About this trial
After PCI for CCS patients, single center double blind randomization will be done and patients will receive aspirin 80 mg and clopidogrel 75 mg versus 90 mg two times daily of ticagrelor, for 6 months and MACE will be followed in registry of professor Kojuri cardiology clinic
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female above 20 years of age undergoing PCI with a drug-eluting stent for chronic coronary syndrome
The patient has provided written informed consent as approved by the ethics committee of the Shiraz University of Medical Sciences.
Disqualifiers
Contraindication to aspirin, clopidogrel, ticagrelor, or any other reason that study drug should not be administered (including hypersensitivity, moderate or severe liver disease, active bleeding, and major surgery within 30 days)
Atrial fibrillation or other indication for oral anticoagulant therapy.
Concomitant oral or IV therapy with strong CYP3A inhibitors, CYP3A substrates with narrow therapeutic indices (cyclosporine, and quinidine), or strong CYP3A inducers ( rifampin, rifampicin, phenytoin, and carbamazepine)
Females of child-bearing age unless negative pregnancy test at screening and willing to use effective contraception for the duration of trial
Trial design
Parallel
Treatments tested in this trial
aspirin 80 mg and clopidogrel 75 mg daily
Drugpost PCI patients received these two drugs as dual antiplatelet regimen
Ticagrelor 90 MG
DrugPost PCI patients receive Ticagrelor 90 mg two times daily as single potent antiplatelet
Treatment groups
Trial outcomes
Primary outcomes
stent thrombosis
Post PCI till 6 months any confirmed or suspected episodes of stent thrombosis based on ARCH definition
Major adverse cardiovascular events
Any episodes of myocardial infarction, acute coronary syndrome, revascularization, hospital admission and major vascular events will be recorded
Bleeding
any major or minor bleeding based on HASBLED criteria
Secondary outcomes
Treatment related adverse reactions
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Sponsors and contacts
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