Heart bypass patients: how long should you take blood thinners?
NCT ID NCT06981390
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study looks at how long people should take a combination of two blood thinners (ticagrelor and aspirin) after coronary artery bypass surgery to keep the new vein grafts open. 300 patients will be randomly assigned to take the combination for 3, 6, or 12 months, then switch to aspirin alone. The goal is to find the best balance between keeping grafts open and avoiding bleeding problems.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ticagrelor and Aspirin
- What this could lead to
- If successful, this study could identify the ideal length of time to take ticagrelor plus aspirin after bypass surgery to keep new blood vessels open and reduce heart complications.
- What could go wrong
- This is a relatively small, early-stage trial (300 people) comparing different treatment durations, so results may not apply to all patients. Bleeding is a known risk with these medications.
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 300 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
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 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: 1. Patients 18-80 of age. 2. Patients undergo planned CABG for the first time with ≥1 SVGs 3. Patients with written informed consent. Exclusion Criteria: 1. Patients undergoing concomitant valve surgery (excluding aortic bioprosthesis), aortic surgery, or rhythm surgery during the same session. 2. Patients undergoing emergency CABG. 3. Patients with single-vessel coronary artery disease. 4. Patients with cardiogenic shock or hemodynamic instability. 5. Patients with sick sinus syndrome, second- or third-degree atrioventricular block. 6. Patients with contraindications for coronary computed tomography angiography (CCTA) or coronary angiography, including contrast media allergy. 7. Patients requiring antiplatelet therapy other than aspirin or ticagrelor (e.g., clopidogrel, prasugrel) and unable to discontinue such medication after CABG, based on physician or investigator judgment. 8. Patients on oral anticoagulants before CABG who must continue anticoagulation therapy postoperatively. 9. Patients with contraindications for ticagrelor or aspirin, including: 9.1Bleeding diathesis within the past 3 months. 9.2Severe gastrointestinal bleeding within the past year. 9.3Peptic ulcer (even without bleeding) within the past 3 years. 9.4History of intracranial hemorrhage, aspirin allergy, or severe aspirin-induced gastrointestinal reaction. 10. Patients with a drug-eluting stent (DES) in a coronary or cerebral artery within 6 months before CABG, or a bare-metal stent (BMS) within 1 month before CABG. 11. Patients with thrombocytopenia (\<100 x 10⁹/L) before CABG. 12. Patients with severe renal dysfunction requiring dialysis or active liver disease, including unexplained persistent transaminase elevation or transaminase levels \>3× the upper normal limit. 13. Patients using strong CYP3A4 inhibitors. 14. Patients requiring methotrexate and ibuprofen therapy. 15. Patients with active malignant tumors with an increased risk of bleeding, as determined by the investigator. 16. Pregnant or breastfeeding women, and those who have given birth within the past 90 days. 17. Premenopausal women not using adequate contraception. Adequate contraception requires at least two reliable methods, including one barrier method.
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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
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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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
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
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the Second Hospital of Jilin University
Changchun, Jilin, 130000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A soft patch that watches your heart beat in real time
- Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
- Squeeze a ball, lower your blood pressure? heart trial puts handgrip exercise to the test
- New heart scan aims to spot hidden plaque before it strikes
- Can a kidney ultrasound scan warn of kidney damage after heart bypass surgery?