Please sign in to follow a disease.
Could a single blood thinner after stents be safer?
NCT ID NCT06916520
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a reduced dose of the blood thinner prasugrel (5 mg), taken alone without aspirin, is safe and effective for patients who have had a stent placed for heart disease. Researchers will compare this approach to standard dual antiplatelet therapy (aspirin plus another blood thinner). The goal is to see if the single-drug strategy reduces bleeding complications while still preventing heart attacks, strokes, and other serious events. The trial plans to enroll 300 patients and follow them for 6 to 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Prasugrel 5 mg
- What this could lead to
- If successful, this could show that a lower dose of prasugrel alone is a safe and effective option after stent placement, reducing bleeding risk while still preventing heart attacks and strokes.
- What could go wrong
- This is a small, single-center Phase 4 trial, so results may not apply to all patients. The lower dose might not prevent clotting events as well as standard dual therapy, and bleeding risks remain.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2025
- Expected to finish
-
Apr 2027
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Acute Coronary Syndrome * Chronic Coronary Syndrome * Successful PCI Exclusion Criteria: * Known allergy or contraindication for prasugrel, including Active pathological bleeding Severe liver disease (defined as Child Pugh class C) * Current indication for oral anticoagulant therapy (OAC) * Indication for ongoing DAPT (e.g. PCI ≤ 6 months for CCS or ACS ≤ 12 months) * Pregnancy or breast-feeding women * Participation in another trial with an investigational drug or device * Recent or ongoing use of CYP2B6 substrates with a narrow therapeutic window (e.g. cyclophosphamide, efavirenz)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute coronary syndrome are added.
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Amsterdam UMC
RECRUITINGAmsterdam, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Tailoring cardiac rehab to each heart: can personalized training speed recovery?
- Can VR lessons help heart patients take their medicines?
- Can a 20-Minute playlist calm a heart attack Patient's nerves?
- Heart arteries without metal: CT scans track Drug-Coated balloon results
- A simple ultrasound test may sharpen heart attack risk predictions
- Could a personal playlist calm nerves during heart surgery?