Coronary disease & ACS

Prasugrel monotherapy versus standard dual antiplatelet therapy (DAPT) in STEMI patients with optical coherence tomography (OCT)-guided or angio-guided complete revascularisation: design and rationale of the randomised, multifactorial COMPARE STEMI ONE trial

EuroInterventionPublished international, multicentre, open-label, randomised controlled trial

Study context

Population
ST-segment elevation myocardial infarction (STEMI) patientsplanned enrolment
Participants
1,656 participants
Planned comparison
Prasugrel monotherapy after 1 month of DAPT, as compared to standard 12-month prasugrel-based DAPT, will be tested for non-inferiority; OCT-guided versus angiography-guided staged complete revascularisation
Primary endpoint
net adverse clinical events - defined as all-cause death, myocardial infarction, stroke, or Bleeding Academic Research Consortium Type 3 or 5 bleeding events
Follow-up
11 months after randomisation
Methodological detailsdesign and rationale, multifactorial, ancillary substudy
  • Design and rationale
  • Multifactorial
  • Ancillary substudy

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

Original publication

Prasugrel monotherapy versus standard DAPT in STEMI patients with OCT-guided or angio-guided complete revascularisation: design and rationale of the randomised, multifactorial COMPARE STEMI ONE trial. EuroIntervention. Published 16 May 2025. doi:10.4244/eij-d-24-00829

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.