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Algorithm-based Tailoring of Dual Antiplatelet Therapy to Improve Outcomes Following Percutaneous Coronary Interventions
Sponsor: Insel Gruppe AG, University Hospital Bern
Summary
The use of aspirin combined with a P2Y12 inhibitor (dual antiplatelet therapy, DAPT) represents the standard of care for patients undergoing percutaneous coronary intervention (PCI) with stent implantation. The TAILOR-DAPT trial aims to investigate the benefits of a score-based decision-making algorithm to guide DAPT duration compared to a standard-of-care DAPT duration without the use of risk scores in patients undergoing PCI.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
2788
Start Date
2023-06-27
Completion Date
2028-12
Last Updated
2025-09-16
Healthy Volunteers
No
Interventions
Algorithm-guided DAPT duration
PRECISE-DAPT score ≥25 * Chronic Coronary Syndromes (CCS): Aspirin + clopidogrel for 1 month, followed by clopidogrel monotherapy * Acute Coronary Syndromes (ACS): Aspirin + ticagrelor for 1 month, followed by ticagrelor monotherapy PRECISE-DAPT score \<25: * Non-complex CCS: Aspirin + clopidogrel for 6 months, followed by clopidogrel monotherapy * Non-complex ACS: Aspirin + potent P2Y12 inhibitor for 6 months, followed by potent P2Y12 inhibitor monotherapy * Complex CCS or ACS: Aspirin + P2Y12 inhibitor for 12 months, followed by P2Y12 inhibitor monotherapy (potent P2Y12 inhibitor mandatory for ACS)
Standard-of-care DAPT duration
DAPT strategy at the operators´ discretion in accordance with applicable guidelines
Locations (3)
University Clinical Center of the Republic of Srpska
Banja Luka, Bosnia and Herzegovina
UOC Cardiologia San Giovanni Addolorata Hospital
Roma, Italy
Department of Cardiology, Bern University Hospital
Bern, Switzerland