RecruitingNCT07068490

Impact of Potassium Competitive Acid Blockers After Percutaneous Coronary Intervention for Efficacy and Safety Outcome: Target Trial Emulation Study.


Sponsor

Samsung Medical Center

Enrollment

100,000 participants

Start Date

Oct 22, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

Despite the fact that potassium competitive acid blocker (P-CAB) has been developed for the treatment of gastric ulcer or gastroesophageal reflux disease, the efficacy and safety of P-CAB for the use of gastrointestinal (GI) protection in patients undergoing percutaneous coronary intervention (PCI) and maintaining dual antiplatelet therapy (DAPT) remains uncertain.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Patients who underwent PCI
  • Use of either clopidogrel, prasugrel, or ticagrelor in combination with aspirin
  • No use of PCAB, PPI, or an H2-receptor within the past month

Exclusion Criteria2

  • Patients with low GI bleeding risk are taken on PPI
  • Patients with high GI bleeding risk do not take PPI

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Interventions

DRUGRoutine use of P-CAB on DAPT

This group received P-CAB with DAPT after PCI.

DRUGGuideline Directed Medical Therapy

This group received PPI or not with DAPT after PCI according to GI bleeding risk.


Locations(1)

Samsung Medical Center

Seoul, South Korea

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NCT07068490


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