Assessment of an Early De-Escalation to a Low-potency Single Antiplatelet Therapy Guided by Genetics Versus a Systematic High-Potency Single Antiplatelet Therapy to Neutralize Bleeding Complications in Patients With High Bleeding Risk Beyond One Month After an Acute Coronary Syndrome

PHASE3RecruitingINTERVENTIONAL
Enrollment

2,468

Participants

Timeline

Start Date

June 18, 2024

Primary Completion Date

December 31, 2025

Study Completion Date

January 31, 2026

Conditions
MYOCARDIAL INFARCTION
Interventions
OTHER

single-antiplatelet with a low-potency antiplatelet (aspirin or clopidogrel) guided by genetic testing.

"* Individuals without genetic loss of function to metabolize clopidogrel: stop DAPT and switch to a single antiplatelet therapy by clopidogrel.~* Individuals with genetic loss of function to metabolize clopidogrel (\*2/\*3, 1/\*3, \*2/\*2, \*1/\*2): stop potent P2Y12 inhibitor and treat with a single antiplatelet therapy by aspirin.~* Individuals with fast metabolization of clopidogrel (\*1/\*17 or \*17/\*17): stop potent P2Y12 inhibitor and treat with a single antiplatelet therapy by aspirin."

Trial Locations (1)

75013

RECRUITING

Hopital Pitié Salpetrière, Paris

All Listed Sponsors
collaborator

Fonds de Dotation ACTION

OTHER

lead

Assistance Publique - Hôpitaux de Paris

OTHER