Comparing anti-platelet therapy durations in kidney disease patients after stent placement
Official title: Appropriate Duration of Anti-Platelet straTegy in Patients With Advance Chronic Kidney Disease After New Generation Drug Eluting Stents (ADAPT-CKD)
Run by Yonsei University · NCT04708587 · Data updated 2026-11-12
This study is testing whether taking anti-platelet medication for 6 months instead of 3 months helps people with advanced kidney disease feel better after getting heart stents.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 19 Years to 84 Years |
| Sex | All |
| Enrollment | 900 (estimated) |
| Sponsor | Yonsei University Academic / other |
| Locations | 1 site (Seoul) |
| Status | Recruiting |
| Started | March 23, 2021 |
| Main results expected | March 13, 2027 |
| Study ends | March 13, 2028 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT04708587 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults over 19 years old with advanced chronic kidney disease (Stages IIIb, IV, V) who have received a new generation drug eluting stent.
✕Probably not a fit
Patients over 85 years old, those with a high risk of bleeding, or those requiring oral anticoagulants may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to evaluate the clinical outcomes of different durations of dual anti-platelet therapy, specifically aspirin combined with either clopidogrel or prasugrel, in patients with advanced chronic kidney disease who have undergone percutaneous coronary intervention using new generation drug eluting stents. It is a prospective, open-label, multicenter randomized trial that will compare the effects of at least 6 months of therapy against 3 months or less. The study seeks to determine the optimal duration of anti-platelet therapy to improve patient outcomes.
Why it matters
Potential benefit: If successful, this study could lead to optimized anti-platelet therapy durations, improving safety and efficacy for patients with chronic kidney disease.
How similar studies have gone: Other studies have explored anti-platelet therapy durations, but this specific approach in advanced chronic kidney disease patients is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Over 19 years old 2. Chronic Renal Failure Stage IIIb, IV, V (CKD-EPI eGFR \<45 / \<30 / \<15 or dialysis) 3. Patients treated with a new generation drug eluting stent. 4. Patients who signed consent form Exclusion Criteria: 1. Over 85 years old 2. Patients with high risk of bleeding 1) History of hemorrhagic stroke 2) Stroke, dementia or central nervous system damage within 1 year 3) Head trauma or brain surgery within 6 months 4) Tumor in the skull 5) If aortic dissection is suspected 6) Internal bleeding within 6 weeks 7) In case of active bleeding or bleeding disorder 8) In case of major surgery, trauma or bleeding within 3 weeks 3. Patients who need oral anticoagulant 4. Pregnant women or women of childbearing age 5. Life expectancy is less than 1 year 6. Patients with a history of intracranial bleeding 7. Moderate to severe hepatic impairment (Child-Pugh class B or C)
Where it's running
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Division of Cardiology, Yonsei Cardiovascular Hospital, Yonsei University College of Medicine
Seoul, South Korea Recruiting
Study contacts
- Principal investigator: Jung-Sun Kim, MD, PhD, FESC — Severance Hospital
- Study coordinator: Jung-Sun Kim, MD, PhD, FESC
- Email: KJS1218@yuhs.ac
- Phone: 82)-2)-2228-8457
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.