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Dual Antiplatelet Therapy Strategies After Acute Myocardial Infarction Undergoing PCI: Prasugrel vs Ticagrelor & 12 Months vs 1-3 Months
Sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Summary
This study is testing different blood-thinning treatment strategies for people who have had a heart attack and were successfully treated with a coronary stent procedure (PCI). All strategies tested are already approved for this condition and used inversally. This study will define which of the approved strategies is the best one. After PCI, patients usually receive two antiplatelet medicines for up to 12 months to help prevent another heart attack or stroke, but this treatment can also increase bleeding risk. This study will compare a shorter course of dual antiplatelet therapy followed by one antiplatelet medicine alone versus the standard 12-month course. In addition, the study will compare two commonly used antiplatelet drugs, prasugrel and ticagrelor. The goal is to find out which strategy best prevents death, heart attack, or stroke while minimizing serious bleeding. This study is not testing any new intervention, rather comparing approved drugs and approved durations of use.
Official title: Strategies for Antiplatelet Management Following Acute Coronary Syndrome
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
8100
Start Date
2026-07
Completion Date
2030-01
Last Updated
2026-04-02
Healthy Volunteers
No
Conditions
Interventions
Prasugrel
Prasugrel during 12 months
Ticagrelor
Ticagrelor plus aspirin
Locations (5)
Mater Private Network Dublin
Dublin, Ireland
Paula Stradiņa klīniskā universitates slimnīca
Riga, Latvia
Oslo University Hospital, Ullevål.
Oslo, Norway
Saint John Paul II Hospital in Cracow
Krakow, Poland
Fundación Jiménez Díaz University Hospital
Madrid, Spain