The study aims to assess the effectiveness of dual antiplatelet therapy, aspirin alone versus steeply discontinued clopidogrel plus aspirin in preventing clinical MACE events.Our subject is beyond a 12-month period patients receiving sirolimus drug-eluting stent implantation.
It is not clear that dual antiplatelet therapy is better than aspirin beyond 12-months period patients receiving sirolimus drug-eluting stent implantation. If aspirin plus clopidogrel reduced MACE rates without increasing blood events, the investigators will evaluate risk-benefit ratio. The investigators will observe all cause mortality, nonfatal myocardial infarction, or clinical-driven target vessel revascularization TVR in a 1-year trial duration. In addition, strokes, stent thrombosis, cardiac re-hospitalizations, dialysis/hemofiltration, duration of hospitalization and bleeding events will be observed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
5,232
clopidogrel 75 mg po per day for 12 months
placebo 75mg po per day for 12 months
clopidogrel 50mg per day for 3 months,clopidogrel 25mg per day for 3 months,then placebo 75mg per day for 6 months
all cause mortality
Time frame: one year
nonfatal myocardial infarction
Time frame: one year
clinical-driven target vessel revascularization
Time frame: one year
cardiac death
Time frame: one year
stent thrombosis
Time frame: one year
death
Time frame: one year
myocardial infarction
Time frame: one year
any repeat revascularization
Time frame: one year
strokes
Time frame: one year
dialysis/hemofiltration
Time frame: one year
bleeding events
Time frame: one year
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