Clinical Trials Directory

Trials / Recruiting

RecruitingNCT07025148

Dual Antiplatelet Therapy Escalation From Standard-dose Clopidogrel to Low-Dose Prasugrel in Patients With High Bleeding and Ischemic Risk Undergoing PCI: A Prospective, Randomized Pharmacodynamic Study (TAILOR-BLEED-2)

Switching From Clopidogrel to Low-dose Prasugrel in Patients at Dual-risk Following Percutaneous Coronary Intervention (TAILOR-BLEED-2)

Status
Recruiting
Phase
Phase 4
Study type
Interventional
Enrollment
40 (estimated)
Sponsor
University of Florida · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

The primary aim of this study is to investigate the PD effects of switching from standard-dose clopidogrel dose to low-dose prasugrel versus continuing standard-dose clopidogrel in patients at dual-risk (HBR defined as the HBR-ARC criteria and HIR defined as ABCD-GENE score ≥10) following PCI. We hypothesize that in patients at dual-risk, switching from standard-dose clopidogrel to low-dose prasugrel will be superior to continuing standard-dose clopidogrel in terms of platelet reactivity.

Conditions

Interventions

TypeNameDescription
DRUGPrasugrelPrasugrel 5 mg od for 30 ± 5 days
DRUGClopidogrelClopidogrel 75 mg od for 30 ± 5 days

Timeline

Start date
2025-10-01
Primary completion
2027-08-01
Completion
2027-11-01
First posted
2025-06-17
Last updated
2025-11-04

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT07025148. Inclusion in this directory is not an endorsement.