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Routine Use of Potassium Competitive Acid Blocker Versus Guideline-Directed Gastrointestinal Protection Strategy in Patients with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention on Dual Antiplatelet Therapy: A Randomized Trial

Routine Use of Potassium Competitive Acid Blocker Versus Guideline-Directed Gastrointestinal Protection Strategy in Patients with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention on Dual Antiplatelet Therapy: A Randomized Trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CRIS
Registry ID
KCT0011154
Enrollment
5000
Registered
2025-11-12
Start date
2026-01-06
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug : Patients undergoing coronary artery intervention for acute myocardial infarction were randomly assigned to either the P-CAB-based gastrointestinal bleeding protection strategy group (experiment

Sponsors

Samsung Medical Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: i) Patients must be at least 19 years of age ii) Patients presenting with AMI (ST-segment elevation MI [STEMI] or non-ST-segment elevation MI [NSTEMI]). iii) Patients undergoing PCI with drug-eluting stents or drug-eluting balloon angioplasty iv) Patients who can understand risks, benefits and treatment alternatives and sign informed consent voluntarily. v) Patients who suspect gastrointestinal reflux disease

Exclusion criteria

Exclusion criteria: i) Known hypersensitivity or contraindications to study medications (P-CAB or proton pump inhibitor [PPI]) ii) Current gastrointestinal bleeding iii) Pregnant or lactating women iv) Non-cardiac co-morbid conditions are present with life expectancy <1 year or that may result in protocol non-compliance (per site investigator’s medical judgment) v) Patients who refuse to participate in the study or who have difficulty complying with the requirements specified in the research protocol

Design outcomes

Primary

MeasureTime frame
NACE (A composite of death from any causes, MI, stroke, or Bleeding Academic Research Consortium [BARC] type 3-5 bleeding) at 1 year

Secondary

MeasureTime frame
Upper gastrointestinal clinical events at 1 year;Gastroesophageal reflux disease (GERD) at 1 year

Countries

Korea, Republic of

Contacts

Public ContactJoo-yong Hahn

Samsung Medical Center

jyhahn@skku.edu+82-2-3410-6927

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026