Coronary Artery Disease
Conditions
Brief summary
NIPPON trial is a prospective, randomized, trial comparing 6 and 18 months Dual Antiplatelet Therapy (DAPT) following Nobori stent deployment.
Interventions
Subjects randomized 6 month DAPT will be prescribed either aspirin or thienopyridine (clopidogrel or ticlopidine) following 6 months DAPT for the duration of study, which is left on the physician's discretion.
Subjects randomized 18 month DAPT will be prescribed both aspirin and thienopyridine (clopidogrel or ticlopidine) for 18 month after stenting.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects \> 20 years old * Undergoing percutaneous intervention with Nobori deployment * No contraindication to prolonged DAPT
Exclusion criteria
* Subjects absolutely necessitating continuous DAPT * Planned surgery necessitating discontinuation of antiplatelet therapy after enrollment. * Active pathological bleeding * Status of cardiogenic shock at enrollment * Pregnant women * Life expectancy of \< 1.5 years * Subjects unable to give informed consent * Episode of stroke \< 6 months * Subjects with allergies or hypersensitivity to material of coating, Biolimus A9, and antiplatelet drugs. * Subjects treated with other kind of DES or BMS during the index procedure * Previous intervention with DES \< 6 months. * Study participation impractical per investigator judgment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Net adverse clinical and cerebral event (NACCE) | 18 months | NACCE include all-cause death, non-fatal myocardial infarction, cerebrovascular events, and major bleeding. |
Secondary
| Measure | Time frame |
|---|---|
| Non-fatal myocardial infarction | 18 months |
| Cerebrovascular events | 18 months |
| All-cause death | 18 months |
| Rate of target lesion revascularization | 18 months |
| Minor bleeding | 18 months |
| Major bleeding | 18 months |
Countries
Japan