ClinicalTrials.gg
CompletedNCT04624854Updated Dec 1, 2025

Dual Anti-Platelet Therapy in Patients With Coronary Multi-Vessel Disease (DAPT-MVD)

A Phase 4 interventional study of Clopidogrel and aspirin dual-antiplatelet therapy and Aspirin monotherapy in Coronary Artery Disease, Myocardial Ischemia and Acute Coronary Syndrome, sponsored by Harbin Medical University. Completed at 97 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-12-01.

Sponsored by Harbin Medical University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
8,250
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is a prospective, multicenter, parallel, open-label, randomized, controlled, superiority trial. It is planned to recruit 8,250 patients with multi-vessel disease(MVD), and the patients will be followed-up for at least 12 months after being implanted with a drug-eluting stent (DES) at one of 100 different centers. All patients will be randomly divided into the treatment group and control group on a 1:1 basis, based on a permuted completely randomization.

02

Conditions studied

  • Coronary Artery Disease
  • Myocardial Ischemia
  • Acute Coronary Syndrome
  • Heart Diseases
  • Syndrome Heart Disease
  • Cardiovascular Diseases
  • Arteriosclerosis
  • Arterial Occlusive Diseases
  • Coronary Disease
  • Vascular Diseases

Keywords

  • Coronary multivessel disease
  • Dual antiplatelet therapy
  • Percutaneous coronary intervention
03

In context

Coronary Artery Disease

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

This study's enrollment of 8,250 is above the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Harbin Medical University is the lead sponsor of 88 studies on the registry; 30 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The enrolled subjects must meet all of the following criteria:

    1. Aged 18-75 years old (inclusive).
    2. Patients with MVD who underwent DES implantation for 12 months.
    3. Patients have been treated with aspirin and can tolerant of aspirin at doses of 75-150 mg/day as maintenance therapy during the study period.
    4. Patients have signed .

Exclusion criteria

Exclusion Criteria:

- Subjects who meet any one of the following criteria are excluded from the study:

  1. Planned to use of ADP receptor blockers (eg, clopidogrel, ticagrelor, and ticlopidine), dipyridamole, or cilostazol.
  2. to ADP receptor blockers or aspirin.
  3. Planned to use anticoagulants during the study period.
  4. Planned coronary, cerebrovascular, or peripheral arterial revascularization during the study period.
  5. Planned major cardiac or non-cardiac surgery during the study period.
  6. Concomitant oral or intravenous therapy with CYP2C19 medium or strong inhibitors.
  7. Known severe liver disease(/AST is 3 times above normal).
  8. Subjects with renal failure who required or anticipated dialysis during the study period.
  9. count \<50×10\^9/L.
  10. Patients with:

    • A history of intracranial bleed or ischemic stroke at any time.
    • A central nervous system tumor or intracranial vascular abnormality (eg, aneurysm, arteriovenous malformation) at any time.
    • Intracranial or spinal cord surgery within 5 years.
  11. Pregnancy or lactation or planned to pregnant during the study period.
  12. \< 1 year.
  13. Any condition which in the opinion of the investigator would make it unsafe or unsuitable for the patient to participate in this study (eg, active other than squamous cell or basal cell skin cancer).
  14. Concern for inability of the patient to comply with study procedures and/or followup (eg, alcohol or drug abuse).
  15. Participation in another clinical study and did not reach the major endpoint.
  16. Involvement in the planning and/or conduct of the study.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8,250 participants (actual)

Study arms

  • Placebo comparator
    Aspirin monotherapy

    Patients will receive aspirin monotherapy without co-administration of clopidogrel for 12 months after randomization.

    Drug: Aspirin monotherapy

  • Experimental
    Clopidogrel and aspirin dual-antiplatelet therapy

    Patients will receive co-administration of clopidogrel and aspirin for 12 months after randomization.

    Drug: Clopidogrel and aspirin dual-antiplatelet therapy

Interventions

  • DrugClopidogrel and aspirin dual-antiplatelet therapy

    Patients will receive co-administration of clopidogrel and aspirin for 12 months after randomization.

  • DrugAspirin monotherapy

    Patients will receive aspirin monotherapy without co-administration of clopidogrel for 12 months after randomization.

06

What researchers measure

Primary outcomes

  1. Incidence of MACCE(cardiovascular death, nonfatal myocardial infarction or nonfatal stroke).

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of MACCE in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

Secondary outcomes

  1. Incidence of all-cause mortality.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of all-cause mortality in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  2. Incidence of cardiovascular death.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of cardiovascular death in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  3. Incidence of nonfatal myocardial infarction.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of nonfatal myocardial infarction in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  4. Incidence of nonfatal stroke.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of nonfatal stroke in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  5. Incidence of NACE (net adverse clinical events).

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of net adverse clinical events (MACCE and BARC type 2-5 bleeding) in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  6. Incidence of cardiovascular death or hospitalization.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of cardiovascular death or hospitalization (myocardial infarction, stroke, emergency revascularization, unstable angina or TIA) caused by thrombotic events in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  7. Incidence of emergency revascularization.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of emergency revascularization in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  8. Incidence of repeat revascularization.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of any repeat revascularization in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  9. Incidence of definite/possible stent thrombosis.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of definite/possible stent thrombosis in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

Other outcomes

  1. Incidence of clinically relevant bleeding events.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of clinically relevant bleeding events (BARC type 2-5 bleeding) in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

  2. Incidence of major bleeding events.

    To evaluate the effect of clopidogrel and aspirin dual-antiplatelet therapy on the incidence of major bleeding events (BARC type 3-5 bleeding) in patients with MVD.

    Time frame: Through study completion, median follow-up duration is 34.3 months.

07

Study locations

97 sites
  • Xinqiao Hospital, Army Medical University
    Chongqing, Chongqing Municipality 400037, China
  • The First Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality 400042, China
  • Fuzhou University Affiliated Provincial Hospital
    Fuzhou, Fujian 350001, China
  • The Fifth Hospital of Xiamen
    Xiamen, Fujian 361101, China
  • Guangdong Provincial People's Hospital
    Zhongshan, Guangdong 510080, China
  • Affiliated Hospital of Zunyi Medical University
    Zunyi, Guizhou 563003, China
  • Central South University Xiangya School of Medicine Affiliated Haikou Hospital
    Haikou, Hainan 570208, China
  • Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)
    Haikou, Hainan 570311, China
  • The Second Affiliated Hospital of Hainan Medical University
    Haikou, Hainan 570311, China
  • Cangzhou Central Hospital
    Cangzhou, Hebei 061014, China
  • Affiliated Hospital of Chengde Medical University
    Chengde, Hebei 067000, China
  • Pingquan County Hospital
    Chengde, Hebei 067500, China
  • Harrison International Peace Hospital
    Hengshui, Hebei 053000, China
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei 052306, China
  • The Third Hospital of Shijiazhuang
    Shijiazhuang, Hebei 052360, China
  • Tangshan Central Hospital
    Tangshan, Hebei 063099, China
  • The Second Affiliated Hospital of Xingtai Medical College
    Xingtai, Hebei 054000, China
  • The Fifth Affiliated Hospital of Qiqihar Medical College, Daqing Longnan Hospital.
    Daqing, Heilongjiang 163001, China
  • Daqing People's Hosipital
    Daqing, Heilongjiang 163316, China
  • The Fourth Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang 150001, China
  • The First Hospital of Harbin
    Harbin, Heilongjiang 150010, China
  • Heilongjiang Provincial Hospital
    Harbin, Heilongjiang 150030, China
  • The Second Hospital of Harbin
    Harbin, Heilongjiang 150056, China
  • Harbin 242 Hospital
    Harbin, Heilongjiang 150066, China
  • The Second Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang 150086, China
  • Beidahuang Industry Group General Hospital
    Harbin, Heilongjiang 150088, China
  • Shuangcheng People's Hospital
    Harbin, Heilongjiang 150100, China
  • Hegang Hekuang Hospital
    Hegang, Heilongjiang 154100, China
  • People's Hospital of Hegang City
    Hegang, Heilongjiang 154100, China
  • The Baoquanling Hospital of Beidahuang Group
    Hegang, Heilongjiang 154211, China
  • Nenjiang People's Hospital
    Heihe, Heilongjiang 161400, China
  • Jiamusi Central Hospital
    Jiamusi, Heilongjiang 150086, China
  • The First Affiliated Hospital of Jiamusi University
    Jiamusi, Heilongjiang 154002, China
  • Jiansanjiang Hospital of Beidahuang Group
    Jiamusi, Heilongjiang 156300, China
  • Jixi Jikuang Hospital
    Jixi, Heilongjiang 158100, China
  • Jixi People's Hospital
    Jixi, Heilongjiang 158100, China
  • Mishan People's Hospital
    Mishan, Heilongjiang 158300, China
  • Mudanjiang City Second People's Hospital
    Mudanjiang, Heilongjiang 157000, China
  • Hongqi Hospital Affiliated to Mudanjiang Medical University
    Mudanjiang, Heilongjiang 157011, China
  • Mudanjiang Cardiovascular Hospital
    Mudanjiang, Heilongjiang 157011, China
  • Mudanjiang First People's Hospital
    Mudanjiang, Heilongjiang 157011, China
  • Mudanjiang Hospital of Beidahuang Group
    Mudanjiang, Heilongjiang 158322, China
  • Qiqihar Jianhua Hospital
    Qiqihar, Heilongjiang 161000, China
  • The Third Affiliated Hospital of Qiqihar Medical University
    Qiqihar, Heilongjiang 161000, China
  • The First Affiliated Hospital of Qiqihar Medical University
    Qiqihar, Heilongjiang 161006, China
  • Shuangyashan Mining Group Hospital
    Shuangyashan, Heilongjiang 155100, China
  • Shuangyashan People's Hospital
    Shuangyashan, Heilongjiang 155100, China
  • Baoqing County People's Hospital
    Shuangyashan, Heilongjiang 155600, China
  • The Hongxinglong Hospital of Beidahuang Group
    Shuangyashan, Heilongjiang 155811, China
  • The First Hospital of Suihua City
    Suihua, Heilongjiang 152053, China
  • People's Hospital of Daxing'anling Region
    Xing'anling, Heilongjiang 165000, China
  • Tieli Medical Service Community Central Hospital
    Yichun, Heilongjiang 152500, China
  • The First Hospital of Yichun City
    Yichun, Heilongjiang 153000, China
  • Yichun Forestry Central Hospital
    Yichun, Heilongjiang 153000, China
  • Kaifeng Central Hospital
    Kaifeng, Henan 475001, China
  • Nanyang First People's Hospital
    Nanyang, Henan 473004, China
  • The First Affiliated Hospital of Nanyang Medical College
    Nanyang, Henan 473007, China
  • Puyang People's Hospital
    Puyang, Henan 457000, China
  • First People's Hospital of Shangqiu
    Shangqiu, Henan 476005, China
  • Central Hospital of Yongcheng
    Shangqiu, Henan 476610, China
  • Xinxiang Second People's Hospital
    Xinxiang, Henan 453099, China
  • The People's Hospital of Yongcheng
    Yongcheng, Henan 476600, China
  • The 7th People's Hospital of Zhengzhou
    Zhengzhou, Henan 450016, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450052, China
  • Dancheng County People's Hospital
    Zhoukou, Henan 477150, China
  • Yichang Central People's Hospital
    Yichang, Hubei 443000, China
  • The Third Xiangya Hospital of Central South University
    Changsha, Hunan 410013, China
  • The First Affiliated Hospital of University of South China
    Hengyang, Hunan 421001, China
  • Inner Mongolia Autonomous Region People's Hospital
    Hohhot, Inner Mongolia 010017, China
  • Hulunbuir People's Hospital
    Hulunbuir, Inner Mongolia 021008, China
  • The First People's Hospital of Lianyungang
    Lianyungang, Jiangsu 222002, China
  • Zhongda Hospital, Southeast University
    Nanjing, Jiangsu 210009, China
  • Affiliated Pizhou Hospital of Xuzhou Medical University
    Pizhou, Jiangsu 221300, China
  • First People's Hospital of Fuzhou
    Fuzhou, Jiangxi 344000, China
  • The First Hospital of Jilin University
    Changchun, Jilin 130021, China
  • The Third Betune Hospital of Jilin University
    Changchun, Jilin 130033, China
  • The Second Hospital of Jilin University
    Changchun, Jilin 130041, China
  • Jilin Central General Hospital
    Jilin City, Jilin 132011, China
  • Jilin Hospital of Chinese and Western Medicine
    Jilin City, Jilin 132012, China
  • Songyuan Central Hospital
    Songyuan, Jilin 138001, China
  • First Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning 116011, China
  • Central Hospital of Dalian University of Technology (Dalian municipal central hospital )
    Dalian, Liaoning 116089, China
  • General Hospital of Ningxia Medical University - Cardiovascular and Cerebrovascular Hospital
    Yinchuan, Ningxia 750002, China
  • Shaanxi Provincial People's Hospital
    Xi'an, Shaanxi 710068, China
  • Shandong Healthcare Group Feicheng Hospital
    Feicheng, Shandong 271608, China
  • The Fifth People's Hospital of Jinan
    Jinan, Shandong 250022, China
  • Shandong Second Provincial General Hospital
    Jinan, Shandong 250031, China
  • The Fourth People's Hospital of Jinan
    Jinan, Shandong 250031, China
  • Qilu Hospital of Shandong University
    Jinan, Shandong 250063, China
  • The Second People's Hospital of Liaocheng
    Liaocheng, Shandong 252699, China
  • The Affiliated Taian City Centeral Hospital of Qingdao University
    Tai’an, Shandong 271099, China
  • Zhongshan Hospital Wusong Branch, Fudan University
    Shanghai, Shanghai Municipality 200032, China
  • Dazhou Central Hospital
    Dazhou, Sichuan 635099, China
  • Tianjin Medical University General Hospital
    Tianjin, Tianjin Municipality 300052, China
  • Tianjin Chest Hospital
    Tianjin, Tianjin Municipality 300222, China
  • People's Hospital of Xinjiang Uygur Autonomous Region
    Ürümqi, Xinjiang 830001, China
  • First Affiliated Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang 830054, China
08

References and documents

Publications

  • Tian J, Wang Z, Wang Y, Wang F, Peng X, Xiao J, Li C, Hou X, Tong Q, Yu X, Gao G, Zhao P, Zhao J, Liu Y, Qin Z, Lu H, Zhang S, Li S, Weng Z, Tang H, He Y, Zhang C, Liu Y, Jiang J, Zhang J, Cai L, Xiu L, Mintz GS, Wang D, Stone GW, Yu B; DAPT-MVD Trial Investigators. Extended Dual Antiplatelet Therapy for Multivessel Coronary Artery Disease. N Engl J Med. 2026 Jul 16;395(3):233-242. doi: 10.1056/NEJMoa2517588. PubMed 42456136 ↗
  • Tian J, Wang Z, Wang Y, Wang F, Wang Y, Zhao P, Hou X, Peng X, Tian M, Wang D, Yu B. Rationale and Design of Dual Antiplatelet Therapy in Patients with Coronary Multi-Vessel Disease (DAPT-MVD): A Multicenter, Randomized, Controlled Trial. Clin Cardiol. 2024 Dec;47(12):e70049. doi: 10.1002/clc.70049. PubMed 39587825 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04624854
Lead sponsor
Harbin Medical University
Collaborators
Chinese Society of Cardiology, Lepu Medical Technology (Beijing) Co., Ltd.
Responsible party
Yu Bo (Director, Harbin Medical University) — Principal investigator
First posted
Nov 12, 2020
Start date
Oct 28, 2020
Primary completion
Sep 23, 2025
Completion
Sep 23, 2025
Last update
Dec 1, 2025

Study contacts

Bo Yu, M.D.,FACC
principal investigator · The Second Affiliated Hospital of Harbin Medical University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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