Comparison of Short Versus 12 Months Prasugrel Plus Aspirin in Patients with Acute Coronary Syndromes Treated with Percutaneous Coronary Intervention and Everolimus-eluting Stents
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Short duration of aspirin and prasugrel, Conventional duration of aspirin and prasugrel.
- Who it may be relevant to
- Registry conditions: Acute Coronary Syndrome. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Denmark
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Randomized Comparison of Short Versus 12 Months Prasugrel Plus Aspirin in Patients with Acute Coronary Syndromes Treated with Percutaneous Coronary Intervention and Everolimus-eluting Stents (SORT OUT XII DAPT Duration Trial)
Overview
The SORT OUT XII dual antiplatelet treatment (DAPT) duration trial, is a clinical randomized controlled superiority and non-inferiority trial to compare whether prasugrel alone versus prasugrel plus aspirin from month 1 to month 12 after percutaneous coronary intervention with and everolimus-eluting stent in patients with acute coronary syndromes (1) is superior regarding clinically relevant bleeding and (2) non-inferior regarding safety (cardiac death, myocardial infarction, definite stent thrombosis, ischemic stroke or clinically driven target lesion revascularization)
Interventions
- Drug Short duration of aspirin and prasugrel
aspirin 75 mg/day for 1 months plus prasugrel 10 mg/day (5 mg/day) for 1 year, followed by lifelong aspirin 75 mg/day after 1 year - Drug Conventional duration of aspirin and prasugrel
aspirin 75 mg/day lifelong plus prasugrel 10 mg/day (5 mg/day) for 1 year
Primary outcome measures
- Number of patients with clinically relevant bleeding (Effectiveness) [Time frame: 1 year]
- Number of patients with a composite major adverse cardiovascular or cerebrovascular events (Safety) [Time frame: 1 year]
Secondary outcome measures (9)
- Number of patients with clinically relevant bleeding [Time frame: 1 year]
- Number of patients with all-cause death [Time frame: 1 year]
- Number of patients with cardiac death [Time frame: 1 year]
- Number of patients with myocardial infarction [Time frame: 1 year]
- Number of patients with definite stent thrombosis [Time frame: 1 year]
- Number of patients with target lesion revascularization [Time frame: 1 year]
- Number of patients with stroke [Time frame: 1 year]
- Health-related quality of life [Time frame: 1 month and 1 year]
- Angina status [Time frame: 1 month and 1 year]
Eligibility criteria
Inclusion criteria
- All patients aged ≥18 years with acute coronary syndromes who are treated with an everolimus-eluting drug-eluting stent can undergo randomization if they can be treated with prasugrel for 12 months.
- Postmenopausal women or use of contraceptive drugs (absence of menstruation in at least 12 consecutive months or continuously usage of contraceptive drugs (a contraceptive implant, an intrauterine device, birth-control pills, transdermal patches, vaginal ring, or depot injection).
Exclusion criteria
- Age < 18 years
- Not able to consent to study participating (eg. intubated patients)
- Do not speak Danish
- Life expectancy <1 year
- Allergic to study related treatment
- Non-vitamin K antagonist oral anticoagulants (NOAC) or warfarin treatment
- Contraindication for 12 months prasugrel treatment
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Denmark · 3 centers
- Aalborg University Hospital — Aalborg
- Aarhus University Hospital — Aarhus
- Odense University Hospital — Odense
Identifiers
NCT: NCT06718179 · SORT OUT XII DAPT Duration · 2024-515236-69-00