Heart patients get Double-Duty blood thinners in massive trial
NCT ID NCT04624854
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This completed trial tested whether taking two blood thinners (clopidogrel and aspirin) for 12 months after a heart stent procedure is better than aspirin alone for people with multiple blocked coronary arteries. Over 8,000 patients were enrolled across 100 centers. The main goal was to see if the combination reduces major heart problems like heart attack, stroke, or death.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Clopidogrel and aspirin
- What this could lead to
- If it works, this could confirm that combining clopidogrel with aspirin for 12 months after stenting lowers the risk of heart attack, stroke, or death in people with multiple blocked arteries.
- What could go wrong
- This is a completed Phase 4 trial, so results are available, but the open-label design may introduce bias. The benefit must be weighed against a higher bleeding risk from dual antiplatelet therapy.
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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8,250 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Sep 2025
- 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 to 75 years
- 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: * The enrolled subjects must meet all of the following criteria: 1. Aged 18-75 years old (inclusive). 2. Patients with MVD who underwent DES implantation for 12 months. 3. Patients have been treated with aspirin and can tolerant of aspirin at doses of 75-150 mg/day as maintenance therapy during the study period. 4. Patients have signed informed consent. Exclusion Criteria: \- Subjects who meet any one of the following criteria are excluded from the study: 1. Planned to use of ADP receptor blockers (eg, clopidogrel, ticagrelor, and ticlopidine), dipyridamole, or cilostazol. 2. Contraindication to ADP receptor blockers or aspirin. 3. Planned to use anticoagulants during the study period. 4. Planned coronary, cerebrovascular, or peripheral arterial revascularization during the study period. 5. Planned major cardiac or non-cardiac surgery during the study period. 6. Concomitant oral or intravenous therapy with CYP2C19 medium or strong inhibitors. 7. Known severe liver disease(ALT/AST is 3 times above normal). 8. Subjects with renal failure who required or anticipated dialysis during the study period. 9. Platelet count \<50×10\^9/L. 10. Patients with: * A history of intracranial bleed or ischemic stroke at any time. * A central nervous system tumor or intracranial vascular abnormality (eg, aneurysm, arteriovenous malformation) at any time. * Intracranial or spinal cord surgery within 5 years. 11. Pregnancy or lactation or planned to pregnant during the study period. 12. Life expectancy \< 1 year. 13. Any condition which in the opinion of the investigator would make it unsafe or unsuitable for the patient to participate in this study (eg, active malignancy other than squamous cell or basal cell skin cancer). 14. Concern for inability of the patient to comply with study procedures and/or followup (eg, alcohol or drug abuse). 15. Participation in another clinical study and did not reach the major endpoint. 16. Involvement in the planning and/or conduct of the study.
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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
Locations
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Affiliated Hospital of Chengde Medical University
Chengde, Hebei, 067000, China
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Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, 563003, China
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Affiliated Pizhou Hospital of Xuzhou Medical University
Pizhou, Jiangsu, 221300, China
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Baoqing County People's Hospital
Shuangyashan, Heilongjiang, 155600, China
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Beidahuang Industry Group General Hospital
Harbin, Heilongjiang, 150088, China
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Cangzhou Central Hospital
Cangzhou, Hebei, 061014, China
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Central Hospital of Dalian University of Technology (Dalian municipal central hospital )
Dalian, Liaoning, 116089, China
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Central Hospital of Yongcheng
Shangqiu, Henan, 476610, China
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Central South University Xiangya School of Medicine Affiliated Haikou Hospital
Haikou, Hainan, 570208, China
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Dancheng County People's Hospital
Zhoukou, Henan, 477150, China
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Daqing People's Hosipital
Daqing, Heilongjiang, 163316, China
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Dazhou Central Hospital
Dazhou, Sichuan, 635099, China
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First Affiliated Hospital of Dalian Medical University
Dalian, Liaoning, 116011, China
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First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830054, China
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First People's Hospital of Fuzhou
Fuzhou, Jiangxi, 344000, China
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First People's Hospital of Shangqiu
Shangqiu, Henan, 476005, China
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Fuzhou University Affiliated Provincial Hospital
Fuzhou, Fujian, 350001, China
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General Hospital of Ningxia Medical University - Cardiovascular and Cerebrovascular Hospital
Yinchuan, Ningxia, 750002, China
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Guangdong Provincial People's Hospital
Zhongshan, Guangdong, 510080, China
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Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)
Haikou, Hainan, 570311, China
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Harbin 242 Hospital
Harbin, Heilongjiang, 150066, China
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Harrison International Peace Hospital
Hengshui, Hebei, 053000, China
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Hegang Hekuang Hospital
Hegang, Heilongjiang, 154100, China
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Heilongjiang Provincial Hospital
Harbin, Heilongjiang, 150030, China
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Hongqi Hospital Affiliated to Mudanjiang Medical University
Mudanjiang, Heilongjiang, 157011, China
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Hulunbuir People's Hospital
Hulunbuir, Inner Mongolia, 021008, China
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Inner Mongolia Autonomous Region People's Hospital
Hohhot, Inner Mongolia, 010017, China
-
Jiamusi Central Hospital
Jiamusi, Heilongjiang, 150086, China
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Jiansanjiang Hospital of Beidahuang Group
Jiamusi, Heilongjiang, 156300, China
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Jilin Central General Hospital
Jilin City, Jilin, 132011, China
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Jilin Hospital of Chinese and Western Medicine
Jilin City, Jilin, 132012, China
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Jixi Jikuang Hospital
Jixi, Heilongjiang, 158100, China
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Jixi People's Hospital
Jixi, Heilongjiang, 158100, China
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Kaifeng Central Hospital
Kaifeng, Henan, 475001, China
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Mishan People's Hospital
Mishan, Heilongjiang, 158300, China
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Mudanjiang Cardiovascular Hospital
Mudanjiang, Heilongjiang, 157011, China
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Mudanjiang City Second People's Hospital
Mudanjiang, Heilongjiang, 157000, China
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Mudanjiang First People's Hospital
Mudanjiang, Heilongjiang, 157011, China
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Mudanjiang Hospital of Beidahuang Group
Mudanjiang, Heilongjiang, 158322, China
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Nanyang First People's Hospital
Nanyang, Henan, 473004, China
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Nenjiang People's Hospital
Heihe, Heilongjiang, 161400, China
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People's Hospital of Daxing'anling Region
Xing'anling, Heilongjiang, 165000, China
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People's Hospital of Hegang City
Hegang, Heilongjiang, 154100, China
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People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang, 830001, China
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Pingquan County Hospital
Chengde, Hebei, 067500, China
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Puyang People's Hospital
Puyang, Henan, 457000, China
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Qilu Hospital of Shandong University
Jinan, Shandong, 250063, China
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Qiqihar Jianhua Hospital
Qiqihar, Heilongjiang, 161000, China
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Shaanxi Provincial People's Hospital
Xi'an, Shaanxi, 710068, China
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Shandong Healthcare Group Feicheng Hospital
Feicheng, Shandong, 271608, China
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Shandong Second Provincial General Hospital
Jinan, Shandong, 250031, China
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Shuangcheng People's Hospital
Harbin, Heilongjiang, 150100, China
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Shuangyashan Mining Group Hospital
Shuangyashan, Heilongjiang, 155100, China
-
Shuangyashan People's Hospital
Shuangyashan, Heilongjiang, 155100, China
-
Songyuan Central Hospital
Songyuan, Jilin, 138001, China
-
Tangshan Central Hospital
Tangshan, Hebei, 063099, China
-
The 7th People's Hospital of Zhengzhou
Zhengzhou, Henan, 450016, China
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The Affiliated Taian City Centeral Hospital of Qingdao University
Tai’an, Shandong, 271099, China
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The Baoquanling Hospital of Beidahuang Group
Hegang, Heilongjiang, 154211, China
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The Fifth Affiliated Hospital of Qiqihar Medical College, Daqing Longnan Hospital.
Daqing, Heilongjiang, 163001, China
-
The Fifth Hospital of Xiamen
Xiamen, Fujian, 361101, China
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The Fifth People's Hospital of Jinan
Jinan, Shandong, 250022, China
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The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400042, China
-
The First Affiliated Hospital of Jiamusi University
Jiamusi, Heilongjiang, 154002, China
-
The First Affiliated Hospital of Nanyang Medical College
Nanyang, Henan, 473007, China
-
The First Affiliated Hospital of Qiqihar Medical University
Qiqihar, Heilongjiang, 161006, China
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The First Affiliated Hospital of University of South China
Hengyang, Hunan, 421001, China
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The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052, China
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The First Hospital of Harbin
Harbin, Heilongjiang, 150010, China
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The First Hospital of Jilin University
Changchun, Jilin, 130021, China
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The First Hospital of Suihua City
Suihua, Heilongjiang, 152053, China
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The First Hospital of Yichun City
Yichun, Heilongjiang, 153000, China
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The First People's Hospital of Lianyungang
Lianyungang, Jiangsu, 222002, China
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The Fourth Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001, China
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The Fourth People's Hospital of Jinan
Jinan, Shandong, 250031, China
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The Hongxinglong Hospital of Beidahuang Group
Shuangyashan, Heilongjiang, 155811, China
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The People's Hospital of Yongcheng
Yongcheng, Henan, 476600, China
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The Second Affiliated Hospital of Hainan Medical University
Haikou, Hainan, 570311, China
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The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086, China
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The Second Affiliated Hospital of Xingtai Medical College
Xingtai, Hebei, 054000, China
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The Second Hospital of Harbin
Harbin, Heilongjiang, 150056, China
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The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, 052306, China
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The Second Hospital of Jilin University
Changchun, Jilin, 130041, China
-
The Second People's Hospital of Liaocheng
Liaocheng, Shandong, 252699, China
-
The Third Affiliated Hospital of Qiqihar Medical University
Qiqihar, Heilongjiang, 161000, China
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The Third Betune Hospital of Jilin University
Changchun, Jilin, 130033, China
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The Third Hospital of Shijiazhuang
Shijiazhuang, Hebei, 052360, China
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The Third Xiangya Hospital of Central South University
Changsha, Hunan, 410013, China
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Tianjin Chest Hospital
Tianjin, Tianjin Municipality, 300222, China
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Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052, China
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Tieli Medical Service Community Central Hospital
Yichun, Heilongjiang, 152500, China
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Xinqiao Hospital, Army Medical University
Chongqing, Chongqing Municipality, 400037, China
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Xinxiang Second People's Hospital
Xinxiang, Henan, 453099, China
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Yichang Central People's Hospital
Yichang, Hubei, 443000, China
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Yichun Forestry Central Hospital
Yichun, Heilongjiang, 153000, China
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Zhongda Hospital, Southeast University
Nanjing, Jiangsu, 210009, China
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Zhongshan Hospital Wusong Branch, Fudan University
Shanghai, Shanghai Municipality, 200032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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