ClinicalTrials.gg
RecruitingNCT07719894Cilo-AsaUpdated Jul 22, 2026

Cilostazol and Aspirin for Cardiovascular Event Prevention in Patients With Type 2 Diabetes

A Phase 4 interventional study of Cilostazol and Aspirin in Type 2 Diabetes Mellitus (T2DM) and Atherosclerosis, sponsored by Seoul National University Bundang Hospital. Recruiting at 1 site in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Seoul National University Bundang Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.

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Phase
Phase 4
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 21 studies in Diabetes Mellitus, Type 2 by Seoul National University Bundang Hospital — 11 open to participants now, 11 under way, 1 of them phase 3. Diabetes Mellitus, Type 2 · Seoul National University Bundang Hospital.

Planned enrollment
Largest of 19
1,200 · median 105
Started
2026
the only one that year
Phase 4
15 of 21
10 open now
Primary completion
2028-12
later than 9 of 10 live
Registered
21st of 21
by date

Among the 21 studies in Diabetes Mellitus, Type 2 by Seoul National University Bundang Hospital, this one has the largest planned enrollment of the 19 interventional ones that give a count, is the only one that started in 2026, is one of 15 in phase 4, reaches primary completion later than 9 of the 10 other live ones, and was the 21st registered.

Diabetes Mellitus, Type 2

10,382 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,411 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

11 of the 21 studies in Diabetes Mellitus, Type 2 by Seoul National University Bundang Hospital are open now, in 1 country. Recruiting first, the newest first:

5 more — sign in →

By country, each count listing its studies:

All 11 open studies →

Where they have run

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 374 (42%) set no upper age limit and 383 (43%) stop at 75 or younger; 52 take children under 18; 205 take healthy volunteers.

This study: 19 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies in Diabetes Mellitus, Type 2 by Seoul National University Bundang Hospital, or all of them as a file.
02

Study summary

Patients with type 2 diabetes and cardiovascular risk factors are at increased risk of cardiovascular events. Therefore, a multi-center prospective randomized study will be conducted to compare the efficacy and safety of cilostazol and aspirin for the prevention of major adverse cardiac and cerebrovascular events (MACCE) in high-risk patients with type 2 diabetes.

03

Conditions studied

  • Type 2 Diabetes Mellitus (T2DM)
  • Atherosclerosis

Keywords

  • Major Adverse Cardiac and Cerebrovascular Events
  • Cilostazol
  • Aspirin
04

Who can participate

Ages eligible
19 Years and older
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

  • Individuals with type 2 diabetes mellitus were eligible if they were aged ≥19 years
  • Individuals with subclinical atherosclerosis or metabolic syndrome, defined as at least one of the following:
  • Carotid intima-media thickness ≥ 1 mm
  • Ankle-brachial index \< 0.9 - Pulse wave velocity ≥ 9 m/s
  • Flow-mediated vasodilatation \< 5%
  • Coronary artery calcium score ≥ 40
  • Coronary artery stenosis ≥ 20% or ≤ 70%
  • Peripheral artery occlusive disease ≥ 20%
  • Metabolic syndrome
  • Individuals with ≤ 9.9%
  • Individuals who voluntarily agree to participate in the study and provide written

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of major cardiovascular events, including myocardial infarction, stroke, or heart failure
  • Patients with heart failure ( I\~IV)
  • Patients with current active bleeding or suspected bleeding
  • Patients with suspected bleeding tendency or hematologic disorder, such as hemophilia or thrombocytopenia
  • Patients recently diagnosed with gastrointestinal ulcerative disease
  • Patients with inadequately controlled hypertension, defined as systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg
  • Patients with severe renal dysfunction, defined as estimated \< 30 mL/min/1.73 m²
  • Patients with liver enzyme levels greater than 3 times the or chronic liver disease
  • Individuals currently taking antiplatelet or antithrombotic agents
  • Individuals who are pregnant or breastfeeding
  • Patients with a history of to any component of the study drugs
  • Patients with complications of coronary artery stenosis
  • Patients with
  • Patients with a sigmoid-shaped ventricular septum or risk of sigmoid-shaped ventricular septum
  • Individuals with alcohol addiction
  • Patients with asthma
  • Patients deemed unsuitable for participation in the study based on the investigator's judgment
Terms in these criteria, in plain language(7)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,200 participants (estimated)

Study arms

  • Experimental
    Cilostazol

    Drug: Cilostazol

  • Active comparator
    Aspirin

    Drug: Aspirin

Interventions

  • Drug: Cilostazol Other Name: Pletaal SR Capsule

  • Drug: AspirinOther Name: ASA

06

What researchers measure

Primary outcomes

  1. Incidence of Major Adverse Cardiac and Cerebrovascular Events (MACCE)

    Incidence of major adverse cardiac and cerebrovascular events (MACCE), defined as myocardial infarction, stroke, cardiac or peripheral revascularization, hospitalization for symptomatic vascular ischemia, amputation, hospitalization for heart failure, or cardiovascular disease-related death

    Time frame: Up to 156 weeks

Secondary outcomes

  1. Incidence of Three-Point Major Adverse Cardiovascular Events

    Incidence of three-point major adverse cardiovascular events, including non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death

    Time frame: Up to 156 weeks

  2. Incidence of Heart Failure Events

    Incidence of heart failure events during the study period

    Time frame: Up to 156 weeks

  3. Incidence of Peripheral Vascular Events

    Incidence of peripheral vascular events, including limb ischemia, amputation, and revascularization.

    Time frame: Up to 156 weeks

  4. Change in CK-MB Level

    Change from baseline in serum creatine kinase-MB level.

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  5. Change in Troponin-I Level

    Change from baseline in serum troponin-I level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  6. Change in Fasting Glucose Level

    Change from baseline in fasting glucose level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  7. Change in HbA1c Level

    Change from baseline in HbA1c level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  8. Change in Insulin Level

    Change from baseline in insulin level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  9. Change in Total Cholesterol Level

    Change from baseline in serum total cholesterol level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  10. Change in Triglyceride(TG) Level

    Change from baseline in serum TG level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  11. Change in HDL Cholesterol Level

    Change from baseline in serum high-density lipoprotein (HDL) cholesterol level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  12. Change in LDL Cholesterol Level

    Change from baseline in serum LDL(low-density lipoprotein) cholesterol level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  13. Change in hsCRP Level

    Change from baseline in high-sensitivity C-reactive protein level

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  14. Change in Body Composition

    Change in body composition measured by BIA

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  15. Change in the Number of Metabolic Syndrome Components

    Change in the number of metabolic syndrome components.

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  16. Change in Framingham Risk Score

    Change in Framingham Risk Score. Higher scores indicate a higher estimated risk of cardiovascular disease.

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  17. Change in PREVENT Risk Score

    Change in Predicting Risk of Cardiovascular Disease EVENTs (PREVENT) risk score. Higher scores indicate a higher estimated risk of cardiovascular disease.

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  18. Change in SCORE2

    Change in in Systematic COronary Risk Evaluation 2 (SCORE2). Higher scores indicate a higher estimated risk of cardiovascular disease.

    Time frame: Baseline, 12 weeks, 24 weeks, 52 weeks, 104 weeks, and 156 weeks

  19. Change in coronary artery calcium score

    Change in coronary artery calcium score (CACS) measured by coronary computed tomography angiography The coronary artery calcium score is measured using the Agatston method; the minimum value is 0, there is no fixed maximum value, and higher scores indicate greater coronary artery calcification.

    Time frame: Baseline and 156 weeks

  20. Change in Coronary Artery Stenosis

    Change in coronary artery stenosis measured by coronary computed tomography angiography

    Time frame: Baseline and 156 weeks

07

Study locations

1 of 1 sites recruiting
  • Seoul National University Bundang Hospital
    Seongnam-si, Gyeonggi-do 13620, South Korea
    Recruiting
    • Jiyoon Lee · Contact82-10-4850-4828
08

References and documents

Individual participant data

Plan to share: Undecided — The plan to share de-identified individual participant data has not yet been determined. Any future sharing will require approval from the Institutional Review Board of the coordinating institution and appropriate data sharing agreements with participating institutions.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2026 (actual). Primary completion is estimated for Dec 2028, 31 months after the start.

Of 320 non-industry phase 4 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 49. This study's planned 31 months is close to that.

Counting every sponsor, half of 452 studies reached it within 24 months; a quarter within 13 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 15, 2026
First posted
Jul 22, 2026
StartActual
May 6, 2026
Primary completionEst.
Dec 2028
CompletionEst.
Dec 31, 2028
Last update
Jul 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07719894
Responsible party
Soo Lim (Professor, Seoul National University Bundang Hospital) — Principal investigator
First posted
Jul 22, 2026
Start date
May 6, 2026
Primary completion
Dec 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jul 22, 2026

Study contacts

Soo Lim
Contact
limsoo@snu.ac.kr
82-10-9766-2706
Jiyoon Lee
Contact
rq857@snubh.org
82-10-4850-4828

Oversight

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

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Studies of the drug tested here: Cilostazol

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