention within 12 months * Left Ventricular Ejection Fraction (LVEF) \< 35% * Patients with contraindications to PCI * Patients with a history of substance abuse (alcohol, cocaine, heroin, etc.), or with an expected life expectancy of less than 1 year * Subjects with poor compliance or judged by the investigator to be unsuitable for participating in the study * Female patients who are planning to be pregnant or are pregnant/lactating, and male patients planning to impregnate * Chronic total occlusion lesions * Lesions involving the left main coronary artery * Severe calcified and tortuous lesions
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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General Hospital of Northern Theater Command
Shenyang, Liaoning, 110000, China
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Other studies related to the condition(s) this trial covers.
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