New combo therapy may fix slow blood flow after heart attack stenting
NCT ID NCT07195812
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the blood thinner rivaroxaban to standard aspirin and clopidogrel can improve sluggish blood flow in heart attack patients who just had a stent placed. About 60 adults will receive either the triple therapy or standard dual therapy for one month. Researchers will measure blood flow changes and track heart events and bleeding over a year.
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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 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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May 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.
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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: * Age ≥ 18 years, regardless of gender; * Patients with ST-segment elevation myocardial infarction (STEMI) (meeting the diagnostic criteria of the 2019 Chinese "Guidelines for the Diagnosis and Treatment of Acute ST-Segment Elevation Myocardial Infarction"); * Patients undergoing percutaneous coronary intervention (PCI); * Patients with slow flow after PCI (TIMI flow grade \> 0 but \< 3); * Signed informed consent form and willingness to comply with follow-up. Exclusion Criteria: * Presence of malignant tumors or diseases with a life expectancy of less than 1 year; * Coagulation disorders, diagnosed or suspected hematological diseases (excluding mild or moderate anemia); * Thrombocytopenia (platelet count \< 100 × 10⁹/L); history of severe gastrointestinal diseases or peptic ulcers; active bleeding within the past 3 months or major surgery history; history of intracranial hemorrhage or intracranial aneurysm; * History of cerebral hemorrhage or ischemic stroke within the past 6 months; * Patients with cardiogenic shock; systemic infections or immune system diseases; confirmed, highly suspected, or unable to rule out aortic dissection; severe uncontrolled hypertension (systolic blood pressure \> 180 mmHg and/or diastolic blood pressure \> 110 mmHg); * Current use of rivaroxaban or requiring long-term anticoagulation therapy (e.g., atrial fibrillation); * Patients with renal insufficiency (eGFR \< 15 mL/min/1.73m²) or hepatic insufficiency (Child-Pugh Class B or C); * Lactating or pregnant women, or women of childbearing potential unable to use effective contraception during the study period; * Patients with any contraindications or allergies to rivaroxaban, aspirin, clopidogrel, or ticagrelor; * Participation in other clinical trials within the past 3 months; * Other conditions deemed unsuitable for participation by the investigator.
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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.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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Other studies related to the condition(s) this trial covers.
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