Gene test could personalize stroke prevention
NCT ID NCT05763862
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether genetic testing can help doctors pick the right antiplatelet medicine for people who have had a stroke or mini-stroke. About 350 patients will be randomly assigned to either standard care or a genetic test that checks if a common drug, clopidogrel, is likely to work for them. If the test shows the drug may not be effective, patients will receive alternative medications. The goal is to see if this personalized approach reduces the chance of another stroke or heart problem over the next year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- genetic testing for CYP2C19 mutations
- What this could lead to
- If successful, this could show that tailoring antiplatelet drugs based on genetics reduces the risk of another stroke or heart attack.
- What could go wrong
- This is a relatively small, early-stage feasibility study, and the benefit of genetic testing over standard care is not yet proven. Bleeding risks from alternative antiplatelet drugs also remain a concern.
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 350 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Aug 2026
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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21 to 100 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: * Patients diagnosed with acute ischemic stroke or transient ischemic attack. * Age 21 years to 100 years. * Can be randomised within 7 days of onset of index event \[Refer to footnote 1\]. * Clopidogrel naive immediately prior to index event \[Refer to footnote 2\]. Footnote 1: Date of index event to be taken as Day 1. This means that randomisation must be done by Day 7. For unknown onset or wake-up stroke where the last seen well and symptoms discovery are on different days, Day 1 is taken to be the date of symptoms discovery. Footnote 2: Patients who were on short-term antiplatelets which included clopidogrel but are no longer on clopidogrel prior to stroke would fulfil for this inclusion criteria. In this context, short-term antiplatelets are defined as 21 days for minor stroke TIA and 3 months for large vessel disease. Exclusion Criteria: * Known diagnosis of dementia \[Refer to footnote 3\]. * Known diagnosis of a life limiting illness with life expectancy of less than 1 year. * Known cardioembolism or prothrombotic state necessitating the use of anticoagulation, or having a contraindication to clopidogrel. Footnote 3: "Known diagnosis of dementia" will be defined as clinical diagnosis of dementia prior to the index stroke event as indicated in the patient's medical records.
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Genom att skicka in godkänner du våra Användarvillkor
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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Singapore General Hospital
Singapore, Singapore
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Other studies related to the condition(s) this trial covers.
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