RecruitingPhase 4NCT06718179

Comparison of Short Versus 12 Months Prasugrel Plus Aspirin in Patients with Acute Coronary Syndromes Treated with Percutaneous Coronary Intervention and Everolimus-eluting Stents

Randomized Comparison of Short Versus 12 Months Prasugrel Plus Aspirin in Patients with Acute Coronary Syndromes Treated with Percutaneous Coronary Intervention and Everolimus-eluting Stents (SORT OUT XII DAPT Duration Trial)


Sponsor

Odense University Hospital

Enrollment

3,150 participants

Start Date

Nov 16, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The SORT OUT XII dual antiplatelet treatment (DAPT) duration trial, is a clinical randomized controlled superiority and non-inferiority trial to compare whether prasugrel alone versus prasugrel plus aspirin from month 1 to month 12 after percutaneous coronary intervention with and everolimus-eluting stent in patients with acute coronary syndromes (1) is superior regarding clinically relevant bleeding and (2) non-inferior regarding safety (cardiac death, myocardial infarction, definite stent thrombosis, ischemic stroke or clinically driven target lesion revascularization)


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • All patients aged ≥18 years with acute coronary syndromes who are treated with an everolimus-eluting drug-eluting stent can undergo randomization if they can be treated with prasugrel for 12 months.
  • Postmenopausal women or use of contraceptive drugs (absence of menstruation in at least 12 consecutive months or continuously usage of contraceptive drugs (a contraceptive implant, an intrauterine device, birth-control pills, transdermal patches, vaginal ring, or depot injection).

Exclusion Criteria7

  • Age < 18 years
  • Not able to consent to study participating (eg. intubated patients)
  • Do not speak Danish
  • Life expectancy <1 year
  • Allergic to study related treatment
  • Non-vitamin K antagonist oral anticoagulants (NOAC) or warfarin treatment
  • Contraindication for 12 months prasugrel treatment

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Interventions

DRUGShort duration of aspirin and prasugrel

aspirin 75 mg/day for 1 months plus prasugrel 10 mg/day (5 mg/day) for 1 year, followed by lifelong aspirin 75 mg/day after 1 year

DRUGConventional duration of aspirin and prasugrel

aspirin 75 mg/day lifelong plus prasugrel 10 mg/day (5 mg/day) for 1 year


Locations(3)

Aalborg University Hospital

Aalborg, Denmark

Aarhus University Hospital

Aarhus, Denmark

Odense University Hospital

Odense, Denmark

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NCT06718179


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