Can a shorter course of two blood thinners keep stents safe?
NCT ID NCT07080684
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers are testing a shorter antiplatelet strategy for people with chronic coronary syndrome who receive a drug-eluting stent. Participants take low-dose ticagrelor plus aspirin for one month, then ticagrelor alone for five months. The trial compares this approach with the standard six months of aspirin plus clopidogrel. The goal is to see whether the short dual-therapy plan prevents heart attacks, strokes, and deaths while causing less bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ticagrelor, an antiplatelet drug given with aspirin and then alone
- What this could lead to
- If the short dual-therapy strategy works, people with chronic coronary syndrome could spend less time on two blood thinners after stenting, which may lower bleeding risk while still preventing clots.
- What could go wrong
- The trial may show no clear advantage over standard six-month dual therapy, or the early switch to ticagrelor alone could leave some patients at higher risk of clots. Bleeding and clotting are both possible with any antiplatelet plan.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
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: * Age ≥18 years at the time of informed consent. * Diagnosis of chronic coronary syndrome (CCS) according to ESC guidelines. * Undergoing successful PCI with implantation of one or more new-generation drug-eluting stents (DES). * Indication for dual antiplatelet therapy (DAPT) following PCI. * Willingness and ability to comply with all study procedures and follow-up assessments. * Signed informed consent prior to any study-specific procedure. * Creatinine clearance ≥30 mL/min, calculated using the Cockcroft-Gault formula. * Life expectancy greater than 1 year in the investigator's judg-ment. * Hemodynamically stable at the time of randomization. * Acceptable bleeding risk profile: patients fulfilling ARC-HBR criteria may be included only if the treating physician deems a 6-month antiplatelet regimen to be safe. * No contraindications to study drugs, including aspirin, clopi-dogrel, or ticagrelor. Exclusion Criteria: * Presentation with acute coronary syndrome (ACS), including STEMI, NSTEMI, or unstable angina within the previous 6 mon-ths. * Planned staged PCI or revascularization procedure within 6 months after index PCI. * Requirement for long-term oral anticoagulation therapy, such as for atrial fibrillation, mechanical heart valves, or venous thromboembolism. * History of major bleeding, including gastrointestinal or intra-cranial bleeding, within the past 6 months. * Severe hepatic impairment, active liver disease, or transamina-ses \>3× upper limit of normal. * Known platelet disorder, coagulopathy, or thrombocytopenia (\<100,000/mm³). * Contraindication or hypersensitivity to aspirin, clopidogrel, or ticagrelor, or known drug interaction that precludes their use. * Ongoing active bleeding or high risk of bleeding that, in the opinion of the investigator, precludes DAPT. * Pregnancy or breastfeeding, or women of childbearing potential who are not using effective contraception. * Life expectancy \<1 year due to non-cardiovascular comorbidi-ties (e.g., cancer, advanced renal failure). * Participation in another interventional clinical trial that may interfere with the outcomes of this study. * Severe anemia (hemoglobin \<9 g/dL) not corrected before ran-domization. * Inability or unwillingness to provide informed consent or ad-here to study follow-up. * Prior stroke with residual neurological deficit or history of di-sabling stroke (mRS ≥3).
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As listed by the trial registrant
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How to take part
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The official record
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A doctor treating you
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