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. 2020 Apr 7;2020:6495036. doi: 10.1155/2020/6495036

Table 1.

Characteristics of randomized studies comparing different durations of dual antiplatelet therapy.

Study Antiplatelet treatment ACS patients (n/N) Primary efficacy endpoint Primary efficacy result Primary safety endpoint Primary safety result
Strategy shorter DAPT Months Strategy longer DAPT Months
RESET ASA + clopidogrel 3 ASA + clopidogrel 12 601/2117 Composite death from all-cause myocardial infarction or stent thrombosis TIMI
ISAR-SAFE ASA + clopidogrel 6 ASA + clopidogrel 12 1601/4000 Composite of death, myocardial infarction, stent thrombosis, stroke, or TIMI major bleedings TIMI
DAPT STEMI ASA + prasugrel, ticagrelor (preferred above clopidogrel) 6 ASA + prasugrel, ticagrelor (preferred above clopidogrel) 12 870/870 All-cause mortality, myocardial infarction, any revascularization, stroke, TIMI major bleeding TIMI/BARC 3
I-LOVE-IT 2 ASA + clopidogrel 6 ASA + clopidogrel 12 1496/1829 Composite of cardiac death, target vessel myocardial infarction (TVMI), or clinically indicated target lesion revascularization (CI-TLR) BARC 3–5
REDUCE ASA + prasugrel, ticagrelor (preferred above clopidogrel) 3 ASA + prasugrel, ticagrelor (preferred above clopidogrel) 12 1496/1496 All-cause death, MI, ST, stroke, TVR, or bleeding BARC 2–5
SMART DATE ASA + any P2Y12 inhibitor 6 ASA + any P2Y12 inhibitor 12 1000/1297 A composite of all-cause mortality, myocardial infarction, and cerebrovascular events) BARC 2–5
EXCELLENT ASA + clopidogrel 6 ASA + clopidogrel 12 744/1443 Composite of cardiac death, myocardial infarction, or target vessel revascularization TIMI
IVUS XL ASA + clopidogrel 6 ASA + clopidogrel 12 687/1400 Composite of cardiac death, myocardial infarction, stroke, or TIMI major bleeding TIMI
OPTIMIZE ASA + clopidogrel 3 ASA + clopidogrel 12 996/3119 Composite of death from any cause, MI, stroke, or major bleeding Intracranial, intraocular, or retroperitoneal hemorrhage; clinically overt blood loss resulting hemoglobin decrease >3 g/dL, any hemoglobin decrease >4 g/dL, or transfusion of 1 unit of packed red blood cells or whole blood; or intracranial hemorrhage or bleeding causing hemodynamic compromise and requiring intervention
SECURITY ASA + any P2Y12 inhibitor 6 ASA + any P2Y12 inhibitor 12 442/1399 Composite of cardiac death, MI, stroke, definite or probable stent thrombosis or bleeding academic consortium criteria (BARC) type 3 or 5 bleeding BARC 3–5
NIPPON ASA + clopidogrel (prasugrel) 6 ASA + clopidogrel (prasugrel) 18 1079/3307 All-cause death, Q-wave or non-Q-wave MI, cerebrovascular events, and major bleeding events Modified REPLACE-2 criteria
STOPDAPT 2 ASA + clopidogrel 1 ASA + clopidogrel 12 1140/3009 Composite of cardiac death, MI, stroke, definite or probable stent thrombosis or TIMI major/minor bleeding graphic file with name CDTP2020-6495036.i001.jpg TIMI graphic file with name CDTP2020-6495036.i001.jpg
SMART CHOICE ASA + any P2Y12 inhibitor 3 ASA + any P2Y12 inhibitor 12 1736/2993 All-cause death, MI, or stroke BARC 2–5 graphic file with name CDTP2020-6495036.i001.jpg
DES LATE-DATE ASA + clopidogrel 12 ASA + clopidogrel 24 3063/5045 Composite of death resulting from cardiac causes, myocardial infarction, or stroke TIMI graphic file with name CDTP2020-6495036.i001.jpg
ARCTIC interruption ASA + clopidogrel (75 or 150 mg) or prasugrel 12 ASA + clopidogrel (75 or 150 mg) or prasugrel 24 323/1286 Any death, myocardial infarction, stent thrombosis, stroke, or TIA, urgent revascularization STEEPLE
DAPT study ASA + clopidogrel/prasugrel 12 ASA + clopidogrel/prasugrel 30 3576/9961 Stent thrombosis graphic file with name CDTP2020-6495036.i001.jpg GUSTO
Italic/italic+ ASA 6 ASA + clopidogrel (prasugrel, ticagrelor) 12 792/1850 Composite of death, MI, emergency TVR, stroke, or major bleeding TIMI
TWILIGHT ASA + ticagrelor (then ticagrelor) 3 ASA + ticagrelor 12 7119/7119 Death from any cause, nonfatal myocardial infarction, or nonfatal stroke BARC 2, 3–5 graphic file with name CDTP2020-6495036.i001.jpg
GLOBAL LEADERS ASA + ticagrelor (then ticagrelor) 1 ASA + ticagrelor or clopidogrel 12 7487/15968 All-cause mortality or new nonfatal, centrally adjudicated Q-wave MI BARC 3–5 graphic file with name CDTP2020-6495036.i001.jpg