DNA-Guided heart therapy could prevent thousands of heart attacks
NCT ID NCT03783351
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether using a person's genetic information to choose their blood thinner medication after getting a heart stent can reduce the risk of heart attacks, strokes, and death. About 4,000 people with heart disease were given either clopidogrel or ticagrelor based on their CYP2C19 gene type. The goal was to see if this personalized approach is safer and more effective than standard care.
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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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4,009 people
The number who actually took part.
- Started
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May 2019
- Expected to finish
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Apr 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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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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient ≥18 years of age * Patient presents with acute coronary syndrome (ACS) or stable coronary artery disease (SCAD) * Patient has a percutaneous coronary intervention (PCI) indication and the new generation drug eluting stent(s) is successfully implanted Exclusion Criteria: * Patient unable to receive 12 months of dual anti-platelet therapy * Patient developing procedure-related complications such as stent thrombosis, coronary dissection, coronary perforation, cardiac tamponade or no-reflow during PCI * Contraindicated or allergic to clopidogrel or ticagrelor * Patient or physician refusal to enroll in the study * Patient having received thrombolytic therapy within the previous 24 hours * Physician has known the patient's CYP2C19 genotype * Anticipated discontinuation of dual anti-platelet therapy within the 12-month follow-up period, example for elective surgery * History of intracranial hemorrhage * Patient has a history of bleeding diathesis or coagulopathy * Patient has an active pathological bleeding, such as active gastrointestinal (GI) bleeding * Patient is pregnant, breastfeeding, or planning to become pregnant within 12 months * Patient is receiving chronic oral anticoagulation therapy (i.e., vitamin K antagonist, direct thrombin inhibitor, Factor Xa inhibitor) * Patient with cardiogenic shock or mechanical circulatory assist devices placed * Patient with LVEF \<30% * Patient with active liver diseases * Patient with severe renal insufficiency (eGFR \<30ml/min/1.73m2 based on simplified MDRD equation or CrCl \<30ml/min based on Cockcroft-Gault equation) * Patient has a malignancy or a life expectancy of less than one year * Platelet count \<100 000/μL, or hematocrit \<32% or \>52%, or white blood cell count \<3000/μL
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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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Beijing Anzhen Hospital
Beijing, Beijing Municipality, 100029, China
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Beijing Chaoyang Hospital
Beijing, Beijing Municipality, 100000, China
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Beijing Friendship Hospital
Beijing, Beijing Municipality, 100050, China
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Beijing LuHe Hospital
Beijing, Beijing Municipality, 101199, China
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Beijing Tong Ren Hospital
Beijing, Beijing Municipality, 100730, China
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Beijing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, 102218, China
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China-Japan Friendship Hospital
Beijing, Beijing Municipality, China
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Fuwai Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100037, China
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a personal playlist calm nerves during heart surgery?