PRasugrEl Monotherapy Following prImary percUtaneous Coronary Intervention for ST-elevation Myocardial Infarction

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorKindai University

About this trial

The aim of this study is to evaluate the safety of prasugrel monotherapy without aspirin versus 12-month dual antiplatelet therapy (DAPT) in patients with STEMI using platinum-chrome everolimus-eluting stent (PtCr-EES: SYNERGYTM).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients scheduled for primary PCI with everolimus-eluting stent (PtCr-EES, SYNERGYTM)

STEMI patients

Patients who can continue dual antiplatelet therapy with aspirin and a P2Y12 inhibitor for 12 months

Disqualifiers

Patients taking anticoagulants

Patients under 18 years old

Patients with less than 1 year prognosis

Patients participating in other intervention studies

Trial design

Design model

Parallel

Treatments tested in this trial

  • No aspirin (Prasugurel monotherapy)

    Drug

    12-month prasugrel monotherapy

  • 12-month DAPT

    Drug

    12-month dual antiplatelet therapy with prasugrel and aspirin

Treatment groups

2,258 Participants
are divided into 2 treatment groups
Group A: No aspirin (Prasugrel monotherapy)Active comparator 1 intervention
Group B: 12-month DAPTActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Major adverse cardiovascular events

Composite of all-cause death, myocardial infarction, or stroke

Time frame
12 months

Secondary outcomes

1

Major secondary bleeding endpoint: Type 3 or 5 bleeding in Bleeding Academic Research Consortium (BARC) criteria

Type 3 or 5 bleeding defined by BARC criteria

Time frame
12 months
2

All-cause death

Death from any cause

Time frame
12 months
3

Cardiovascular death

Death from cardiovascular cause

Time frame
12 months
4

Non-cardiovascular death

Death from non-cardiovascular cause

Time frame
12 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Kindai University

Lead sponsor

Boston Scientific Corporation

Collaborator