New stent combo could shorten blood thinner use for major heart artery blockage
NCT ID NCT05650411
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tests a new type of stent (Supraflex Cruz) combined with a shorter course of blood thinners (only 1-3 months of dual therapy, then just one drug) for people with a blockage in the left main coronary artery. The goal is to see if this approach reduces bleeding risks while still preventing heart attacks and keeping the artery open. About 828 participants will be followed for two years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Supraflex Cruz stent (drug-eluting stent with sirolimus) and P2Y12 inhibitor (ticagrelor or prasugrel) single antiplatelet therapy
- What this could lead to
- If successful, this could offer a safer, effective way to treat left main coronary artery disease with a shorter course of blood thinners, reducing bleeding risks.
- What could go wrong
- This is an early-stage trial with no phase designation, and the strategy has not been tested in this high-risk group before. There is a risk of heart attack or stent blockage despite the new approach.
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 828 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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May 2032
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.
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: * Age ≥18 years. * Patient with chronic or acute coronary syndrome (unstable angina, or non-ST-elevation acute coronary syndrome). * Subject with significant unprotected (ostial, mid-shaft, or distal) LMCA stenosis who underwent successful LMCA PCI with ≥1 Supraflex Cruz ultrathin-strut biodegradable polymer sirolimus-eluting stent (Sahajanand Medical Technologies Ltd., Surat, India) according to current ESC guidelines on myocardial revascularization and/or local Heart Team decision. * Subject willing to participate and able to understand, read and sign the informed consent document before the planned procedure. Exclusion Criteria: * Contraindications to PCI and/or DES implantation. * Inability to adhere to DAPT for at least 6 months. * Patient already on DAPT. * Patients on oral anticoagulation. * Previous coronary artery bypass surgery. * LMCA in-stent restenosis or stent thrombosis. * Recent ST-elevation myocardial infarction \<5 days prior to randomization. * Cardiogenic shock/hemodynamic instability at the time of intervention and/or need for mechanical/pharmacologic hemodynamic support. * Participation or planned participation in another clinical trial, except for observational registries. * Life expectancy \<1 year. * Pregnancy.
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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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Zurich University Hospital
RECRUITINGZurich, Canton of Zurich, Switzerland
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