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1 or 6 months of Dual antiplatelet therapy after Drug-COated Balloon angioplasty for de-Novo small coronary artery disEase : an open-label randomised non-inferiority trial (D-ONE trial)

1 or 6 months of Dual antiplatelet therapy after Drug-COated Balloon angioplasty for de-Novo small coronary artery disEase : an open-label randomised non-inferiority trial (D-ONE trial)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CRIS
Registry ID
KCT0011775
Enrollment
1484
Registered
2026-03-25
Start date
2026-04-13
Completion date
Unknown
Last updated
2026-03-30

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

Conditions

None listed

Interventions

Drug : >Aspirin Dosage: 100 mg Frequency: Once daily (QD) Route of Administration: Oral >Clopidogrel Dosage: 75 mg Frequency: Once daily (QD) Route of Administration: Oral Randomization performs a

Sponsors

The Catholic University of Korea, Daejeon St. Mary's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)Adults aged 19 years or older 2)Subjects who have undergone drug-coated balloon (DCB) angioplasty 3) Subjects with stable angina, asymptomatic ischemia, and angiographically confirmed coronary lesions 4)Patients who have not undergone coronary intervention and whose coronary angiography demonstrates a reference vessel diameter between 2.0 mm and 3.0 mm, meeting all of the following conditions: No severe dissection corresponding to National Heart, Lung, and Blood Institute (NHLBI) grade C to F No reduction in coronary blood flow defined as TIMI flow grade < 2 No residual stenosis = 30% 5)Patients newly diagnosed with small-vessel coronary artery disease among those maintained on single antiplatelet therapy (SAPT) for at least 6 months after undergoing: de novo percutaneous coronary intervention (de novo PCI),in-stent restenosis PCI (ISR PCI), or percutaneous transluminal coronary angioplasty (PTCA) 6)Subjects who voluntarily agree to participate in this clinical study and provide written informed consent

Exclusion criteria

Exclusion criteria: 1) Patients diagnosed with Acute Coronary Syndrome (ACS), including STEMI, NSTEMI, or Unstable Angina. 2) Patients undergoing concomitant Percutaneous Coronary Intervention (PCI) during the Drug-Coated Balloon (DCB) procedure. 3) Patients undergoing PCI for In-Stent Restenosis (ISR). 4) Patients with a diagnosis of active bleeding or coagulation disorder within 2 months prior to obtaining informed consent. 5) Patients who underwent surgery with moderate-to-high risk within 6 weeks prior to obtaining informed consent. 6) Patients with a history of intracerebral hemorrhage (ICH). 7) Patients with Hemoglobin < 10 g/dL or Platelet count < 100 x 10³/mm³. 8) Patients unable to discontinue oral anticoagulation therapy (OAC). 9) Patients on long-term treatment with NSAIDs or COX-2 inhibitors (excluding aspirin). 10) Patients with a life expectancy of less than 1 year due to malignancy or other comorbidities. 11) Patients with moderate-to-severe hepatic impairment. 12) Patients at risk of symptomatic bradycardia (e.g., 2nd-degree Mobitz Type II block or 3rd-degree AV block). 13) Patients with dyspnea, such as those with Chronic Obstructive Pulmonary Disease (COPD). 14) Patients with intolerance or hypersensitivity to the investigational medicinal products. 15) Patients who participated in other clinical trials within 3 months prior to informed consent (excluding non-interventional observational studies). 16) Women who are pregnant or breastfeeding. 17) Patients with End-Stage Renal Disease (ESRD) on hemodialysis or peritoneal dialysis, or those who have undergone a kidney transplant. 18) Patients with rare hereditary metabolic disorders, such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption. 19) Any patient deemed unsuitable for participation in the clinical trial at the investigator's discretion.

Design outcomes

Primary

MeasureTime frame
1) Primary Validation Variables : Major cardiac events, nonfatal myocardial infarction, targeted vascular remodeling or ischemic stroke and BARC bridging (type 3 or 5) cumulative incidence rate at visit 4 (12 mon) after taking clinical study medication.;1) Primary Validation Variables :cardiovascular death;1) Primary Validation Variables :nonfatal myocardial infarction.;1) Primary Validation Variables :targeted vascular remodeling or ischemic stroke and BARC bridging (type 3 or 5) cumulative incidence rate at visit 4 (12 mon) after taking clinical study medication.

Secondary

MeasureTime frame
2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit? MACE (CV death, MI, target vessel revascularization) ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit? Bleedings according to the BARC definitions (type 2, 3 or 5) ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit ? Ischemia Driven Revascularization including PCI or CABG ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit ? Cardiac death ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit? Death from any cause ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit ? Death from vascular cause ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit? Acute MI ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit ? Stroke ;2) Secondary Validation Variables: (1) Accumulated Occurrence Rate by Point of Visit? Stent thrombosis (definite or probable)

Countries

Korea, Republic of

Contacts

Public ContactDae-Won Kim

The Catholic University of Korea, Daejeon St. Mary's Hospital

mirinesilver@catholic.ac.kr+82-42-220-9943

Outcome results

None listed

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