Arrhythmias & electrophysiology

Optimal antithrombotic strategy in patients with atrial fibrillation beyond 1 year after drug-eluting stent implantation: Design and rationale of the randomized ADAPT AF-DES trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with atrial fibrillation (AF) and CHA2DS2-VASc score > 1 who underwent percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation at least 12 months before enrollmentplanned enrolment
Participants
960 patients
Planned comparison
NOAC monotherapy vs NOAC plus clopidogrel
Primary endpoint
NACE:
  • All-cause death
  • MI
  • Stent thrombosis
  • Stroke
  • Systemic embolism
  • Major or clinically relevant non-major bleeding by ISTH criteria
Follow-up
1 year after randomization
Methodological detailsdesign and rationale, multicentre, prospective, open-label, non-inferiority, Hypothesis: NOAC monotherapy non-inferior to NOAC plus clopidogrel for net adverse clinical event (NACE)
  • Design and rationale
  • Multicentre
  • Prospective
  • Open-label
  • Non-inferiority
  • Hypothesis: NOAC monotherapy non-inferior to NOAC plus clopidogrel for NACE

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

Original publication

Optimal antithrombotic strategy in patients with atrial fibrillation beyond 1 year after drug-eluting stent implantation: Design and rationale of the randomized ADAPT AF-DES trial. Am Heart J. Published 23 February 2024. doi:10.1016/j.ahj.2024.02.014

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