Authorised Therapeutic use (Phase IV) Non-ST-segment Elevation Acute Coronary Syndrome

POPular GUILTY PILOT: Genotype-guided Clopidogrel monotherapy

EU CTIS ID: 2024-518464-12-00

What this study is testing

1. To assess ischemic risk (i.e. efficacy) of genotype-guided clopidogrel monotherapy during the first 6 months following successful PCI in NSTE-ACS patients. 2. To assess bleeding risk (i.e. safety) of genotype-guided clopidogrel monotherapy during the first 6 months following successful PCI in NSTE-ACS patients.

  • Therapeutic use (Phase IV)

A plain-language read of the study's public EU CTIS listing. The study team confirms the details.

Who can take part

You may be able to join if

  • Age 18 or older
  • Clinical diagnosis of NSTE-ACS (i.e. NSTEMI or unstable angina)
  • Successful PCI (according to the treating physician)
  • CYP2C19 extensive or ultra-rapid metabolizer

You likely can't join if

  • CYP2C19 poor or intermediate metabolizer
  • Planned surgical intervention within 6 months of PCI
  • Pregnant or breastfeeding women at time of enrolment
  • Participation in another trial with an investigational drug or device
  • Known allergy or contraindication for aspirin or clopidogrel.
  • Concurrent use of oral anticoagulants (e.g. because of atrial fibrillation)
See the full eligibility criteria
Who can join
  • Age 18 or older
  • Clinical diagnosis of NSTE-ACS (i.e. NSTEMI or unstable angina)
  • Successful PCI (according to the treating physician)
  • CYP2C19 extensive or ultra-rapid metabolizer
What rules you out
  • CYP2C19 poor or intermediate metabolizer
  • Planned surgical intervention within 6 months of PCI
  • Pregnant or breastfeeding women at time of enrolment
  • Participation in another trial with an investigational drug or device
  • Known allergy or contraindication for aspirin or clopidogrel.
  • Concurrent use of oral anticoagulants (e.g. because of atrial fibrillation)
  • Ongoing indication for DAPT at admission (e.g. due to recent PCI or ACS)
  • High-risk features for PCI including left main disease, chronic total occlusion, bifurcation lesion requiring 2-stent treatment, saphenous or arterial graft lesion, severely calcified lesion requiring the use of the Rotablator system, ≥3 treated vessels, ≥ 3 stents implanted and total stent length >60 mm
  • Recent stroke, transient ischemic attack (TIA) or intracranial bleeding
  • Severe hepatic impairment (Child Pugh class C)

The study team makes the final eligibility decision.

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18-64 years, 65+ years. The study team makes the final eligibility decision.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.