Coronary disease & ACS

Optimal antiplatelet strategy in patients with advanced chronic kidney disease undergoing drug-eluting stent implantation: Design and rationale of the randomized ADAPT-CKD trial

Am Heart JPublished investigator-initiated, multicenter, open-label, randomized, superiority study

Study context

Population
Patients with advanced chronic kidney disease (CKD) (estimated glomerular filtration rate <45 mL/min/1.73 m²) undergoing percutaneous coronary intervention (PCI) with contemporary drug-eluting stentsplanned enrolment
Participants
900 patients
Planned comparison
Abbreviated vs a standard dual antiplatelet therapy (DAPT) strategy
Primary endpoint
net adverse clinical events:
  • All-cause death
  • Myocardial infarction
  • Stent thrombosis
  • Stroke
  • Major bleeding according to the Bleeding Academic Research Consortium criteria
Follow-up
1 year
Methodological detailsdesign and rationale (trial protocol), 1:1 randomization
  • Design and rationale (trial protocol)
  • 1:1 randomization

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

Original publication

Optimal antiplatelet strategy in patients with advanced chronic kidney disease undergoing drug-eluting stent implantation: Design and rationale of the randomized ADAPT-CKD trial. Am Heart J. Published 1 April 2026. doi:10.1016/j.ahj.2026.107437

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