Coronary disease & ACS

Dual or single antiplatelet therapy after coronary surgery for acute coronary syndrome (TACSI trial): Rationale and design of an investigator-initiated, prospective, multinational, registry-based randomized clinical trial

Am Heart JPublished Rationale and design of a randomised controlled trial

Study context

Population
ACS patients undergoing first isolated coronary artery bypass grafting (CABG) at Nordic cardiac surgery centresplanned enrollment
Participants
2,200 patients
Planned comparison
DAPT vs acetylsalicylic acid (ASA) only after CABG
Primary endpoint
Composite of:
  • Time to all-cause death
  • MI
  • Stroke
  • New coronary revascularization
Follow-up
12 months after randomization
Methodological detailsinvestigator-initiated, pragmatic, prospective, multinational, multicentre, open-label, registry-based, 1:1 randomisation, End points assessed via health care registries, Follow-up 10 years, Primary safety end point: time to hospitalization due to major bleeding, Secondary efficacy end points: individual components of the primary end point, CV death, rehospitalization for CV causes
  • Investigator-initiated
  • Pragmatic
  • Prospective
  • Multinational
  • Multicentre
  • Open-label
  • Registry-based
  • 1:1 randomisation
  • End points assessed via health care registries
  • Follow-up 10 years
  • Primary safety end point: time to hospitalization due to major bleeding
  • Secondary efficacy end points: individual components of the primary end point, CV death, rehospitalization for CV causes

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Dual or single antiplatelet therapy after coronary surgery for acute coronary syndrome (TACSI trial): Rationale and design of an investigator-initiated, prospective, multinational, registry-based randomized clinical trial. Am Heart J. Published 18 January 2023. doi:10.1016/j.ahj.2023.01.011

Summarised from the published abstract; every number is checked against it

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