Evidence map›Paper›PMID 39587825›Full record

ArticleClinical cardiology2024

Rationale and Design of Dual Antiplatelet Therapy in Patients with Coronary Multi-Vessel Disease (DAPT-MVD): A Multicenter, Randomized, Controlled Trial.

Jinwei Tian, Zhuozhong Wang, Yan Wang, Fan Wang, Yini Wang, Peng Zhao, Xinyu Hou, Xiang Peng, Maoyi Tian, Duolao Wang and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04624854 (Dual Anti-Platelet Therapy in Patients With Coronary Multi-Vessel Disease), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04624854 phase4completednot on this map

Dual Anti-Platelet Therapy in Patients With Coronary Multi-Vessel Disease (DAPT-MVD): A Prospective, Multicenter, Randomized, Controlled Trial

TypeinterventionalSponsorHarbin Medical UniversityRan2020 to 2025Enrolled8,250ConditionsCoronary Artery Disease, Myocardial Ischemia, Acute Coronary Syndrome, Heart DiseasesArmsClopidogrel and aspirin dual-antiplatelet therapy, Aspirin monotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jinwei TianDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID http://orcid.org/0000-0002-2730-0033
Zhuozhong WangDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Yan WangDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Fan WangDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Yini WangDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Peng ZhaoDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Xinyu HouDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Xiang PengDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Maoyi TianSchool of Public Health, Harbin Medical University, Harbin, China.
Duolao WangGlobal Health Trials Unit, Liverpool School of Tropical Medicine, Liverpool, UK.
Bo YuDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID http://orcid.org/0000-0002-5955-6332

Funding

This work is supported by grants from the National Natural Science Foundation of China (Grant No. 62135002 to Bo Yu, No. U21A20391 to Jinwei Tian, No. 82370343 to Jinwei Tian, and No. 82204147 to Zhuozhong Wang), the Key R&D Program of Heilongjiang Province (Grant No. 2022ZX01A28 to Bo Yu), the CSC Clinical Research Special Fund Project (Grant No. HFCSC2020A02 to Bo Yu), the Natural Science Foundation of Heilongjiang Province of China (Grant No. ZD2023H005 to Jinwei Tian), the Scientific Research Project of Provincial Scientific Research Institute of Heilongjiang Province (Grant No. CZKYF2022-1-B007 to Jinwei Tian).
6 · The paper itself

Abstract

backgroundThe optimal duration of dual antiplatelet therapy (DAPT) for patients with coronary multi-vessel disease (MVD) who have received drug-eluting stents (DES) remains unclear. HYPOTHESIS AND

methodsThe Dual Antiplatelet Therapy in Patients with Coronary Multi-Vessel Disease (DAPT-MVD) study is a multicenter, open-label, randomized controlled trial designed to assess the efficacy and safety of extended DAPT in MVD patients 12 months following DES implantation. We plan to enroll 8250 patients across approximately 100 sites in China. Participants will be randomized in a 1:1 ratio to receive either extended DAPT (75 mg clopidogrel plus 75-150 mg aspirin daily) or monotherapy (75-150 mg aspirin daily) beyond 12 months post-DES implantation. The follow-up period will last at least 12 months, with all potential endpoints adjudicated by a blinded Clinical Events Committee. The primary endpoint is major adverse cardiovascular and cerebrovascular events (MACCE), including cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke.

resultsAs of April 2024, a total of 8250 participants have been enrolled in the study. The mean age of the enrolled patients was 60.5 ± 8.8years, with 5753 (69.7%) being men.

conclusionsThe DAPT-MVD study is the first large-scale trial to evaluate the efficacy and safety of prolonged DAPT with clopidogrel plus aspirin beyond 12 months after DES implantation in MVD patients. The trial will provide novel insights into the optimal duration of DAPT for MVD patients (ClinicalTrials. gov ID: NCT04624854. Registered on 10/27/2020).

Indexed as

AspirinClopidogrelCoronary Artery DiseaseDrug-Eluting StentsDual Anti-Platelet TherapyMulticenter Studies as TopicPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsRandomized Controlled Trials as TopicAgedChinaDrug Therapy, CombinationFemaleFollow-Up StudiesHumansMaleAspirinClopidogrelPlatelet Aggregation Inhibitorsclinical trialcoronary artery diseasedrug‐eluting stentdual antiplatelet therapymultivessel disease

Identifiers

PMID39587825
PMCPMC11589165

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.